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Nursing homeFAID #14198

Mesa Springs Healthcare Center

7171 BUFFALO GAP RD, ABILENE, TX, 79606

(325) 692-8080

89 licensed beds

CMS rates Mesa Springs Healthcare Center 2 out of 5 overall. Federal inspectors issued 47 citations across 15 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

7171 Buffalo Gap Rd

Abilene, TX 79606

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675645

Care type

Nursing home

County

Taylor

Facility name

Mesa Springs Healthcare Center

Street address

7171 BUFFALO GAP RD

City / state / ZIP

Abilene, TX 79606

Phone

(325) 692-8080

Website

ensignservices.net

About this facility — Mesa Springs Healthcare Center

Mesa Springs Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Abilene, Texas. It is licensed for 89 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 28 senior care facilities in Abilene and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Ensign Group, a group of 347 facilities on this site.

Federal inspectors have cited Mesa Springs Healthcare Center 47 times across 15 inspections in the last three years, including 5 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Corporation

Registered owners & officers

Eastland Memorial Hospital District

Direct owner — 100% stake — since 2017

Burnam, Soon

Officer — since 2015

Ensign Services Inc

Additional disclosable party — since 2015

Forrest Hill Healthcare, Inc

Operational control · Additional disclosable party — since 2017

Keetch, Chad

Officer — since 2011

Mcgrew, Pamela

Governing body · Operational control · Additional disclosable party — since 2015

Mcknight, Maxey

Governing body · Operational control · Additional disclosable party — since 2016

Rio Mesa Health Holdings Llc

Additional disclosable party — since 2015

Standard Bearer Healthcare Op, Lp

Additional disclosable party — since 2015

Taylor, Stephen

Officer — since 2025

The Ensign Group Inc

Additional disclosable party — since 2015

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1996-12-04

CMS overall rating

2 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-19

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$386 per day (≈ $11,730/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

61% Medicaid · 8% Medicare · 31% private/other

Occupancy

77% (fiscal year 2024)

Vs. state median

39% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-17Health inspectionComplaint-triggered1 citation

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-08-17

2026-04-15Health inspectionComplaint-triggered1 citation

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-05-08

10 earlier / fire-safety inspections (45 citations)

2026-03-19Health inspection9 citations

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-05-08

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-05-08

F-0700

E · No harm found

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2026-05-08

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-05-08

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-05-08

F-0851

F · No harm found

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2026-05-08

F-0943

B · No harm found

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2026-05-08

F-0944

B · No harm found

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2026-05-08

F-0946

B · No harm found

Provide training in compliance and ethics.

Corrected 2026-05-08

2025-06-06Health inspectionComplaint-triggered2 citations

F-0585

D · No harm foundFrom a complaint

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-06-30

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-06-30

2025-01-16Health inspectionComplaint-triggered10 citations

F-0585

D · No harm foundFrom a complaint

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-01-17

F-0644

D · No harm foundFrom a complaint

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-01-17

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-17

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-01-17

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-01-17

F-0761

D · No harm foundFrom a complaint

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-01-17

F-0770

E · No harm foundFrom a complaint

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-01-17

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-01-17

F-0813

E · No harm foundFood safetyFrom a complaint

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-01-17

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-01-17

2024-11-21Health inspectionComplaint-triggered1 citation

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2024-11-22

2024-06-25Health inspectionComplaint-triggered2 citations

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-06-28

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-06-28

2023-11-30Health inspectionComplaint-triggered2 citations

F-0761

D · No harm foundFrom a complaint

Corrected 2023-12-01

F-0812

F · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-12-01

2023-10-12Health inspectionComplaint-triggeredInfection control6 citations

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-10-13

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-10-13

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2023-10-13

F-0656

G · Actual harmFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-10-13

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-10-13

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2023-10-13

2026-03-19Fire-safety inspection5 citations

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-06-03

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2026-06-03

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-06-03

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2026-06-03

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-06-03

2025-01-16Fire-safety inspection1 citation

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-01-31

2023-11-30Fire-safety inspection7 citations

K-0200

D · No harm found

Meet other general requirements.

Corrected 2023-12-03

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-12-03

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2023-12-03

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-02-29

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-12-03

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-02-29

K-0761

E · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-12-03

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675645.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 76% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.3

Higher than 45% of nursing homes in the state

State median: 3.3

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 7 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	10.9%	15.8%	13.5%	Better than state
Lose too much weight	4.1%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.3%	0.3%	0.7%	Near state average
With a urinary tract infection	0.5%	0.8%	1.5%	Better than state
Have depressive symptoms	2.3%	2.3%	13.5%	Near state average
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.3%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	97.3%	96.4%	93.7%	Near state average
Ability to walk independently worsened	17.5%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	8.5%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	91.5%	97.0%	95.3%	Near state average
With pressure ulcers	3.3%	3.7%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	16.5%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	9.5%	9.8%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	1.98	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	2.09	1.97	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	84.0%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	59.5%	85.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	23.9%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	10.7%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.
F-0607 3 inspections. Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
K-0222 2 inspections. Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K-0712 2 inspections. Have simulated fire drills held at unexpected times.

What its owners also hold

Eastland Memorial Hospital District has an ownership stake on file at 34 nursing homes, averaging 2.8 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Hendrick Medical Center, about 8.0 miles. CMS rating 3 of 5.
Anson General Hospital, about 29 miles.
North Runnels Hospital, about 30 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Wesley Court Health Center, Abilene, about 1.7 miles. CMS rating 5 of 5.
Windcrest Alzheimer's Care Center, Abilene, about 2.3 miles. CMS rating 3 of 5.
Wisteria Place, Abilene, about 3.4 miles. CMS rating 3 of 5.
Willowcreek Rehab and Nursing, Abilene, about 5.5 miles. CMS rating 2 of 5.
Avir At Abilene, Abilene, about 6.8 miles. CMS rating 1 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 47 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered