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Balch Springs Nursing Home
4200 Shepard Lane, Balch Springs, TX 75180
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Balch Springs Nursing Home is a For-profit, corporation nursing home in Balch Springs, Texas, certified for 120 beds and caring for about 73 residents a day.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 5.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (7, 6, 8 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 17.5 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $28K.
Reported nurse staffing is 2.7 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 56.5%.
Compared with county, state and nation
| Measure | This facility | Dallas Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 28 | 25 | 28.7 |
| Citations per 100 beds | 17.5 | 22.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 56.5% | 55.5% | 52.1% | 45.8% |
| Fines listed | $28,012 | $25,390 | $16,801 | — |
County and state figures are medians across facilities (81 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 May 2026, 6 Mar 2025.
Severity mix: J ×1 K ×1 D ×7 E ×10 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | E | Standard survey | 27 May 2026 |
| 7 May 2026 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 27 May 2026 |
| 7 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 27 May 2026 |
| 7 May 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 27 May 2026 |
| 7 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 May 2026 |
| 30 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint investigation | 23 Apr 2026 |
| 30 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint investigation | 23 Apr 2026 |
| 6 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Apr 2025 |
| 6 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 6 Apr 2025 |
| 6 Mar 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 6 Apr 2025 |
| 6 Mar 2025 | F0761 | 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. | E | Standard survey | 6 Apr 2025 |
| 6 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 6 Apr 2025 |
| 28 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 18 Sep 2024 |
| 31 May 2024 | F0761 | 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. | D | Complaint investigation | 3 Jun 2024 |
| 14 Feb 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 19 Feb 2024 |
| 14 Feb 2024 | F0584 | 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. | E | Standard survey | 19 Feb 2024 |
| 14 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 19 Feb 2024 |
| 14 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 19 Feb 2024 |
| 14 Feb 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 19 Feb 2024 |
| 14 Feb 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 19 Feb 2024 |
| 14 Feb 2024 | F0761 | 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. | D | Complaint investigation | 19 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Mar 2026 | Fine | $28,012 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 56.5%, RNs 72.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.5% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Hamilton County Hospital District. Chain: Advanced Healthcare Solutions (28 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Balch Springs Hc LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Dallas County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Irving | Irving | 84 | 5 | 4 | 2 | 18 | 21.4 | — | 26 Feb 2026 |
| Brentwood Place One | Dallas | 120 | 5 | 5 | 1 | 15 | 12.5 | — | 9 Apr 2026 |
| C C Young Memorial Home | Dallas | 129 | 5 | 5 | 5 | 8 | 6.2 | — | 15 Jan 2026 |
| Cheyenne Medical Lodge | Mesquite | 139 | 5 | 4 | 2 | 20 | 14.4 | — | 16 Jun 2026 |
| Crestview Court | Cedar Hill | 125 | 5 | 4 | 2 | 21 | 16.8 | $17K | 14 Jun 2025 |
| Las Brisas Rehabilitation and Wellness Center | Irving | 128 | 5 | 5 | 2 | 10 | 7.8 | — | 8 Jan 2026 |
| Pure Health Transitional Care At Texas Health Pres | Dallas | 49 | 5 | 5 | 4 | 4 | 8.2 | — | 2 Jul 2025 |
| Ventana By Buckner | Dallas | 72 | 5 | 4 | 5 | 14 | 19.4 | — | 18 Mar 2026 |
All 81 facilities in Dallas County
Questions and answers
How many deficiencies has Balch Springs Nursing Home been cited for?
21 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Balch Springs Nursing Home been fined?
Yes. CMS lists fines totalling $28K in the period covered.
How does staffing at Balch Springs Nursing Home compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Balch Springs Nursing Home?
It is part of the Advanced Healthcare Solutions chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Balch Springs Hc LLC. Individual owners and managers are not listed on this site.
When was Balch Springs Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 7 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.