Cheyenne Medical Lodge
750 Highway 352, Mesquite, TX 75149 · Dallas County · 139 certified beds · avg 126 residents/day · certified since Aug 28, 2019
Part of chain: FOURSQUARE HEALTHCARE (10 facilities, chain avg rating 3.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 16, 2026 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Jun 16, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 16, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 16, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jun 16, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 16, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 16, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 16, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 18, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| May 6, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| May 6, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 6, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| May 6, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| May 6, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| May 6, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| May 6, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| May 6, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Mar 28, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 3, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 12, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 2 | 0 | D |
| 2025 | 8 | 0 | E |
| 2026 | 9 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.99 | 3.46 | 3.95 | bottom 23% in Texas; bottom 13% in the U.S. |
| Registered Nurse hours | 0.52 | 0.44 | 0.69 | top 24% in Texas; bottom 40% in the U.S. |
| Weekend total nurse staffing | 2.37 | 3.04 | 3.50 | bottom 9% in Texas; bottom 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.34 | 0.48 | top 9% in Texas; top 26% in the U.S. |
| Total nursing staff turnover (%) | 47.7 | 55.3 | 45.8 | top 40% in Texas; bottom 43% in the U.S. |
| RN turnover (%) | 30.0 | 54.6 | 42.9 | top 18% in Texas; top 29% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.61, RN 0.62, weekend 2.87. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Boatler, Keith | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Boatler, Keith | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Campbell, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Campbell, Kenneth | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| David W Miller GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| DWM 5x5 Trust | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/01/2023 |
| DWM 5x5 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Elmahi, Mutaz | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Fairbrook Partners, LP | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/01/2023 |
| Fairbrook Partners, LP | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Foursquare Texas 16 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Foursquare Texas 16 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/21/2025 |
| Jec GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Jem 5x5 Trust | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/01/2023 |
| Jem 5x5 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| John E Miller GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Kingsbury Capital LLC Series F | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| KJC GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Lewis, Shane | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Lion Plaza LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mesquite Tree Nursing Center | 1.7 mi | Mesquite, TX | ★★★★☆ | 3/5 | |
| Mesquite Village Wellness & Rehabilitation | 2.2 mi | Mesquite, TX | ★★★☆☆ | 3/5 | |
| Edgewood Rehabilitation and Care Center | 2.9 mi | Mesquite, TX | ★★★★☆ | 4/5 | |
| Willowbend Nursing and Rehabilitation Center | 3.0 mi | Mesquite, TX | ★★★☆☆ | 2/5 | |
| Town East Rehabilitation and Healthcare Center | 3.4 mi | Mesquite, TX | ★☆☆☆☆ | 1/5 | abuse |
| Palomino Place | 4.3 mi | Mesquite, TX | ★★☆☆☆ | 2/5 | abuse |
| Balch Springs Nursing Home | 4.6 mi | Balch Springs, TX | ★★☆☆☆ | 1/5 | |
| Christian Care Communities and Services Mesquite | 5.0 mi | Mesquite, TX | ★★★★☆ | 3/5 | |
| Le Reve Rehabilitation & Memory Care | 7.1 mi | Dallas, TX | ★☆☆☆☆ | 1/5 | abuse |
| Golden Acres Living and Rehabilitation Center | 7.4 mi | Dallas, TX | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676466.