CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 6760022026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

The Plaza At Edgemere

8502 Edgemere · Dallas, TX 75225 · Dallas County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds72CMS provider file
Recent citation rows32current 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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-01-2252026-01-2211
Cycle 22024-10-0382024-10-037
Cycle 32023-08-2302023-08-231
02 / CITATION DETAIL

32 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-27 · HEALTHF0684Severity G · isolated actual 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 · 2026-04-01 · complaint
2026-01-22 · FIREE0006Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

Correction field: Deficient, Provider has date of correction · 2026-02-12
2026-01-22 · FIREE0009Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

Correction field: Deficient, Provider has date of correction · 2026-02-12
2026-01-22 · FIREE0026Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

Correction field: Deficient, Provider has date of correction · 2026-02-12
2026-01-22 · FIREE0037Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

Correction field: Deficient, Provider has date of correction · 2026-02-12
2026-01-22 · 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 · 2026-01-29
2026-01-22 · HEALTHF0851Severity E · pattern; 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 date of correction · 2026-01-29
2026-01-22 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-01-29
2026-01-22 · FIREK0293Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2026-01-28
2026-01-22 · FIREK0321Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2026-01-26
2026-01-22 · FIREK0343Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Correction field: Deficient, Provider has date of correction · 2026-01-26
2026-01-22 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2026-01-26
2026-01-22 · FIREK0372Severity E · pattern; 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 · 2026-01-26
2026-01-22 · FIREK0374Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Deficient, Provider has date of correction · 2026-01-26
2026-01-22 · FIREK0761Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Correction field: Deficient, Provider has date of correction · 2026-02-12
2025-12-02 · 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 date of correction · 2025-12-03 · complaint
2024-10-03 · FIREE0006Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

Correction field: Deficient, Provider has date of correction · 2024-11-01
2024-10-03 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2024-11-01 · complaint
2024-10-03 · 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 date of correction · 2024-11-01 · complaint
2024-10-03 · 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 date of correction · 2024-11-01 · complaint
2024-10-03 · 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 · 2024-11-01 · complaint
2024-10-03 · 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 · 2024-11-01 · complaint
2024-10-03 · HEALTHF0812Severity F · widespread; 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 · 2024-11-01 · complaint
2024-10-03 · HEALTHF0851Severity E · pattern; 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 date of correction · 2024-11-01 · complaint
03 / 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.

DateTypeFine amountPayment-denial days
2026-03-27Fine$12,7350
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • GRENELLE HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 06/13/2023
  • LAPIS MUNICIPAL OPPORTUNITIES IV LPOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    100% · since 06/13/2023
  • CHAVEZ, FRANKIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/13/2023
  • HATCH, KJERSTINIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/13/2023
  • TERRELL, BASIAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/13/2023
  • CERTUS EDGEMERE MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2024
  • CHAVEZ, FRANKIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 06/13/2023
  • HATCH, KJERSTINIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 06/13/2023
  • ODORIZZI, SANDRAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/13/2025
  • TERRELL, BASIAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 06/13/2023
  • LAPIS- GP LLCOrganization · GENERAL PARTNERSHIP INTEREST
    NOT APPLICABLE · since 06/13/2023
  • ODORIZZI, SANDRAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 10/13/2025

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 hours0.76per resident day
Weekend nurse hours4.01per resident day
Staff turnover—%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.