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The Carlyle at Stonebridge Park

170 Stonebridge Lane, Southlake, TX 76092 · Tarrant County · (817) 431-5778

112 certified beds, about 95 residents a day · For profit - Corporation · Medicare and Medicaid since 2010

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676249 · See it on Medicare.gov · Compare with other homes

The record in brief

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

Of 36 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $125,895 in the last three years; the largest was $113,246, and the latest is dated August 22, 2025.

Nurses and nurse aides worked 3.30 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.

60.9% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Cantex Continuing Care, an affiliated group of 37 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 36 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
21D
11E
0F
Potential for minimal harm
0A
0B
2C
July 23, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · deficient, provider has August 7, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide pharmaceutical services including procedures that assure the accurate administering of drugs and biologicals to meet the needs of each resident for 1 of 5 residents (Resident #1) reviewed for medication administration. The facility failed to administer Resident #1's oxycodone 10mg at 9:00 PM on 07/13/26 according to physician's orders. This failure could place residents at risk for diminished quality of care.
May 12, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 1, 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 of 5 residents (Resident #1) reviewed for pharmacy services. LVN C failed to document on the EMAR when she administered hydrocodone (pain medication) to Resident #1 on 05/11/26 at 4:00 AM. This failure could place residents at risk for loss of prescribed medications, potential for not receiving their prescribed medications, and risk of drug diversion.
January 8, 2026Standard inspection · 8 citations
  1. E
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure the interdisciplinary team determined if a resident was able to self-administer medications for 3 of 33 residents (Resident #41, Resident #115 and Resident #118) reviewed for resident rights.1. The facility's interdisciplinary team failed to ensure Resident #41 was clinically appropriate to self-administer Fluticasone Propionate Nasal Spray, Azelastine HCL and Major Deep Sea Premium Saline Nasal Spray that were at the resident's bedside.2. The facility failed to ensure Resident #115, with nasal spray at her bedside, was clinically appropriate to self-administer medications that were at the resident's bedside.3. The facility failed to ensure Resident #118 was clinically appropriate to self-administer cough syrup that were at the resident's bedside. [...]
  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 · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 44 residents (Resident #45) reviewed for quality of care. The facility failed to obtain physician orders for the use of an arm sling and leg brace for Resident #45. This failure placed residents at risk of not receiving appropriate care and worsening of their conditions.
  3. E
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents received proper treatment and care to maintain good foot health by providing foot care and treatment, in accordance with professional standards of practice, including to prevent complications from the resident's medical condition 2 of 5 residents (Resident #42 and Resident #75) reviewed for foot care. The facility failed to provide Resident #42 and Resident #75 assistance with toenail care. Resident #42 and Resident #75 toenails were observed to be about half inch long on each foot. This failure could place the residents at risk for decreased feelings of self-worth and infection.
  4. E
    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, pattern · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure all drugs and biologicals were stored securely for 2 of 33 residents (Resident #39 and Resident #118) on one hall reviewed for storage of medications.1. The facility failed to ensure two pills (Zoloft and Memantine) were not left on the floor in Resident #39's room on 01/06/26. 2. The facility failed to ensure Resident #118 cough syrup was not left unattended at his bedside on 01/06/26. This failure could place residents at risk of consuming unsafe medications.
  5. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on interview and record review, the facility failed to coordinate the assessment with the pre-admission screening and resident review (PASARR ) program for one (Resident #49) of five resident assessments reviewed for PASARR evaluations. The facility did not refer Resident #49 to the appropriate state-designated mental health authority for review when she received a new diagnosis of bipolar disorder. This failure could affect residents with psychiatric diagnoses who may not be evaluated and receive needed PASARR services.
  6. D
    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, isolated · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure necessary treatment and services to promote healing for 1 of 5 residents (Resident #10) reviewed for pressure ulcers. The facility failed to ensure Resident #10's Stage 3 pressure ulcer was covered with a dressing. This failure could place residents at risk of severe pain, and lead to systemic infections causing harm for residents.
  7. D
