Mesa Hills Post Acute faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 53th percentile among Texas nursing homes, suggesting significant room for improvement.
Staffing at Mesa Hills Post Acute is near the national average, with 3.62 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 28 deficiencies at Mesa Hills Post Acute, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.62 | 3.8 | Average |
| Registered Nurses (RN) | 0.20 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.99 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.43 | 2.4 | Average |
| Weekend Total Nursing | 3.25 | 3.8 | Below Average |
| Weekend RN Hours | 0.14 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Jul 16, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 5, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 5, 2025 · Nutrition and Dietary Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andMay 5, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.May 5, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.4% | 4.5% | Worse |
| Falls with major injury | 1.9% | 3.0% | Better |
| On antipsychotic medication | 32.7% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 14.2% | 14.0% | Average |
| Excessive weight loss | 1.5% | 7.5% | Better |
| New/worsened incontinence | 16.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $5,734
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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