Elder Care Record

Texas › Dallas County › Dallas

The Plaza At Edgemere

8502 Edgemere, Dallas, TX 75225

CCN 676002 · For-profit, limited liability company · 72 certified beds

Continuing care retirement community
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.

Certified for 72 beds, The Plaza At Edgemere serves Dallas in Dallas County, Texas and has taken Medicare and Medicaid residents since 2004.

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

Inspectors recorded 13 health deficiencies across the three most recent survey cycles (5, 8, 0 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 18.1 per 100 beds, about the same as the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $13K.

Reported nurse staffing is 4.3 hours per resident per day (0.8 RN), above the Texas median of 3.3.

13health deficiencies, 3 survey cycles1 at actual harm or worse
$13Kfines listed by CMS1 penalty in period
4.3nurse hours per resident per daystate median 3.3
83%occupancy (residents ÷ beds)60 residents a day

Compared with county, state and nation

MeasureThis facilityDallas Co. medianTexas medianUS average
Overall star rating4233.0
Health citations, 3 cycles13282528.7
Citations per 100 beds18.122.022.526.8
Total nurse hours per resident day4.33.33.33.9
RN hours per resident day0.80.40.40.7
Nursing staff turnover—55.5%52.1%45.8%
Fines listed$12,735$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)5
Cycle 28
Cycle 30

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Jan 2026, 3 Oct 2024.

Severity mix: G ×1 D ×6 E ×5 F ×1

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
27 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation1 Apr 2026
22 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey29 Jan 2026
22 Jan 2026F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.EStandard survey29 Jan 2026
22 Jan 2026F0880Provide and implement an infection prevention and control program.DStandard survey29 Jan 2026
2 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation3 Dec 2025
3 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation1 Nov 2024
3 Oct 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EComplaint investigation1 Nov 2024
3 Oct 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.EComplaint investigation1 Nov 2024
3 Oct 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation1 Nov 2024
3 Oct 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation1 Nov 2024
3 Oct 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation1 Nov 2024
3 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation1 Nov 2024
3 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation1 Nov 2024

Penalties

DateTypeAmountDetail
27 Mar 2026Fine$12,735

Staffing

Total nursing4.29 h
Nurse aides2.16 h
LPN1.37 h
RN0.76 h
Weekend total4.01 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — 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 Stay18.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.1%0.7%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay8.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.7%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, limited liability company. Legal business name: Bay 9 Holdings Llc.

OrganisationRole in the CMS recordInterestSince
Grenelle Holdings LLC5% or greater direct ownership interest100%06/13/2023
Certus Edgemere Management LLCOperational/managerial controlNOT APPLICABLE08/01/2024
Lapis- Gp LLCGeneral partnership interestNOT APPLICABLE06/13/2023

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 Plaza At Edgemere been cited for?

13 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 Plaza At Edgemere been fined?

Yes. CMS lists fines totalling $13K in the period covered.

How does staffing at The Plaza At Edgemere compare?

Reported total nurse staffing is 4.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates The Plaza At Edgemere?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Grenelle Holdings LLC and Certus Edgemere Management LLC. Individual owners and managers are not listed on this site.

When was The Plaza At Edgemere last inspected?

The most recent survey or investigation in the CMS record is dated 27 Mar 2026; the most recent standard health survey was 22 Jan 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.