01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-25 | 25 | 2026-06-25 | 2 |
| Cycle 2 | 2025-05-06 | 6 | 2025-05-06 | 2 |
| Cycle 3 | 2024-04-11 | 8 | 2024-04-11 | 3 |
CMS CCN 6759722026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Carrollton Health And Rehabilitation Center
1618 Kirby Rd · Carrollton, TX 75006 · Dallas County
Certified beds120CMS provider file
Recent citation rows46current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
46 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 13 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-25 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0583Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0759Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure 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.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0851Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · HEALTHF0925Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has no plan of correction2026-06-25 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has plan of correction · 2026-06-252026-06-25 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has no plan of correction2026-03-26 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-05 · complaint2026-03-05 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-03-08 · complaint2026-01-30 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-02-19 · complaint2026-01-30 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-02-19 · complaint2026-01-30 · HEALTHF0919Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2026-02-19 · complaint2025-12-01 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-12-02 · complaint2025-11-20 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-12-07 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-14 | Fine | $10,358 | 0 |
| 2024-03-20 | Fine | $8,827 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EASTLAND MEMORIAL HOSPITAL DISTRICTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/01/2017
- COIL, RYANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/01/2025
- WARD, CHARLESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/01/2023
- BURNAM, SOONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2017
- KEETCH, CHADIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2011
- TAYLOR, STEPHENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2025
- CARROLLTON HEIGHTS HEALTHCARE, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2017
- COIL, RYANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2025
- WARD, CHARLESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2023
- CARETRUST GP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2006
- CARETRUST REIT INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2006
- CARROLLTON HEIGHTS HEALTHCARE, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 08/11/2025
- CTR PARTNERSHIP LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2006
- ENSIGN SERVICES INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/20/2006
- TRINITY MILL HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/01/2006
- COIL, RYANIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/01/2025
- WARD, CHARLESIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.12per resident day
RN hours0.67per resident day
Weekend nurse hours2.57per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Carrollton ledger →Other published facilities nearby
Brookhaven Nursing And Rehabilitation Center180 beds · CMS overall 1/578 citation rowsHeritage Gardens Rehabilitation And Healthcare150 beds · CMS overall 1/538 citation rowsMustang Park Therapy And Living Center120 beds · CMS overall 1/561 citation rowsThe Madison On Marsh125 beds · CMS overall 4/535 citation rows