01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-16 | 7 | 2026-04-16 | 5 |
| Cycle 2 | 2025-02-06 | 11 | 2025-02-06 | 2 |
| Cycle 3 | 2023-12-21 | 19 | 2023-12-21 | 0 |
CMS CCN 6756112026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Villages Of Dallas
550 E Ann Arbor Ave · Dallas, TX 75216 · Dallas County
Certified beds160CMS provider file
Recent citation rows44current 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
44 rows in the current release
3 rows carry G–L scope/severity codes; 3 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-10 · HEALTHF0925Severity E · pattern; 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 date of correction · 2026-06-13 · complaint2026-04-16 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-04-182026-04-16 · 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 · 2026-04-182026-04-16 · 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 · 2026-04-182026-04-16 · 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 · 2026-04-182026-04-16 · FIREK0161Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2026-04-222026-04-16 · FIREK0232Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Correction field: Deficient, Provider has date of correction · 2026-04-222026-04-16 · FIREK0291Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2026-04-222026-04-16 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-04-222026-04-16 · FIREK0918Severity E · pattern; 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 · 2026-04-222025-09-09 · HEALTHF0558Severity E · pattern; 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 · 2025-09-13 · complaint2025-09-09 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2025-09-13 · complaint2025-03-14 · 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 · 2025-03-31 · complaint2025-03-14 · 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 date of correction · 2025-03-31 · complaint2025-02-06 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-02-08 · complaint2025-02-06 · 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 date of correction · 2025-02-08 · complaint2025-02-06 · 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 · 2025-02-08 · complaint2025-02-06 · 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 date of correction · 2025-02-08 · complaint2025-02-06 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-03-042025-02-06 · FIREK0916Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Correction field: Deficient, Provider has date of correction · 2025-03-072024-10-02 · 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 · 2024-10-03 · complaint2024-10-02 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2024-10-03 · complaint2024-10-02 · HEALTHF0689Severity J · isolated immediate jeopardy
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 · 2024-10-03 · complaint2024-10-02 · 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 · 2024-10-03 · 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 |
|---|---|---|---|
| 2024-10-02 | Fine | $15,939 | 0 |
| 2024-06-10 | Fine | $15,364 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EASTLAND MEMORIAL HOSPITAL DISTRICTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/01/2019
- BENEVIDES, RUIIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2018
- WARD, CHARLESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2018
- BURNAM, SOONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/23/2018
- KEETCH, CHADIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/01/2018
- TAYLOR, STEPHENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2025
- ALICE BRANCH HEALTHCARE INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2019
- WARD, CHARLESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2018
- ENSIGN SERVICES INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/01/2018
- LEDBETTER HEALTH HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2022
- STANDARD BEARER HEALTHCARE OP, LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2022
- THE ENSIGN GROUP INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2022
- BENEVIDES, RUIIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/15/2025
- WARD, CHARLESIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/15/2025
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 hours4.07per resident day
RN hours0.25per resident day
Weekend nurse hours3.52per resident day
Staff turnover58.8%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 rowsContinuing Care At Highland Springs44 beds · CMS overall 3/524 citation rows