    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, isolated · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the clinical records were maintained in accordance with accepted professional standards and practices and were complete and accurately documented for 2 of 5 residents (Resident #10 and Resident #104) records reviewed for treatment documentation. The facility failed to document wound care treatments on the Treatment Administration Record for Resident #10 and Resident #104 indicated by blanks on residents January 2026 TAR.These failures could affect the residents medical record not being an accurate representation of the resident's medical condition or medical needs.
  8. 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) February 20, 2026
    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 of 6 residents (Resident #8) reviewed for infection control. LNV C failed to put on appropriate PPE, a gown, before administering daily water flush via gastronomy tube to Resident #8, who was on enhanced barrier precautions. This failure could place residents at risk of cross contamination and the spread of infection.
December 1, 2025Complaint inspection · 1 citation
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 2, 2025
    Inspectors wroteBased on 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 of 5 residents (Resident #1) reviewed for medication administration. The facility failed to acquire and administer Resident #1's physician ordered medications timely when she admitted to the facility on [DATE], which resulted in the resident missing one dose of the antibiotic, Daptomycin-Sodium Chloride Intravenous Solution 700-0.9 mg/100 ml, six doses of the central nervous system stimulant, Adderall 20 mg, and seven doses of Juven, a physician-ordered therapeutic nutrition powder for wound healing, after she admitted to the facility on [DATE] following knee revision surgery. [...]
August 22, 2025Complaint inspection · 1 citation
  1. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 23, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive assessment of a resident for 1 of 5 residents (Resident #1) reviewed for quality of care. The facility failed to ensure Resident #1's catheter/catheter balloon remained in place in the bladder. On 08/04/25, the resident had a change in condition, and the NP ordered bloodwork, a UA, and a catheter change. During the catheter change, Resident #1 began to bleed from the catheter site and a few hours later, labs from the bloodwork came back critical and was sent to the hospital. Resident #1 was diagnosed with acute kidney failure and trauma to the urethra due to the catheter balloon not being in the right location. An Immediate Jeopardy (IJ) was identified on 08/21/25 at 4:55 PM. [...]
June 24, 2025Complaint inspection · 2 citations
  1. 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 · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the clinical records were maintained in accordance with accepted professional standards and practices and were complete and accurately documented for 2 of 5 residents (Resident #1 ad Resident #2) records reviewed for treatment documentation. 1. LVN A documented Resident #1 had received his g-tube feeding on 05/24/25 morning and evening, but the resident did not receive his feeding for approximately 11 hours. 2. The facility failed to document wound care treatments on the Treatment Administration Record for Resident #2 indicated by blanks on Resident #2's June 2025 TAR. These failures could affect the residents medical record not being an accurate representation of the resident's medical condition or medical needs.
  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 · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that residents who received nutrition by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 1 of 3 residents (Resident #1) reviewed for enteral feeding. The facility failed to follow physician's orders of providing Resident #1 with his 22 hours of feeding intake on 05/24/25. The noncompliance was identified as PNC. The noncompliance began on 05/24/25 and ended on 05/25/25. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for a decline in health or adverse effects due to inappropriate management of G-tube care.
January 21, 2025Complaint inspection · 1 citation
  1. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · 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) January 22, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services in accordance with the comprehensive assessment of a resident and consistent with the resident's needs and choices for activities of daily living including toileting for one (Resident #1) of four residents reviewed for ADL assistance. CNA A failed to provide Resident #1 with a bedpan for toileting and instead told the resident to use her brief on 12/04/24. This failure could place residents at risk of feeling uncomfortable, disrespected, have a decreased self-esteem and a diminished quality of life.
October 3, 2024Standard inspection, Complaint inspection · 4 citations
  1. 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 · Corrected (the home has a date of correction) November 5, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that 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 6 residents (Resident #15) reviewed for comprehensive care plans. The facility failed to ensure Resident #15's care plan addressed pain management and behaviors. This failure could place residents at risk of not having their individual needs met, not receiving necessary care and services, and a decreased quality of life.
  2. 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) November 5, 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 safety in the facility's only kitchen. The facility failed to ensure various foods stored in the pantry were sealed, dated, and labeled. This failure could place all residents at risk for food contamination and food borne illness.
  3. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 5, 2024
