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Methodist Transitional Care Center-Desoto LLC

109 Methodist Way, Desoto, TX 75115 · Dallas County · (281) 419-5520

100 certified beds, about 73 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2020

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676492 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 27, 2025, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 27 health citations since March 2023, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).

CMS lists 2 fines totaling $27,993 in the last three years; the largest was $15,733, and the latest is dated May 8, 2025.

Nurses and nurse aides worked 4.34 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.

54.6% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Hmg Healthcare, an affiliated group of 31 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 27 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
13E
0F
Potential for minimal harm
0A
0B
0C
December 10, 2025Complaint inspection · 3 citations
  1. E
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide appropriate services to prevent complications of enteral feeding for four of six residents (Residents #1, #3, #4, and #5) observed for gastrostomy tube feeding. 1. The facility failed to ensure Residents #1, #3, and #4's G-tube dressings were changed and dated. 2. The facility failed to make sure that formula tubing was sealed with a cap to prevent exposure and contamination during downtime for Resident #1 and #5. Thes failures could place residents at risk of contamination and communicable infectious diseases.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure all alleged violations involving mistreatment, neglect, abuse or misappropriation of resident property were reported immediately, but not later than 2 hours if the alleged violation involved abuse or resulted in serious bodily injury, to other officials (including to the State Agency) for one (Resident #1) of six residents reviewed for abuse. The Administrator, who is the Abuse Coordinator, failed to immediately report (within 2 hours) an allegation of abuse made by Resident #1 on 11/19/25. The failure could affect 72 residents and could result in undetected abuse and/or decline in feelings of safety and well-being.
  3. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure parenteral fluids were administered consistent with professional standards of practice and in accordance with physician orders for 1 of 1 resident (Resident #2) reviewed for peripheral intravenous care. The facility failed to ensure physician orders for Resident #2 were followed to change PICC line dressing every 7 days as ordered. This failure could affect residents by placing them at risk of infection.
December 5, 2025Complaint inspection · 2 citations
  1. E
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2025
    Inspectors wroteBased on interview, observation, and record review the facility failed to ensure the resident had access to a private form of communication. 1) The facility removed the landline telephone from the resident's room.2) The facility refused to provide a telephone to the resident when he requested to use one. This failure could cause psychosocial harm to the residents by not allowing them to communicate with people outside of the facility when desired. During the off-site preparation for the investigation, an interview was conducted with the complainant on 09/25/25 at 6:15 PM. The complainant stated [Family Member] demanded the facility not provide Resident #1 access to a telephone to prevent him from communicating with other members of the family. [...]
  2. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments and permit only authorized personnel to have access for one of three (Medication Cart #1) medication carts reviewed for pharmacy services. The facility failed to ensure Medication Cart #1 was locked when unattended, in the 300 Hall, on 09/26/25. This failure could place residents at risk of having access to unauthorized medications and/or lead to possible harm or drug diversioFindings included:In an observation and interview on 09/26/25 at 9:28 AM, Medication Cart #1 was observed unlocked and unattended as it set outside room [ROOM NUMBER], across from the nurses' station. There were no staff at the nurses' station. There were no staff in the immediate area. Medication Tech A was observed about 4 rooms down as she passed medication. [...]
June 27, 2025Standard inspection, Complaint inspection · 6 citations
  1. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the Resident Council Group a private space for monthly resident council meetings for the facility's only resident council. 1. The facility failed to ensure resident council meetings were held in a private meeting space. Staff continued to enter the activities room while the resident council meeting was being held. This failure could place residents at risk of not disclosing concerns or issues, which could lead to emotional turmoil and distress.
  2. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents with pressure ulcers received care and treatment consistent with professional standards of practice to promote healing and prevent further development of skin breakdown and infection for one (Resident #12) of four residents reviewed for pressure ulcers (open wound on the skin caused by prolonged pressure to bony prominences). The facility failed to ensure that Resident #12's negative pressure wound device had settings per physician order on 06/25/2025, and 06/26/2025. This failure could place the residents with pressure ulcers at risk for worsening of existing pressure ulcers and infection.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety. 1. The facility failed to ensure all foods stored in the refrigerator were covered, labeled, and dated. 2. The facility failed to ensure dented cans were placed in a separate storage area. 3. The facility failed to discard open items in the dry storage that were not sealed. These failures could place residents at risk for food-borne illness and cross contamination. Findings Included: Observation of the refrigerator on 6/24/2025 at 8:02am revealed the following: -1 tray of 13 drinks dated 6/24/2025 not labeled. -1 tray of 8 fruit cups not labeled or dated. Observation of the dry storage on 6/24/2025 at 8:10am revealed the following: [...]
