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The Villages on Macarthur

3443 N Macarthur Blvd, Irving, TX 75062 · Dallas County · (469) 586-4424

124 certified beds, about 104 residents a day · Non profit - Corporation · Medicare and Medicaid since 2014

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676358 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 3, 2025, inspectors cited 13 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 30 health citations since April 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $25,259 in the last three years; the largest was $14,069, and the latest is dated July 3, 2025.

Nurses and nurse aides worked 3.45 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.

43.0% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Stonegate Senior Living, an affiliated group of 24 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

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

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 30 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
16D
11E
1F
Potential for minimal harm
0A
0B
0C
July 30, 2026Complaint inspection · 1 citation
  1. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on observations, interviews, and record review the facility failed to protect the confidentiality of personal and medical records for 7 (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7) of 8 residents observed for personal privacy and confidentiality of records.1. The facility failed to ensure the confidentiality of Resident #1's health information when there was a posted sign that reflected, Feeder on Resident #1's door on 06/06/26.2. The facility failed to ensure that the lunch meal tickets for 6 (Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7) of 6 residents on the 700 Hall were not in view of the public on 07/29/26. These failures could affect residents by placing them at risk for loss of privacy and dignity.
January 2, 2026Complaint inspection · 1 citation
  1. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 5, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure resident rooms were adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for 2 of 10 residents (Residents #1 and #2) reviewed for resident call light system. 1. The facility failed to ensure Resident #1 had a call light. 2. The facility failed to ensure Resident #2's call light was placed within reach. These failures could place residents at risk of injuries and unmet needs.
July 3, 2025Standard inspection, Complaint inspection · 13 citations
  1. G
    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 · Actual 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 had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for one of six residents (Resident #87) reviewed for abuse. The facility failed to ensure Resident #87 had the right to be free from abuse when Resident #3 physically assaulted her on 03/03/25. The noncompliance was identified as PNC. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for abuse.
  2. F
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 10, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure it was adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from each resident's bedside and toilet and bathing facilities for 7 of 7 Halls checked for functional call light system (Halls 100, 200, 300, 400, 500, 600, and 700). The facility failed to ensure there was a working call light system available to residents to use after a weather-related storm occurred on 06/25/25 which caused the call light system to stop functioning. This failure placed residents at risk of not receiving timely care/assistance, falls, fall related injuries, head trauma, and hospitalization.
  3. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2025
    Inspectors wroteBased on interview, and record review the facility failed to ensure each resident's drug regimen was free from unnecessary drugs, to include adequate monitoring for four (Residents #1, #33, #45 and #55) of six residents reviewed for unnecessary medications. 1. The facility failed to monitor worsening of depression and behaviors for Resident #1's for the use of Sertraline 50mgs and ramelteon 8 mg tablet (antidepressants medication). 2. The facility did not monitor Resident #33 for side effects of the antidepressant medication, Mirtazapine; the antipsychotic medication, Quetiapine; the antianxiety medication, Trazodone; and the antidepressant medication, Duloxetine. 3. The facility failed to monitor behaviors for Resident 45's for the use of Alprazolam Tablet 0.25 MG for (anti-anxiety), fluoxetine 40mg and Ramelteon 8 mg tablet (antidepressant medications).4. [...]
  4. 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) July 10, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide food prepared by methods, which conserved nutritive value, flavor, and appearance for one of one pureed meal observed for nutrition. The Dietary Aide failed to ensure the pureed lunch meal on 07/02/25 was prepared according to the recipe to conserve nutritive value and flavor. The failure could place residents, who were on a pureed diet, at risk for a decrease in nutritive status, loss of appetite, decreased intake, and unwanted weight loss.
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to accommodate the needs and preferences for one (Resident #23) of five residents reviewed for accommodation of needs, in that: The facility failed to provide a working communication system, that was easily within reach, that would allow Resident #23 the ability to safely call staff for assistance. This failure could place residents at risk of not having a means of directly contacting caregivers in an emergency or when they needed support for daily living.
  6. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to ensure completion of a discharge summary including a recapitulation of the resident's stay, and final status at discharge for one resident (Resident #113) of five residents reviewed for discharge summary. The facility failed to complete a discharge summary for Resident #113. This failure could place residents at risk of not having complete records after permanent discharge from the facility and disruption in the continuity of care.
  7. 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) August 6, 2025
    Inspectors wroteBased on interview and record review, the facility failed to coordinate assessments with the PASRR program for 1 of 5 residents (Resident #55) reviewed for PASRR assessments. The facility did not refer Resident #55 to the appropriate state-designated mental health authority for review when she received a new diagnosis of schizophrenia on 10/17/24. This failure could place residents at risk of not being evaluated and receive needed PASRR services. Record review of Resident #55's quarterly MDS Assessment, dated 03/26/25, reflected the Resident #55 was a [AGE] year-old female who was admitted to the facility on [DATE]. [...]
  8. 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) July 10, 2025
    Inspectors wroteBased on 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 that are identified in the comprehensive assessment and described 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 #33) of 19 residents reviewed for care plans. The facility failed to develop a care plan to address Resident #33's self-transfer to the toilet and stay there for long periods of time, sometimes falling asleep, multiple times a day. This failure could place residents at risk of receiving inadequate interventions not individualized to their care needs.
  9. 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) July 10, 2025
    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 5 residents (Resident #8) reviewed for ADL care. The facility failed to provide Resident #8 assistance with timely incontinence care for at least 5 hours. Resident #8 was observed to be soaked and soiled through to her wheelchair padding. This failure could place the residents at risk for decreased feelings of self-worth, skin breakdown, and infection.
  10. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for one of three residents (Residents #8) reviewed for oxygen. 1. The facility failed to ensure Residents #8's orders for oxygen administration were being accurately provided. This failure placed residents who received oxygen therapy at risk for inadequate or inappropriate amounts of oxygen delivery and ineffective treatment.
  11. 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) July 10, 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 on one of 4 medication carts (500 Halls cart) and 2 of 4 residents (Residents #50 and #63) reviewed for pharmacy services. The facility failed to ensure the 500 Hall nurses' medication cart had accurate narcotic counts for Residents #50 and #63. This failure could place residents at risk for medication errors, drug diversion, and delay in medication administration.
  12. 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) July 10, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure all drugs and biologicals were stored securely for 2 (Resident #314 and Resident #324) of 18 residents observed for medication storage. 1. Resident #314 had a tube of Estradiol cream at her bedside table not locked in a lock box or secured in the medication cart or medication room. 2. Resident #324 had Clotrimazole vaginal antifungal cream on her bedside table not locked in a lock box or secured in the mediation cart or mediation room. This failure could place residents at risk of overmedication or adverse drug reactions.
  13. 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) July 10, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for 1 of 2 residents (Resident #8) observed for infection control. CAN M failed to perform proper hand hygiene while providing incontinence care to Resident #8. This failure could affect the resident by placing them at risk for worsening conditions and cross contamination.
February 21, 2025Complaint inspection · 2 citations
  1. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 3 residents (Resident #1) reviewed for accidents. The facility failed to keep a disinfectant cleaner containing four types of ammonium chloride out of Resident #1's reach to prevent the resident from drinking it. The resident was sent to the hospital after his lips began to swell and turn red. Resident #1 was diagnosed with acid burns to his oral mucosa (the mucous membrane that lines the inside of the mouth, including the cheeks, lips, floor of the mouth, and tongue) and had to be intubated for acute respiratory failure. The noncompliance was identified as past noncompliance. The Immediate Jeopardy began on 01/12/25 and ended on 01/13/25. The facility had corrected the noncompliance before the survey began. [...]
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on interview and record review, the facility failed to incorporate the recommendations from the Preadmission Screening and Resident Record review (PASRR) Level II determination and the PASRR evaluation report for 1 of 3 residents (Resident #2) reviewed for PASRR assessments. The facility failed to submit a NFSS form request by the specific deadline for Residents #2 for therapy services. This failure could place residents at risk of not receiving or benefiting from specialized therapy and equipment services they may require.
September 13, 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) September 20, 2024
    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 #1) of three residents reviewed for accidents. CNA B failed to follow Resident #1's plan of care when she prepared to transfer the resident without assistance using a mechanical lift. This failure placed all residents, who required 2+ person assist with transfers/mobility, at risk for accidents and injuries.
September 6, 2024Complaint inspection · 1 citation
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as was possible for 6 of 20 rooms (Rooms 330, 340, 602, 704, 707, and 710) and 3 of 6 carts (300 Hall, 500 Hall, and 700 Hall) reviewed for accidents and hazards. The facility failed to identify a process to ensure sharps containers for Rooms 330, 340, 602, 704, 707 and 710 and carts for 300 Hall, 500 Hall, and 700 Hall were monitored and changed before they became overfilled. This failure could place residents at risk of exposure to bloodborne pathogens.
June 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) June 14, 2024
    Inspectors wroteBased on observations, 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 on two of four medication carts (100 and 300 Halls nurses' carts) and 2 of 3 staff (LVN E and LVN G) reviewed for pharmacy services. The facility failed to ensure 100 and 300 halls nurses medication cart contained accurate narcotic logs for Residents #35 and #75. LVN E and LVN G failed to document the administration of narcotic medications in a correct and timely manner. This failure could place residents at risk for drug diversion and delay in medication administration.
  2. 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) June 14, 2024
    Inspectors wroteBased on observations, 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 and were labeled in accordance with currently accepted professional principles for 4 (#102, #167, #170, and #175) of 10 residents reviewed for pharmacy services. The facility failed to ensure Residents #102 bottle of nystatin powder medications was securely stored in the medication room or medication cart. The facility failed to ensure Resident, #167,budesonide 160 mcg-glycopyr 9 mcg\formot 4.8 mcg/actuation HFA inhaler, albuterol sulfate HFA 90 mcg/actuation Aerosol Inhaler ,a box of ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization solution, were securely stored in the medication room or medication cart. [...]
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 14, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for kitchen sanitation. The facility failed to ensure the ice machine scoop, located in the facility's kitchen, was thoroughly cleaned. These failures could place residents at risk for cross contamination and other air-borne illnesses.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 14, 2024
    Inspectors wroteBased on observations, interviews, 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 2 of 2 Residents (Residents #16 and #31) reviewed for infection control. The facility failed to ensure LVN A used appropriate hand hygiene when providing medications through a feeding tube to Resident #16 and #31. This deficient practice could place residents at risk of infection for transmission of communicable diseases and a decline in health.
  5. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 14, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an effective pest control program for 1 of 1 facility reviewed for pests. On 6/04/24 and 6/05/24 Flies and gnats were observed in multiple areas of the facility to include kitchen, dining room, hall 700, hall 500. This failure could affect residents by placing them at an increased risk of exposure to pests and vector-borne diseases and infections.
  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 · found on a complaint visit · Corrected (the home has a date of correction) June 14, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a resident who was fed by enteral means received the appropriate treatment and services to prevent complications from enteral feeding for 1 (Resident #16) of 3 residents reviewed for enteral feeds. The facility failed to ensure Resident #16's enteral feed was properly administered at the correct rate of infusion. This failure could place residents at risk of not receiving the proper nutritional requirements prescribed by the physician.
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that residents who need respiratory care were provided such care, consistent with professional standards of practice for one (#38) of two residents reviewed for oxygen orders. The facility failed to administer oxygen for #38 as ordered by the physician. This failure could place residents at risk of receiving incorrect or inadequate oxygen support, resulting in a decline in health.
January 10, 2024Complaint inspection · 1 citation
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 2, 2024
    Inspectors wroteBased on interview, and record review the facility failed to ensure residents who were unable to carry out activities of daily living received necessary services to maintain grooming, and personal hygiene for one (Resident #1) of 5 residents reviewed for ADLs. The facility failed to ensure Resident #1 received timely incontinent care. This failure could put residents at risk of impaired skin integrity, and decreased feelings of self-worth and dignity. Findings Include: Record review of Resident #1's electronic Face Sheet, dated 01/09/24, revealed the resident was a [AGE] year-old male admitted to the facility on [DATE]. [...]
April 27, 2023Standard inspection · 3 citations
  1. 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) May 5, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls for one (500 Hall refrigerator) of two medications storage refrigerators, led to ensure all drugs and biologicals were stored securely, 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 two (Hall 500 and 700 Medication Cart) of four medication carts reviewed for pharmacy services and one (300 hall) two refrigerators reviewed for labeling and storage for compliance. 1. The facility failed to ensure the temperatures for the medication refrigerators for the 500 hall was being checked and documented. 2. [...]
  2. D
    Ensure a qualified health professional conducts resident assessments.
    F642 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on record review and interview, the facility failed to submit a discharge MDS assessment for two (Resident #24 and Resident #109) of four residents reviewed for timely MDS submission. The MDS Coordinator failed to successfully submit discharge MDS assessments for Resident #24 and Resident #109 when they discharged to their homes. This failure could prevent communication about a resident's status from being transmitted to CMS and could interfere with residents receiving needed services after discharge.
  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 · Corrected (the home has a date of correction) May 5, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed ensure all drugs and biologicals were stored securely, 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 one (Hall 500 Medication Cart) of four medication carts reviewed for pharmacy services and one (300 hall) of two refrigerators reviewed for labeling and storage for compliance. The facility failed to ensure expired medications in nurse medication carts for Hall 500 and refrigerator for 300 halls were removed and destroyed. The failure placed residents at risk of receiving medications that were ineffective due to having expired medications on the cart and in the refrigerator .

