Midtowne Meadows Health & Rehab
110 Dylan Way, Midlothian, TX 76065 · Ellis County · 121 certified beds · avg 105 residents/day · certified since Jun 20, 2023
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
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 (2)
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 |
|---|---|---|
| Aug 15, 2024 | 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. |
| Aug 15, 2024 | 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 |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 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)
5 fines totaling $20,131.
| Date | Type | Amount / length |
|---|---|---|
| Feb 12, 2024 | Fine | $3,798 |
| Jan 22, 2024 | Fine | $9,116 |
| Jan 8, 2024 | Fine | $2,279 |
| Jan 2, 2024 | Fine | $1,764 |
| Dec 11, 2023 | Fine | $3,174 |
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) | 3.78 | 3.46 | 3.95 | top 21% in Texas; top 49% in the U.S. |
| Registered Nurse hours | 0.40 | 0.44 | 0.69 | top 46% in Texas; bottom 22% in the U.S. |
| Weekend total nurse staffing | 3.52 | 3.04 | 3.50 | top 16% in Texas; top 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.34 | 0.48 | top 19% in Texas; top 41% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.3 | 45.8 | — |
| 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 3.77, RN 0.40, weekend 3.50. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Nocona Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2025 |
| Arze, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Ellis Mid Healthcare LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/24/2022 |
| Ellis Mid Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/24/2022 |
| Haco Health Midtowne LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Haco Health Midtowne LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/02/2025 |
| Hawley, Gracen | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Hawley, Gracen | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Hawley, Russell | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 10/02/2025 |
| Meekins, Greg | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2006 |
| Nocona Hospital District | Organization | ADP of the SNF | NOT APPLICABLE | 11/26/2025 |
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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Midlothian Healthcare Center | 0.4 mi | Midlothian, TX | ★★★☆☆ | 3/5 | |
| Mansfield Medical Lodge | 7.6 mi | Mansfield, TX | ★★★★☆ | 4/5 | |
| Cedar Hill Healthcare Center | 7.9 mi | Cedar Hill, TX | ★★☆☆☆ | 3/5 | |
| Focused Care of Waxahachie | 8.9 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | abuse |
| Crestview Court | 9.0 mi | Cedar Hill, TX | ★★★★★ | 4/5 | |
| Legend Oaks Healthcare and Rehabilitation - Waxaha | 9.0 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | |
| The Pavilion at Creekwood | 9.5 mi | Mansfield, TX | ★★☆☆☆ | 2/5 | |
| Park Village Healthcare and Rehabilitation | 10.0 mi | Desoto, TX | ★★☆☆☆ | 1/5 | abuse |
| Red Oak Health and Rehabilitation Center | 10.1 mi | Red Oak, TX | ★★★☆☆ | 4/5 | |
| Avir at Mansfield | 10.3 mi | Mansfield, TX | ★★★★☆ | 3/5 | |
| Methodist Transitional Care Center-Desoto LLC | 10.6 mi | Desoto, TX | ★★★☆☆ | 2/5 | |
| Desoto Nursing & Rehabilitation Center | 11.5 mi | Desoto, TX | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 745039.