Methodist Mansfield Medical Center
An acute care hospital in Mansfield, Texas 76063
2700 E Broad Street, Mansfield, Texas 76063. (682) 622-2059.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 294 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Aug 21, 2026: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 2 months of the last 36. Last cited Oct 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Oct 16, 2024: complaint inspection1 deficiency
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Patient Rights: Free From Abuse/Harassment
The inspectors’ words, 423 words
“PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT CFR(s): 482.13(c)(3) The patient has the right to be free from all forms of abuse or harassment. This Standard is not met as evidenced by: 39057 Based on a review of documentation and interview, the facility failed to ensure patient 1 of 1 (patient #1) the right to be free from all forms of abuse or harassment, as evidence by failing to appropriately report suspected abuse/neglect per facility policy. This failure could place patients at risk for physical harm, mental anguish, and mental illness. Findings included: On 09/23/2024 patient #1 reported to staff #A that a nurse had hit her on 06/03/2024. Staff #A reported this allegation to staff #D who documented it on the shift report. The shift report was forwarded to staff #D’s manager and other facility staffs. No report was submitted to administration for investigation. Record review of shift report note on 09/23/2024 revealed staff #D reported that staff #A spoke with her regarding patient #1 reporting a nurse had hit her on 06/03/2024. The shift report was sent to six hospital staff members. Interview with staff #E on 10/16/2024 at 10:00 am, revealed she never received a report of abuse regarding patient #1. Staff #E stated the facility’s policy for allegation of abuse is staff will notify their charge nurse and manager and the allegations would be escalated up to administration (Risk Management and Human Resources) and an investigation would be conducted. Telephone interview with staff #D on 10/17/2024 at 12:16 pm, revealed she recalled staff #A reporting patient #1 had reported a nurse had hit her. Staff #D stated she included the information on the shift report and emailed it to her manager. Staff #D stated she should have done an Occurrence Report that would have escalated the allegation to administration to investigate; stated “I did not do that.” Facility policy entitled, “PC 147 Alleged Patient Abuse by A Methodist Health System Employee”, revised on 02/20/2024 revealed under Guidelines: (1)(A) All allegations, observation or suspected cases if abuse, neglect, abandonment, or exploitation that occurs within the Methodist Health System where the alleged perpetrator is an employee, volunteer, or representative of MHS should be reported immediately to the charge nurse and/or nurse manager/director of e unit/department where the abuse has allegedly occurred. (B) All allegations of patient abuse occurring within MHS facilities (to include when the perpetrator an MHS employee, volunteer, or representative) should activate two (2) distinct and concurrent inquiries to be conducted by the following departments: (1) Risk Management (2) Human /Resources.”
Apr 24, 2024: complaint inspection1 deficiency
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Rn Supervision Of Nursing Care
The inspectors’ words, 796 words
“RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 46427 Based on interview and record review, the hospital failed to ensure the RN (Registered Nurse) supervised and evaluated the nursing care of each patient. Nursing staff failed to ensure a complete and accurate medication reconciliation was performed on one of one patient (patient #1) as required by hospital policy. Findings included: Patient #1 was admitted to the facility on 07/31/2023 for a Right Hip infection and underwent a surgical debridement on 07/31/2023 and 08/02/2023. Record review of patient #1 medical record reflected the home medication list “current as of 07/27/2023 3:25 PM Carbidopa 200mg one tablet four times a day for the treatment of Parkinson’s”. Record review of patient #1 medical record reflected Personnel #1 during a pre-surgical assessment on 07/27/2023 entered the medication, Carbamazepine 200mg one tablet four times a day. Patient #1 was not currently being prescribed Carbamazepine. Record review of patient #1 Medication Administration Log for 07/31/2023 to 08/15/2023 reflected Carbamazepine 200mg, one tablet four a day was ordered by Physician #14 on 07/31/2023 at 10:49 AM. Record review of Provider #8 progress notes dated 07/31/2023, 08/01/2023, 08/02/2023, 08/03/2023, 08/04/2023, 08/07/2023, 08/08/2023, 08/09/2023, 08/10/2023, 08/11/2023, 08/12/2023, 08/14/2023, 08/15/2023 reflected the treatment plan for Bipolar Disease was Prozac 40 mg daily and Zyprexa 5 mg HS. There was no mention in the progress note Carbamazepine was ordered for the treatment of Bipolar disease. Record review of patient #1 medical record reflected Provider #8 progress notes dated 07/31/2023, 08/01/2023, 08/02/2023, 08/03/2023, 08/04/2023, 08/07/2023, 08/08/2023, 08/09/2023, 08/10/2023, 08/11/2023, 08/12/2023, 08/14/2023, 08/15/2023 did not evidence a treatment plan for Parkinson’s Disease. During an interview with Personnel #4 on 04/24/2024 stated, “the pharmacy department does not currently review medication lists for patients that are admitted through our outpatient department. The nurse and the physician are expected to perform the medication reconciliation. The patients home medication list was scanned to the medical record on 07/27/2023. The staff nurse entered Carbamazepine rather than Carbidopa and the order was verified by Provider #8 and Provider #14. Carbidopa and Carbamazepine are not interchangeable. Carbidopa is prescribed for the treatment of Parkinson’s and Carbamazepine is for the treatment of seizures. During an interview with Personnel #8 on 04/24/2024 stated he performs a medication reconciliation based off the medications that are entered in the electronic medical record and does not routinely verify medications against a home medication list. Provider #8 confirmed there is no documentation in the medical record confirming Carbamazepine was ordered for treatment of bipolar