  4. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2025
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain grooming for 1 of 6 residents (Resident #18) reviewed for quality of care. The facility failed to ensure Resident #18 call lights were answered in a timely manner. This deficient practice could affect Resident #18's feelings of dissatisfaction or poor self-esteem.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (Residents #123 and #124) of twenty residents reviewed for Infection Control. 1. The facility failed to ensure MA G sanitized the blood pressure cuff while administering medications and checking vital signs of Residents #123 and #124 on 06/24/2025. 2. The facility failed to ensure MA G performed hand hygiene prior to resident contact and care for Resident #124 on 06/24/2025. These failures could place residents at risk of cross-contamination and development of infections.
  6. E
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 28, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to administered in a manner that enables it to use its resources effectively and efficiently to attain or main the highest practicable psychosocial well-being for 17 residents. 1. The facility failed to ensure calls directed to a centralized staff work area were answered. 2. The facility failed to ensure the centralized staff work area had a portable phone available and the portable phone was properly functionating. This failure could place 17 residents on hall 200 with limited resources or other services necessary to provide for the needs of the residents.
May 8, 2025Complaint inspection · 6 citations
  1. J
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on observations, interview and record review, the facility failed to develop and implement an effective discharge planning process that focused on the resident's discharge goals, the preparation of residents to be active partners and effectively transition them to post-discharge care, and the reduction of factors leading to preventable readmissions for one (Resident #1) of three residents reviewed for discharge planning. The facility failed to implement an effective discharge plan for Resident #1, when FM S reported the resident's home was without electricity. An Immediate Jeopardy (IJ) situation was identified on 04/25/2025 at 5:57 PM. The ADM and DON was notified and provided an IJ template, and a POR (Plan of Removal) was requested. [...]
  2. J
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that when the facility anticipated discharge of one (Residents #1) of three residents reviewed, there was a discharge summary that included a recapitulation of the resident's stay. The closed records for Residents #1 that were reviewed did not contain facility discharge summaries that included a recapitulation of the residents' stay, signature of FM S/RP/POA confirmation of aftercare services for a resident that was impaired cognitively on 03/31/2025. An Immediate Jeopardy (IJ) situation was identified on 04/25/2025 at 5:57 PM. The ADM and DON was notified and provided an IJ template, and a POR (Plan of Removal) was requested. [...]
  3. J
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on interview, and record review, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to maintain the highest practicable well-being of each resident reviewed for one (Resident #1) of four residents reviewed for Administration. The ADM and DON failed to ensure residents discharged home were provided the appropriate supervision and care before returning home. The ADM directed staff to discharge Resident #1 home without knowing she was diagnosed with dementia, confusion, altered mental status, and no POA. The IDT failed to notify the NP/MD of Resident #1's discharge home alone without services. The ADM, DON, and CM T returned Resident #1 to an unsafe home environment without investigating and following up prior to sending her home in an Uber (ride share). [...]
  4. E
    Ensure a qualified health professional conducts resident assessments.
    F642 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure a registered nurse signed and certified that the MDS assessment was completed for 3 (Resident #1, #6, and #7) of 8 residents reviewed for completion, in that: 1. The facility failed to ensure Resident #1 admission MDS was completed, reviewed, and signed by the designated RN/DON, and discharge MDS was completed prior to discharge on [DATE]. 2. The facility failed to ensure Resident #6's admission MDS was completed after admission on [DATE]. 3. The facility failed to ensure Resident #7's quarterly section GG was completed, reviewed, and signed by all disciplines. These failures could prevent communication about a resident's status from being transmitted to CMS and could interfere with residents receiving needed services before and after discharge.
  5. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a person-centered comprehensive care plan to include measurable objectives and timeframes to attain or maintain the resident's highest practical physical, mental, and psychosocial well-being for 4 of 10 (Resident #1, #6, #7, and #8) residents reviewed for comprehensive care plans in that: 1. The facility failed to ensure Resident #1's care plan addressed her anxiety and discharge goals, objectives, and interventions. 2. The facility failed to ensure Resident #6, #7, and #8's care plan addressed their discharge goals, objectives, and interventions.
