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Simpson Place

3922 Simpson Street, Dallas, TX 75246 · Dallas County · (214) 231-0864

50 certified beds, about 46 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2018

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676453 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 30, 2026, inspectors cited 8 health deficiencies (the Texas average is 9.4, the national average 9.2).

None of its 31 health citations since December 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.18 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

55.6% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Stonegate Senior Living, an affiliated group of 24 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 31 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
22D
9E
0F
Potential for minimal harm
0A
0B
0C
April 30, 2026Standard inspection · 8 citations
  1. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on interview and record review, the facility failed to implement written policies that prohibit and prevent abuse, neglect and of exploitation of residents and misappropriation of resident property for five (RN A, CNA B, MA C, CNA D, and LVN E) of six employee personnel files reviewed for pre-employment screening The facility failed to search the Employee Misconduct Registry (EMR) for RN A, CNA B, MA C, CNA D and Nurse Aide Registry (NAR) for RN A, CNA B, MA C, CNA D, and LVN E prior to date of hire. These failures could affect all 47 residents by placing them at risk for abuse, neglect, exploitation and misappropriation of property.
  2. E
    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
    F729 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on interview and record review, the facility failed to receive registry verification that an individual had met competency evaluation requirements prior to the individual working in the facility as a nurse aide for two of two CNAs (CNA A, and CNA D) and one of one medication aide (MA C) reviewed for training and competency. The facility failed to search the Nurse Aide Registry (NAR) for CNA B, MA C, and CNA D prior to date of hire. This failure could place residents at risk for injury or receiving improper care given by uncertified personnel.
  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) May 8, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store food in accordance with professional standards for the facility's one of one kitchen (only kitchen) observed for food service safety. Facility failed to ensure:Two bags of burger buns stored in the bread crate, outside the walk-in refrigerator was dated and put back in the refrigerator on 04/28/2026. The expired scrambled egg in a plastic bag inside the walking refrigerator was labelled and discarded on 04/28/2026. Three bags of shredded cheese stored inside the walk-in refrigerator were dated 04/28/2026. The dessert cart kept in the walk-in refrigerator was covered on 04/29/2026. These failures could place residents at risk for food borne illnesses and food contamination. [...]
  4. 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) May 8, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for 2 of 24 residents (Resident # 24 and Resident #3) reviewed for infection control.1) The facility failed to ensure Resident #24's privacy curtains were clean and free of feces on 04/28/2026.2) The facility failed to ensure resident's mattress was cleaned from the urine before putting new fitted sheet on the bed for Resident # 3 on 04/28/26. This failure could place residents at risk for infection and cross contamination of pathogens and illnesses.
  5. 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) May 8, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide the necessary services for residents who were unable to carry out activities of daily living to maintain good grooming and personal hygiene for 1 (Resident #9) of 8 residents reviewed for ADLs. The facility failed to ensure Resident #9 had her fingernails cleaned and trimmed on 4/28/26. This failure could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life.
  6. D
    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, isolated · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that based on the comprehensive assessment of a resident, the residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan for one (Resident #1) of 12 residents reviewed for quality of care. The facility staff failed to follow physician orders for wound care on the left lower extremity for Resident #1. These failures could place residents at risk of not receiving the care and treatment needed to meet their needs and could result in undetected skin issues and delay in treatments.
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who needed respiratory care were provided with such care, consistent with professional standards of practice and the comprehensive person-centered care plan, for two of six residents (Resident #21 and #39) reviewed for quality of care. The facility failed to ensure the supplemental oxygen was provided at the physician ordered rate for Residents #21 and #39 This failure could place residents who received oxygen therapy at risk of oxygen toxicity. Resident #21 Review of Record of admission for Resident #21 dated 04/30/2026 revealed Resident #21 was a [AGE] year-old male who was admitted to the facility originally on 09/08/2025 and his most recent admission was on 03/02/2026. [...]
  8. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 (Medication Cart 617 - 631) of 2 carts reviewed for pharmacy services. The facility failed to ensure LVN K and LVN L, responsible for Medication Cart 617 - 631, counted controlled drugs every shift change. This failure could place residents at risk of not having the medication available due to drug diversion.
March 3, 2026Complaint inspection · 2 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2026
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, which includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 8 resident (Resident #1), reviewed for care plan development. The facility failed to ensure Resident #1's comprehensive care plan included a plan of care for ADLs. This failure could place residents at risk of not receiving care and services to meet their needs, diminished function of health, and regressions in their overall health. Record review of a face sheet dated 03/03/26 revealed Resident #1 was a [AGE] year-old male, who was admitted on [DATE]. Diagnoses included: [...]
