PlainNursing
CMS Nursing Home Compare · August 2026

Mesquite Tree Nursing Center

434 Paza Dr., Mesquite, TX 75149

Mesquite Tree Nursing Center, a 143-bed government - hospital district nursing facility in Mesquite, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #202 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9722886489

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4 / 5
Above average · CMS overall · nat'l 3.0
#202 of 1,165
In-state rank among rated TX homes
3.23
Well below average · nurse hrs/day · nat'l 3.86
27
Inspection findings · 1 serious

The verdict

Mesquite Tree Nursing Center, a 143-bed government - hospital district nursing facility in Mesquite, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #202 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#202 of 1,165
In-state rank among rated TX homes
3.23
Nurse hrs/resident-day · national 3.86
27
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as Government - Hospital district. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675033
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
Beds
143
Residents
83
In Hospital
No
County
Dallas
Last Inspection
Mar 5, 2026

Staffing Data

How the 3.23 total nursing hours per resident-day are staffed:

RN Hours
0.40 (nat'l avg: 0.69)
LPN Hours
0.70
CNA Hours
2.13
Total Nursing Hours
3.23 (nat'l avg: 3.86)
PT Hours
0.14
Nursing Turnover
58.8%
RN Turnover
50.0%

What the CMS Record Reveals About Mesquite Tree Nursing Center

According to CMS Nursing Home Compare, Mesquite Tree Nursing Center ranks #202 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Mesquite Tree Nursing Center operates 143 certified beds in Mesquite, TX with approximately 83 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 2★ · quality 5★).

The inspection file contains 27 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Staffing is reported at 3.23 total nursing hours per resident day (national average 3.86), with RN coverage at 0.40 per resident day.

Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider, Mesquite Tree Nursing Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 58.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (27 most recent)

E - Pattern - Minimal harm Jun 24, 2026 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

E - Pattern - Minimal harm Jun 24, 2026 Tag: 0800

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Category: Nutrition and Dietary Deficiencies

D - Isolated - Minimal harm May 20, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 5, 2026

E - Pattern - Minimal harm Mar 5, 2026 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 31, 2026

E - Pattern - Minimal harm Mar 5, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 31, 2026

D - Isolated - Minimal harm Feb 11, 2026 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Mar 7, 2026

D - Isolated - Minimal harm Sep 16, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Sep 17, 2025

D - Isolated - Minimal harm Sep 16, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 17, 2025

E - Pattern - Minimal harm Sep 16, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 17, 2025

E - Pattern - Minimal harm Jun 11, 2025 Tag: 0850

Hire a qualified full-time social worker in a facility with more than 120 beds.

Category: Administration Deficiencies

Corrected: Jul 11, 2025

D - Isolated - Minimal harm Dec 20, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 2, 2025

D - Isolated - Minimal harm Dec 20, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Feb 2, 2025

E - Pattern - Minimal harm Dec 20, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 2, 2025

E - Pattern - Minimal harm Dec 20, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 2, 2025

E - Pattern - Minimal harm Dec 20, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 2, 2025

D - Isolated - Minimal harm Oct 23, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 22, 2024

D - Isolated - Minimal harm Oct 23, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 23, 2024

E - Pattern - Minimal harm Oct 23, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 22, 2024

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 24, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Dec 24, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 24, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 24, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 24, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Dec 24, 2023

E - Pattern - Minimal harm Oct 26, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 24, 2023

J - Isolated - Jeopardy Aug 27, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 26, 2023

D - Isolated - Minimal harm Aug 2, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 30, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 11.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 5.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 3.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 8.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 6.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.4% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Mesquite Tree Nursing Center, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Mesquite Tree Nursing Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 143 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Mesquite Tree Nursing Center?
Mesquite Tree Nursing Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (5★).
Where does Mesquite Tree Nursing Center rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Mesquite Tree Nursing Center ranks 202nd among 1,165 rated nursing homes in TX (#202 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Mesquite Tree Nursing Center?
Mesquite Tree Nursing Center reports 3.23 total nursing hours per resident day (national average: 3.86). RN hours are 0.40 per resident day (national average: 0.69). Nursing staff turnover is 58.8%.
How many beds does Mesquite Tree Nursing Center have?
Mesquite Tree Nursing Center has 143 certified beds with approximately 83 residents. The facility is located at 434 Paza Dr., Mesquite, TX 75149.
Does Mesquite Tree Nursing Center have any deficiencies on record?
Yes, Mesquite Tree Nursing Center has 27 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Mesquite Tree Nursing Center received any fines or penalties?
No, Mesquite Tree Nursing Center has no fines or penalties on record.
Who owns Mesquite Tree Nursing Center?
Mesquite Tree Nursing Center is classified as "Government - Hospital district" ownership. The facility type is "Medicare and Medicaid".
When was Mesquite Tree Nursing Center last inspected?
The most recent health inspection for Mesquite Tree Nursing Center was on Mar 5, 2026. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Mesquite Tree Nursing Center?
Mesquite Tree Nursing Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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