5550 Harvest Hill Road, Dallas, TX 75230 · Dallas County · (972) 661-1862
130 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 455823 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 17, 2025, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 43 health citations since June 2023, 5 were rated as actual harm or immediate jeopardy to residents (5 immediate jeopardy).
CMS lists 2 fines totaling $31,761 in the last three years; the largest was $19,120, and the latest is dated March 17, 2026.
Nurses and nurse aides worked 3.42 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
94.4% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 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 43 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to permit, to remain in the facility, and not be discharged from the facility without ensuring appropriate information was communicated to the receiving health care institution or provider for 1 of 4 residents (Resident #1) reviewed for discharge. The facility failed to obtain and communicate to the receiving facility an agreed upon discharge date for Resident #1 prior to his discharge on [DATE]. The facility failed to communicate a nurse-to-nurse report and to communicate to the receiving facility prior to the discharge of Resident #1 on 06/04/26 that Resident #1 was receiving PASRR services. This failure could place residents at risk for an unsafe and ineffective discharge, delays in services, and unmet needs.
Inspectors wroteBased on interview and record review, the facility failed to notify, consistent with his or her authority, the resident representative when there was a decision to transfer or discharge1 of 3 residents (Resident #1) reviewed for discharge. The facility did not notify Resident #1's legal guardian he was being discharged on 06/04/2026. This failure could place residents at risk of ineffective and unsafe discharge and emotional distress.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 (Resident #1) of 5 residents reviewed for accidents. The facility failed to ensure Resident #1,was provided adequate supervision on 03/04/2026 when he eloped from the facility without staff knowing and was found by the local police off the facility grounds. The noncompliance was identified as past noncompliance (PNC). Immediate Jeopardy began on 03/04/26 and ended on 03/04/26. The facility had corrected the noncompliance before the survey began. This failure could place residents who require supervision at risk of harm, severe injury, and possible death.
Inspectors wroteBased on interview and record review, the facility failed to establish and follow a written policy on permitting residents to return to the facility after being hospitalized for 1 resident (Resident #2) of 2 residents reviewed for transfer/discharge. The facility failed to ensure Resident #2 was allowed to return to the facility after hospitalization and not discharged from the facility. This failure could place residents at risk of being discharged while being hospitalized and not allowed to return to the facility, causing a disruption in their care and services and potential decline in health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident environment remains as free of accident hazards as is possible; and to ensure each resident receives adequate supervision to prevent accidents for 1 of 6 residents (Resident #1) reviewed for accidents, hazards, and adequate supervision. 1. The facility failed to ensure Resident #1 did not exit the facility without supervision and walk for two miles to a family member's residence on 10/25/2025. An IJ was identified on 10/28/2025. The IJ template was provided to the facility on [DATE] at 04:38 PM. While the IJ was removed on 10/29/2025 at 4:57 PM, the facility remained out of compliance at a scope of Isolated and a severity level of no actual harm because the facility needed to evaluate and monitor the effectiveness of their corrective actions that were put into place. [...]
Inspectors wroteNumber of residents sampled: 6Number of residents cited: 6Based on interviews and record reviews, the facility failed to ensure residents had the right to send and receive mail, and to receive letters, package and other materials delivered to the facility or the resident through a means other than a postal service, including the right to privacy of such communications for 6 of 6 residents (confidential residents) reviewed for resident rights. The facility failed to ensure staff distributed mail received on Saturdays to the residents. This deficient practice could result in residents not receiving mail in a timely manner and a diminished quality of life.
Inspectors wroteNumber of residents sampled:0Number of residents cited:0Based 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 in the facility's only kitchen reviewed for food safety. The facility failed to ensure dented cans were placed in a separate storage area. The facility failed to ensure the ice machine was cleaned and free of mildew. These failures could place residents at risk for food-borne illness and cross contamination. Findings Included:Observation of the dry storage room on 07/15/2025 at 9:05am revealed the following:-1 6lbs can of peaches dated 06/19/2025 was dented on front left. [...]
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 three (Resident #2, #13, and #46) of four residents observed for infection control in that: MA B failed to clean the scissors prior to or after usage during Resident #13's and 4[VT2] #46's medication pass. Placing the unclean scissors back on the medication cart after using them to open medication packages and to cut medication patches (Lidocaine patch for pain) in half. MA B failed to disinfect the blood pressure cuff, pulse oximeter (to measure oxygen), and the thermometer in between vital sign checks for Resident #2, Resident #13, and Resident #46. [...]
