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The Harrison at Heritage

4600 Heritage Trace Parkway, Fort Worth, TX 76244 · Tarrant County · (817) 741-9360

120 certified beds, about 113 residents a day · For profit - Corporation · Medicare and Medicaid since 1994

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676317 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 4, 2025, inspectors cited 8 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 31 health citations since August 2023, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $65,529 in the last three years; the largest was $56,550, and the latest is dated May 31, 2024.

Nurses and nurse aides worked 3.41 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.

47.7% 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 31 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
24D
4E
0F
Potential for minimal harm
0A
0B
0C
April 28, 2026Complaint inspection · 1 citation
  1. 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) May 14, 2026
    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 person-centered care plan, and the residents' choices for 1 of 4 residents (Resident #1) reviewed for quality of care. The facility failed to provide treatment to Resident #1's right elbow according to physician's orders. This failure placed residents of risk for not receiving appropriate care and treatment and a decreased quality of life.
December 4, 2025Standard inspection · 8 citations
  1. E
    Provide bedrooms that don't allow residents to see each other when privacy is needed.
    F914 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 28, 2025
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure each bed had ceiling suspended curtains, which extend around the bed to provide total visual privacy in combination with adjacent walls and curtains for 2 of 21 residents (Resident #16 and #82) reviewed for privacy curtains. The facility failed to ensure Residents #16 and #82 were ensured full visual privacy by not having ceiling suspended curtains that extend around the bed. These failures could place residents at risk of lowered self-esteem.
  2. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the resident was not given a psychotropic drug unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 5 residents (Resident #132) reviewed for unnecessary medications, in that: The facility failed to ensure Resident #132 was not prescribed a psychotropic drug for anxiety longer than 14 days PRN. Resident #132 was ordered PRN Alprazolam (a benzodiazepine medication used primarily to treat anxiety disorders and severe agitation) on 11/26/25 without a stop date. This deficient practice could place residents at risk of receiving unnecessary psychotropic medications.
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the MDS assessment accurately reflected the resident status for 1 of 44 residents (Resident #88) reviewed for assessment accuracy. The facility failed to ensure Residents #88's MDS assessments were accurately coded for dialysis treatment. This failure could place residents at risk of not receiving the appropriate care and services to maintain the highest level of well-being.
  4. 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 · Corrected (the home has a date of correction) December 28, 2025
    Inspectors wroteBased on 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 included measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs that were identified in the comprehensive assessment for 1 of 44 residents (Resident #17) reviewed for care plans. The facility failed to ensure Resident #17's care plan addressed the use of a back brace and bilateral foot protectors. This failure could place residents at risk of not receiving the care required to meet their individual needsFindings included:Record review of Resident #17's admission MDS assessment, dated 11/17/25, reflected the resident was a [AGE] year-old male who was admitted to the facility on [DATE]. [...]
  5. 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) December 28, 2025
    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 #17) reviewed for quality of care. The facility failed to obtain physician orders for the use of a back brace and bilateral foot protectors for Resident #17. This failure placed residents at risk of not receiving appropriate care and worsening of their conditions.
  6. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 28, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents fed by enteral means received the appropriate treatment and services to prevent complications of enteral feedings for 1 of 3 residents (Resident #102) reviewed for tube feedings. The facility failed to ensure Resident #102's tube feeding was administered per physician orders at a rate of 55 ml per hour continuously on 12/02/25 and 12/03/25. This failure could affect residents receiving enteral nutrition/hydration and place them at risk of overfeeding.
  7. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents who required dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 2 of 2 residents (Residents #82 and #88) reviewed for dialysis.1. The facility failed to ensure Resident #82 and Resident #88 had a physician order to complete dialysis treatment. This failure could place residents at risk of inadequate monitoring after returning to facility.
  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) December 28, 2025
    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 #8) reviewed for pharmacy services. The facility failed to ensure Resident #8 received her morning medications when LVN G prepared the medications and set them down on the hall railing to assist another resident. LVN G did not return to retrieve the medications off the hall and administer them to Resident #8. These failures could place residents at risk for medication error, drug diversion, and delay in medication administration.
November 26, 2025Complaint inspection · 2 citations
  1. 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) November 28, 2025
    Inspectors wroteBased on interview and record review, the facility failed to implement their written policies and procedures to prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property for 1 of 6 residents (Residents #1) reviewed for abuse and neglect. The facility failed to report an incident where Resident #1 was found with a call light around his neck on 08/26/25. This failure could place residents at risk of neglect, injury, and lack of timely reporting of incidents.