  6. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure that each resident who experiences a significant change in status is comprehensively assessed within 14 days for 1 of 3 residents (Residents #1) reviewed for significant change. The facility failed to ensure Resident # 1 had a Significant Change Assessment completed after she had a change in altered mental status. This failure could contribute to providing an inaccurate assessment of resident's most current medical condition and could lead to failure to not provide necessary care.
February 5, 2025Complaint inspection · 4 citations
  1. K
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review the facility failed to ensure pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 3 residents (Resident #1) reviewed for pain management. The facility failed to adequately assess and treat Resident #1's severe breakthrough pain as he was screaming in unrelenting pain. The noncompliance was identified as past noncompliance. The Immediate Jeopardy was identified on 02/05/25 at 1:02 PM and was removed on 02/05/25 at 4:15 PM. The facility corrected the noncompliance before the investigation began on 02/04/25. The Immediate Jeopardy occurred in the past and the facility had already corrected the non-compliance. [...]
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for one resident (Resident #1) of three residents reviewed for change in physical, mental, or psychosocial status. 1. The facility failed to complete routine neuro checks after Resident #1 had a fall on the morning of 02/01/25, and continued to have pain. The noncompliance was identified as past noncompliance. The facility corrected the noncompliance before the investigation began on 02/04/25. This failure could affect residents by placing them at risk for a delay in medical treatment, worsening in condition, or hospitalization.
  3. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 1 (Resident #1) of 3 residents reviewed for accuracy of medical records in that: 1. LVN A did not document the administration of Tylenol Arthritis 650 MG on the Medication Administration Record during the morning shift on 02/01/25 for Resident #1 and failed to document the time of the Tylenol Arthritis 650 MG administration on the progress notes in Resident #1's file. 2. LVN A failed to document any pain assessments or neuro checks for Resident #1 after he had a fall on the morning of 02/01/25. The noncompliance was identified as past noncompliance. The facility corrected the noncompliance before the investigation began on 02/04/25. [...]
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on interview and record review, the facility failed to immediately notify the Family Member of a significant change in the resident's health status; or a need to alter treatment significantly for 1 (Resident #1) of 3 residents reviewed for parameters to notify the family of a change in condition. 1. The facility failed to notify Resident #1's Family Member after he had an unwitnessed fall and had breakthrough pain on the morning of 02/01/25. The noncompliance was identified as past noncompliance. The facility corrected the noncompliance before the investigation began on 02/04/25. This failure could affect residents by placing them at risk for not having an advocate, delay in medical treatment, or decline in health.
July 15, 2024Complaint inspection · 1 citation
  1. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure right to reside and receive services in the facility with reasonable accommodation of resident needs for 1 (Resident #13) of 6 residents reviewed for call lights. The facility failed to ensure Resident #13's call button was accessible on 07/15/24. This failure could place residents at risk of being unable to obtain assistance for activities of daily living or in the event of an emergency and their needs not being met.
May 17, 2024Standard inspection · 2 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 31, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to properly store, date, and label food items in the walk-in freezer. These failures could place residents who received meals and/or snacks from the kitchen at risk for food borne illness.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 10, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of three (CNA A) staff members and four of six residents (Resident #11, #26, #134, & #150) reviewed for infection control procedures. CNA A failed to perform hand hygiene after direct contact with residents #11, #26, #134, and #150 while serving meals on the hallways . This failure could place residents at risk for healthcare associated cross contamination and infections.
March 23, 2023Standard inspection · 3 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 25, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for three (Residents #6, #70, and #235) of 18 residents on at least one (Hall 200) of four halls reviewed for ADL assistance. The facility failed to respond to call lights in a timely manner for Residents #6, #70, and #235, who required staff supervision/assistance with ADLs. This failure could place all residents at risk for diminished physical, mental, and psychosocial well-being.
  2. D
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who is fed by enteral means receives appropriate treatment and services for one (Resident #56) of one residents reviewed with feeding tubes. The facility failed to put a procedure in place to ensure that Resident #56's enteral feedings were being given continuously for 22 hours with two hours downtime as ordered by the physician, when a timeframe for the downtime was not specified in the orders. This failure could place all residents who had feeding tubes at risk for dehydration, weight loss, and/or metabolic abnormalities.
  3. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure all drugs and biologicals were stored securely for one (Resident# 2) of 18 residents observed for medication storage. The facility failed to ensure Resident #2 was not left with fluticasone nasal spray in the room after it was administered. This failure could place residents at risk of overmedication or adverse drug reactions.