Inspectors wrotePurpose of Visit: Investigations Entrance Date: [DATE] Facility Census: 75 Complaint Intakes: 1010357 TX00543373 The following acronyms were used in the document: CNA - Certified Nurse Aide DON - Director of Nursing HR- Human Resources NAR-Nurse Aide Registry Based on interviews and record review, the facility failed to ensure sufficient nursing staff with appropriate competencies and skills set to provide nursing and related services for 3 (CNA A, CNA B, CNA C) of 10 employees reviewed for staff qualifications. The facility failed to ensure CNA A, CNA B, and CNA C had a current nurse aide certification while employed at the facility and actively providing care for residents. This failure could result in residents being provided care by staff who have not provided documentation of training and competency in providing care.
Inspectors wroteBased on interview and record review, the facility failed to immediately notify the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status which had the potential for requiring physician intervention for one (Resident #1) of five residents reviewed for changes in condition. The facility failed to notify Resident #1's physician when she displayed signs and symptoms of being short of breath, which ultimately caused her to miss her scheduled dialysis appointment. This failure could place residents at risk of not receiving timely interventions and care.
Inspectors wroteBased on observation and interviews, the facility failed to ensure that equipment were secure and inaccessible to unauthorized staff and residents for 1 (second floor storage room) of 1 storage areas reviewed for equipment storage. The facility failed to ensure equipment supplies were all stored in locked compartments and permit only authorized personnel to have keys when the only storage room in the facility was on the second floor was left unlocked and unattended. This failure could result in resident access leading to a risk for harm and possible injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that medications were secure and inaccessible to unauthorized staff or residents for 3 of 4 medication carts reviewed for medication storage. The facility failed to ensure medication supplies were secured or attended by authorized staff when: RN H's medication cart for the Unit 2 was left unlocked and unattended. LVN J's medication cart for the Unit 3 was left unlocked and unattended. MA I's medication cart for the Unit 23 was left unlocked and unattended. This failure could result in resident access and ingestion of medications leading to possible drug diversion.
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 for 1 of 1 kitchen reviewed for kitchen sanitation when they failed to: A. Cover opened food items. B. Discard perishable food items past the use-by date. These failures could place residents who received meals and/or snacks from the kitchen at risk for food borne illness.
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 disease for 2 of 2 residents (Resident #75 and Resident #60) reviewed for infection control. The facility failed to ensure: A. CNA E changed soiled gloves during incontinent care to Resident #60. B. CNA D changed soiled gloves during incontinent care to Resident #75. This failure could place residents at risk for cross contamination which could result in infections or illnesses.
Inspectors wroteBased on observations, interviews, and record review the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 kitchen review for equipment safety. In the kitchen walk-in refrigerator and walk-in freezer, the fan cooling units were leaking. These failures could affect all residents that eat meals from the kitchen and pose a possible risk for cross-contamination.
Inspectors wroteBased on observations, interviews, and record review the facility failed to maintain an effective pest control program so that the facility was free of pests for 1 of 1 kitchen areas, 2 of 5 (Resident #40 and Resident #66) resident rooms, and 2 of 3(First and Second Floor Dining Room) dining areas reviewed for environment . The facility failed to ensure the kitchen area was free of roaches before lunch service. The facility failed to ensure dining rooms were free of flies during the resident meal service. The facility failed to ensure resident rooms were free of flies. These failures could place residents at risk for insect borne illness, not having a home free of pests and a comfortable environment in which to live.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all residents were treated with dignity and respect for 1 (Resident #59) of 7 residents reviewed for dignity. The facility failed to ensure MA K knocked or requested permission before entering Resident #59's room. This failure placed residents at risk of psychosocial harm such as low self-esteem, loss of dignity, and decreased quality of life.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure resident has a right to a safe, clean, comfortable and homelike environment for 2 of 5 resident rooms, observed for environment. In resident rooms #1125 an #1207 tiles around the toilets were loose, missing pieces or otherwise separated. This failure could place residents at risk for living in an unsanitary and uncomfortable environment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections for 1 (Resident #48) of 1 residents reviewed for catheter care. The facility failed to enssure Resident #48's catheter bag was not leaking urine. This failure affected one of five residents and could place residents with indwelling urinary catheters at risk of infection.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received assistance devices to prevent accidents for 1 of 3 residents (Resident #75) reviewed for accidents. PTA G failed to apply a gait belt to Resident #75 prior to ambulating in the hallway. Resident #75 fell and suffered a skin tear to the left elbow and right forearm when PTA G was unable to secure Resident #75 to prevent the fall. This failure could place residents at risk for serious injury or harm, decline in health, and decreased quality of life.