  2. 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) November 28, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure all alleged violations involving neglect, which included injuries of unknown source, were reported immediately, but no later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury, or not later than 24 hours if the events that caused the allegation did not involve abuse and did not result in serious bodily injury, to the administrator of the facility and to other officials, which included the State Survey Agency, in accordance with State law through established procedures for 1 of 6 residents (Resident #1) reviewed for abuse and neglect. The facility failed to implement their policy on reporting an incident involving Resident #1 when he was found with a call light cord around his neck on 08/26/25. [...]
March 6, 2025Complaint inspection · 2 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · 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 each resident was treated with respect and dignity in a manner and in an environment which promotes maintenance of enhancement of his or her quality of life and recognizing each resident individually for 1 of 7 residents (Resident #21) reviewed for resident rights. LVN D failed to treat Resident #2 with dignity and respect when she raised her voice and scolded the resident. The noncompliance was identified as past noncompliance. The noncompliance began on 01/28/25 and ended on 01/28/25. The facility had corrected the noncompliance before the investigation began. This failure placed residents at risk for diminished quality of life, loss of dignity and self-worth.
  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) April 11, 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 1 of 4 residents (Resident #1) observed for infection control. LVN A, CNA B and CNA C failed to wear a gown while providing care for Resident #1, who was on enhanced barrier precautions. This failure could lead to the resident being exposed to infections from other residents.
January 23, 2025Complaint inspection · 2 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on interview and record review, the facility failed to notify the resident or the resident's representative of the transfer or discharge and the reasons for the move in writing and in a language and manner they understand and send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman for one of three residents (Resident #1) reviewed for discharge notices. The facility failed to notify Resident #1 in writing of his transfer/discharge to the hospital for altered mental status, the reason for the transfer, and the right to appeal and they failed to send a copy of the notice to the Ombudsman as soon as practicable. This failure could place residents at risk of being transferred or discharged , and not having access to available advocacy services, discharge/transfer options, and appeal processes.
  2. 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) February 14, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that each resident received adequate supervision and assistive devices to prevent accidents for one of two residents (Residents #2) reviewed for accidents. CNA C failed to obtain assistance from another staff member when using a mechanical lift to transfer Resident #2 from his bed to his wheelchair and then left the resident unsupervised mid-transfer to obtain assistance in completing the transfer. This failure place residents at risk for accidents and injuries.
September 6, 2024Standard inspection, Complaint inspection · 7 citations
  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 · Corrected (the home has a date of correction) September 26, 2024
    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 on two of three medication carts (600 Hall and split hall) one medication room(central supply cabinent) and 4 of 4 (Residents #8, #21, #66 and #126 ) reviewed for pharmacy services. 1. The facility failed to ensure the 600 Hall nurses' medication cart contained accurate narcotic logs for Resident #126. 2. The facility failed to ensure the split hall nurses' medication cart contained accurate narcotic logs for Residents #8, #21, and #66. 3. The facility failed to ensure expired medications in Central Supply were removed and destroyed. [...]
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 26, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the facility provided food that was palatable, for one of one observed meal reviewed for dietary services. The facility failed to serve food that had a palatable texture during the lunch meal on 09/05/24. This failure could affect residents by placing them at risk of weight loss, altered nutritional status, and a diminished quality of life.
  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) September 26, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen and the 300-hall nutrition room. 1. The facility failed to ensure food items stored in the freezer were properly labeled with the contents after being removed from the original packages and not dated to reflect when the food items were opened. 2. The facility failed to ensure food items stored in the refrigerator were properly discarded. 3. The facility failed to ensure the 300-hall nutrition room's ice machine was cleaned prior to being used. These failures could place all residents at risk for food contamination and food borne illness.
  4. 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 · Corrected (the home has a date of correction) September 26, 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's right that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mentla and psychosocial needs that are identified in the comprehensive assessment for 1 of 4 residents (Resident #45) reviewed for care plans. The facility failed to revise and update Resident #45's comprehensive care plan with new diet orders. This failure could affect residents of the facility by not addressing their physical, mental, and psychosocial needs for each to attain or maintain their highest practicable physical, mental, and psychosocial outcome.
  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) September 26, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 8 residents (Resident #290) reviewed for ADL care. The facility failed to provide Resident #290 assistance with his personal hygiene by not providing scheduled showers. This failure could place the residents at risk for decreased feelings of self-worth, skin breakdown, and infection.
  6. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 26, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure parenteral fluids were administered consistent with professional standards of practice and in accordance with physician orders, the comprehensive person-centered care plan, and the resident's goal and preferences for 1 of 1 resident (Resident #242) reviewed for pharmacy services. The facility failed to ensure Resident #242's intravenous medication bag and tubing were labeled with dates time and initials. These failures could place residents at risk for medication error, and delay in medication administration.