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident, who was unable to carry out activities of daily living ,received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 8 residents (Residents #1) reviewed for quality of life. The facility failed to ensure staff provided consistent grooming/shaving for Resident #1. This failure could place residents at risk of not receiving needed hygiene care which could cause skin breakdown, a loss of dignity, and self-worth.
January 15, 2026Complaint inspection · 2 citations
  1. 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) March 2, 2026
    Inspectors wroteBased on interviews and record review, the facility failed to conduct a comprehensive, accurate assessment within 14 days after the facility determined or should have determined there had been a significant change in the resident's physical or mental condition for 1 (Residents #1) of 2 residents reviewed for Resident Review. The facility failed to complete the significant change MDS assessment for Resident #1 was hospitalized for atypical chest pain, Hypoxia, and altered mental status, and Leukocytosis (elevated white blood cell count) on [DATE]. The facility failed to complete the significant change MDS assessment for Resident #1 was hospitalized for Hypernatremia (elevated sodium in the blood) on [DATE]. These failures could prevent residents from obtaining services and equipment to improve and maintain their level of functioning and well-being. [...]
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · 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) March 2, 2026
    Inspectors wroteBased on observation, interviews and record reviews, the facility failed to ensure the assessment accurately reflected the status for 1 (Resident #1) of 4 residents reviewed for accuracy of assessments in that: Resident #1's quarterly MDS dated [DATE], did not address his diet in Section K with changes to thickened liquids and his respiratory treatments in Section O. The failure place residents at risk for missed treatments, aspiration, and changes in health that could result in death. Record Review of Resident #1's face sheet dated 01/15/2026, reflected he was a [AGE] year-old male that was admitted on [DATE]. The resident was diagnosed with: [...]
December 5, 2025Complaint inspection · 4 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · 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 observation, interview and record review, the facility failed to 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 (Resident #1, and Resident#3) of two residents observed for infection control during incontinent care. 1-The facility failed to ensure LVN A, CNA C, CNA D, CNA E wear proper PPE while caring for Resident#1 in EBP Isolation. 2-The facility failed to ensure CNA F performed hand hygiene between glove changes, and LVN B did not put the dirty linen on the floor while providing incontinent care to Resident #3. [...]
  2. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2025
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, which includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 1 resident (Resident #2), reviewed for care plan development. The facility failed to ensure Resident #2's comprehensive care plan included a plan of care for ADLs. This failure could place residents at risk of not receiving care and services to meet their needs, diminished function of health, and regressions in their overall health. [...]
  3. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 6, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for one of five residents reviewed for catheter and incontinence care. The facility failed to ensure CNA G provided timely incontinence care for Resident #2 on 10/14/25. This failure could place residents at risk for not receiving appropriate care to address their incontinence and could increase the risk of urinary tract infectionRecord review of a face sheet dated 10/14/25 revealed Resident #2 was a [AGE] year-old female who was admitted on [DATE]. Resident #2 had a BIMs score of 15, which indicated she was cognitively intact. [...]
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · 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 6, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for one resident (Resident #1) reviewed for catheter care. The facility failed to ensure CNA C maintained Resident #1's indwelling urinary catheter (a tube that drains urine from the bladder) drainage bag below the bladder level during transfer from bed to Geri-Chair (a supportive, reclining chair designed for individuals with limited mobility, offering more comfort and stability than a traditional wheelchair) on 10/15/25. This failure placed residents at risk for infection. [...]
February 13, 2025Standard inspection, Complaint inspection · 6 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 · found on a complaint visit · Corrected (the home has a date of correction) February 18, 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 for the facility's only kitchen. The facility failed to ensure food items in the facility kitchen had use-by date. This failure could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness, and food contamination.
  2. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · 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) February 18, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure a discharge MDS was electronically completed and transmitted to the CMS System within 14 days after completion for two (Resident #23 and Resident #43) of two residents reviewed for discharge assessments. The facility failed to complete and transmit Resident #23's and Resident #43's discharge MDS assessment within 14 days of completion. This failure could place the residents at risk of having incomplete records.
  3. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, which includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 24 residents (Resident #1), reviewed for care plan development. The facility failed to ensure Resident #1's comprehensive care plan included a plan of care for dialysis. This failure could place residents at risk for not receiving care and services to meet their needs, diminished function of health, and regressions in their overall health.
  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 · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed to provide the necessary services for residents who were unable to carry out activities of daily living to maintain good grooming and personal hygiene for 2 residents (Resident #30 and Resident #19) of 5 residents reviewed for ADLs. The facility failed to ensure Resident #30, and Resident #19 had their fingernails cleaned and trimmed on 2/11/25. These failures could place residents at risk for loss of dignity, risk for infections, and a decreased quality of life.