Fire safety inspections

12 fire safety citations on file: 11 on July 3, 2025, 1 on June 6, 2024.

Every fire safety citation12 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · July 3, 2025 · Corrected (the home has a date of correction)
  2. F
    Establish policies and procedures including evacuation.
    E 20 · July 3, 2025 · Corrected (the home has a date of correction)
  3. F
    Establish staff and initial training requirements.
    E 37 · July 3, 2025 · Corrected (the home has a date of correction)
  4. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 3, 2025 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 3, 2025 · Corrected (the home has a date of correction)
  6. F
    Have proper medical gas storage and administration areas.
    K 923 · July 3, 2025 · Corrected (the home has a date of correction)
  7. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · July 3, 2025 · Corrected (the home has a date of correction)
  8. 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 · July 3, 2025 · Corrected (the home has a date of correction)
  9. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 3, 2025 · Corrected (the home has a date of correction)
  10. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · July 3, 2025 · Corrected (the home has a date of correction)
  11. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 3, 2025 · Corrected (the home has a date of correction)
  12. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 6, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 3, 2025Fine $11,190
February 21, 2025Fine $14,069

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)3.453.393.86
Registered nurses0.620.430.69
All nursing staff on weekends3.022.983.42
Nurse aides2.00
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)43.0%55.3%45.8%
Registered nurse turnover40.0%54.6%42.9%
Administrators who left1

CMS expects 3.92 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 3.62 on weekdays and 3.02 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 3.46 in April to June 2025 to 3.45 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.450.623.623.02 0.0%0 of 90104
Oct to Dec 20252.770.442.902.45 0.0%0 of 92131
Jul to Sep 20253.350.473.512.93 0.0%0 of 92113
Apr to Jun 20253.460.553.613.05 0.0%0 of 91110
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
9.515.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.90.30.8
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
4.13.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.21.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.914.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.13.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.99.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.725.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.412.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.72.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.72.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Villages on Macarthur's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (58.9% 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

58.9% 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

10.4% this home

No different from the national rate

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

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 175 eligible stays.

Infections that led to a hospital stay

4.8% 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. 101 eligible stays.

Self-care and mobility at discharge

45.6% this home

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

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 92 residents counted.

Falls with major injury

0.7% 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. 152 residents counted.

New or worsened pressure ulcers

0.6% 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. 152 residents counted.

Medication list given at discharge

76.1% 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. 46 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: SOUTH LIMESTONE HOSPITAL DISTRICT. CMS links this home to Stonegate Senior Living, a group of 24 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
South Limestone Hospital District5% or greater direct ownership interestOrganization100%02/27/2015
Umb Bank National Association5% or greater mortgage interestOrganization09/23/2021
Price, LarryCorporate officerIndividual06/01/1982
Pf Irving SNF Ops, LLCOperational/managerial controlOrganization09/23/2021
Stonegate Senior Living, LPOperational/managerial controlOrganization06/22/2022
Olvera, NoelOperational/managerial controlIndividual07/14/2025
Campbell, ScottIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/03/2025
Chance, JamesIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/03/2025
Fisher, JamesIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/04/2025
Langdon, ThomasIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/03/2025
McGehee, WilliamIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/03/2025
Taylor, JohnIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/03/2025
Lifetime Wellness, Ltd.Adp of the SNFOrganization09/23/2021
Martus Financial Services, Inc.Adp of the SNFOrganization12/31/2023
Pf Irving SNF Ops, LLCAdp of the SNFOrganization12/02/2025
Pharmerica Drug Systems LLCAdp of the SNFOrganization08/27/2017
Preservation Freehold CompanyAdp of the SNFOrganization09/23/2021
Rehab Pro LPAdp of the SNFOrganization09/23/2021
Sanctuary LTC, LLCAdp of the SNFOrganization09/23/2021
Stonegate Senior Living, LPAdp of the SNFOrganization12/02/2025
Obe, OlukayodeAdp of the SNFIndividual09/01/2021
Okoro, ChibuikeAdp of the SNFIndividual09/01/2023
Olvera, NoelAdp of the SNFIndividual07/14/2025
Yaft, JohnAdp of the SNFIndividual01/01/2020

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on July 3, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  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 3, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 3, 2025: "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 July 30, 2026: "Keep residents' personal and medical records private and confidential."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Texas contacts for a concern about a nursing home

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Common questions

What is The Villages on Macarthur's Medicare star rating?
CMS rates The Villages on Macarthur 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Villages on Macarthur get at its last inspection?
13 health deficiencies at the standard inspection on July 3, 2025. The Texas average is 9.4.
Has The Villages on Macarthur been fined?
Yes. CMS lists 2 fines totaling $25,259 in the last three years.
Does The Villages on Macarthur 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 Villages on Macarthur?
CMS lists 24 owners and managers, and links the home to Stonegate Senior Living. Legal business name: SOUTH LIMESTONE HOSPITAL DISTRICT.

Sources

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