  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 · found on a complaint visit · Corrected (the home has a date of correction) September 26, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain clinical records that were complete and accurate for one (Resident #46) of six residents reviewed for clinical records. The facility failed to accurately document in Resident #46's progress notes about her care. This failure could place residents at risk for incomplete and inaccurately documented medical record that included their progress treatment, services, and interventions. Findings includde: Review of Resident #46's Face Sheet reflected the resident was a [AGE] year-old female who admitted to the facility on [DATE]. Review of Resident #46's 5-day MDS Assessment, dated 08/03/24, reflected she had a BIMS score of 14, indicating no cognitive impairment. Further review revealed she had an indwelling catheter. Her active diagnoses included diabetes mellitus, hyperlipidemia, and a hip fracture. [...]
July 16, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · 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) August 6, 2024
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that the resident had the right to a dignified existence, self-determination, and communication with and access to persons and services outside the facility for 1 (Resident #1) of 5 residents reviewed for resident rights. -The facility failed to allow Resident #1 to exercise his right to choose his pain management provider after he expressed concerns for his pain management regimen and the facility's contracted provider. This failure could place residents at risk of decreased quality of care and treatment due to their lack of free choice for their care providers while in the facility.
May 31, 2024Complaint inspection · 4 citations
  1. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement a comprehensive person-centered care plan for each resident to meet a resident's medical, nursing, and mental and psychosocial needs in order attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for one (Resident #1) of eleven residents reviewed for care plans. The facility failed to ensure Resident #1 was attended and supervised while left in 96-degree heat for approximately 2 hours resulting in unresponsiveness, second degree skin burns, hospitalization, and heat stroke. The facility failed to develop a comprehensive care plan to address Resident #1's behavior to ensure his safety while exercising his right to sit on the facility's patio during 96-degree heat, resulting in unresponsiveness, second degree skin burns, hospitalization, and heat stroke. [...]
  2. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · 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) June 26, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident received adequate supervision and assistance devices to prevent accidents for one (Resident #1) eleven residents reviewed for accidents and hazards. The facility failed to ensure Resident #1 was attended and supervised while left in 96-degree heat for approximately 2 hours resulting in unresponsiveness, second degree skin burns, hospitalization, and heat stroke. The facility failed to ensure Resident #1 was safe from hazards when he sat on the facility's patio in 96-degree heat for at approximately 2 hours resulting in unresponsiveness, second degree skin burns, hospitalization, and heat stroke. An Immediate Jeopardy (IJ) was identified on 05/30/2024. [...]
  3. 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 24, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all drugs and biologicals were stored in accordance with currently accepted professional principles in locked compartments and permit only authorized personnel to have access to the keys for one (Resident #2) of eleven residents reviewed for storage of drugs. LVN C left Resident #2's morning IV medication and injection medication on top of the 600 Hall Nurse Medication Cart unattended. This deficient practice could place residents at risk of medication misuse and diversion.
  4. 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) June 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys for one (600 Hall Medication Cart) of four Medications Carts reviewed for security. LVN C failed to ensure the 600 Hall Medication Cart was locked when unattended. This failure could place residents at risk of having access to unauthorized medications and/or lead to possible harm or drug diversions.
April 16, 2024Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 4 residents reviewed for accidents. The faciltiy failed to provide Resident #1, who had cognitive impairment and unsteady gait with a history of attempting to get up from her wheelchair unassisted, adequate supervision to prevent her falling. The resident was left alone in her room, and she fell sustaining lacerations to multiple sites on her scalp and neck and an injury to her wrist, which required the resident to be sent to the hospital where she received six staples to the back of her scalp, two staples on the left side of her scalp, and a brace to her wrist for a contusion. This failure could place residents at risk for serious injuries or harm, decline in health, and decreased quality of life.
March 29, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure all alleged violations involving abuse, neglect, exploitation, or mistreatment were reported immediately to the Administrator for one (Resident #1) of eight residents reviewed for abuse. The facility failed to ensure LVN A immediately reported an allegation of abuse, on 03/12/24, when Resident #1 stated he did not want to work with his overnight staff because they were rude to him, to the Administrator (Abuse Coordinator). This failure could place residents at risk of emotional, physical, and mental abuse.
  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) April 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide residents who were unable to carry out activities of daily living with the necessary services to maintain grooming and personal hygiene for one (Residents #2) of eight residents reviewed for facial hair. The facility failed to remove Resident #2's facial hair. This failure could place residents at risk for social isolation, loss of dignity, and self-worth.
August 17, 2023Standard inspection · 1 citation
  1. 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 7, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys for one (Resident #26) of 4 residents reviewed for medication storage. RN A failed to secure Resident #26's medication and left it unattended in the room with CNA B. This failure could affect residents by placing them at risk for medication errors and receiving less than therapeutic benefits from medications.

