Skilled Care of Mexia: Staffing, Turnover, and Inspection Record
Skilled Care of Mexia is a 80-bed government-run nursing home in Mexia, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 2.02 nurse aide hours per resident per day, about the same as the Texas average of 2.00, and 97.2% nursing staff turnover (Texas average 55.3%).
Skilled Care of Mexia
501 E Sumpter StMexia, TX 76667
Limestone County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Skilled Care of Mexia, nurse aides logged 2.02 hours per resident per day, about the same as the Texas average. With about 70 residents a day, that works out to roughly 141 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.02 | 2.00 | 2.32 |
| Licensed practical nurses | 0.89 | 0.95 | 0.86 |
| Registered nurses | 0.26 | 0.43 | 0.69 |
| All nursing staff | 3.17 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.86 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
97.2% of nursing staff at Skilled Care of Mexia left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 88.9%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $24,634 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 17, 2025 | Fine | $9,113 |
| Dec 31, 2024 | Fine | $15,521 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Skilled Care of Mexia holds 3 of 5 overall; the Texas average is 2.6.
About Skilled Care of Mexia
- Ownership: Government - Hospital district
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Jul 25, 2017
- Councils: resident council
- Area: rural
Nursing homes near Skilled Care of Mexia
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Manor Healthcare Residence Mexia | 0.7 | 66 | 1.65 | 3.22 | 25.8% | 5 | None |
| MEXIA LTC Nursing and Rehabilitation Mexia · staffing data not validated | 0.8 | 66 | — | — | 61.9% | 2 | None |
| Teague Nursing and Rehabilitation Teague | 10.7 | 76 | 1.55 | 3.07 | 46.7% | 5 | None |
| Groesbeck LTC Nursing and Rehabilitation Groesbeck | 11.6 | 90 | 2.24 | 3.39 | 38.9% | 5 | None |
| Windsor Healthcare Residence Groesbeck · abuse citation | 11.7 | 90 | 2.18 | 3.31 | 52.4% | 2 | $34,232 |
| Fairfield Nursing & Rehabilitation Center Fairfield | 18.8 | 101 | 1.66 | 3.09 | 96.7% | 4 | None |
| Fairview Healthcare Residence Fairfield | 19.6 | 84 | 1.55 | 3.13 | 43.6% | 4 | $19,412 |
| Meadows of Corsicana, LLC Corsicana | 26.7 | 96 | 2.20 | 3.65 | — | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.