Deficiency Index

Midtowne Meadows Health & Rehab

Midlothian, Texas · CCN 745039

1 survey since 2024, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
2
Surveys
1
Harm or worse
0
Immediate jeopardy
0
The record, 2024–2024
’24
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Citations on record2

Across 1 surveys carrying at least one finding.

The facility

Certified beds
121
Ownership
For profit - Limited Liability company
Chain
Independent
County
Ellis
Medicare-certified since
2023

CMS ratings

Overall
4
Health inspection
5
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=2, floor 20).

Last survey on record

Aug 15, 2024

816 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.773.25
Registered-nurse hours per resident day0.40—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$20,131 across 5 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD150.0%E150.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 2 of the 2 citations on record.

In the surveyor’s words

From the most serious findings on record at Midtowne Meadows Health & Rehab, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF689Aug 15, 2024

    Based on observations, interviews and record reviews, the facility failed to ensure that residents' environment remained free of accident hazards as was possible for 3 (Resident #27, #60, and #64) of 4 residents reviewed for accident prevention. The facility failed to obtain physician orders or a physician assessment as of 08/13/2024 for Residents #27, #60, and #64 for the usage of a Bolster mattress prior to installing the mattress to assist in fall prevention. This failure could prevent residents from having an environment that was free and clear of accidents and hazards. Findings included: Record review of Resident #27's Face Sheet, dated 08/15/2024, reflected she was an [AGE] year-old female admitted on [DATE]. […]

  • No harm, potential for more than minimal, isolatedF880Aug 15, 2024

    Based on observation, interview, and record review, it was determined the facility failed to maintain an infection control program designed to help prevent the development and transmission of disease and infection for 2 (Resident #57, Resident #217) of 2 residents reviewed for infection control. 1.CNA A failed to perform hand hygiene (hand washing) after removing soiled gloves and before putting on clean gloves on 08/14/24 08:26 AM, during incontinence care for Resident #57. 2. The facility failed to ensure Resident #217's foley catheter bag was not touching the floor. This failure could place residents in the facility at risk for the development and transmission of infections. […]

Read all 2 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Aug 15, 2024Standard and complaint2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction