Balch Springs Nursing Home — nursing home in Balch Springs, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 78.0 CMS, MDS-derived
CMS Certification Number: 675057
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 1, 1992
Ownership type: For profit - Corporation
Operator (legal business name): Hamilton County Hospital District
CMS chain: Advanced Healthcare Solutions 28 facilities
Phone: (972) 286-0335
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest May 7, 2026

Citations

30

21 health · 9 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K1	L·
Actual harm	G·	H·	I·
Potential harm	D7	E16	F4
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$28,012

Payment denials

0

Latest

Mar 30, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675057
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jun 1, 1992
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
May 7, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 7, 2026	Health	Health Standard	5	Potential harm	—	Open →
Mar 30, 2026	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Mar 6, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Mar 6, 2025	Health	Health Complaint, Health Standard	5	Potential harm	—	Open →
Aug 28, 2024	Health	Health Complaint	1	Potential harm	—	Open →
May 31, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Feb 14, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Feb 14, 2024	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Mar 30, 2026	Civil money penalty (fine)	$28,012	—	675057\|Fine\|138223

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K1	L·
Actual harm	G·	H·	I·
Potential harm	D7	E16	F4
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 7, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 27, 2026
May 7, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 17, 2026
May 7, 2026	F-0551	Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 27, 2026
May 7, 2026	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 27, 2026
May 7, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 27, 2026
May 7, 2026	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 27, 2026
May 7, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 27, 2026
Mar 30, 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	J · Immediate jeopardy Isolated	Corrected Apr 23, 2026	Complaint
Mar 30, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Apr 23, 2026	Complaint
Mar 6, 2025	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 Apr 6, 2025
Mar 6, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 6, 2025
Mar 6, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 6, 2025	Complaint
Mar 6, 2025	F-0756	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 · Medication management	E · Potential harm Pattern	Corrected Apr 6, 2025
Mar 6, 2025	F-0761	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 · Medication management	E · Potential harm Pattern	Corrected Apr 6, 2025
Mar 6, 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	F · Potential harm Widespread	Corrected Apr 6, 2025
Mar 6, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Apr 6, 2025
Aug 28, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 18, 2024	Complaint
May 31, 2024	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected Jun 3, 2024	Complaint
Feb 14, 2024	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 16, 2024
Feb 14, 2024	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	Corrected Mar 19, 2024
Feb 14, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 20, 2024
Feb 14, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 16, 2024
Feb 14, 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 Feb 16, 2024
Feb 14, 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 Feb 19, 2024
Feb 14, 2024	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	E · Potential harm Pattern	Corrected Feb 19, 2024
Feb 14, 2024	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 19, 2024
Feb 14, 2024	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected Feb 19, 2024	Complaint
Feb 14, 2024	F-0838	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Feb 19, 2024
Feb 14, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 19, 2024	Complaint
Feb 14, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 19, 2024

“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.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing2.72

State avg 3.42US avg 3.90

Registered nurse (RN)0.31

State avg 0.44US avg 0.69

Licensed practical nurse0.66

State avg 0.94US avg 0.86

Nurse aide1.75

State avg 2.03US avg 2.35

Weekend total nurse2.31

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.16 (case-mix index 1.21).

Staff turnover

Total nursing staff turnover61.0%

State avg 50.8%US avg 45.3%

Registered nurse turnover71.4%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 7, 2026
Cycle 1 health score: 207
Total weighted score: 171.25

Operating entity

Hamilton County Hospital District

CMS legal business name of the certified provider. Operates 61 facilities.

