Mexia LTC Nursing and Rehabilitation
601 Terrace Ln, Mexia, TX 76667 · Limestone County · 66 certified beds · avg 39 residents/day · certified since Mar 31, 1974
Part of chain: GULF COAST LTC PARTNERS (20 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 8, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 8, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Dec 18, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Dec 18, 2025 | 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. |
| Nov 15, 2025 | F · Potential for harm, facility-wide | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Nov 15, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Aug 5, 2025 | 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 |
| Sep 25, 2024 | 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. |
| Sep 25, 2024 | 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. |
| Sep 25, 2024 | 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. |
| Sep 25, 2024 | D · Potential for harm, one-off | 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. |
| Aug 8, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 8, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Aug 8, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Aug 8, 2023 | 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. |
| Aug 8, 2023 | D · Potential for harm, one-off | 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. |
| Aug 8, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Aug 8, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 1 | J ▲ |
| 2024 | 4 | 0 | E |
| 2025 | 5 | 0 | F |
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) | 0.00 | 3.46 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.44 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.04 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.34 | 0.48 | — |
| Total nursing staff turnover (%) | 61.9 | 55.3 | 45.8 | bottom 30% in Texas; bottom 14% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
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 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| South Limestone Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2018 |
| Bergeron, Bobby | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
| Hart-Line Associates LP | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2018 |
| Hart-Line Associates LP | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2018 |
| Mexia LTC Partners, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
| Mexia LTC Partners, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/23/2025 |
| Nicholson, Louis | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
| Price, Larry | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2018 |
| Rettig, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2018 |
| Saling, Martha | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2018 |
| South Limestone Hospital District | Organization | ADP of the SNF | NOT APPLICABLE | 04/23/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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?"
- "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 |
|---|---|---|---|---|---|
| The Manor Healthcare Residence | 0.2 mi | Mexia, TX | ★★★★★ | 5/5 | |
| Skilled Care of Mexia | 0.8 mi | Mexia, TX | ★★★☆☆ | 4/5 | |
| Teague Nursing and Rehabilitation | 11.5 mi | Teague, TX | ★★★★★ | 5/5 | |
| Groesbeck LTC Nursing and Rehabilitation | 11.6 mi | Groesbeck, TX | ★★★★★ | 5/5 | |
| Windsor Healthcare Residence | 11.7 mi | Groesbeck, TX | ★★☆☆☆ | 2/5 | abuse |
| Fairfield Nursing & Rehabilitation Center | 19.6 mi | Fairfield, TX | ★★★★☆ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675903.