    Inspectors wroteBased on interview and record review, the facility failed to notify the resident, resident representative and send a copy to the Office of the State Long-Term Care Ombudsman, of the transfer or discharge and the reasons for the move in writing and in a language and manner they understood for 1 (Resident #) of 3 residents reviewed for discharge. The facility failed to notify Resident #74, the resident representative, and the Ombudsman in writing of the transfer/discharge of the resident to the hospital, the reason for the transfer/discharge, and the right to appeal. This failure could put residents at risk of being discharged and not having access to available advocacy services, discharge/transfer options, and appeal processes.
  4. D
    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, isolated · 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 maintain an effective pest control program for 1 of 22 residents (Resident #20) reviewed for pest control. The facility failed to ensure Resident #20's room was free of ants, and the resident sustained ant bites on his arms, legs, and stomach on 08/06/24, which were treated with hydrocortisone cream. The noncompliance was identified as PNC. The noncompliance began on 08/06/24 and ended on 08/08/24. The facility corrected the noncompliance before the survey began. This failure could place residents at risk of a decreased quality of life.
September 5, 2024Complaint inspection · 1 citation
  1. 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) October 26, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents receive adequate supervision and assistance devices to prevent accidents for one (Resident #1) of one resident observed during a transfer. CNA A failed to transfer Resident #1 safely when he failed to use a gait belt and independently lifted Resident #1 under her armpits when transferring Resident #1 from her bed to her shower chair on 09/04/24. This failure could affect the residents by placing the residents at risk for discomfort, pain, and/or injury.
May 22, 2024Complaint inspection · 2 citations
  1. 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 · 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 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 of 4 residents (Resident #1) reviewed for medication administration. The facility failed to ensure LVN A gave Resident #1 the correct IV antibiotic; she was given Resident #2's antibiotic. The noncompliance was identified as PNC. The noncompliance began on 03/26/24 and ended on 03/27/24. The facility has corrected the noncompliance before the survey began. This failure placed residents at risk of not receiving medications as prescribed, decreased therapeutic effects of the medications, risk for drug diversion, delay in medication administration and worsening of their medical conditions.
  2. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · 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 ensure residents were free of any significant medication errors for 1 (Resident #1) of 4 residents reviewed for pharmacy services. The facility failed to ensure LVN A gave Resident #1 the correct IV antibiotic; she was given Resident #2's antibiotic. The noncompliance was identified as PNC. The noncompliance began on 03/26/24 and ended on 03/27/24. The facility corrected the noncompliance before the survey began. This failure placed residents at risk for harm and/or serious injury.
March 14, 2024Complaint inspection · 2 citations
  1. D
    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
    F635 · 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 15, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure at the time residents were admitted they had physician orders for the resident's immediate care for 1 (Resident #1) of 5 residents reviewed for admission orders in that RN A failed to enter physician orders for Resident #1's wound vacuum and wound care. This failure could cause the residents to have a worsening of the condition of their wounds.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 15, 2024
    Inspectors wroteBased on record reviews and interviews the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #1) of 5 residents reviewed for quality of care in that: RN-A failed to provide wound care for Resident's left lower leg wound from 1/10/24-1/12/24. This failure could lead to the resident's wound worsening.
December 14, 2023Complaint inspection · 1 citation
  1. 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) December 15, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure assessments accurately reflected the resident's status for one of four residents (Resident #1) reviewed for accuracy of assessments. The facility failed to ensure Resident #1's MDS assessment identified her accurately for the ability to make herself understood and the ability to understand others. This failure could place residents at risk of not having accurate assessments, which could compromise their plan of care.
November 22, 2023Complaint inspection · 1 citation
  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) November 25, 2023
    Inspectors wroteBased on record review and interview, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timetables to meet residents' highest practicable physical, mental, and psychosocial needs for 1 of 6 residents (Resident #1) reviewed for care plans. The facility failed to develop a comprehensive care plan for Resident #1. This failure could place residents at risk of not receiving the care required to meet their physical, mental, and psychosocial needs to attain or maintain their highest practicable physical, mental, and psychosocial outcome.
October 19, 2023Complaint inspection · 2 citations
  1. J
