Canton Oaks
1901 S Trade Days Blvd, Canton, TX 75103 · Van Zandt County · (903) 567-0444
120 certified beds, about 90 residents a day · For profit - Corporation · Medicare and Medicaid since 2011
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676300 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 23, 2025, inspectors cited 0 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 4 health citations since April 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $49,111 in the last three years; the largest was $31,766, and the latest is dated March 26, 2025.
Nurses and nurse aides worked 3.24 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
30.4% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Fundamental Healthcare, an affiliated group of 66 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 4 health citations on file.
July 23, 2025Standard inspection · 0 citations
March 26, 2025Complaint inspection · 1 citation
- K Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as was possible and failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 2 of 7 resident (Resident #1 and Resident #2) reviewed for accidents and supervision. 1. The facility failed to ensure CNA A appropriately transferred Resident #1 who was identified as a two person assist for bed mobility. Resident #1 was assisted by CNA A for ADL care on [DATE]. CNA A rolled Resident #1 over in the bed, he fell and broke both hips. 2. The facility failed to ensure Resident #2, who could not bear weight and was identified as a Hoyer lift transfer, was transferred using a Hoyer lift. CNA C transferred Resident #2 using a stand and pivot transfer on [DATE]. [...]
July 23, 2024Complaint inspection · 2 citations
- J 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.
Inspectors wroteBased on interview, and record review, the facility failed to ensure that residents receiving enteral feeding received appropriate care and services to prevent complication of enteral feeding for 1 of 1 resident (Resident #1) reviewed for enteral feeding. The facility failed to ensure Resident #1's tube feeding was stopped at 7:00 a.m. as ordered. [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview, and record review, the facility failed to ensure in accordance with professional standards of practices, the medical records on each resident were accurately documented for 1 of 4 residents (Resident #1) reviewed for accurate medical records. LVN A failed to accurately document on Resident #1's medical record when she documented Resident #1's tube feeding had been discontinued at 7:00 a.m. on 7/18/24. This failure could place residents receiving tube feeding at risk of increased complications of tube feeding.
June 5, 2024Standard inspection · 1 citation
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, the facility failed to ensure individuals with mental health disorders were provided Preadmission Screening and Resident Review (PASRR) Screenings for 2 of 10 residents (Residents #6 and #48) reviewed for PASRR. The facility failed to ensure Resident #6 and Resident #48 had accurate PASRR Level 1 Screenings which indicated diagnoses of mental illness and refer the residents to the state designated authority. This failure could place residents at risk of not receiving needed assessments (PASRR Evaluation), individualized care, and specialized services to meet their needs.
April 19, 2023Standard inspection · 0 citations
Fire safety inspections
8 fire safety citations on file: 2 on July 23, 2025, 6 on June 5, 2024.
Every fire safety citation8 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Install proper backup exit lighting.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 26, 2025 | Fine | $17,345 |
| July 23, 2024 | Fine | $31,766 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.24 | 3.39 | 3.86 |
| Registered nurses | 0.44 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.03 | 2.98 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 30.4% | 55.3% | 45.8% |
| Registered nurse turnover | 12.5% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.91 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.32 on weekdays and 3.03 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.24 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.24 | 0.44 | 3.32 | 3.03 | 19.4% | 0 of 90 | 90 |
| Oct to Dec 2025 | 3.23 | 0.46 | 3.30 | 3.04 | 19.1% | 0 of 92 | 82 |
| Jul to Sep 2025 | 3.31 | 0.56 | 3.41 | 3.04 | 7.5% | 0 of 92 | 67 |
| Apr to Jun 2025 | 3.37 | 0.63 | 3.51 | 3.03 | 7.4% | 0 of 91 | 67 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.6 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.7 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.0 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.1 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.6 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.0 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: DALLAS COUNTY HOSPITAL DISTRICT. CMS links this home to Fundamental Healthcare, a group of 66 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dallas County Hospital District | 5% or greater direct ownership interest | Organization | 100% | 04/01/2017 |
| Castaneda, Edmundo | Corporate officer | Individual | 01/10/2022 | |
| Cerise, Frederick | Corporate officer | Individual | 04/01/2017 | |
| Canton Long Term Care, LLC | Operational/managerial control | Organization | 04/01/2017 | |
| Davis, Kent | Operational/managerial control | Individual | 04/01/2017 | |
| Forman, Murray | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/08/2025 | |
| Fundamental Administrative Services LLC | Adp of the SNF | Organization | 04/01/2017 | |
| Fundamental Clinical and Operational Services, LLC | Adp of the SNF | Organization | 04/01/2017 | |
| Davis, Kent | Adp of the SNF | Individual | 04/01/2017 | |
| Humble, Douglas | Adp of the SNF | Individual | 04/01/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on March 26, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 23, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Van Healthcare Van, 12.8 mi · 4 of 5 stars · 11 citations
- Avir at Grand Saline Grand Saline, 13.2 mi · 2 of 5 stars · 25 citations
- Azalea Trail Nursing and Rehabilitation Center Grand Saline, 13.3 mi · 4 of 5 stars · 2 citations
- Avir at Bradburn Grand Saline, 13.5 mi · 1 of 5 stars · 18 citations
- Crestwood Health and Rehabilitation Center Wills Point, 13.6 mi · 5 of 5 stars · 10 citations
- Mabank Nursing Center Mabank, 18.4 mi · 3 of 5 stars · 33 citations
- Kemp Care Center Kemp, 22 mi · 2 of 5 stars · 41 citations
- Lakeside Health and Wellness Kemp, 22.2 mi · 1 of 5 stars · 59 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Canton Oaks's Medicare star rating?
- CMS rates Canton Oaks 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Canton Oaks get at its last inspection?
- 0 health deficiencies at the standard inspection on July 23, 2025. The Texas average is 9.4.
- Has Canton Oaks been fined?
- Yes. CMS lists 2 fines totaling $49,111 in the last three years.
- Does Canton Oaks accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Canton Oaks?
- CMS lists 10 owners and managers, and links the home to Fundamental Healthcare. Legal business name: DALLAS COUNTY HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.