18648 Hillcrest Rd, Dallas, TX 75252 · Dallas County · (972) 517-7771
120 certified beds, about 112 residents a day · For profit - Corporation · Medicare and Medicaid since 2012
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676315 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 31, 2025, inspectors cited 9 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 44 health citations since March 2023, 6 were rated as actual harm or immediate jeopardy to residents (5 immediate jeopardy).
CMS lists 3 fines totaling $221,052 in the last three years; the largest was $199,833, and the latest is dated August 3, 2024.
Nurses and nurse aides worked 2.66 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
68.3% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Opco Skilled Management, an affiliated group of 68 nursing homes.
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.
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 44 health citations on file.
Inspectors wroteBased on observation, interview and record review the facility to ensure the resident environment remained as free of accident hazards as possible for one of one maintenance office reviewed for accident hazards. The facility failed to ensure the maintenance office was locked, which contained hazardous or unsafe chemicals, when there was no one present in the office. This failure could place residents at risk for being able to ingest hazardous chemicals.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide the necessary services to maintain good personal hygiene to a resident who is unable to carry out activities of daily living for seven of seven residents (Resident #25, Resident #24, Resident #111, Resident # 12, Resident #85, Resident #67, and Resident #35) reviewed for ADL care. 1. The facility failed to provide Resident #25, who required extensive assistance, with timely incontinence care on 07/29/25 from 6:30 a.m. to 02:30 p.m. 2. The facility failed to ensure Resident #24, who required extensive assistance received consistent baths/ showers and failed to provide timely incontinence care on 07/30/25 when she called for assistance at 08:30 a.m. and was not changed until 09:55 a.m. 3. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen.1. The facility failed to ensure food item in the facility walk-in refrigerator was dated, labelled and not expired.2. The facility failed to ensure food item in the facility refrigerator was dated and labelled. These failures could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness, and food contamination.
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 6 of 19 residents (Resident #25, Resident # 12, Resident #125, Resident #16, Resident # 94, Resident #102) observed for infection control. 1. The facility failed to ensure CNA U and CNA L performed hand hygiene while providing incontinence care to Resident #25 and failed to ensure CNA L placed soiled linens and clothing in a plastic bag and not the floor on 07/29/25. 2. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure each resident bedside and toilet and bathing facilities were adequately equipped to allow all residents to call for staff assistance through a communication system that would relay the call directly to a staff member or a centralized staff work area for 10 of 28 residents (Resident#17, Resident#24, Resident#71, Resident#49, Resident#85, Resident#11, Resident#67 and Resident#61, Resident#125, and Resident#3, ) reviewed for residents' call system.1-The facility failed on 07/29/2025 to ensure the call light system was accessible if needed by a resident who was on the floor and that call lights were not missing the pull string, in the shared residents' toilets located inside the residents' room for the following residents: [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident was treated with respect, dignity, and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his quality of life for 1 of 2 residents (Resident #61) observed for care in that: The facility failed to ensure Resident #61's urinary drainage bag (a bag at the end of an indwelling catheter that drains urine from the bladder) had a privacy cover in place on 07/29/25. This failure could affect residents in the facility who received care and could result in residents not being treated with dignity and respect.
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 included measurable objectives and timeframes to meet a resident's medical, nursing and mental and psychosocial needs that were identified in the comprehensive assessment and described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 8 residents (Residents #8, #31, & #54) reviewed for care plans.1. The facility failed to develop a comprehensive person-centered care plan that reflected Resident #8 had broken teeth and required dental follow up.2. The facility failed to develop a comprehensive person-centered care plan that reflected Resident #31's behavior of hiding cigarettes. 3. [...]
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 of seven residents (Resident #25) reviewed for quality of care. 1. The Facility failed to ensure CNA N provided safe transport for Resident #25 when she walked forward pulling the resident's wheelchair backwards down the hallway and running the wheelchair footrest into the wall on 07/29/25. 2. The Facility failed to ensure CNA U and RN C used a gait belt and instead lifted Resident #25 under his arms when transferring him from his wheelchair to the bed on 07/29/25. 3. The Facility failed to ensure CNA U and RN C performed a correct gait belt transfer when they lifted the resident under his arm when transferring him from the bed to his wheelchair on 07/29/25. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents who needed respiratory care were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 5 (Resident #3) residents reviewed for respiratory care. 1. The facility failed to ensure Resident #3's oxygen was administered at the correct setting of 2 liters per minute on 7/29/25 as ordered by the physician. These deficient practices could place residents who receive respiratory care at an increased risk of developing respiratory complications and a decreased quality of care.