VerifiedLinked by exact legal name

CMS chain

Advanced Healthcare Solutions

28 facilities in 1 states. CMS chain ID 13.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3

Ownership disclosures

Disclosures

6

Organizations

1

Individuals

5

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Balch Springs Hc LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2024
Eliezer Scheiner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2024
Ari Silberstein	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2024
Grady Hooper	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2024
Neil Muxworthy	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2024
Grady Hooper	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2024

Other facilities operated by Hamilton County Hospital District

All 60 →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at the Lakes 424 N Tarpey Rd, Texas City, TX 77591 CCN 455490	109	Dec 4, 2025	401 IJ	$8,410
Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560	122	Aug 5, 2026	412 IJ5 open	$17k
Sulphur Springs Health and Rehabilitation 411 Airport Rd, Sulphur Springs, TX 75482 CCN 455579	128	Jun 24, 2026	581 IJ	$44k
Riverside Oaks 3103 E. Airline Drive, Victoria, TX 77901 CCN 455726	108	Apr 16, 2026	33	—
Advanced Health & Rehab Center of Garland 1201 Colonel Dr., Garland, TX 75043 CCN 455731SFF Candidate	139	Jun 4, 2026	584 IJ	$183k
Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954	76	Jun 11, 2026	192 open	—
Avir at Kaufman 3001 S Houston St, Kaufman, TX 75142 CCN 455962	115	Feb 9, 2026	491 IJ	$8,021
Clarksville Nursing Center 300 East Baker St., Clarksville, TX 75426 CCN 455985	132	Apr 14, 2026	33	—

Same chain in Texas

All 27 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560	122	Aug 5, 2026	412 IJ5 open	$17k
Sulphur Springs Health and Rehabilitation 411 Airport Rd, Sulphur Springs, TX 75482 CCN 455579	128	Jun 24, 2026	581 IJ	$44k
Advanced Health & Rehab Center of Garland 1201 Colonel Dr., Garland, TX 75043 CCN 455731SFF Candidate	139	Jun 4, 2026	584 IJ	$183k
Advanced Rehabilitation and Healthcare of Bowie 700 W Highway 287 S, Bowie, TX 76230 CCN 455849	180	Feb 27, 2026	14	—
Advanced Rehabilitation and Healthcare of Vernon 4401 College Dr., Vernon, TX 76384 CCN 455931	120	Jul 22, 2026	20	—
El Paso Health & Rehabilitation Center 11525 Vista Del Sol Drive, El Paso, TX 79936 CCN 455935	150	Aug 24, 2026	67	—
Santa Fe Health & Rehabilitation Center 1205 Santa Fe Dr, Weatherford, TX 76086 CCN 455957	116	May 7, 2026	33	—
Palo Pinto Nursing Center 200 Southwest 25th Ave, Mineral Wells, TX 76067 CCN 455961	106	Sep 11, 2025	342 IJ	$41k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS (geocoding footnote 22).

Address: 4200 Shepard Lane, Balch Springs, TX 75180
ZIP: 75180
County: Dallas County FIPS 48113
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Mesquite Tree Nursing Center 434 Paza Dr., Mesquite, TX 75149 CCN 675033	4.8 km	143	Jun 24, 2026	41	—
Mesquite Village Wellness & Rehabilitation 825 W Kearney St, Mesquite, TX 75149 CCN 676480	6 km	149	Jul 8, 2026	311 IJ	$8,021
Edgewood Rehabilitation and Care Center 1101 Windbell Dr, Mesquite, TX 75149 CCN 676326	6.8 km	142	Apr 28, 2026	24	—
Cheyenne Medical Lodge 750 Highway 352, Mesquite, TX 75149 CCN 676466	7.5 km	139	Jul 12, 2026	28	$13k
The Manor at Seagoville 2416 Elizabeth Ln, Seagoville, TX 75159 CCN 675418	7.7 km	90	Apr 1, 2026	382 IJ	$98k
Willowbend Nursing and Rehabilitation Center 2231 Highway 80 E, Mesquite, TX 75150 CCN 675272	8.4 km	162	Aug 28, 2026	524 IJ1 open	$24k
Palomino Place 3160 Gus Thomasson Road, Mesquite, TX 75150 CCN 676422Abuse icon	10.1 km	120	Aug 11, 2026	373 IJ2 harm	$165k
Town East Rehabilitation and Healthcare Center 3617 O'hare Dr, Mesquite, TX 75150 CCN 676146Abuse icon	10.9 km	130	Jul 9, 2026	432 IJ1 harm2 open	$26k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675057	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675057	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

Record-level source links for CCN 675057

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction