Southern Oaks Therapy and Living Center
3350 Bonnie View Rd, Dallas, TX 75216 · Dallas County · 150 certified beds · avg 71 residents/day · certified since Nov 18, 2024
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
2.53
Nurse hours/resident/day (adjusted)
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.
All citations in the current public record (22)
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 |
|---|---|---|
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 21, 2026 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| May 7, 2026 | 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 |
| Apr 21, 2026 | 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 15, 2026 | E · Potential for harm, repeated | 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. · from a complaint |
| Feb 15, 2026 | 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 6, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Jan 14, 2026 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Sep 10, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint |
| Sep 10, 2025 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Sep 10, 2025 | 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 20, 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 |
| Apr 23, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 23, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint |
| Aug 8, 2024 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Aug 8, 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. |
| Aug 8, 2024 | 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. |
| Aug 8, 2024 | 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. |
| Aug 8, 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. |
| Aug 8, 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. |
| Aug 8, 2024 | 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. |
| Aug 8, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 8 | 0 | F |
| 2025 | 6 | 0 | E |
| 2026 | 8 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 2.53 | 3.46 | 3.95 | bottom 3% in Texas; bottom 4% in the U.S. |
| Registered Nurse hours | 0.27 | 0.44 | 0.69 | bottom 22% in Texas; bottom 7% in the U.S. |
| Weekend total nurse staffing | 2.39 | 3.04 | 3.50 | bottom 10% in Texas; bottom 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.34 | 0.48 | top 17% in Texas; top 37% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.3 | 45.8 | — |
| 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 2.62, RN 0.28, weekend 2.48. 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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| West Wharton County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2026 |
| Bonnie View Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2026 |
| Brown, Deandre | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2026 |
| Brown, Deandre | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2026 |
| Brown, Deandre | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2026 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2026 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/13/2026 |
| Gulf Prairie Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2026 |
| Gulf Prairie Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2026 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Leo, Nicholas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2026 |
| Leo, Nicholas | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2026 |
| Leo, Nicholas | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2026 |
| Standard Bearer Healthcare Op, LP | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2026 |
| The Ensign Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2026 |
| Thompson, Johnny | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/16/2024 |
| Thompson, Johnny | Individual | Corporate Director | NOT APPLICABLE | 05/01/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "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 |
|---|---|---|---|---|---|
| The Villages of Dallas | 1.8 mi | Dallas, TX | ★★★☆☆ | 2/5 | |
| Fair Park Health & Rehabilitation Center | 3.6 mi | Dallas, TX | ★☆☆☆☆ | 2/5 | abuse |
| Ventana by Buckner | 4.6 mi | Dallas, TX | ★★★★★ | 4/5 | |
| Simpson Place | 4.9 mi | Dallas, TX | ★★☆☆☆ | 3/5 | |
| The Renaissance at Kessler Park | 5.3 mi | Dallas, TX | ★★★☆☆ | 4/5 | |
| Avir at Dallas | 5.5 mi | Dallas, TX | ★☆☆☆☆ | 2/5 | |
| Skyline Nursing Center | 5.7 mi | Dallas, TX | ★★☆☆☆ | 1/5 | abuse |
| Lakewest Rehabilitation and Skilled Care | 6.8 mi | Dallas, TX | ★☆☆☆☆ | 1/5 | abuse |
| The Lennwood Nursing and Rehabilitation | 7.4 mi | Dallas, TX | ★☆☆☆☆ | 2/5 | |
| The Villa at Mountain View | 7.6 mi | Dallas, TX | ★★☆☆☆ | 2/5 | |
| Lancaster Nursing & Rehabilitation | 7.8 mi | Lancaster, TX | ★☆☆☆☆ | 1/5 | |
| Five Points Nursing and Rehabilitation | 7.8 mi | Desoto, TX | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 745056.