Balch Springs Nursing Home

Name: Balch Springs Nursing Home
Address: 4200 Shepard Lane, Balch Springs, TX, 75180, US
Telephone: 9722860335

4200 Shepard Lane, Balch Springs, TX 75180 · Dallas County · 120 certified beds · avg 73 residents/day · certified since Jun 1, 1992

Part of chain: ADVANCED HEALTHCARE SOLUTIONS (28 facilities, chain avg rating 2.9★)

1/5

Health inspection rating (on-site)

Serious findings on record

$28,012

Fines, last 3 years

3.24

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Mar 30, 2026 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Apr 23, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Mar 30, 2026 · F-0656 · triggered by a complaint

The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Apr 23, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (21)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 7, 2026	E · Potential for harm, repeated	The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role.
May 7, 2026	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential.
May 7, 2026	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
May 7, 2026	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
May 7, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 30, 2026	▲ K · Immediate jeopardy, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Mar 30, 2026	▲ J · Immediate jeopardy, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Mar 6, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 6, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Aug 28, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
May 31, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Feb 14, 2024	F · Potential for harm, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Feb 14, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 14, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 14, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Feb 14, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Feb 14, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2024	9	0	F
2025	5	0	F
2026	7	2	K ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $28,012.

Date	Type	Amount / length
Mar 30, 2026	Fine	$28,012

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.24	3.46	3.95	bottom 43% in Texas; bottom 23% in the U.S.
Registered Nurse hours	0.41	0.44	0.69	top 44% in Texas; bottom 24% in the U.S.
Weekend total nurse staffing	2.76	3.04	3.50	bottom 36% in Texas; bottom 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.34	0.48	top 44% in Texas; bottom 35% in the U.S.
Total nursing staff turnover (%)	56.5	55.3	45.8	bottom 40% in Texas; bottom 22% in the U.S.
RN turnover (%)	72.7	54.6	42.9	bottom 26% in Texas; bottom 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.72, RN 0.35, weekend 2.33. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Balch Springs HC LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2024
Hooper, Grady	Individual	Corporate Director	NOT APPLICABLE	03/01/2024
Hooper, Grady	Individual	Corporate Officer	NOT APPLICABLE	03/01/2024
Muxworthy, Neil	Individual	Corporate Director	NOT APPLICABLE	03/01/2024
Scheiner, Eliezer	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2024
Silberstein, Ari	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Mesquite Tree Nursing Center	3.0 mi	Mesquite, TX	★★★★☆	3/5
Mesquite Village Wellness & Rehabilitation	3.7 mi	Mesquite, TX	★★★☆☆	3/5
Edgewood Rehabilitation and Care Center	4.3 mi	Mesquite, TX	★★★★☆	4/5
Cheyenne Medical Lodge	4.6 mi	Mesquite, TX	★★★★★	4/5
The Manor at Seagoville	4.8 mi	Seagoville, TX	★★★☆☆	3/5
Willowbend Nursing and Rehabilitation Center	5.2 mi	Mesquite, TX	★★★☆☆	2/5
Palomino Place	6.3 mi	Mesquite, TX	★★☆☆☆	2/5	abuse
Town East Rehabilitation and Healthcare Center	6.8 mi	Mesquite, TX	★☆☆☆☆	1/5	abuse
Le Reve Rehabilitation & Memory Care	7.3 mi	Dallas, TX	★☆☆☆☆	1/5	abuse
Christian Care Communities and Services Mesquite	8.2 mi	Mesquite, TX	★★★★☆	3/5
Golden Acres Living and Rehabilitation Center	9.1 mi	Dallas, TX	★★★☆☆	3/5
Southern Oaks Therapy and Living Center	9.2 mi	Dallas, TX	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Balch Springs →

Facility data as of CMS processing date 2026-08-01. CCN 675057.

The Care File

Visit checklist — Balch Springs Nursing Home

4200 Shepard Lane, Balch Springs, TX 75180 · 9722860335

Health inspection rating 1/5 · CMS overall 2/5· Fines (3y): $28,012

Most serious findings on record:

▲ Mar 30, 2026 (F-0686, Immediate jeopardy, repeated): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ Mar 30, 2026 (F-0656, Immediate jeopardy, one-off): The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675057 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)