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 20, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to administer parenteral fluids consistent with professional standards of practice and in accordance with physician orders for one (Resident #1) of one resident reviewed for parenteral fluids. The facility failed to obtain physician orders to manage, provide care, and change Resident #1's CVC dressing at least every 7 days and as needed if the dressing or site appeared compromised (damp, loosened or visibly soiled). The facility failed to change Resident #1's CVC dressing at least every 7 days and ensure Resident #1's central line was maintained per professional standards and facility policy. [...]
  2. 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) October 23, 2023
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to immediately inform and consult with the resident's physician of a significant change in the resident's physical, mental, or psychosocial status for one (Resident #1) of one resident reviewed for notification of changes. LVN A failed to notify the physician when Resident #1 had a change of condition in clinical status (vital signs). On 10/04/23 at 4:51 PM, LVN A notified NP K that Resident #1 had an elevated temperature [greater than 100.0 F]. On 10/04/23 at 5:00 PM, DNP L assessed and discovered (Resident #1) had a significant change in health status (a rapid heart rate and low blood pressure) during an unrelated visit. DNP L called and informed NP K of her findings and suggested Resident #1 be transferred to hospital. LVN A text NP K of DNP L findings on 10/04/23 at 5:34 PM. [...]
September 20, 2023Standard inspection, Complaint inspection · 8 citations
  1. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to use the services of a Registered Nurse for at least eight consecutive hours a day, seven days a week in the facility for five (11/19/22, 11/20/22, 11/27/22, 12/4/22, and 12/11/22) of 60 days reviewed. The facility failed to have RN coverage in the facility for eight consecutive hours on 11/19/22, 11/20/22, 11/27/22, 12/4/22, and 12/11/22. This failure could place residents at risk of not having their nursing and medical needs met and receiving improper care.
  2. 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) September 21, 2023
    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 safety in the facility's only kitchen. 1. The facility failed to ensure food items were kept away from contaminants and an unsanitary environment. 2. The facility failed to ensure food items were properly labeled, dated, and sealed. 3. The facility failed to ensure that food items were discarded before expiration date. These failures could place all residents, who receive food from the kitchen, at an increased risk for food contamination and food-borne illness.
  3. 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) September 21, 2023
    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 2 staff (LVN A and MA D) of 3 staff observed during medication pass and 6 (803, 809, 808, 114, 116, and 303) of 6 Isolation rooms observed for infection control in that: 1. LVN A failed to sanitize the medication cart top after placing a contaminated blood pressure cuff on the cart top, sanitizing the cuff and then placing the cuff back on the cart top without disinfecting cart top. 2. [...]
  4. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to implement written policies that prevent abuse for one (Resident #99) of five residents reviewed for abuse, in that: The facility failed to suspend LVN X after Resident #99's RP #2 made an allegation of verbal abuse. These failures could place residents at risk by leaving suspected abusers in contact with facility residents.
  5. 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) September 21, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure drugs and biologicals used in the facility were labeled and secured in accordance with currently accepted professional principles for 1 of 4 residents (Resident #30) reviewed for medication administration, in that: The faciility failed to ensure that medications (Timolol maleate, Azopt eye drops and Fluticasone & Salmeterol Inhaler), were not stored at Resident #30's bedside. This deficient practice could place residents who received medication at risk for not receiving the intended therapeutic benefit of the medication and accidentally or intentionally self-administering the medication and place all residents/others at risk of taking medication not intended for their use.
  6. D
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1(Resident #52) of 6 residents reviewed for therapeutic diets received the diet ordered per physician order. The facility failed to provide Resident #52 with snacks between each meal as ordered by a physician. This failure could affect all residents who have physician orders for a specialized or therapeutic diet and could place the residents at risk for weight loss and a decline in health.
  7. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the daily nurse staffing was posted as required each day for two (09/18/23 and 09/19/23) of three days reviewed for nursing services and postings. The facility failed to update the daily staffing information posting on 09/18/23 and 09/19/23. This failure could affect residents, their families, and facility visitors by placing them at risk of not having access to information regarding staffing data and facility census.
  8. C
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 21, 2023
    Inspectors wroteBased on interview and record review, the facility failed to follow guidelines for mandatory submission of staffing information based on payroll data in a uniform format and submit to CMS complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS for submitting accurate staffing information for four (FY Quarter 4 2023, FY Quarter 3, FY Quarter 2 2023, and FY Quarter 1 2023) of four quarters reviewed for accurate staffing information and submitting accurate RN hours for two (FY Quarter 4 2022 and FY Quarter 1 2023) of two quarters reviewed for accurate RN hours. [...]

