Duncanville Healthcare and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 419 S Cockrell Hill Rd, Duncanville, TX 75116
- CCN
- 676178
- Ownership type
- For-profit, corporation
- Certified beds
- 124
- Chain
- Nexion Health
- Residents per day
- 74
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Duncanville Healthcare and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 14 Aug 2025. The latest survey cycle has 17 health citations. The median for nursing homes in Texas is 8. CMS lists 3 fines with a total of $26,118 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Dallas County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 81 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 14 Aug 2025 | 17 | 8 |
| Cycle 2 | 10 Jul 2024 | 17 | 8 |
| Cycle 3 | No date | 25 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 22 May 2026 |
| 30 Apr 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 3 May 2026 |
| 30 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 May 2026 |
| 8 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 10 Apr 2026 |
| 8 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 10 Apr 2026 |
| 25 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Mar 2026 |
| 5 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 6 Dec 2025 |
| 5 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Dec 2025 |
| 8 Nov 2025 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 11 Nov 2025 |
| 18 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Sep 2025 |
| 14 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 17 Aug 2025 |
| 14 Aug 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 17 Aug 2025 |
| 14 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 17 Aug 2025 |
| 14 Aug 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 | 17 Aug 2025 |
| 14 Aug 2025 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | E | Standard survey | 17 Aug 2025 |
| 14 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Aug 2025 |
| 14 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Aug 2025 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 May 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 19 May 2025 |
| 20 May 2025 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | Complaint investigation | 21 May 2025 |
| 6 May 2025 | 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 | Complaint investigation | 7 May 2025 |
| 6 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 7 May 2025 |
| 1 May 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 2 May 2025 |
| 1 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 2 May 2025 |
| 23 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 17 Feb 2025 |
| 23 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 17 Feb 2025 |
| 20 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 21 Nov 2024 |
| 16 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 13 Nov 2024 |
| 10 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 6 Sep 2024 |
| 10 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 6 Sep 2024 |
| 10 Jul 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 | Standard survey | 6 Sep 2024 |
| 10 Jul 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 6 Sep 2024 |
| 10 Jul 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 6 Sep 2024 |
| 10 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 6 Sep 2024 |
| 10 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 6 Sep 2024 |
Survey cycle 3: 25 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 26 Feb 2024 |
| 25 Feb 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 26 Feb 2024 |
| 25 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Feb 2024 |
| 25 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 26 Feb 2024 |
| 25 Feb 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 | 26 Feb 2024 |
| 25 Feb 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint investigation | 26 Feb 2024 |
| 25 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 26 Feb 2024 |
| 25 Feb 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 26 Feb 2024 |
| 7 Feb 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 8 Feb 2024 |
| 7 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 | 8 Feb 2024 |
| 12 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 13 Jan 2024 |
| 12 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 13 Jan 2024 |
| 12 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 13 Jan 2024 |
| 27 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 28 Sep 2023 |
| 27 Sep 2023 | 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 | Complaint investigation | 28 Sep 2023 |
| 27 Sep 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Complaint investigation | 28 Sep 2023 |
| 27 Sep 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Complaint investigation | 28 Sep 2023 |
| 27 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 28 Sep 2023 |
| 11 Sep 2023 | 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. | D | Complaint investigation | 12 Sep 2023 |
| 11 Sep 2023 | 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 | 12 Sep 2023 |
| 31 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 1 Sep 2023 |
| 4 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 31 Jul 2023 |
| 24 May 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 21 Jun 2023 |
| 24 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Jun 2023 |
| 24 May 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Jun 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 May 2025 | Fine | $17,345 | |
| 7 Feb 2024 | Fine | $1,668 | |
| 12 Jan 2024 | Fine | $7,105 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.95 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.30 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.99 | 0.95 | |
| Nurse aides | 2.66 | 2.00 | |
| All nurse staff, weekends | 3.58 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 56.3%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 60.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 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 | 4.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.0% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Dallas County Hospital District
- Chain
- Nexion Health (51 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dallas County Hospital District | 5% or greater direct ownership interest | 100% | 21 Feb 2015 |
| Nexion Health Leasing, Inc. | 5% or greater indirect ownership interest | 8 Aug 2001 | |
| Nexion Health, Inc. | 5% or greater indirect ownership interest | 8 Aug 2001 | |
| Dallas County Hospital District | Operational/managerial control | 21 Feb 2015 | |
| Nexion Health at Duncanville Inc | Operational/managerial control | 21 Feb 2015 | |
| Nexion Health Leasing, Inc. | Operational/managerial control | 8 Aug 2001 | |
| Nexion Health, Inc. | Operational/managerial control | 8 Aug 2001 |
The site shows organisations only. It does not show the names of persons.
Other homes in Dallas County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Williamsburg Village Healthcare CampusSpecial Focus candidate | Desoto | 2 of 5 | 32 | $150,370 | 10 Mar 2026 | |
| The Lennwood Nursing and Rehabilitation | Dallas | 1 of 5 | 11 | $29,969 | 11 Dec 2025 | |
| The Laurenwood Nursing and Rehabilitation | Duncanville | 4 of 5 | 6 | $38,522 | 4 Jun 2026 | |
| Five Points Nursing and Rehabilitation | Desoto | 2 of 5 | 10 | $0 | 29 May 2025 | |
| Desoto Nursing & Rehabilitation Center | Desoto | 3 of 5 | 12 | $8,281 | 12 Feb 2026 | |
| Methodist Transitional Care Center-Desoto LLC | Desoto | 3 of 5 | 10 | $27,993 | 27 Jun 2025 | |
| Skyline Nursing Center | Dallas | 2 of 5 | 11 | $0 | 14 Apr 2026 | |
| Crestview Court | Cedar Hill | 5 of 5 | 3 | $16,799 | 24 Apr 2025 | |
| The Villa at Mountain View | Dallas | 2 of 5 | 16 | $25,390 | 15 May 2025 | |
| Cedar Hill Healthcare Center | Cedar Hill | 2 of 5 | 8 | $22,503 | 2 Jul 2025 | |
| Park Village Healthcare and Rehabilitation | Desoto | 2 of 5 | 15 | $221,389 | 14 May 2026 | |
| Windsor Gardens | Lancaster | 2 of 5 | 13 | $13,877 | 15 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Duncanville Healthcare and Rehabilitation Center (CCN 676178). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/duncanville-healthcare-and-rehabilitation-center-duncanville-tx-676178/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Duncanville Healthcare and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 20 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 10 Jul 2024.
- Who operates Duncanville Healthcare and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Nexion Health. The CMS ownership file names 4 organisations for operational or managerial control. This site does not show the names of persons.
- Is Duncanville Healthcare and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.