Fire safety inspections

6 fire safety citations on file: 5 on September 6, 2024, 1 on July 1, 2022.

Every fire safety citation6 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · September 6, 2024 · Corrected (the home has a date of correction)
  2. F
    Provide properly protected cooking facilities.
    K 324 · September 6, 2024 · Corrected (the home has a date of correction)
  3. E
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · September 6, 2024 · Corrected (the home has a date of correction)
  4. E
    Install corridor and hallway doors that block smoke.
    K 363 · September 6, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 6, 2024 · Corrected (the home has a date of correction)
  6. B
    Have an alternate power supply for its alarm system.
    K 344 · July 1, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 31, 2024Fine $56,550
March 29, 2024Fine $8,979

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)3.413.393.86
Registered nurses0.570.430.69
All nursing staff on weekends3.002.983.42
Nurse aides1.82
Licensed practical nurses1.02
Nursing staff turnover (share who left in a year)47.7%55.3%45.8%
Registered nurse turnover12.5%54.6%42.9%
Administrators who left0

CMS expects 3.95 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 3.58 on weekdays and 3.00 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.41 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.410.573.583.00 0.6%0 of 90113
Oct to Dec 20253.260.513.412.87 0.6%0 of 92110
Jul to Sep 20253.360.373.522.93 0.9%0 of 9299
Apr to Jun 20253.370.453.552.92 1.3%0 of 9197
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

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

Official wage estimates for Texas

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

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

How staff pay reports work · CNA pay by state

Quality measures

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

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.415.813.9
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
1.23.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
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
1.03.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.69.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
13.925.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
5.412.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.32.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.02.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Harrison at Heritage's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.4% 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

55.4% 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. 169 eligible stays.

Potentially preventable readmissions

10.9% 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. 181 eligible stays.

Infections that led to a hospital stay

7.6% 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. 119 eligible stays.

Self-care and mobility at discharge

69.3% 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. 88 residents counted.

Falls with major injury

0.8% 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. 123 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. 123 residents counted.

Medication list given at discharge

83.6% 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. 55 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
Fw Senior Community Ltd CoOperational/managerial controlOrganization09/01/2019
Davis-Bean, LauraOperational/managerial controlIndividual11/30/2017
Fw Senior Community Ltd CoAdp of the SNFOrganization03/31/2025
Ambalong, Maria PharahAdp of the SNFIndividual10/19/2021
Davis-Bean, LauraAdp of the SNFIndividual11/30/2017
Haider, MunawarAdp of the SNFIndividual06/26/2006

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 10 problems in this area, most recently on April 28, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on December 4, 2025: "Ensure each resident receives an accurate assessment."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on December 4, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on December 4, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."

Other nursing homes nearby

Texas contacts for a concern about a nursing home

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

Common questions

What is The Harrison at Heritage's Medicare star rating?
CMS rates The Harrison at Heritage 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Harrison at Heritage get at its last inspection?
8 health deficiencies at the standard inspection on December 4, 2025. The Texas average is 9.4.
Has The Harrison at Heritage been fined?
Yes. CMS lists 2 fines totaling $65,529 in the last three years.
Does The Harrison at Heritage 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 Harrison at Heritage?
CMS lists 9 owners and managers, and links the home to Cantex Continuing Care. Legal business name: DALLAS COUNTY HOSPITAL DISTRICT.

Sources

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