Inspectors wroteBased on interview and record review, the facility failed to implement written policies and procedures that prohibit and prevent neglect for one (09/12/23) of one incident reviewed for reporting according to facility policy. The facility failed to follow their policy to report to the State Survey Agency when Resident #1 was missing for approximately 15 hours after leaving the hospital where he went for a doctor's appointment. This failure could place the residents in the facility at risk of lacking timely reporting of incidents.
Inspectors wroteBased on interview and record review, the facility failed to ensure all alleged violations involving abuse and neglect were reported immediately but not later than 24 hours if the events that cause the allegation did not involve abuse and did not result in serious bodily injury to the State Survey Agency for 1 of 1 incidents reviewed for reporting. The facility failed to report to the State Survey Agency when Resident #1 was missing for about 15 hours after leaving the hospital where he went for a doctor's appointment. This failure could affect residents by resulting in a delay of identification of abuse or neglect and lack of timely follow-up on recommended interventions to prevent harm, or impairment.
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 disease and infections for 4 (Residents #2, #3, #4, #7) of 5 residents reviewed for infection control. 1. The facility failed to ensure CMA K sanitized her hands during medication administration on Residents #2, #3, and #4 during morning medication pass. 2. The facility failed to ensure CMA K sanitized the blood pressure cuff between uses on Residents #2, and #3 during morning medication pass. 3. The facility failed to ensure CNA O followed facility protocol for entering and exiting a room with a Resident on droplet precautions (Resident # 7) while passing ice on the hall and CNA O failed to close the ice chest on the hall. [...]
Inspectors wroteBased on interview and record review the facility failed to provide pharmaceutical services, including procedures that assured the accurate accountability of controlled drugs for one (First Floor East Wing Cart) of two medication carts reviewed for medication administration. The facility did not obtain nursing staff signatures for the controlled Drug-Count Record for First Floor East Wing medication cart on 01/26/2024 on the 2pm to 10 pm shift and 01/30/2024 on the 6am to 2pm shift. This failure could cause access, loss, and diversion of controlled narcotic medications.
Inspectors wroteBased on observation, interviews and record review the facility failed to ensure all drugs and biologicals were stored securely for 1(Resident #6) of five residents on (Hall 400) second floor reviewed for storage of medications. Resident #6 medications left at bedside unattended. This failure could affect residents by placing residents at risk of consuming unsafe medications.
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 were provided for 1 (Resident #1) of 5 residents reviewed for accommodation of needs. The facility failed to ensure Resident #1's call light was placed within his reach. This failure could place dependent residents at risk of injuries and unmet needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents had a right to personal privacy for 1 of 6 residents (Resident #1) reviewed for personal privacy. CNA B failed to ensure the door to Resident #1's room was closed behind her while she left to retrieve supplies for Resident #1. Resident#1 was on the floor naked when CNA B left the door to the room open. This failure could place residents at risk for low self-esteem, loss of dignity, and decreased quality of life due to a lack of privacy during their care.
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) for 1(Resident #3) of eight reviewed for pharmaceutical services The facility failed to ensure Residents #3's medication administration log was completed accurately. Resident #3's medication administration log reflected no documentation that Resident#3 was given humanLOG injection solution 100 units per sliding scale for diabetes on 12/03/2023 and lidocaine external patch 4% at 7:00 AM as directed on 12/03/2023 This failure placed residents at risk of not having accurate clinical records completed to indicate if a medication was administered, resulting in potential medical errors and a decline in health.
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 1 (Resident #1 reviewed for infection control practices and transmission-based precautions. The facility failed to ensure LVN G performed hand hygiene and glove change while providing wound care for Resident #1 on 11/28/2023. These failures could place residents and staff at risk for cross-contamination and the spread of infection.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to conduct an inspection of all bed frames, mattresses, and bed rails for 1 (Resident#1) of five residents reviewed for bedrails in that: On 11/27/23 Resident #1's mattress was to long for his bed and Resident #1 did not have a foot board. This deficient practice could place residents at risk for accidents such as sliding out of the bed.
