Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Midtowne Meadows Health & Rehab during CMS and state inspections, most recent first.
The facility failed to obtain physician orders for bolster mattresses used by three residents with severe cognitive impairments and fall histories. Observations showed the use of these mattresses without proper documentation or physician approval, violating facility policy and compromising resident safety.
The facility failed to maintain an effective infection control program, as evidenced by two incidents. A CNA did not perform hand hygiene after removing soiled gloves during incontinence care for a resident with multiple health conditions. Additionally, a male resident's foley catheter bag was observed touching the floor, contrary to facility policy. Interviews with staff confirmed these practices were not in line with infection prevention protocols.
Failure to Obtain Physician Orders for Bolster Mattresses
Penalty
Summary
The facility failed to ensure that the environment for three residents was free from accident hazards due to the use of bolster mattresses without obtaining physician orders or assessments. Residents involved were elderly females with severe cognitive impairments and histories of falls. Observations revealed that these residents were using bolster mattresses with raised sides, but there were no corresponding physician orders or assessments in the facility's records to justify their use. The Director of Nursing (DON) acknowledged the absence of physician orders and stated that the mattresses were necessary due to the residents' fall histories. However, the facility's policy required verbal orders only in emergencies or when the physician was unavailable, which was not the case here. The lack of proper documentation and physician approval for the use of these mattresses constituted a deficiency in maintaining a safe environment for the residents.
Infection Control Deficiencies in Hand Hygiene and Foley Catheter Management
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by two specific incidents involving residents. In the first incident, a Certified Nursing Assistant (CNA) did not perform hand hygiene after removing soiled gloves and before putting on clean gloves during incontinence care for a resident. This resident, a female with multiple health conditions including congestive heart failure and atrial fibrillation, was dependent on staff for personal hygiene. The CNA admitted to normally using hand sanitizer between glove changes but forgot on this occasion. Interviews with the Assistant Director of Nursing (ADON), a Licensed Vocational Nurse (LVN), and the Infection Prevention Nurse confirmed that hand hygiene should have been performed to prevent infection, as per the facility's hand hygiene policy. In the second incident, the facility failed to ensure that a male resident's foley catheter bag was not touching the floor. The resident, who had a history of atherosclerotic heart disease and chronic kidney disease, was observed with his foley catheter bag hanging from a trash can and touching the floor. Interviews with the LVN, Infection Prevention Nurse, and ADON confirmed that the foley bag should not have been in contact with the floor, as this poses an infection risk. The facility's policy on urinary catheter care explicitly states that tubing and drainage bags should be kept off the floor.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 568 citations issued within 25 miles in the last 12 months — including the 31 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Midlothian
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Midlothian Healthcare Center | 0.4 mi | ★★★★★ | 2 | 0 |
| Mansfield Medical Lodge | 7.6 mi | ★★★★★ | 17 | 0 |
| Cedar Hill Healthcare Center | 7.9 mi | ★★★★★ | 1 | 1 |
| Focused Care Of Waxahachie | 8.9 mi | ★★★★★ | 11 | 1 |
| Crestview Court | 9 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.