Inspectors wroteBased on observation, interview and record review the facility failed to assist residents in obtaining routine and 24-hour emergency dental care for 1 of 8 residents (Residents #8) reviewed for dental services. The facility failed to provide and coordinate dental services for Resident #8 after a dental assessment on 03/13/25 indicated he needed 7 teeth extracted. This failure could place residents at risk of oral complications, dental pain, and diminished quality of life.
Inspectors wroteBased on interviews and record review, the facility failed to provide pharmaceutical services including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all routine and emergency drugs and biologicals for 3 residents (Resident #1, Resident #2, and Resident #3) of 5 residents reviewed for pharmacy services. 1. The facility failed to ensure Resident #1's Hydrocodone-Acetaminophen were ordered and administered according to physician's orders, causing the resident to miss 3 doses in May 2025. 2. The facility failed to ensure Resident #2's Hydrocodone-Acetaminophen were ordered and administered according to physician's orders, causing the resident to miss 2 doses in April 2025. 3. The facility failed to ensure Resident #3's Oxycodone HCL were ordered and administered according to physician's orders, causing the resident to miss 2 doses in May 2025. [...]
Inspectors wroteBased on interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate dispensing and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #1) of 2 residents reviewed for Pharmacy Services. 1. The facility failed to ensure LVN A administered medications per the Physician's Orders on 05/05/25 for Resident #1. 2. LVN A filled out a wasted form when the medication was not wasted. 3. MA B signed the wasted form even though she did not witness LVN A waste the medication. This failure could place residents at risk for worsening of their medical conditions by not receiving the therapeutic effects of medications prescribed for them, medication error, and drug diversion.
Inspectors wroteBased on interview and record review, the facility failed ensure residents were free of any significant medication errors for one (Residents #1) of two residents reviewed for medications. 1. The facility failed to ensure LVN A administered medications per the Physician's Orders on 05/05/25 for Resident #1. 2. LVN A filled out a wasted form when the medication was not wasted. 3. MA B signed the wasted form even though she did not witness LVN A waste the medication. This failure could place residents at risk for worsening of their medical conditions by not receiving the therapeutic effects of medications prescribed for them, medication error, and drug diversion.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for one (Resident #1) of six residents reviewed for care plan. The facility failed to ensure Resident #1's care plan was revised to reflect person centered interventions for pain and physical therapy. This failure could place the resident at risk of current needs not being met.
Inspectors wroteBased on interview and record review, the facility failed to provide and document sufficient preparation and orientation to residents to ensure safe and orderly transfer or discharge from the facility for one resident (Resident #1) of three residents reviewed for discharge planning. -The facility failed to provide or document sufficient preparation for an orderly discharge of Resident #1. This failure could place residents at risk of not receiving care and services to meet their needs upon discharge, which could cause physical and emotional harm.
Inspectors wroteBased observation, interview and record review the facility failed ensure that a resident that needed tracheostomy care was provided such care consistent with professional standards of practice for 1 of 4 residents (Resident #1) reviewed for tracheostomy care. The facility failed to ensure Resident #1's tracheostomy tubing was changed out within a seven-day period upon observation on 11/07/2024 at 4:13 PM. These failures could place residents at risk of cross-contamination and the development of infection.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for one (Resident #01) of four residents reviewed for reasonable accommodations. The facility failed to provide a different mattress to help alleviate Resident#1 pain due to his diagnoses and physical condition. Resident #01 was admitted to the facility on [DATE] and was provided with a low air loss mattress. Resident transferred to Long-term care on 11/13/24 and transferred rooms on 11/22/24 and he was provided with a pressure relieving mattress instead. This failure could place residents at risk of not being able to have their needs met.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or prevent further decrease in range of motion for one of six residents (Resident #1) reviewed for range of motion. The facility failed to implement interventions to prevent further decline of Resident #1's contracture to her left hand after discharge from occupational therapy on [DATE]. This failure could result in a decline in range of motion and worsening of contractures to the residents.
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 for two (Residents #1 and Resident #2) of three residents reviewed for pharmacy services. 1. The facility failed to give Resident #1 Acidophilus Lactobacillus Oral Capsule every 12 hours as ordered. 2. The facility failed to give Resident #2 Gabapentin every 12 hours as ordered. This failure could affect residents by placing them at risk for a delay in medical treatment or worsening in condition.