Inspectors wroteBased on interviews, and record reviews the facility failed to ensure a resident in the facility was free from sexual, and physical abuse for 1 (Resident #1) of 3 residents reviewed for abuse. The facility failed to protect Resident #1 from abuse when: RN A failed to report to the Administrator (at that time), or the DON when Resident #1 reported significant bruising of unknown origin to the upper thigh, inner thigh, buttocks, groin area, and to the knee on the right leg on 03/08/23. On 07/13/23 Resident #1 provided video to RN A that she had been sexually assaulted by the Dialysis RN. It was determined a past non-compliance Immediate Jeopardy existed from 03/08/23 to 07/17/23. The Immediate Jeopardy was determined to have been removed on 07/17/23 due to the facility's implemented actions that corrected the non-compliance. [...]
Inspectors wroteBased on interview and record review, the facility failed to implement their written policies and procedures that prohibit and prevent abuse and for reporting injuries of unknown origin for 1 (Resident #1) of 3 residents reviewed for abuse. The facility failed to implement their internal policies when: RN A failed to report to the Administrator (at that time), or the DON when Resident #1 reported significant bruising of unknown origin to the upper thigh, inner thigh, buttocks, groin area, and to the knee on the right leg on 03/08/23. On 07/13/23 Resident #1 provided video to RN A that she had been sexually assaulted by the Dialysis RN. It was determined a past non-compliance Immediate Jeopardy existed from 03/08/23 to 07/17/23. The Immediate Jeopardy was determined to have been removed on 07/17/23 due to the facility's implemented actions that corrected the non-compliance. [...]
Inspectors wroteBased on interview and record review, the facility failed to implement their written policies and procedures that prohibit and prevent abuse and for reporting injuries of unknown origin for 1 (Resident #1) of 3 residents reviewed for abuse. The facility failed to implement their internal policies when: RN A failed to report to the Administrator (at that time), or the DON when Resident #1 reported significant bruising of unknown origin to the upper thigh, inner thigh, buttocks, groin area, and to the knee on the right leg on 03/08/23. On 07/13/23 Resident #1 provided video to RN A that she had been sexually assaulted by the Dialysis RN. It was determined a past non-compliance Immediate Jeopardy existed from 03/08/23 to 07/17/23. The Immediate Jeopardy was determined to have been removed on 07/17/23 due to the facility's implemented actions that corrected the non-compliance. [...]
Inspectors wroteBased on interviews and record review, the facility failed to maintain clinical records, in accordance with accepted professional standards and practices that contain sufficient information that includes a history of the resident's assessments, care, and services provided, were accurately documented for one (Resident #1) of one resident reviewed for complete and accurate clinical records. On 09/03/23 Resident #1 had an unwitnessed fall and sustained a raised area on the top left side of the head. The facility failed to document ongoing neuro assessments per facility protocol after the initial Q15 minutes x 4 were completed. This failure could place residents at risk for incorrect treatment decisions, evaluation, and treatment plans compromising patient safety due to insufficient information and inaccurate documentation.
Inspectors wroteBased on observation, interview, and record review resident has the right to and the facility must promote and facilitate resident self-determination through support of resident choice, including but not limited to the right, right to make choices about aspects of his or her life in the facility that are significant to the resident, for 5 (Resident #2, Resident #3, Resident #38, Resident # 76 , and Resident #85 ) of 9 residents reviewed for self-determination. 1. The facility failed to promote Resident #2's self-determination by not allowing her to participate in smoke break, then return to dinner. 2. The facility failed to promote Resident #3's self-determination by assessment for an outside podiatrist. 3. The facility failed to promote Resident #38 choices to receive scheduled ADL care task for 9:00 am therapy and 2:00 p.m. showers as scheduled. 4. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the residents were free from abuse, neglect, misappropriation of resident property and exploitation for 3 (Resident #51, Resident # 76, Resident #85) of 6 residents reviewed for abuse. 1. The facility failed to protect Resident #51 from abuse when staff yelled at him when asking for assistance via call light. 2. The facility failed to protect Resident # 76 from abuse when he was not permitted to participate activities he chose, and visitation with other residents, and by misrepresenting agency policies, rules, and guidelines to meet the staff's preference. 3. The facility failed to protect Resident #85 form abuse when CNA-E mocked her walking down the hall in the presence of other residents. [...]
Inspectors wroteBased on observation, interview and, 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. 1. The facility failed to maintain the kitchen floor and baseboards in the dishwashing room, manual dish room (3 sink compartment), and clean pan storage rack located kitchen in a sanitary condition. 2. The facility failed to maintain kitchen appliances, equipment, and utensils in sanitary condition. 3. The facility failed to monitor and test temperatures on dishwasher. 4. The facility failed to maintain 2 deep fryers in sanitary conditions. 5. The facility failed to date and label food items located in the food pantry. 6. the facility failed to clean and sanitize ice chest used for resident hydration on the hall. [...]
