Heritage Gardens Rehabilitation and HealthcareCMS ratings, inspections and fines
- Address
- 2135 N Denton Dr, Carrollton, TX 75006
- CCN
- 675111
- Ownership type
- For-profit, corporation
- Certified beds
- 150
- Chain
- The Ensign Group
- Residents per day
- 67
- CMS flags
- CMS abuse icon
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 Heritage Gardens Rehabilitation and Healthcare an overall rating of 1 of 5 stars. The last standard survey was on 15 Jan 2026. The latest survey cycle has 9 health citations. The median for nursing homes in Texas is 8. CMS lists 1 fine of $38,840 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 | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 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) | 15 Jan 2026 | 9 | 8 |
| Cycle 2 | 6 Nov 2024 | 8 | 8 |
| Cycle 3 | No date | 8 | 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 | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Apr 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 30 Apr 2026 |
| 14 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 30 Apr 2026 |
| 9 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 16 Mar 2026 |
| 9 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Mar 2026 |
| 9 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Mar 2026 |
| 15 Jan 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 10 Feb 2026 |
| 15 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Feb 2026 |
| 15 Jan 2026 | 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 | 10 Feb 2026 |
| 15 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Feb 2026 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 26 Jun 2025 |
| 9 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Apr 2025 |
| 13 Mar 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 27 Mar 2025 |
| 6 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 6 Dec 2024 |
| 6 Nov 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 6 Dec 2024 |
Survey cycle 3: 8 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 |
|---|---|---|---|---|---|
| 8 Mar 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 23 Mar 2024 |
| 8 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 Mar 2024 |
| 8 Feb 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 8 Mar 2024 |
| 5 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 31 Oct 2023 |
| 5 Oct 2023 | 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 | Standard survey | 31 Oct 2023 |
| 5 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Oct 2023 |
| 5 Oct 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 24 Oct 2023 |
| 5 Oct 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 25 Oct 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 |
|---|---|---|---|
| 8 Jul 2025 | Fine | $38,840 |
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 | 3.15 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.38 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.96 | 0.95 | |
| Nurse aides | 1.81 | 2.00 | |
| All nurse staff, weekends | 2.63 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 59.7%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- 1
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 | 27.8% | 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 | 0.4% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 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 | 10.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.6% | 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
- Eastland Memorial Hospital District
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Eastland Memorial Hospital District | 5% or greater direct ownership interest | 100% | 1 Apr 2017 |
| Savoy Healthcare, Inc. | Operational/managerial control | 1 Apr 2017 | |
| Caretrust GP LLC | Adp of the snf | 1 May 2010 | |
| Caretrust REIT Inc | Adp of the snf | 1 May 2010 | |
| Ctr Partnership LP | Adp of the snf | 1 May 2010 | |
| Ensign Services Inc | Adp of the snf | 18 Feb 2010 | |
| Josey Ranch Healthcare Holdings LLC | Adp of the snf | 1 May 2010 | |
| Savoy Healthcare, Inc. | Adp of the snf | 12 Aug 2025 |
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 | |
|---|---|---|---|---|---|---|
| Carrollton Health and Rehabilitation Center | Carrollton | 2 of 5 | 25 | $19,185 | 25 Jun 2026 | |
| Sandy Lake Rehabilitation and Care Center | Coppell | 2 of 5 | 13 | $23,677 | 19 Aug 2025 | |
| The Madison on Marsh | Carrollton | 4 of 5 | 9 | $8,473 | 26 Feb 2026 | |
| Brentwood Place Four | Dallas | 3 of 5 | 11 | $0 | 11 Jun 2025 | |
| Brentwood Place One | Dallas | 5 of 5 | 3 | $0 | 9 Apr 2026 | |
| Brentwood Place Three | Dallas | 1 of 5 | 14 | $8,281 | 19 Mar 2026 | |
| Brentwood Place Two | Dallas | 3 of 5 | 9 | $14,433 | 5 Mar 2026 | |
| South Dallas Nursing & Rehabilitation | Dallas | 1 of 5 | 24 | $272,139 | 16 Dec 2025 | |
| Signature Pointe | Dallas | 2 of 5 | 28 | $38,436 | 16 Apr 2026 | |
| Treemont Healthcare and Rehabilitation Center | Dallas | 2 of 5 | 8 | $63,262 | 17 Jul 2025 | |
| The Hillcrest of North Dallas | Dallas | 1 of 5 | 10 | $221,052 | 31 Jul 2025 | |
| Continuing Care at Highland Springs | Dallas | 3 of 5 | 5 | $29,968 | 11 Sep 2025 |
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 Heritage Gardens Rehabilitation and Healthcare (CCN 675111). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/heritage-gardens-rehabilitation-and-healthcare-carrollton-tx-675111/
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 Heritage Gardens Rehabilitation and Healthcare last inspected?
- The latest inspection with a citation in the CMS record was on 14 Apr 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 6 Nov 2024.
- Who operates Heritage Gardens Rehabilitation and Healthcare?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Ensign Group. The CMS ownership file names Savoy Healthcare, Inc. for operational or managerial control. This site does not show the names of persons.
- Is Heritage Gardens Rehabilitation and Healthcare 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.