Inspectors wroteBased on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 1 of 3 residents (Resident #1) observed for accuracy of medical records. The facility failed to document Resident #1's bed bath refusals on the same day for each refusal. This deficient practice could place residents at risk for errors in care and treatment.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents who were unable or required assistance to carry out activities of daily living (ADLs) received the necessary services to maintain good personal hygiene, for 1 of 2 residents (Resident #1 and Resident #2) reviewed for ADLs. The facility failed to provide bed baths for Resident #1 on a Monday, Wednesday, and Friday schedule. The facility failed to wash the hair of Resident #1 on a Monday, Wednesday, or Friday schedule. This failure could place residents who required assistance with showering and maintaining good personal hygiene at risk for not receiving care and services to meet their needs and avoid ADL decline.
Inspectors wroteBased on observations, interview, and record review, the facility failed to protect a resident's right to be free from abuse for 2 (Residents #1 and Resident #2) of 6 residents reviewed for resident abuse. 1. The facility failed to ensure Resident #1 was free from verbal and physical abuse by the Assistant Dietary Manager. 2. The facility failed to ensure the Assistant Dietary Manager did not work in the facility even though Resident #1 was afraid of him. 3. The facility failed to protect Resident #2, who was unable to give consent for sexual activity, from sexual abuse after Resident #3 was discovered in her bed with Resident #2 on top of her by facility staff. 4. The facility failed to protect Resident #2 who was a prior victim of abuse and unable to give consent for sexual activity. 5. [...]
Inspectors wroteBased on interview and record review, the facility failed to implement written policies and procedures that: Prohibit and prevent abuse, neglect, and exploitation of resident's, establish policies and procedures to investigate any such allegations for two (Residents #2 and #1) of eight residents reviewed for abuse. The facility failed to implement their abuse, neglect, and exploitation policy to ensure Resident #2 was safe from sexual abuse when Resident #3 was found by facility staff in her bed on 07/06/2024. The facility failed to follow their policy by not initiating criminal sexual abuse procedures when Resident #2 lacked the decision-making capacity to consent to a sexual act. The facility failed to contact law enforcement for further direction on the incident, after the incident occurred. [...]
Inspectors wroteBased on observations, interview, and record review, in response to allegations of abuse, neglect, exploitation, or mistreatment, the facility failed to ensure alleged violations were thoroughly investigated for 2 (Residents #1 and #2) of 6 residents reviewed for resident abuse. The facility failed to ensure Resident #1's abuse allegation from 06/15/24 was thoroughly investigated. The facility failed to ensure Resident #2's abuse allegation was thoroughly investigated for 07/26/24. An Immediate Jeopardy (IJ) was identified on 08/09/24 at 5:00 PM. The IJ template was provided to the facility on [DATE] at 5:24PM and signed by the Administrator. [...]
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a person-centered comprehensive care plan for each resident that included measurable objectives and time frames that met the resident's medical, nursing and mental needs for two (Resident #2 and Resident #1) out of 3 residents reviewed for care plans. The facility failed to identify individualized interventions and objectives in the comprehensive care plan for Resident #2, after Resident #2 was involved in an alleged sexual abuse incident with a male staff member on 04/25/2024. The facility failed to protect Resident #2 who was a prior victim of abuse and unable to give consent for sexual activity. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for one (Resident #4) of three residents reviewed for infection control. The ADON failed to do hand hygiene while providing wound care to Resident #4. This failure could place residents at increased risk of infection.