disorder. Provider #8 confirmed the patient was not receiving any medications for his Parkinson’s Disease. Provider #8 also confirmed there is no documentation in the medical record reflecting Carbidopa was to be discontinued or placed on hold. During an interview with Personnel #6 on 04/24/2024 confirmed the home medication list reflected patient #1 was currently prescribed Carbidopa 200mg one tablet four times a day. Personnel #6 confirmed Carbamazepine 200mg one tablet four times a day was not listed as a current medication. Personnel #6 does not recall having the home medication list when entering the medications into the patient’s profile. Personnel #6 stated when entering medications into a patients’ profile, we enter the first 3-4 letters of the medication and a list of medications will populate. For example, when I enter “Carb” all medications that begin with “Carb” populate. Personnel #6 confirmed Carbamazepine populates before Carbidopa, and stated it is possible I could have clicked on Carbamazepine instead of Carbidopa. During an interview with Personnel #1 on 04/24/2024 confirmed a medication reconciliation was not performed. Record review of Policy and Procedure titled Medication Reconciliation Process, effective 10/20/2009, last revision 06/17/2020 ...”Purpose: 1. Medication reconciliation is an interdisciplinary process between Nursing, Medical Staff, and Pharmacy that compares the patient’s most current list of home medications against the physician’s orders upon admission, transfer, and discharge, addressing discrepancies, thereby decreasing potential Adverse Drug Events (ADEs) and omissions of medication therapy ...Policy: 1. It is the Methodist Health System (MHS) policy that medication reconciliation will occur at all levels and transitions of the health care continuum. 2. This applies to all care settings (inpatient and outpatient) and services that administer medication or otherwise manage a patient’s medication regimen. GUIDELINES: 1.Reconciliation occurs upon hospitalization, change in level of care, and at discharge. B. Nursing/Pharmacy should undertake a good faith effort to obtain a complete list of medication that a patient is currently taking when admitted for inpatient care or see in an Outpatient setting (emergency department, clinics, primary care, outpatient radiology, ambulatory surgery, diagnostic settings, etc. G. The physician should review ...home medication list ... and reconcile that list with admitting medication orders.”
All 9 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 21, 2026 | Complaint inspection | No deficiencies cited |
| Aug 13, 2026 | Complaint inspection | No deficiencies cited |
| Aug 11, 2026 | Complaint inspection | No deficiencies cited |
| Jul 8, 2026 | Complaint inspection | No deficiencies cited |
| Apr 22, 2025 | Complaint inspection | No deficiencies cited |
| Oct 16, 2024 | Complaint inspection | 1 deficiency cited |
| Oct 8, 2024 | Complaint inspection | No deficiencies cited |
| Apr 24, 2024 | Complaint inspection | 1 deficiency cited |
| Jan 9, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 4 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 8; safety of care, 2 better and 0 worse of 8; readmission, 0 better and 0 worse of 9.
- Patients rate it 4 of 5 in CMS’s patient survey (1,371 surveys completed, Oct 1, 2024 to Sep 30, 2025): 80% rated it 9 or 10 out of 10, and 83% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12%, heart failure 10.2%, pneumonia 12.9%, COPD 9.2%, stroke 12.2%, heart bypass surgery 3.4%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 13.9%, heart failure 20.4%, pneumonia 17.7%, COPD 19.3%, heart bypass surgery 11.5%, hip or knee replacement 6.1%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 212 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 2% left before being seen.
- 89% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.13 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Feb 5, 2007.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
- 65% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Methodist Hospitals of Dallas owns an unstated share directly since Dec 1, 2006.
- Methodist Hospitals of Dallas runs it.
- 41 owners or officers are people: Amy Bodwell (corporate director, 0%); Samir K Nangia (corporate director, 0%); Rex Glendenning (corporate director, 0%); John Oliphint (corporate director, 0%); John Patrick Faubion (corporate director); Larry Michael Mckee (corporate director); Daniel Johnson (corporate director, 0%); Keith Payne Boone (corporate director); Marcus Knight (corporate director, 0%); Martin Leroy Koonsman (corporate officer, 0%); Julie Yarbrough (corporate director); David R Mcatee (corporate director); Armin Mizani (corporate director, 0%); Carol B Norton (corporate director, 0%); Jamie Wickliffe (corporate director, 0%); Brenda L Jackson (corporate director); Bernard P Difiore (corporate director); Levi H Davis (corporate director); Juan Fresquez (managing employee (on the payroll)); Pamela Stoyanoff (corporate officer); Ruben L Velez (corporate director); Delia Jasso (corporate director, 0%); Donald Williams (corporate director, 0%); John R Candey (corporate director); Gerald Bright (corporate director); Yon Jorden (corporate director, 0%); Robert S Folsom (corporate director); Michael O Price (corporate officer); Mae Helen Giddings (corporate director); Michael L Finch (corporate director, 0%); Kenneth Govan (corporate director, 0%); Ruben Saenz, Jr. (corporate director, 0%); Joseph B Fortson (corporate director); Timothy Griffy (corporate director, 0%); Duncan T Fulton (corporate director); Craig Bjerke (corporate officer); Craig Bjerke (managing employee (on the payroll)); Alan Walne (corporate director, 0%); James C Scoggin (corporate officer); James C Scoggin (corporate director); James C Scoggin (managing employee (on the payroll)).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Methodist Hospitals of Dallas | Owns 5% or more directly | Dec 1, 2006 | |
| Methodist Hospitals of Dallas | Runs it (operational or managerial control) | Dec 1, 2006 |
How does it compare nearby?
- Of the 30 hospitals CMS lists in Tarrant County, 17 have an overall star rating from CMS: 3 rated 5 of 5, 9 rated 4 of 5, 2 rated 3 of 5, 3 rated 2 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.