01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-11 | 5 | 2025-09-11 | 1 |
| Cycle 2 | 2024-08-01 | 8 | 2024-08-01 | 3 |
| Cycle 3 | 2023-05-24 | 4 | 2023-05-24 | 3 |
CMS CCN 6763292026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Continuing Care At Highland Springs
7910 Frankford Road · Dallas, TX 75252 · Dallas County
Certified beds44CMS provider file
Recent citation rows24current CMS citation release
Penalty rows1current 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
24 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-21 · HEALTHF0656Severity J · isolated immediate jeopardy
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 date of correction · 2026-01-22 · complaint2026-01-21 · HEALTHF0740Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2026-01-22 · complaint2025-09-11 · HEALTHF0656Severity E · pattern; 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 date of correction · 2025-10-232025-09-11 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-10-232025-09-11 · HEALTHF0812Severity D · isolated; 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 · 2025-10-232025-09-11 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-10-232024-08-01 · 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 date of correction · 2024-09-102024-08-01 · HEALTHF0585Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2024-09-102024-08-01 · HEALTHF0644Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2024-09-102024-08-01 · HEALTHF0645Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2024-09-102024-08-01 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-09-102024-08-01 · 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 · 2024-09-102024-08-01 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2024-09-102024-08-01 · 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 · 2024-09-102024-08-01 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-09-102024-08-01 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-09-102024-08-01 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-09-102024-02-08 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Past Non-Compliance · 2023-12-11 · complaint2024-02-08 · 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: Past Non-Compliance · 2023-12-11 · complaint2023-05-24 · HEALTHF0638Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2023-07-072023-05-24 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-07-072023-05-24 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2023-07-072023-05-24 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2023-07-072023-05-24 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-07-0703 / 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 |
|---|---|---|---|
| 2026-01-21 | Fine | $29,968 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- NATIONAL SENIOR COMMUNITIES, INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/14/2021
- BROWN, IANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2023
- BROWN, PATRICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2022
- CLUPPER, KATHERINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- COLINS, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2018
- ERSTAD, EILEENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2018
- JACQUE, ZINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2012
- LEONARD, MONTYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2022
- MOSCATO, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2024
- PAULK, PAMELAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2022
- POMERANZ, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2025
- REEL, STEPHANIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2018
- ROSKIEWICZ, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2019
- SHARP, RUSSELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2023
- WALLICK, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2025
- COLINS, MARYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2019
- EMBLEY, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2022
- ERSTAD, EILEENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2025
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 hours4.29per resident day
RN hours1.13per resident day
Weekend nurse hours3.88per resident day
Staff turnover31.4%CMS reported field
06 / LOCAL RECORDS
Open the Dallas ledger →Other published facilities nearby
Avir At Dallas136 beds · CMS overall 1/549 citation rowsAvir At The Meadow184 beds · CMS overall 1/568 citation rowsBrentwood Place Four90 beds · CMS overall 3/530 citation rowsBrentwood Place One120 beds · CMS overall 5/517 citation rowsBrentwood Place Three120 beds · CMS overall 1/529 citation rowsBrentwood Place Two120 beds · CMS overall 3/536 citation rowsC C Young Memorial Home129 beds · CMS overall 5/513 citation rowsForest Park Nursing & Rehabilitation150 beds · CMS overall 1/558 citation rows