Inspectors wroteBased on observation, interviews, 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 (Resident #1) of 2 residents reviewed for pharmacy services. On 08/02/24, LVN A failed to complete documentation on Resident #1's controlled medication count sheet after 2 Acetaminophen - Codeine 300 - 30 mg [Generic for Tylenol with Codeine #3] oral tablets ([white, round tablet] a controlled combination medication used to relieve moderate to severe pain) were removed from the medication blister pack for administration. As of 08/02/24, the facility failed to remove Resident #2's controlled medications from the Hall 400 medication cart after [Resident #2] discharged from the facility on 07/17/24. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of seven residents reviewed for improper transfers. The facility failed to ensure Resident #1 was transferred according to his Care Plan using a Hoyer. An Immediate Jeopardy (IJ) was identified on [DATE] at 03:56 PM. The IJ template was provided to the facility on [DATE] at 3:58 PM and signed by the Administrator. While the IJ was removed on [DATE] at 12:26 PM, the facility remained out of compliance at a severity level of no actual harm with the potential for more than minimal harm and a scope of isolated due to the facility still monitoring the effectiveness of their Plan of Removal. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident with urinary incontinence, based on the resident's comprehensive assessment, who enters the facility with an indwelling catheter or subsequently receives one is assessed for removal of the catheter as soon as possible unless the resident's clinical condition demonstrates that catheterization is necessary; and a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections for 1 (Resident #1) of 7 residents reviewed for Urinary Tract Infection (UTI), in that: The facility failed to ensure physician's orders were in place for care and management of a female external urinary collection system or implement a Urinary Toileting Program(s). [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to update and notify residents that menu changes were made prior to serving the meal. For the lunch meal on 5/30/2024 residents were served ground beef with sauce, baked rice with peas and carrots, steamed vegetables, a deep-fried egg roll, strawberry cake with shredded pineapple on top instead of the posted lunch menu of Mongolian Beef, Fried Rice, Stir Fry Vegetables, Egg roll, and Pineapple Upside cake. The Dietary Manager did not document or make any changes to the listed menu. These deficient practices could affect 92 residents who receive meals from the facility kitchen in that they would not receive the meal that was on the menu listing.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain medical records on each resident that were accurately documented, for 2 (Resident #35 and Resident #82) of 6 residents reviewed for clinical records. Resident #35's prescription medication of Pimozide Tablet 2MG was written as being indicated for psychosis; however, Resident #35 did not have a history of psychosis. Resident #82 had active physician's orders for weekly laboratory work including CBC, BMP, and ammonia levels. Resident #82's physician indicated these orders should have been previously discontinued. These failures could place residents at risk of receiving inaccurate services based on their comprehensive assessments.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents who were incontinent of bladder or had a urinary catheter received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 Residents (Resident #2) reviewed for incontinent care. The facility failed to ensure Resident #2 had the foley catheter inserted with a physician orders. This failure could affect residents by placing them at increased risk of discomfort, skin ulcerations, and improper medical treatment.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys, for 1 of 24 residents (Resident #25) reviewed for medication storage. The facility failed to appropriately store Resident #25's medication; Unisom and Ketoconazole that were left at the resident's bedside table. These deficient practices placed residents at risk for harm by misappropriation of property and not receiving the therapeutic effects of their medications.
Inspectors wroteBased on interview and record review the facility failed to have physician orders for the resident's immediate care, at the time each resident was admitted for one (Resident #1) of one resident reviewed for admission physician orders. The facility failed to have Physician orders to provide wound care for Resident #1 who admitted on [DATE] until five days later on 03/27/24. This failure could place residents at risk for delayed wound healing and wound infection.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide the necessary care and services to attain or maintain the highest, practicable physical, mental, and psychosocial well-being in accordance with the comprehensive assessment and plan of care for one (Resident #1) of four residents reviewed for wound care. The facility failed to ensure Resident #1's physician ordered wound care was provided on 03/25/24 and 03/26/24. This failure could place residents at risk for delayed wound healing and wound infection. Findings Included: Review of Resident #1's undated admission record dated 03/2024 revealed the resident was a [AGE] year-old female admitted to the facility on [DATE]. Diagnoses included peripheral vascular disease (Reduced circulation of blood to a body part due to a narrowed or blocked blood vessel.) and osteomyelitis (Bone infection). [...]
Inspectors wroteBased on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for one (Resident #1) of 4 residents reviewed for accuracy of medical records.
