Desoto Nursing & Rehabilitation Center
1101 N Hampton Rd, Desoto, TX 75115 · Dallas County · 110 certified beds · avg 80 residents/day · certified since Feb 7, 1992
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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, one-off · Feb 12, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Jan 17, 2026 (Past Non-Compliance)
All citations in the current public record (18)
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 20, 2026 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| May 20, 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. · from a complaint |
| May 20, 2026 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Feb 12, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 12, 2026 | E · Potential for harm, repeated | 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 |
| Feb 12, 2026 | E · Potential for harm, repeated | 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. · from a complaint |
| Feb 12, 2026 | D · Potential for harm, 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 |
| Feb 12, 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. |
| Nov 24, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Nov 24, 2025 | 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. · from a complaint |
| Jul 15, 2025 | 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 |
| May 16, 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 |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Oct 5, 2023 | E · Potential for harm, repeated | 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. |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 5, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 1 | 0 | D |
| 2025 | 3 | 0 | D |
| 2026 | 10 | 1 | J ▲ |
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 $8,281.
| Date | Type | Amount / length |
|---|---|---|
| Feb 12, 2026 | Fine | $8,281 |
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) | 2.87 | 3.46 | 3.95 | bottom 15% in Texas; bottom 10% in the U.S. |
| Registered Nurse hours | 0.27 | 0.44 | 0.69 | bottom 20% in Texas; bottom 6% in the U.S. |
| Weekend total nurse staffing | 2.65 | 3.04 | 3.50 | bottom 25% in Texas; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.34 | 0.48 | top 40% in Texas; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 96.6 | 55.3 | 45.8 | bottom 4% in Texas; bottom 1% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
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 2.96, RN 0.27, weekend 2.73. 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
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Desoto II Enterprises, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2024 |
| Blake, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Blake, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Blake, Malisa | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/05/2000 |
| Blake, Malisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Blake, Malisa | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Clanton, Auston | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2024 |
| Clanton, Auston | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Clanton, Auston | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Creative Solutions in Healthcare INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Creative Solutions in Healthcare INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Desoto II Enterprises, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Doti, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2025 |
| Eamiguel, Christopher | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2024 |
| Eamiguel, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Eamiguel, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Fulton, Denise | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2025 |
| Honor X Enterprises, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/15/2025 |
| Huggins, Linda | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2024 |
| Huggins, Linda | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Methodist Transitional Care Center-Desoto LLC | 0.9 mi | Desoto, TX | ★★★☆☆ | 2/5 | |
| Five Points Nursing and Rehabilitation | 1.4 mi | Desoto, TX | ★★☆☆☆ | 3/5 | |
| Park Village Healthcare and Rehabilitation | 2.2 mi | Desoto, TX | ★★☆☆☆ | 1/5 | abuse |
| Windsor Gardens | 2.7 mi | Lancaster, TX | ★★☆☆☆ | 2/5 | |
| Williamsburg Village Healthcare Campus | 2.8 mi | Desoto, TX | ★★☆☆☆ | 1/5 | SFF |
| The Lennwood Nursing and Rehabilitation | 3.2 mi | Dallas, TX | ★☆☆☆☆ | 2/5 | |
| Millbrook Healthcare and Rehabilitation Center | 3.4 mi | Lancaster, TX | ★☆☆☆☆ | 2/5 | |
| Duncanville Healthcare and Rehabilitation Center | 3.5 mi | Duncanville, TX | ★☆☆☆☆ | 1/5 | |
| The Laurenwood Nursing and Rehabilitation | 5.0 mi | Duncanville, TX | ★★★★☆ | 3/5 | |
| Cedar Hill Healthcare Center | 5.1 mi | Cedar Hill, TX | ★★☆☆☆ | 3/5 | |
| Crestview Court | 5.2 mi | Cedar Hill, TX | ★★★★★ | 4/5 | |
| Avir at Lancaster | 5.2 mi | Lancaster, TX | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 455994.