Nursing homeActive

Carrollton Health and Rehabilitation Center

1618 Kirby Rd, Carrollton, TX 750069722451573120 certified beds · 78 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
10
since 2024
Deficiencies
39
0372
Penalties · 3 yrs
$19,185
2 fines
Last survey
2026-06-25
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 2
Quality 3
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
2026-06-25Standard0150CMS-2567 (Care Compare)
2026-03-26Complaint010CMS-2567 (Care Compare)
2026-03-05Complaint010CMS-2567 (Care Compare)
2026-01-30Complaint030CMS-2567 (Care Compare)
2025-12-01Complaint010CMS-2567 (Care Compare)
2025-11-20Complaint040CMS-2567 (Care Compare)
2025-05-06Standard050CMS-2567 (Care Compare)
2025-01-14Complaint001CMS-2567 (Care Compare)
2024-04-11Standard070CMS-2567 (Care Compare)
2024-03-20Complaint001CMS-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.

2026-06-25Standard survey · 15 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 675972-20260625-F558
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 675972-20260625-F583
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 675972-20260625-F641
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.Correction not yet recordedRecord 675972-20260625-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 675972-20260625-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 675972-20260625-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 675972-20260625-F690
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.Correction not yet recordedRecord 675972-20260625-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 675972-20260625-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 675972-20260625-F759
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.Correction not yet recordedRecord 675972-20260625-F761
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.Correction not yet recordedRecord 675972-20260625-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 675972-20260625-F851
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 675972-20260625-F880
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.Correction not yet recordedRecord 675972-20260625-F925
2026-03-26Complaint survey · 1 deficiencyOfficial report
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 2026-04-05Record 675972-20260326-F812
2026-03-05Complaint 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 2026-03-08Record 675972-20260305-F755
2026-01-30Complaint survey · 3 deficienciesOfficial report
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 2026-02-19Record 675972-20260130-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-19Record 675972-20260130-F695
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 2026-02-19Record 675972-20260130-F919
2025-12-01Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-02Record 675972-20251201-F684
2025-11-20Complaint survey · 4 deficienciesOfficial report
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-07Record 675972-20251120-F583
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-07Record 675972-20251120-F684
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 2025-12-07Record 675972-20251120-F761
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 2025-12-07Record 675972-20251120-F880
2025-05-06Standard survey · 5 deficienciesOfficial report
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 2025-05-30Record 675972-20250506-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 675972-20250506-F755
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 2025-05-30Record 675972-20250506-F759
F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-30Record 675972-20250506-F776
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 2025-05-30Record 675972-20250506-F880
2025-01-14Complaint 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 GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-20Record 675972-20250114-F600
2024-04-11Standard survey · 7 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 675972-20240411-F558
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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 675972-20240411-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 675972-20240411-F641
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 675972-20240411-F694
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 675972-20240411-F756
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 675972-20240411-F760
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 2024-05-03Record 675972-20240411-F761
2024-03-20Complaint 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 2024-01-05Record 675972-20240320-F689

Penalties & enforcement

DateActionAmountSource
2025-01-14Civil money penalty$10,358CMS · Penalties
2024-03-20Civil money penalty$8,827CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.67
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.12
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.57
Facility
Texas
National
Texas 2.98 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.8%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.4%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
0.0%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.3%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
27.7%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.4%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
16.5%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
Eastland Memorial Hospital District
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Carrollton Heights Healthcare, Inc.
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Coil, Ryan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ward, Charles
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Burnam, Soon
Individual
CORPORATE OFFICERNOT APPLICABLE
Caretrust Gp LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Caretrust Reit Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Carrollton Heights Healthcare, Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Coil, Ryan
Individual
ADP OF THE SNFNOT APPLICABLE
Coil, Ryan
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Ctr Partnership LP
Organization
ADP OF THE SNFNOT APPLICABLE
Ensign Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Keetch, Chad
Individual
CORPORATE OFFICERNOT APPLICABLE
Taylor, Stephen
Individual
CORPORATE OFFICERNOT APPLICABLE
Trinity Mill Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ward, Charles
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Ward, Charles
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
The Ensign Group342 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
Heritage Gardens Rehabilitation and Healthcare
Carrollton
1.9 mi2026-04-140241
South Dallas Nursing & Rehabilitation
Dallas
2.9 mi2026-05-181485
Brentwood Place Three
Dallas
2.9 mi2026-06-030231
Brentwood Place One
Dallas
2.9 mi2026-04-090150
Brentwood Place Two
Dallas
2.9 mi2026-07-020302
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