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The Villages of DallasCMS ratings, inspections and fines

Address
550 E Ann Arbor Ave, Dallas, TX 75216
CCN
675611
Ownership type
For-profit, limited liability company
Certified beds
160
Residents per day
108
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating2 of 5
Staffing rating2 of 5
Quality measure rating5 of 5
Care 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 The Villages of Dallas an overall rating of 3 of 5 stars. The last standard survey was on 16 Apr 2026. The latest survey cycle has 7 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $31,303 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.

CMS star ratings of The Villages of Dallas, with medians
Rating (1 to 5 stars)This homeDallas County medianTexas medianUS average (CMS)
Overall rating32.03.03.0
Health inspection rating22.03.02.8
Staffing rating22.02.02.9
Quality measure rating54.04.03.6

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.

Health citations of The Villages of Dallas in the last three survey cycles
Survey cycleStandard surveyCitationsTexas median
Cycle 1 (latest)16 Apr 202678
Cycle 26 Feb 2025118
Cycle 3No date198

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.

Scope and severity of the 37 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyL0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 7 citations

Standard survey of this cycle: .

Health citations of The Villages of Dallas in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
10 Jun 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation13 Jun 2026
16 Apr 2026F0759Ensure medication error rates are not 5 percent or greater.DStandard survey18 Apr 2026
16 Apr 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey18 Apr 2026
16 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 Apr 2026
16 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey18 Apr 2026
9 Sep 2025F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation13 Sep 2025
9 Sep 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation13 Sep 2025

Survey cycle 2: 11 citations

Standard survey of this cycle: .

Health citations of The Villages of Dallas in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
14 Mar 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation31 Mar 2025
14 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation31 Mar 2025
6 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation8 Feb 2025
6 Feb 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation8 Feb 2025
6 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation8 Feb 2025
6 Feb 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation8 Feb 2025
2 Oct 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation3 Oct 2024
2 Oct 2024F0584Honor 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.EComplaint investigation3 Oct 2024
2 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation3 Oct 2024
2 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation3 Oct 2024
2 Oct 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation30 Oct 2024

Survey cycle 3: 19 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of The Villages of Dallas in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
14 Jun 2024F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation17 Jun 2024
14 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation17 Jun 2024
10 Jun 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation6 Jun 2024
10 Jun 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.KComplaint investigation6 Jun 2024
21 Dec 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation29 Dec 2023
21 Dec 2023F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation29 Dec 2023
21 Dec 2023F0584Honor 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.EComplaint investigation29 Dec 2023
21 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey29 Dec 2023
21 Dec 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation29 Dec 2023
21 Dec 2023F0693Ensure 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.DComplaint investigation29 Dec 2023
21 Dec 2023F0695Provide safe and appropriate respiratory care for a resident when needed.EComplaint investigation29 Dec 2023
21 Dec 2023F0727Have 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.EStandard survey29 Dec 2023
21 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey29 Dec 2023
21 Dec 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation29 Dec 2023
21 Dec 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation29 Dec 2023
17 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.DComplaint investigation20 Oct 2023
17 Oct 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint investigation20 Oct 2023
17 Oct 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation20 Oct 2023
16 Sep 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation20 Sep 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.

Penalties of The Villages of Dallas in the CMS penalties file
DateTypeFineDays without payment
2 Oct 2024Fine$15,939
10 Jun 2024Fine$15,364

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.

Nurse staffing hours per resident per day at The Villages of Dallas
StaffThis homeTexas medianTexas average (CMS)
All nurse staff4.073.303.39
Registered nurses (RN)0.250.400.43
Licensed practical nurses (LPN)1.470.95
Nurse aides2.352.00
All nurse staff, weekends3.522.902.98
Nurse staff turnover in a year
58.8%
Nurse staff turnover, Texas median
52.1%
RN turnover in a year
81.8%
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.

Quality measures of The Villages of Dallas, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.8%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 Stay0.6%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.5%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.6%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay4.1%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, limited liability company
Setting
Continuing care retirement community
Legal business name
Eastland Memorial Hospital District
Chain
The Ensign Group (342 homes in the CMS chain file)
Organisations in the CMS ownership record of The Villages of Dallas
OrganisationRole in the CMS recordInterestSince
Eastland Memorial Hospital District5% or greater direct ownership interest100%1 Apr 2019
Alice Branch Healthcare IncOperational/managerial control1 Apr 2019
Ensign Services IncAdp of the snf1 May 2018
Ledbetter Health Holdings LLCAdp of the snf1 Jan 2022
Standard Bearer Healthcare Op, LPAdp of the snf1 Jan 2022
The Ensign Group IncAdp of the snf1 Jan 2022

The site shows organisations only. It does not show the names of persons.

Other homes in Dallas County

The 12 nearest other nursing homes in Dallas County, Texas
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Southern Oaks Therapy and Living CenterDallas3 of 511$010 Sep 2025
Skyline Nursing CenterDallas2 of 511$014 Apr 2026
Fair Park Health & Rehabilitation CenterDallas1 of 512$014 May 2025
The Renaissance at Kessler ParkDallas3 of 54$11,0315 Dec 2025
The Lennwood Nursing and RehabilitationDallas1 of 511$29,96911 Dec 2025
Five Points Nursing and RehabilitationDesoto2 of 510$029 May 2025
Ventana by BucknerDallas5 of 53$018 Mar 2026
Williamsburg Village Healthcare CampusSpecial Focus candidateDesoto2 of 532$150,37010 Mar 2026
Millbrook Healthcare and Rehabilitation CenterLancaster1 of 514$13,56523 Apr 2026
Windsor GardensLancaster2 of 513$13,87715 Jan 2026
Simpson PlaceDallas2 of 516$030 Apr 2026
Duncanville Healthcare and Rehabilitation CenterDuncanville1 of 517$26,11814 Aug 2025

All 81 nursing homes in Dallas County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of The Villages of Dallas (CCN 675611). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-villages-of-dallas-dallas-tx-675611/

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 The Villages of Dallas last inspected?
The latest inspection with a citation in the CMS record was on 10 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 6 Feb 2025.
Who operates The Villages of Dallas?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The Ensign Group. The CMS ownership file names Alice Branch Healthcare Inc for operational or managerial control. This site does not show the names of persons.
Is The Villages of Dallas 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.