Nursing homeActive

Balch Springs Nursing Home

4200 Shepard Lane, Balch Springs, TX 751809722860335120 certified beds · 73 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2024
Deficiencies
21
0192
Penalties · 3 yrs
$28,012
1 fine
Last survey
2026-05-07
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 1
Quality 5
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
2026-05-07Standard050CMS-2567 (Care Compare)
2026-03-30Complaint002CMS-2567 (Care Compare)
2025-03-06Standard050CMS-2567 (Care Compare)
2024-08-28Complaint010CMS-2567 (Care Compare)
2024-05-31Complaint010CMS-2567 (Care Compare)
2024-02-14Standard070CMS-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.

2026-05-07Standard survey · 5 deficienciesOfficial report
F551Give the resident's representative the ability to exercise the resident's rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-27Record 675057-20260507-F551
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-27Record 675057-20260507-F583
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-27Record 675057-20260507-F628
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-27Record 675057-20260507-F644
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 2026-05-27Record 675057-20260507-F880
2026-03-30Complaint survey · 2 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-04-23Record 675057-20260330-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-04-23Record 675057-20260330-F686
2025-03-06Standard survey · 5 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-06Record 675057-20250306-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-06Record 675057-20250306-F692
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-06Record 675057-20250306-F756
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 2025-04-06Record 675057-20250306-F761
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 2025-04-06Record 675057-20250306-F812
2024-08-28Complaint survey · 1 deficiencyOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-18Record 675057-20240828-F755
2024-05-31Complaint survey · 1 deficiencyOfficial report
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-03Record 675057-20240531-F761
2024-02-14Standard survey · 7 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 2024-02-19Record 675057-20240214-F584
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675057-20240214-F689
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675057-20240214-F698
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675057-20240214-F761
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675057-20240214-F838
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 2024-02-19Record 675057-20240214-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675057-20240214-F921

Penalties & enforcement

DateActionAmountSource
2026-03-30Civil money penalty$28,012CMS · 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 day2.72
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.33
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover57%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover73%
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
4.5%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.6%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
1.5%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%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
10.5%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.8%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
8.1%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
Balch Springs Hc LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Scheiner, Eliezer
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Silberstein, Ari
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hooper, Grady
Individual
CORPORATE OFFICERNOT APPLICABLE
Hooper, Grady
Individual
CORPORATE DIRECTORNOT APPLICABLE
Muxworthy, Neil
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Advanced Healthcare Solutions28 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
Mesquite Tree Nursing Center
Mesquite
3.0 mi2026-06-240250
Mesquite Village Wellness & Rehabilitation
Mesquite
3.7 mi2026-06-160161
Edgewood Rehabilitation And Care Center
Mesquite
4.3 mi2026-04-280140
Cheyenne Medical Lodge
Mesquite
4.6 mi2026-06-160200
The Manor at Seagoville
Seagoville
4.8 mi2026-04-010232
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