Inspectors wroteBased on interview and record review, the facility failed to employ a qualified social worker on a full-time basis for one of one facility. A qualified social worker is an individual with a minimum of a bachelor's degree in social work or a bachelor's degree in a human services field including, but not limited to, sociology, gerontology, special education, rehabilitation counseling, and psychology. The facility of more than 120 beds, failed to employ a qualified Social Worker on a Full-time basis for all residents residing at the facility. This failure placed residents at risk of not receiving services the individual needs of the residents whenever needed.
Inspectors wroteBased 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 three (Resident #11, Resident #21, Resident #65) of five residents observed for infection control. The facility failed to ensure MA A sanitized blood pressure equipment between use of Resident #11, Resident #21, and Resident #65. This failure placed residents at risk of cross-contamination and infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain essential mechanical and electrical equipment in safe operating condition for the facility's only kitchen reviewed for essential equipment. 1. The facility failed to provide necessary repairs for 1 stove missing 2 knobs. 2. The facility failed to provide necessary repairs to the tilt skill power control knob that was missing. These failures could place residents who had their meals prepared in the facility kitchen at risk of having delayed meals due to equipment improperly functioning during meal preparation. maintain all mechanical, electrical, and in the only kitchen used to prepare and serve resident meals in safe operating condition.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to provide a safe clean, comfortable, and homelike environment including but not limited to receiving treatment and supports for daily living safely for 1 (Resident #47) of 6 residetns reviewed for home-like environment. The facility failed to ensure a dialysis machine, located in a resident's room, was thoroughly cleaned. This failure placed residents at risk of acquiring an infection or loss of dignity due to an unclean room.
Inspectors wroteBased on interviews and record reviews the facility failed to ensure that comprehensive person-centered care plans were developed and implemented for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 6 residents (Resident #47) reviewed for Care Plans. The facility failed to ensure Resident #47's Care Plan included goals and interventions for her In-house hemodialysis ( process of purifying the blood of a person whose kidneys are not working normally) treatments. This failure could place Resident #47 at risk of not receiving the appropriate Dialysis care at the facility.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to provide an environment that is free from accident hazards over which the facility has control and provides supervision and assistive devices to each resident to prevent avoidable accidents. This included identifying hazard(s) and risk(s), for 1 of 6 resident rooms (Rm 1125) reviewed for area free of hazards. The facility failed to ensure personal extensions cords were not being used in Resident RM [ROOM NUMBER]. This failure placed resident at risk of hazards that could result in injury and be a fire hazard.
25 fire safety citations on file: 10 on July 17, 2025, 8 on July 23, 2024, 7 on June 1, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| March 17, 2026 | Fine | $19,120 |
| October 29, 2025 | Fine | $12,641 |
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) | 3.42 | 3.39 | 3.86 |
| Registered nurses | 0.64 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.04 | 2.98 | 3.42 |
| Nurse aides | 1.84 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 94.4% | 55.3% | 45.8% |
| Registered nurse turnover | 91.7% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.47 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 3.58 on weekdays and 3.04 on weekends, 15% 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 3.28 in April to June 2025 to 3.42 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 | 3.42 | 0.64 | 3.58 | 3.04 | 0.0% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.31 | 0.59 | 3.46 | 2.94 | 0.0% | 0 of 92 | 75 |
| Jul to Sep 2025 | 3.24 | 0.66 | 3.41 | 2.81 | 0.0% | 0 of 92 | 79 |
| Apr to Jun 2025 | 3.28 | 0.64 | 3.44 | 2.91 | 0.0% | 0 of 91 | 75 |
| 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 | 8.6 | 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 | 3.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.9 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.2 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.7 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.0 | 12.3 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Treemont Healthcare and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
44.3% 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. 28 eligible stays.
11.9% 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. 34 eligible stays.
8.2% 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. 27 eligible stays.
59.1% 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. 22 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. 35 residents counted.
7.0% 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. 35 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. 11 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: WEST WHARTON COUNTY HOSPITAL DISTRICT. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Huggins, Linda | Corporate director | Individual | 02/01/2023 | |
| Mak, David | Corporate officer | Individual | 05/17/2021 | |
| Dallas II Enterprises LLC | Operational/managerial control | Organization | 02/01/2023 | |
| Blake, Gary | Operational/managerial control | Individual | 02/01/2023 | |
| Blake, Malisa | Operational/managerial control | Individual | 02/01/2023 |
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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