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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E25 | F8 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 27, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | 8 | Open → |
| Aug 27, 2026 | Health | Health Standard | 9 | Potential harm | 9 | Open → |
| Aug 15, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jul 2, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jul 2, 2025 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Mar 5, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 5, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jun 26, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jun 26, 2024 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 15, 2025 | Civil money penalty (fine) | $9,113 | — | 675032|Fine|134785 |
| Nov 5, 2024 | Denial of payment for new admissions | — | Dec 12, 2024 · 8 days | 675032|Payment Denial|2024-12-12 |
| Nov 5, 2024 | Civil money penalty (fine) | $13,390 | — | 675032|Fine|113350 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E25 | F8 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 27, 2026 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Plan of correction, not yet verified Sep 30, 2026 | |
| Aug 27, 2026 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Plan of correction, not yet verified |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 8 facilities.
10 facilities in 2 states. CMS chain ID 481.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Stephens Memorial Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Stephens Memorial Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2017 |
| Syed Jamal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Mabel Nikoi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 6, 2020 |
| Gena Speer | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon | 150 | Aug 25, 2026 | 636 IJ2 harm2 open |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Reunion Plaza Healthcare & Rehabilitation 1401 Rice Rd, Tyler, TX 75703 CCN 675888 | 99 | Aug 7, 2025 | 19 | — | |
| Legacy at Town Creek 2212 W Reagan St, Palestine, TX 75801 CCN 675998 | 199 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Crestview Court 224 W Pleasant Run Rd, Cedar Hill, TX 75104 CCN 676112 | 1.9 km | 125 | Jun 18, 2026 | 352 IJ1 harm | $17k | |
| Methodist Transitional Care Center-Desoto LLC 109 Methodist Way, Desoto, TX 75115 CCN 676492 | 7.1 km | 100 | Dec 10, 2025 | 494 IJ | $28k | |
| Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon | 8.3 km | 150 | Aug 25, 2026 | 636 IJ2 harm2 open | $221k | |
| Desoto Nursing & Rehabilitation Center 1101 North Hampton Road, Desoto, TX 75115 CCN 455994 | 8.3 km | 110 | May 20, 2026 | 361 IJ | $8,281 | |
| Duncanville Healthcare and Rehabilitation Center 419 S Cockrell Hill Rd, Duncanville, TX 75116 CCN 676178 | 8.4 km | 124 | Aug 13, 2026 | 574 IJ1 harm | $26k | |
| Williamsburg Village Healthcare Campus 940 York Drive, Desoto, TX 75115 CCN 675756SFF Candidate | 8.7 km | 242 | Jul 30, 2026 | 939 IJ | $150k | |
| The Laurenwood Nursing and Rehabilitation 330 W Camp Wisdom Rd, Duncanville, TX 75116 CCN 675806 | 8.7 km | 103 | Jun 24, 2026 | 393 IJ | $39k | |
| Five Points Nursing and Rehabilitation 1901 North Hampton Road, Desoto, TX 75115 CCN 745006 | 9.1 km | 120 | Mar 13, 2026 | 321 IJ | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675032 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675032 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Aug 27, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Plan of correction, not yet verified Sep 30, 2026 |
| Aug 27, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified Sep 30, 2026 |
| Aug 27, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified Sep 30, 2026 |
| Aug 27, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Plan of correction, not yet verified Sep 30, 2026 |
| Aug 27, 2026 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Plan of correction, not yet verified Sep 30, 2026 |
| Aug 27, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified Sep 30, 2026 |
| Aug 27, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | No plan of correction |
| Aug 27, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | No plan of correction |
| Aug 27, 2026 | F-0656 | 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 · Clinical care | E · Potential harm Pattern | No plan of correction |
| Aug 27, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | No plan of correction |
| Aug 27, 2026 | F-0690 | 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 · Clinical care | D · Potential harm Isolated | No plan of correction |
| Aug 27, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | No plan of correction |
| Aug 27, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | No plan of correction |
| Aug 27, 2026 | F-0910 | Ensure resident rooms meet each resident's needs. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | No plan of correction |
| Aug 27, 2026 | F-0926 | Have policies on smoking. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | No plan of correction |
| Aug 15, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Jul 31, 2025 | Complaint |
| Jul 2, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 2, 2025 |
| Jul 2, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 2, 2025 |
| Jul 2, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 2, 2025 |
| Jul 2, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 2, 2025 |
| Jul 2, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2025 | Complaint |
| Jul 2, 2025 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2025 | Complaint |
| Jul 2, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2025 | Complaint |
| Jul 2, 2025 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2025 | Complaint |
| Jul 2, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 10, 2025 | Complaint |
| Jul 2, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 10, 2025 | Complaint |
| Jul 2, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 10, 2025 | Complaint |
| Jul 2, 2025 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Aug 2, 2025 |
| Mar 5, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 21, 2025 | Complaint |
| Mar 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 21, 2025 | Complaint |
| Nov 5, 2024 | F-0600 | 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 · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Dec 20, 2024 | Complaint |
| Jun 26, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2024 |
| Jun 26, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2024 |
| Jun 26, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2024 |
| Jun 26, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2024 |
| Jun 26, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2024 |
| Jun 26, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2024 |
| Jun 26, 2024 | F-0584 | 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 · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 15, 2024 | Complaint |
| Jun 26, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 15, 2024 | Complaint |
| Jun 26, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2024 |
| Jun 26, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 15, 2024 |
| Jun 26, 2024 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Aug 15, 2024 | Complaint |
| Jun 26, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 15, 2024 | Complaint |
| Jun 26, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 15, 2024 | Complaint |
| Jun 26, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 15, 2024 |
| Jun 26, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Aug 15, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.41 (case-mix index 1.24).
| Syed Jamal |
| Individual |
| Additional disclosable party |
| ADP OF THE SNF |
| not provided |
| Oct 1, 2025 |
| Mabel Nikoi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| $221k |
| Heritage at Turner Park Health & Rehab 820 Small Street, Grand Prairie, TX 75050 CCN 455733 | 146 | May 5, 2026 | 571 IJ2 harm | $27k |
| Avir at Stephenville 1670 Lingleville Rd, Stephenville, TX 76401 CCN 455744 | 102 | Aug 20, 2026 | 522 IJ | $205k |
| Avir at Baird 224 E 6th St, Baird, TX 79504 CCN 675364 | 74 | Aug 20, 2026 | 325 open | — |
| Briarcliff Health Center of Greenville 4400 Walnut St, Greenville, TX 75401 CCN 675666 | 120 | Apr 6, 2026 | 413 IJ | $15k |
| Reunion Plaza Healthcare & Rehabilitation 1401 Rice Rd, Tyler, TX 75703 CCN 675888 | 99 | Aug 7, 2025 | 19 | — |
| Mabank Nursing Center 18957 US Hwy 175 W., Mabank, TX 75147 CCN 676458 | 90 | May 21, 2026 | 392 IJ | $31k |
| Jan 7, 2026 |
413 IJ2 harm |
| $295k |
| Legacy at Jacksonville 810 Bellaire Street, Jacksonville, TX 75766 CCN 676092 | 101 | Jun 1, 2026 | 151 harm | $27k |