Fire safety inspections

22 fire safety citations on file: 15 on June 27, 2025, 7 on May 17, 2024.

Every fire safety citation22 citations
  1. F
    Address patient/client population and determine types of services needed.
    E 7 · June 27, 2025 · Corrected (the home has a date of correction)
  2. F
    Include a process for Emergency Preparedness collaboration.
    E 9 · June 27, 2025 · Corrected (the home has a date of correction)
  3. F
    Establish roles under a Waiver declared by secretary.
    E 26 · June 27, 2025 · Corrected (the home has a date of correction)
  4. F
    Provide emergency officials' contact information.
    E 31 · June 27, 2025 · Corrected (the home has a date of correction)
  5. F
    Establish staff and initial training requirements.
    E 37 · June 27, 2025 · Corrected (the home has a date of correction)
  6. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 27, 2025 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 27, 2025 · Corrected (the home has a date of correction)
  8. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 27, 2025 · Corrected (the home has a date of correction)
  9. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 27, 2025 · Corrected (the home has a date of correction)
  10. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 27, 2025 · Corrected (the home has a date of correction)
  11. F
    Have proper medical gas storage and administration areas.
    K 923 · June 27, 2025 · Corrected (the home has a date of correction)
  12. E
    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 222 · June 27, 2025 · Corrected (the home has a date of correction)
  13. E
    Install corridor and hallway doors that block smoke.
    K 363 · June 27, 2025 · Corrected (the home has a date of correction)
  14. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · June 27, 2025 · Corrected (the home has a date of correction)
  15. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 27, 2025 · Corrected (the home has a date of correction)
  16. F
    Conduct testing and exercise requirements.
    E 39 · May 17, 2024 · Corrected (the home has a date of correction)
  17. F
    Provide properly protected cooking facilities.
    K 324 · May 17, 2024 · Corrected (the home has a date of correction)
  18. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 17, 2024 · Corrected (the home has a date of correction)
  19. F
    Have proper medical gas storage and administration areas.
    K 923 · May 17, 2024 · Corrected (the home has a date of correction)
  20. E
    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 222 · May 17, 2024 · Corrected (the home has a date of correction)
  21. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · May 17, 2024 · Corrected (the home has a date of correction)
  22. E
    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
    K 929 · May 17, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 8, 2025Fine $12,260
February 5, 2025Fine $15,733

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.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)4.343.393.86
Registered nurses0.680.430.69
All nursing staff on weekends3.832.983.42
Nurse aides2.34
Licensed practical nurses1.32
Nursing staff turnover (share who left in a year)54.6%55.3%45.8%
Registered nurse turnover40.0%54.6%42.9%
Administrators who left0

CMS expects 4.24 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 4.54 on weekdays and 3.83 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.42 in April to June 2025 to 4.34 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.340.684.543.83 0.0%0 of 9073
Oct to Dec 20254.270.734.453.79 0.0%0 of 9278
Jul to Sep 20254.450.574.634.00 0.0%0 of 9278
Apr to Jun 20254.420.524.603.96 0.0%0 of 9187
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.815.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.51.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.33.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.09.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.025.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
3.912.312.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Methodist Transitional Care Center-Desoto LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (64.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

64.6% this home

Better than the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 236 eligible stays.

Potentially preventable readmissions

9.8% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 250 eligible stays.

Infections that led to a hospital stay

5.9% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 146 eligible stays.

Self-care and mobility at discharge

64.6% this home

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 130 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 202 residents counted.

New or worsened pressure ulcers

1.9% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 202 residents counted.

