Nursing homeActive

Cedar Hill Healthcare Center

230 S Clark Rd, Cedar Hill, TX 751049722917877110 certified beds · 84 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
26
0242
Penalties · 3 yrs
$22,503
2 fines · 1 action
Last survey
2025-08-15
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 2
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-08-15Complaint001CMS-2567 (Care Compare)
2025-07-02Standard070CMS-2567 (Care Compare)
2025-03-05Complaint020CMS-2567 (Care Compare)
2024-11-05Complaint001CMS-2567 (Care Compare)
2024-06-26Standard090CMS-2567 (Care Compare)
2023-05-04Standard060CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-08-15Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-31Record 675032-20250815-F689
2025-07-02Standard survey · 7 deficienciesOfficial report
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-10Record 675032-20250702-F636
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-10Record 675032-20250702-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-10Record 675032-20250702-F677
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-10Record 675032-20250702-F687
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-10Record 675032-20250702-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-10Record 675032-20250702-F880
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-10Record 675032-20250702-F919
2025-03-05Complaint survey · 2 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-21Record 675032-20250305-F558
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-21Record 675032-20250305-F880
2024-11-05Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-20Record 675032-20241105-F600
2024-06-26Standard survey · 9 deficienciesOfficial report
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 675032-20240626-F584
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 675032-20240626-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 675032-20240626-F695
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 675032-20240626-F759
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 675032-20240626-F770
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 675032-20240626-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 675032-20240626-F880
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 675032-20240626-F925
F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 675032-20240626-F940
2023-05-04Standard survey · 6 deficienciesOfficial report
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 675032-20230504-F693
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 675032-20230504-F727
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 675032-20230504-F761
F791Provide or obtain dental services for each resident.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 675032-20230504-F791
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 675032-20230504-F804
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-20Record 675032-20230504-F925

Penalties & enforcement

DateActionAmountSource
2025-08-15Civil money penalty$9,113CMS · Penalties
2024-11-05Civil money penalty$13,390CMS · Penalties
2024-11-05Denial of payment for new admissions
Payment denial for 8 days, from 2024-12-12
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.35
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.95
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.76
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover44%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover40%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.0%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.5%3.3%3.2%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.6%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
24.4%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.9%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
27.8%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Stephens Memorial Hospital District
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Jamal, Syed
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nikoi, Mabel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Jamal, Syed
Individual
ADP OF THE SNFNOT APPLICABLE
Nikoi, Mabel
Individual
ADP OF THE SNFNOT APPLICABLE
Speer, Gena
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Southwest Ltc10 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Dallas.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Crestview Court
Cedar Hill
1.2 mi2025-06-140143
Methodist Transitional Care Center-Desoto LLC
Desoto
4.4 mi2025-12-100204
The Laurenwood Nursing and Rehabilitation
Duncanville
5.4 mi2026-06-240203
Duncanville Healthcare and Rehabilitation Center
Duncanville
5.2 mi2026-05-201485
Williamsburg Village Healthcare Campus
Desoto
5.2 mi2026-05-280709
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01