Fire safety inspections

12 fire safety citations on file: 3 on January 8, 2026, 7 on October 3, 2024, 2 on September 20, 2023.

Every fire safety citation12 citations
  1. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 8, 2026 · Corrected (the home has a date of correction)
  2. 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 · January 8, 2026 · Corrected (the home has a date of correction)
  3. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · January 8, 2026 · Corrected (the home has a date of correction)
  4. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · October 3, 2024 · Corrected (the home has a date of correction)
  5. F
    Install an approved automatic sprinkler system.
    K 351 · October 3, 2024 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 3, 2024 · Corrected (the home has a date of correction)
  7. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · October 3, 2024 · Corrected (the home has a date of correction)
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 3, 2024 · Corrected (the home has a date of correction)
  9. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · October 3, 2024 · Corrected (the home has a date of correction)
  10. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 3, 2024 · Corrected (the home has a date of correction)
  11. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 20, 2023 · 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 · September 20, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 22, 2025Fine $113,246
September 20, 2023Fine $12,649

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)3.303.393.86
Registered nurses0.370.430.69
All nursing staff on weekends2.892.983.42
Nurse aides1.87
Licensed practical nurses1.05
Nursing staff turnover (share who left in a year)60.9%55.3%45.8%
Registered nurse turnover72.7%54.6%42.9%
Administrators who left0

CMS expects 3.86 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 3.46 on weekdays and 2.89 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.34 in April to June 2025 to 3.30 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.300.373.462.89 0.9%0 of 9095
Oct to Dec 20253.140.353.292.75 1.2%0 of 9295
Jul to Sep 20253.310.483.502.84 1.8%0 of 9282
Apr to Jun 20253.340.563.592.73 2.0%0 of 9177
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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For The Carlyle at Stonebridge Park. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
4.615.813.9
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
1.33.33.2
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 whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.314.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.63.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.39.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.625.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.012.312.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Carlyle at Stonebridge Park's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.4% 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

50.4% 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. 120 eligible stays.

Potentially preventable readmissions

13.3% 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. 138 eligible stays.

Infections that led to a hospital stay

7.0% 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. 71 eligible stays.

Self-care and mobility at discharge

60.0% 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. 55 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. 85 residents counted.

New or worsened pressure ulcers

2.0% 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. 85 residents counted.

Medication list given at discharge

94.7% 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. 38 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: DALLAS COUNTY HOSPITAL DISTRICT. CMS links this home to Cantex Continuing Care, a group of 37 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Dallas County Hospital District5% or greater direct ownership interestOrganization100%09/01/2019
Castaneda, EdmundoCorporate officerIndividual01/10/2022
Cerise, FrederickCorporate officerIndividual03/24/2014
Carlyle Health Care Center Ltd CoOperational/managerial controlOrganization09/01/2019
Washington, MichaelOperational/managerial controlIndividual06/06/2024
Carlyle Health Care Center Ltd CoAdp of the SNFOrganization09/01/2019
Megwa, BernadineAdp of the SNFIndividual11/01/2024
Washington, MichaelAdp of the SNFIndividual06/06/2024

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 January 8, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on July 23, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on January 8, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on January 8, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.89 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is The Carlyle at Stonebridge Park's Medicare star rating?
CMS rates The Carlyle at Stonebridge Park 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Carlyle at Stonebridge Park get at its last inspection?
8 health deficiencies at the standard inspection on January 8, 2026. The Texas average is 9.4.
Has The Carlyle at Stonebridge Park been fined?
Yes. CMS lists 2 fines totaling $125,895 in the last three years.
Does The Carlyle at Stonebridge Park 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 The Carlyle at Stonebridge Park?
CMS lists 8 owners and managers, and links the home to Cantex Continuing Care. Legal business name: DALLAS COUNTY HOSPITAL DISTRICT.

Sources

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