Medication list given at discharge

72.2% this home

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 72 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC. CMS links this home to Hmg Healthcare, a group of 31 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Cibc Bank USA5% or greater direct ownership interestOrganization04/01/2018
Forvis Mazars LLP5% or greater direct ownership interestOrganization04/01/2018
Hmg Healthcare LLC5% or greater direct ownership interestOrganization11/01/2019
Methodist Hospitals of Dallas5% or greater direct ownership interestOrganization11/01/2019
Methodist Transitional Care Center-Desoto LLC5% or greater direct ownership interestOrganization03/15/2020
Zions Bancorporation5% or greater direct ownership interestOrganization04/01/2018
Anthamatten, DustinCorporate officerIndividual11/01/2019
Daspit, LaurenceCorporate officerIndividual11/01/2019
Laukaitis, Frances WCorporate officerIndividual11/01/2019
Cibc Bank USAOperational/managerial controlOrganization04/01/2021
Desoto Rehabilitation Institute LLCOperational/managerial controlOrganization11/01/2019
Forvis Mazars LLPOperational/managerial controlOrganization04/01/2018
Global Prime Health, LLCOperational/managerial controlOrganization04/01/2018
Methodist Hospitals of DallasOperational/managerial controlOrganization04/01/2018
Methodist Transitional Care Center-Desoto LLCOperational/managerial controlOrganization03/15/2020
Zions BancorporationOperational/managerial controlOrganization04/01/2021
Balsamo, KrystalOperational/managerial controlIndividual04/01/2018
Culp, RolandOperational/managerial controlIndividual04/01/2018
Daspit, LaurenceOperational/managerial controlIndividual04/01/2018
Davis, GeorgetteOperational/managerial controlIndividual08/20/2001
Dohn, WilliamOperational/managerial controlIndividual04/01/2018
Perkins, CatinaOperational/managerial controlIndividual04/15/2024
Pico, AnaOperational/managerial controlIndividual04/01/2018
Prince, DerekOperational/managerial controlIndividual04/01/2018
Reinarz, ChristianOperational/managerial controlIndividual04/01/2018
Vega, BrandiOperational/managerial controlIndividual06/15/2023
Prince, DerekIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/26/2025
Cibc Bank USAAdp of the SNFOrganization04/01/2018
Forvis Mazars LLPAdp of the SNFOrganization04/01/2018
Global Prime Health, LLCAdp of the SNFOrganization03/15/2020
Methodist Hospitals of DallasAdp of the SNFOrganization03/15/2020
Methodist Transitional Care Center-Desoto LLCAdp of the SNFOrganization03/15/2020
Zions BancorporationAdp of the SNFOrganization04/01/2018
Anthamatten, DustinAdp of the SNFIndividual03/15/2020
Balsamo, KrystalAdp of the SNFIndividual04/01/2018
Culp, RolandAdp of the SNFIndividual04/01/2018
Daspit, LaurenceAdp of the SNFIndividual04/01/2018
Davis, GeorgetteAdp of the SNFIndividual01/14/2023
Dohn, WilliamAdp of the SNFIndividual04/01/2018
Laukaitis, Frances WAdp of the SNFIndividual03/15/2020
Perkins, CatinaAdp of the SNFIndividual04/15/2024
Pico, AnaAdp of the SNFIndividual04/01/2018
Prince, DerekAdp of the SNFIndividual04/01/2018
Reinarz, ChristianAdp of the SNFIndividual04/01/2018
Sedighi, HoomanAdp of the SNFIndividual03/15/2020
Stanbridge, NormaAdp of the SNFIndividual04/01/2018
Vega, BrandiAdp of the SNFIndividual06/15/2023

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on December 10, 2025: "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."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on May 8, 2025: "Plan the resident's discharge to meet the resident's goals and needs."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on December 5, 2025: "Ensure residents have reasonable access to and privacy in their use of communication methods."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 5, 2025: "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."

Other nursing homes nearby

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Methodist Transitional Care Center-Desoto LLC's Medicare star rating?
CMS rates Methodist Transitional Care Center-Desoto LLC 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Methodist Transitional Care Center-Desoto LLC get at its last inspection?
5 health deficiencies at the standard inspection on June 27, 2025. The Texas average is 9.4.
Has Methodist Transitional Care Center-Desoto LLC been fined?
Yes. CMS lists 2 fines totaling $27,993 in the last three years.
Does Methodist Transitional Care Center-Desoto LLC 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 Methodist Transitional Care Center-Desoto LLC?
CMS lists 47 owners and managers, and links the home to Hmg Healthcare. Legal business name: METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC.

Sources

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