Inspectors wroteBased on observation, interview and record review the facility failed to treat each resident with respect, dignity, and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for two (Residents #1 and #2) of thirteen residents reviewed for dignity. LVN A failed to maintain Resident #1 and #2's dignity and respect by standing between the residents while feeding both of them. The failure could negatively affect the mental and psychological well-being of all residents who required the assistance of staff with eating.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #3) of thirteen residents reviewed for accidents. CNA B failed to have assistance from another staff member when transferring Resident #3 via a mechanical lift. This failure place residents at risk for accidents and injuries.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys for two of two (Medication Cart A and Medication Cart B) medication carts reviewed for medication storage. The facility failed to ensure Medication Cart A and Medication Cart B were locked when unattended. This failure could place residents at risk of having access to unauthorized medications and/or lead to possible harm or drug diversion.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services to ensure the accurate acquiring, receiving, dispensing, administering and securing of medications for two nurses medication carts (LVN A and Nurse cart 1, and LVN B cart 2) of 4 medication carts reviewed for pharmacy services. LVN A did not report and remove a damaged blister pack of Resident #7's Tramadol 50 mg tablet prescribed as needed every 6 hours for pain, 3 tablet slots perforated and taped over and not recorded as tampered by a facility nurse. LVN A did not report and remove a damaged blister pack of Resident #7's Oxycontin ER 10 mg tablet prescribed as needed every 12 hours for pain, I tablet slot perforated and taped over and not recorded as tampered by a facility nurse. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that licensed nurses had the appropriate competencies and skills sets to provide nursing services to provide resident needs and assure resident safety and attain or maintain the highest practicable wellbeing for 1 of 5 residents (Resident #196) reviewed and observed for medication management, in that: LVN C failed to administer Resident #196's ordered medication for two consecutive days. This deficient practice could place facility residents who require medication administration at risk for delayed treatments or not receive care needed, decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents are free of any significant medication errors for 1 of 3 residents (Resident #196) reviewed for medication administration. The facility failed to provide an anticoagulant medication to prevent blood clots for two days for Resident #196 after she was admitted for a post abdominal surgery. This deficient practice could affect residents who received medication for different illnesses and place them at risk for a decline in health.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that drugs and biologicals used in the facility were secured properly for one of four nurse medication carts (LVN A's second floor medication cart), reviewed for medication storage, as evidence by: An unlabeled alcohol whiskey bottle was on the second floor medication cart that was ordered to be secured in the medication room. This deficient practice places Resident's at risk for the unsafe administration and possibly not receiving properly prescribed doses of biologicals instructed and prescribed.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 2 (Resident #85 and Resident #4) of 5 residents reviewed for infection control. The facility failed to ensure LVN A disinfected the blood pressure cuff in between blood pressure checks for Residents #85 and Resident #4. LVN A dispensed medications into a medication cup with his bare hands for Resident #85 and Resident #4 without sanitizing or washing his hands between administration of morning medications. This failure could place residents at-risk of cross contamination which could result in infections or illness.
5 fire safety citations on file: 1 on July 31, 2025, 1 on May 31, 2024, 3 on March 17, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| August 3, 2024 | Fine | $12,202 |
| August 3, 2024 | Fine | $199,833 |
| August 3, 2024 | Payment Denial | 4 days from September 13, 2024 |
| May 31, 2024 | Fine | $9,017 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.66 | 3.39 | 3.86 |
| Registered nurses | 0.47 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.31 | 2.98 | 3.42 |
| Nurse aides | 1.40 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 68.3% | 55.3% | 45.8% |
| Registered nurse turnover | 80.0% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.30 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 2.80 on weekdays and 2.31 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.01 in April to June 2025 to 2.66 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.66 | 0.47 | 2.80 | 2.31 | 0.0% | 0 of 90 | 112 |
| Oct to Dec 2025 | 2.70 | 0.40 | 2.82 | 2.38 | 1.7% | 0 of 92 | 110 |
| Jul to Sep 2025 | 2.88 | 0.41 | 3.01 | 2.57 | 0.7% | 0 of 92 | 111 |
| Apr to Jun 2025 | 3.01 | 0.41 | 3.18 | 2.59 | 0.3% | 0 of 91 | 108 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.3 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.9 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.9 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.8 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.9 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Hillcrest of North Dallas's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (33.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
33.4% this home
Worse than the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 37 eligible stays.
11.1% 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. 69 eligible stays.
5.7% 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. 39 eligible stays.
59.5% 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. 37 residents counted.
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. 57 residents counted.
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. 57 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 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.
Legal business name: DALLAS COUNTY HOSPITAL DISTRICT. CMS links this home to Opco Skilled Management, a group of 68 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dallas County Hospital District | 5% or greater direct ownership interest | Organization | 100% | 04/01/2017 |
| Castaneda, Edmundo | Corporate officer | Individual | 01/10/2022 | |
| Hillcrest of North Dallas LLC | Operational/managerial control | Organization | 11/01/2022 | |
| Garetz, David | Operational/managerial control | Individual | 11/01/2022 | |
| Sternshein, Jennifer | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/26/2025 | |
| Zimmerman, Caroline | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/26/2025 | |
| Dallas Two Property, LLC | Adp of the SNF | Organization | 10/31/2022 | |
| Baugh, Cemorne | Adp of the SNF | Individual | 02/10/2025 | |
| Bellamkonda, Renuka | Adp of the SNF | Individual | 01/16/2025 |
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.
Chosen from this home's own inspection record.
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