Midlothian Healthcare Center
900 George Hopper Rd, Midlothian, TX 76065 · Ellis County · 120 certified beds · avg 86 residents/day · certified since Feb 19, 2015
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 28, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Aug 29, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 28, 2023 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Aug 29, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 18, 2024 · F-0755 · triggered by a complaint
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 22, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 18, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 22, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 26, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 14, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Feb 6, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 31, 2026 | D · Potential for harm, one-off | 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 |
| Dec 2, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Dec 18, 2024 | ▲ G · Actual 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 |
| Dec 18, 2024 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Dec 4, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Dec 4, 2024 | 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. |
| Dec 4, 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. · from a complaint |
| Dec 4, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Oct 26, 2023 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 26, 2023 | F · Potential for harm, facility-wide | 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. |
| Oct 26, 2023 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Oct 26, 2023 | 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. |
| Oct 26, 2023 | D · Potential for harm, one-off | 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. |
| Aug 28, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Aug 28, 2023 | ▲ J · Immediate jeopardy, 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 |
| Aug 28, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 3 | J ▲ |
| 2024 | 6 | 2 | G ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 2 | 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)
3 fines totaling $46,636.
| Date | Type | Amount / length |
|---|---|---|
| Sep 11, 2023 | Fine | $2,447 |
| Sep 5, 2023 | Fine | $2,098 |
| Aug 28, 2023 | Fine | $42,091 |
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) | 3.26 | 3.46 | 3.95 | bottom 45% in Texas; bottom 24% in the U.S. |
| Registered Nurse hours | 0.32 | 0.44 | 0.69 | bottom 34% in Texas; bottom 12% in the U.S. |
| Weekend total nurse staffing | 2.88 | 3.04 | 3.50 | bottom 47% in Texas; bottom 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.34 | 0.48 | bottom 31% in Texas; bottom 17% in the U.S. |
| Total nursing staff turnover (%) | 64.1 | 55.3 | 45.8 | bottom 26% in Texas; bottom 11% in the U.S. |
| RN turnover (%) | 20.0 | 54.6 | 42.9 | top 6% in Texas; top 13% 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 3.35, RN 0.33, weekend 2.97. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2024 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/21/2024 |
| Hawkins Spring Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2024 |
| Hawkins Spring Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/16/2025 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Patel, Deepak | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2024 |
| Patel, Deepak | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2024 |
| Patel, Deepak | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
| Southern Star NH, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
| Stark, Katherine | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2024 |
| Stark, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2024 |
| Stark, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
| Thompson, Johnny | Individual | Corporate Officer | NOT APPLICABLE | 05/16/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Midtowne Meadows Health & Rehab | 0.4 mi | Midlothian, TX | ★★★★☆ | 5/5 | |
| Mansfield Medical Lodge | 7.5 mi | Mansfield, TX | ★★★★☆ | 4/5 | |
| Cedar Hill Healthcare Center | 8.2 mi | Cedar Hill, TX | ★★☆☆☆ | 3/5 | |
| Focused Care of Waxahachie | 9.1 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | abuse |
| Legend Oaks Healthcare and Rehabilitation - Waxaha | 9.2 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | |
| Crestview Court | 9.3 mi | Cedar Hill, TX | ★★★★★ | 4/5 | |
| The Pavilion at Creekwood | 9.5 mi | Mansfield, TX | ★★☆☆☆ | 2/5 | |
| Avir at Mansfield | 10.1 mi | Mansfield, TX | ★★★★☆ | 3/5 | |
| Park Village Healthcare and Rehabilitation | 10.4 mi | Desoto, TX | ★★☆☆☆ | 1/5 | abuse |
| Red Oak Health and Rehabilitation Center | 10.5 mi | Red Oak, TX | ★★★☆☆ | 4/5 | |
| Methodist Transitional Care Center-Desoto LLC | 11.0 mi | Desoto, TX | ★★★☆☆ | 2/5 | |
| Pleasant Manor Healthcare and Rehabilitation | 11.6 mi | Waxahachie, TX | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676374.