Elder Care Record

Texas › Dallas County › Carrollton

The Madison On Marsh

2245 Marsh Ln, Carrollton, TX 75006

CCN 676128 · For-profit, corporation · 125 certified beds · chain Cantex Continuing Care

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

The Madison On Marsh is a For-profit, corporation nursing home in Carrollton, Texas, certified for 125 beds and caring for about 83 residents a day.

CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.

Inspectors recorded 25 health deficiencies across the three most recent survey cycles (9, 10, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 20.0 per 100 beds, about the same as the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $8K.

Reported nurse staffing is 3.4 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 46.8%.

25health deficiencies, 3 survey cycles1 at actual harm or worse
$8Kfines listed by CMS1 penalty in period
3.4nurse hours per resident per daystate median 3.3
66%occupancy (residents ÷ beds)83 residents a day

Compared with county, state and nation

MeasureThis facilityDallas Co. medianTexas medianUS average
Overall star rating4233.0
Health citations, 3 cycles25282528.7
Citations per 100 beds20.022.022.526.8
Total nurse hours per resident day3.43.33.33.9
RN hours per resident day0.50.40.40.7
Nursing staff turnover46.8%55.5%52.1%45.8%
Fines listed$8,473$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

Cycle 1 (latest)9
Cycle 210
Cycle 36

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Feb 2026, 4 Dec 2024.

Severity mix: J ×1 D ×17 E ×7

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
26 Feb 2026F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard survey28 Feb 2026
26 Feb 2026F0850Hire a qualified full-time social worker in a facility with more than 120 beds.EStandard survey28 Feb 2026
26 Feb 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey28 Feb 2026
26 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 Feb 2026
26 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 Feb 2026
26 Feb 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey28 Feb 2026
26 Feb 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey28 Feb 2026
3 Dec 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation4 Dec 2025
3 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation4 Dec 2025
17 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation1 Mar 2025
17 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation23 Apr 2025
17 Apr 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation23 Apr 2025
17 Jan 2025F0761Ensure 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.EComplaint investigation18 Jan 2025
17 Jan 2025F0583Keep residents' personal and medical records private and confidential.DComplaint investigation18 Jan 2025
17 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation18 Jan 2025
17 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation18 Jan 2025
4 Dec 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey5 Dec 2024
4 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey5 Dec 2024
4 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation5 Dec 2024
19 Oct 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation20 Oct 2023
19 Oct 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation20 Oct 2023
19 Oct 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey20 Oct 2023
19 Oct 2023F0761Ensure 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.DStandard survey20 Oct 2023
19 Oct 2023F0880Provide and implement an infection prevention and control program.DStandard survey20 Oct 2023
16 Aug 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation20 Aug 2023

Penalties

DateTypeAmountDetail
17 Apr 2025Fine$8,473

Staffing

Total nursing3.37 h
Nurse aides1.92 h
LPN1 h
RN0.45 h
Weekend total2.92 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 46.8%, RNs 50.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay5.7%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.3%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay1.8%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.0%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.7%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: Dallas County Hospital District. Chain: Cantex Continuing Care (37 facilities).

OrganisationRole in the CMS recordInterestSince
Dallas County Hospital District5% or greater direct ownership interest100%02/15/2015
Carrollton Health Care Center Ltd CoOperational/managerial controlNOT APPLICABLE02/15/2015
Carrollton Health Care Center Ltd CoAdp of the snfNOT APPLICABLE11/12/2025
First Marsh Capital Funding LLCAdp of the snfNOT APPLICABLE02/15/2015

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avir At IrvingIrving845421821.4—26 Feb 2026
Brentwood Place OneDallas1205511512.5—9 Apr 2026
C C Young Memorial HomeDallas12955586.2—15 Jan 2026
Cheyenne Medical LodgeMesquite1395422014.4—16 Jun 2026
Crestview CourtCedar Hill1255422116.8$17K14 Jun 2025
Las Brisas Rehabilitation and Wellness CenterIrving128552107.8—8 Jan 2026
Pure Health Transitional Care At Texas Health PresDallas4955448.2—2 Jul 2025
Ventana By BucknerDallas725451419.4—18 Mar 2026

All 81 facilities in Dallas County

Questions and answers

How many deficiencies has The Madison On Marsh been cited for?

25 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has The Madison On Marsh been fined?

Yes. CMS lists fines totalling $8K in the period covered.

How does staffing at The Madison On Marsh compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates The Madison On Marsh?

It is part of the Cantex Continuing Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Dallas County Hospital District and Carrollton Health Care Center Ltd Co. Individual owners and managers are not listed on this site.

When was The Madison On Marsh last inspected?

The most recent survey or investigation in the CMS record is dated 26 Feb 2026; the most recent standard health survey was 26 Feb 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.