B81

EDGEWOOD REHABILITATION AND CARE CENTER

Grade B 81/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
5/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

142

Ownership

For profit - Limited Liability company

Total Fines

$9,750

Last Survey

N/A

1101 WINDBELL DR, MESQUITE, TX 75149
9722888800

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.32h
LPN
0.89h
CNA
1.59h
Total
2.81h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

DALLAS COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2017

100%

CARE INN OF EDNA LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2017

YATES, TIMOTHY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2022

CERISE, FREDERICK

IndividualCORPORATE DIRECTORSince Mar 2014

CASTANEDA, EDMUNDO

IndividualCORPORATE OFFICERSince Jan 2022

Penalties & Fines (1)

$9,750total fines
DateTypeDescriptionAmount
Feb 16, 2023Fine$9,750

Health Inspection Deficiencies (19)

May 15, 2025Health3 deficiencies
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Jun 3, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 3, 2025
0921EMinimal harm, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Jun 3, 2025
October 21, 2024Health4 deficiencies
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Nov 21, 2024
0693EMinimal harm, Pattern

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Nov 21, 2024
0850DMinimal harm, Isolated

Hire a qualified full-time social worker in a facility with more than 120 beds.

Administration Deficiencies

Corrected Nov 21, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 21, 2024
April 25, 2024Health1 deficiency
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 25, 2024
April 12, 2024Health4 deficiencies
0641EMinimal harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected May 10, 2024
0790DMinimal harm, Isolated

Provide routine and 24-hour emergency dental care for each resident.

Quality of Life and Care Deficiencies

Corrected May 10, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 10, 2024
0657DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected May 10, 2024
June 2, 2023Health1 deficiency
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jun 30, 2023
April 4, 2023Health2 deficiencies2 severe
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 16, 2023
0684GActual harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected May 16, 2023
February 16, 2023Health4 deficiencies
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Mar 17, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 17, 2023
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Mar 17, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 17, 2023

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Frequently Asked Questions

What is the CareGrader rating for EDGEWOOD REHABILITATION AND CARE CENTER?

EDGEWOOD REHABILITATION AND CARE CENTER in MESQUITE, Texas has a CareGrader grade of B (Good), with a composite score of 80.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for EDGEWOOD REHABILITATION AND CARE CENTER?

EDGEWOOD REHABILITATION AND CARE CENTER has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does EDGEWOOD REHABILITATION AND CARE CENTER have?

EDGEWOOD REHABILITATION AND CARE CENTER has 19 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has EDGEWOOD REHABILITATION AND CARE CENTER been fined?

Yes. EDGEWOOD REHABILITATION AND CARE CENTER has $9,750 in total fines from CMS enforcement actions across 1 penalty.

How many beds does EDGEWOOD REHABILITATION AND CARE CENTER have?

EDGEWOOD REHABILITATION AND CARE CENTER has 142 certified beds with approximately 71 current residents (50% occupancy). The facility is located at 1101 WINDBELL DR, MESQUITE, Texas 75149. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.