nursing home in Carrollton, TX
Carrollton Health and Rehabilitation Center
1618 Kirby Rd, Carrollton, TX 75006 · (972) 245-1573
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Carrollton Health and Rehabilitation Center at a glance
Carrollton Health and Rehabilitation Center is a 120-bed government nursing home in Carrollton, Texas (Dallas County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.1 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (June 25, 2026) found 25 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $19,185.
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- May 9, 2003
- Resident/family council
- Resident
- County
- Dallas County
- CMS Certification Number
- 675972
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.12 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.67 hrs | 0.43 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 1.78 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.57 hrs | 2.98 hrs | 3.42 hrs | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 25 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 139 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $19,185 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 78 | 76 | 86 | |
| Occupancy | 65.1% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 0% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 27.7% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.6% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 4.4% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.5% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 17% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 39 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 25, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 25, 2026 |
| June 25, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected June 25, 2026 |
| June 25, 2026 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| June 25, 2026 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| March 26, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 5, 2026 |
| March 5, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 8, 2026 |
| January 30, 2026 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected February 19, 2026 |
| January 30, 2026 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected February 19, 2026 |
| January 30, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected February 19, 2026 |
| December 1, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected December 2, 2025 |
| November 20, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 7, 2025 |
| November 20, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected December 7, 2025 |
| November 20, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 7, 2025 |
| November 20, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 7, 2025 |
| May 6, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected May 8, 2025 |
| May 6, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected May 8, 2025 |
| May 6, 2025 Standard | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Tag F0776 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 6, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 6, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 6, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 30, 2025 |
| January 14, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected May 20, 2024 |
| April 11, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected May 3, 2024 |
| April 11, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected May 3, 2024 |
| April 11, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected May 3, 2024 |
| April 11, 2024 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | E Potential harm, pattern | Corrected May 3, 2024 |
| April 11, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 11, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 11, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 11, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 11, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 11, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 3, 2024 |
| March 20, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected January 5, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $19,185 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 14, 2025 | Fine | $10,358 |
| March 20, 2024 | Fine | $8,827 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| CARETRUST GP LLC Organization | adp of the snf | NOT APPLICABLE | 12/01/2006 |
| CARETRUST REIT INC Organization | adp of the snf | NOT APPLICABLE | 12/01/2006 |
| CARROLLTON HEIGHTS HEALTHCARE, INC. Organization | adp of the snf | NOT APPLICABLE | 08/11/2025 |
| COIL, RYAN Individual | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| CTR PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 12/01/2006 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 03/20/2006 |
| TRINITY MILL HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 12/01/2006 |
| WARD, CHARLES Individual | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 04/01/2017 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| TAYLOR, STEPHEN Individual | corporate officer | NOT APPLICABLE | 07/01/2025 |
| COIL, RYAN Individual | managing control - governing body | NOT APPLICABLE | 08/01/2025 |
| WARD, CHARLES Individual | managing control - governing body | NOT APPLICABLE | 12/01/2023 |
| CARROLLTON HEIGHTS HEALTHCARE, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| COIL, RYAN Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| WARD, CHARLES Individual | operational/managerial control | NOT APPLICABLE | 12/01/2023 |
Other nursing homes near Carrollton Health and Rehabilitation Center
Heritage Gardens Rehabilitation and Healthcare
2135 N Denton Dr, Carrollton, TX 75006 · 1.9 mi
For-profit · 150 beds · Part of The Ensign Group
- Abuse citation
★★★★★1Much below averageBrentwood Place Two
3505 S Buckner Blvd Bldg 3, Dallas, TX 75227 · 2.9 mi
For-profit · 120 beds · Part of Opco Skilled Management
★★★★★3AverageSouth Dallas Nursing & Rehabilitation
3808 S Central Expwy, Dallas, TX 75215 · 2.9 mi
For-profit · 91 beds
- Special Focus candidate
★★★★★1Much below averageBrentwood Place One
3505 S Buckner Blvd Bldg 2, Dallas, TX 75227 · 2.9 mi
For-profit · 120 beds · Part of Opco Skilled Management
★★★★★5Much above averageBrentwood Place Three
3505 S Buckner Blvd Bldg 4, Dallas, TX 75227 · 2.9 mi
For-profit · 120 beds · Part of Opco Skilled Management
★★★★★1Much below averageBrentwood Place Four
3505 S Buckner Blvd Bldg 5, Dallas, TX 75227 · 2.9 mi
For-profit · 90 beds · Part of Opco Skilled Management
★★★★★3Average
Frequently asked questions
What is Carrollton Health and Rehabilitation Center's rating?
Carrollton Health and Rehabilitation Center has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Carrollton Health and Rehabilitation Center receive?
Its most recent standard health inspection found 25 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Carrollton Health and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Carrollton Health and Rehabilitation Center?
It is government - hospital district and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Carrollton Health and Rehabilitation Center and how do I contact it?
Carrollton Health and Rehabilitation Center is at 1618 Kirby Rd, Carrollton, TX 75006. Phone: (972) 245-1573.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.