Mesa Springs Healthcare Center

Medicare Outcome Measures

• Potentially preventable hospital readmissions

  12.14% (lower is better)

  No Different than the National Rate

• Residents discharged back to the community

  48.64% (higher is better)

  No Different than the National Rate

• Infections acquired during the stay requiring hospitalization

  8.73% (lower is better)

  No Different than the National Rate

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

• Long-stay residents with a urinary tract infection

  0.5%

  national median 0.9%

  better than the national median

• Long-stay residents experiencing falls with major injury

  2.3%

  national median 2.8%

  near the national median

• Short-stay residents who newly received an antipsychotic medication

  0.4%

  national median 1.0%

  better than the national median

• Long-stay residents whose ability to walk independently worsened

  28.0%

  national median 12.5%

  worse than the national median

• Long-stay residents with pressure ulcers

  4.1%

  national median 4.2%

  near the national median

• Long-stay residents who received an antipsychotic medication

  8.3%

  national median 13.4%

  better than the national median

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day

3.4 hours

TX average: 3.4 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day

0.5 hours

TX average: 0.4 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day

3.0 hours

TX average: 3.0 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

1 fine totaling $8,190 in the recent inspection window (most recent: October 12, 2023).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type

For profit - Corporation

Chain

The Ensign Group