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · 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) February 18, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for one of two residents (Resident #12) reviewed for catheter care. The facility failed to ensure CNA C maintained Resident #12's indwelling urinary catheter (a tube that drains urine from the bladder) drainage bag below the bladder level during wound care on 2/11/25. This failure placed residents at risk for infection.
  6. 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) February 18, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to label drugs and biologicals in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date for 1 (nurses cart hall 600 (617 through 631) of 2 medication carts reviewed for labeling of drugs and biologicals in that: The Nurses' Cart on Hall 600 (617 through 631) had 1 insulin pen for Resident #20 with no open date. Observation of the pen reflected it was not full and it was used. This failure placed residents at risk of not receiving the therapeutic benefits of the medications.
May 22, 2024Complaint inspection · 4 citations
  1. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 21, 2024
    Inspectors wroteBased on interviews and record review the facility failed to maintain an effective pest control program so that the facility was free of pests of 1 floor (600 floor) of six floors reviewed for effective Pest control. The facility failed to have an effective pest control treatment plan, subsequently, Residents #4 had a reported bed bug in his room on 05/01/24 and Resident #5 had a bed bug report in his room on 05/19/24. The facility failed to follow their Beg bug policy and take actions to eliminate bed bugs reported in two resident's rooms and check all rooms on the 600-hall floor for bed bugs and train all staff on bed bug prevention. These failures could place residents at risk of bed bug bites and skin infections causing allergic reactions, scratch marks and skin tears, which could result in pain and decreased quality of life and psycho-social well-being.
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · 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) June 21, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents had the right to be free from abuse and not use verbal and mental abuse for 1 (Resident #1) of 8 residents reviewed for abuse. The facility failed to ensure CNA A did not snatch the call light out of Resident #1's hand and verbally abuse Resident #1, during patient care in her room on 05/19/24. This failure could place residents at risk of injury causing fractures, bruising, skin tears, and psychological harm resulting in in decreased health and psycho-social well-being.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · 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) June 21, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure all assistive devices were maintained and free of hazards for two (Residents #2 and #3) of 8 residents reviewed for medical equipment. The facility failed to properly maintain Residents #2 and #3's wheelchair armrests. These failures could place residents at risk of skin tears, bruises, and falls which could lead to bleeding, and pain resulting in a decline in their health and psycho-social well-being.
  4. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 21, 2024
    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 for 1 (Dietary Aide G) of four dietary staff reviewed for food services. Dietary Aide G failed to properly wear a hair restraint effectively covering all of her hair, while preparing the food for the residents, from the steam table on the 600-hall floor. This failure could place residents at risk for food contamination and foodborne illness which could result in gastro-intestinal issues and loss of desire to eat the food and emotional distress.
May 15, 2024Complaint inspection · 2 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to implement a comprehensive person-centered care plan for each resident, consistent with the rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 4 residents (Residents #1) reviewed for care plans. The facility failed to complete a weekly skin assessment on Resident #1 from 04/14/24 through 04/20/24. This failure could place residents at risk of receiving inadequate care. Finding Included: Record review of Resident #1's Face Sheet dated 05/14/24, reflected a [AGE] year-old female with an initial admission date of 09/03/21 and a re-admission date of 03/29/24. [...]
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 15, 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 1 (Resident #1) of 3 residents reviewed for infection control. 1. RN D failed to not remove his gloves over Resident #1's open wound. 2. RN D failed to not perform hand hygiene with hand sanitizer over Resident #1's open wound. These failures could put residents at risk of worsened or infected wounds.
April 18, 2024Complaint inspection · 1 citation
  1. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relayed the call directly to a staff member or to a centralized staff work area from each resident's bedside for one of twelve rooms (room [ROOM NUMBER]) reviewed for resident call systems. The facility failed to ensure room [ROOM NUMBER] had a working call light. This failure could place residents at risk of not being able to have their needs met and call for staff assistance when they needed it.
December 20, 2023Standard inspection · 2 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) December 27, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a private meeting space for the residents' monthly council meetings for 9 of 9 confidential residents reviewed for resident council. The facility failed to provide a private space for resident council meetings. This failure could place residents, who attended resident council meetings, at risk of not being able to voice concerns due to a lack of privacy.
  2. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests for one (Hall 600) of one hall and one kitchen reviewed for pest control program. The facility had live common house flies, gnats, and roaches in areas of the facility including resident rooms, and the kitchen area. This failure could place residents at risk for spread of infection, cross contamination, and decreased quality of life.

Fire safety inspections

1 fire safety citation on file: 1 on February 13, 2025.

Every fire safety citation1 citation
  1. 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 · February 13, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)3.183.393.86
Registered nurses0.390.430.69
All nursing staff on weekends2.942.983.42
Nurse aides1.82
Licensed practical nurses0.97
Nursing staff turnover (share who left in a year)55.6%55.3%45.8%
Registered nurse turnover80.0%54.6%42.9%
Administrators who left0

CMS expects 3.75 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 3.28 on weekdays and 2.94 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.50 in April to June 2025 to 3.18 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.180.393.282.94 2.6%1 of 9046
Oct to Dec 20253.090.333.222.73 0.0%1 of 9248
Jul to Sep 20252.980.343.142.56 0.0%0 of 9248
Apr to Jun 20253.500.483.703.02 0.0%2 of 9140
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. If you work here, your report helps start one.

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.

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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
7.815.813.9
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
0.83.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.114.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.33.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.89.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.725.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.212.312.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Simpson Place's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.2% 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

46.2% this home

No different from 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. 25 eligible stays.

Potentially preventable readmissions

11.4% 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. 49 eligible stays.

Infections that led to a hospital stay

6.4% 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. 30 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 18 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. 36 residents counted.

New or worsened pressure ulcers

0.0% 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. 37 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 13 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: HOPKINS COUNTY HOSPITAL DISTRICT. CMS links this home to Stonegate Senior Living, a group of 24 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
Hopkins County Hospital District5% or greater direct ownership interestOrganization100%01/28/2024
Berkadia Commercial Mortgage LLC5% or greater mortgage interestOrganization08/01/2025
Smith, MichaelCorporate officerIndividual04/06/2009
Pf Sp Alf Ops II, LLCOperational/managerial controlOrganization05/01/2025
Addison, SarahOperational/managerial controlIndividual10/14/2024
Lone, JamalOperational/managerial controlIndividual08/01/2022
Parrish, ErikaOperational/managerial controlIndividual05/20/2024
Dallas Housing CorporationAdp of the SNFOrganization01/28/2024
Pf Sp Alf Ops II, LLCAdp of the SNFOrganization09/25/2025
Simpson Place Alf Realty, LLCAdp of the SNFOrganization10/15/2025
Addison, SarahAdp of the SNFIndividual10/14/2024
Lone, JamalAdp of the SNFIndividual08/01/2022
Parrish, ErikaAdp of the SNFIndividual05/20/2024

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 9 problems in this area, most recently on April 30, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on March 3, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 30, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on April 30, 2026: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.94 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is Simpson Place's Medicare star rating?
CMS rates Simpson Place 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Simpson Place get at its last inspection?
8 health deficiencies at the standard inspection on April 30, 2026. The Texas average is 9.4.
Has Simpson Place been fined?
CMS lists no fines in the last three years.
Does Simpson Place 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 Simpson Place?
CMS lists 13 owners and managers, and links the home to Stonegate Senior Living. Legal business name: HOPKINS COUNTY HOSPITAL DISTRICT.

Sources

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