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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K3 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D11 | E11 | F1 |
| Minimal | A· | B· | C· |
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 13, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 3, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jun 3, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Apr 17, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 17, 2025 | Health | Health Complaint, Health Standard | 10 | Immediate jeopardy | — | Open → |
| Feb 29, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 29, 2024 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 13, 2026 | Civil money penalty (fine) | $14,380 | — | 676156|Fine|144495 |
| Apr 17, 2025 | Civil money penalty (fine) | $14,433 | — | 676156|Fine|113774 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K3 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D11 | E11 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 13, 2026 | 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 | G · Actual harm Isolated | Past non-compliance Aug 5, 2026 | Complaint |
| Jun 3, 2026 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 30, 2026 |
“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 37 facilities.
5 facilities in 1 states. CMS chain ID 844.
Chain average overall rating (CMS): 3.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dallas County Hospital District | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Millennial Care Management, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Shannan Bradley | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 11, 2023 |
| Frederick Cerise | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 24, 2014 |
| Edmundo Castaneda | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 10, 2022 |
| Robert Foster | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Windsor Gardens 2535 W Pleasant Run, Lancaster, TX 75146 CCN 455832 | 150 | Jul 20, 2026 | 342 IJ | $14k | |
| Avir at River Valley 1907 Refinery Rd, Gainesville, TX 76240 CCN 455970 | 116 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Denton Rehabilitation and Nursing Center 3345 Medpark Dr., Denton, TX 76210 CCN 675136 | 94 | Jul 16, 2026 | 32 | — | |
| Williamsburg Village Healthcare Campus 940 York Drive, Desoto, TX 75115 CCN 675756SFF Candidate | 242 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Mustang Park Therapy and Living Center 4501 Plano Parkway, Carrollton, TX 75010 CCN 676363 | 1.6 km | 120 | Jul 8, 2026 | 631 IJ2 harm2 open | $18k | |
| Accel at Willow Bend 2620 Communications Parkway, Plano, TX 75093 CCN 676349 | 1.7 km | 110 | Jun 12, 2026 | 542 IJ3 harm | — | |
| Brookhaven Nursing and Rehabilitation Center 1855 Cheyenne Dr., Carrollton, TX 75010 CCN 455412Abuse icon | 3.3 km | 180 | May 27, 2026 | 773 IJ1 harm | $25k | |
| The Legacy at Willow Bend 6101 Ohio Ste 500, Plano, TX 75024 CCN 676189 | 6.4 km | 60 | Dec 4, 2025 | 18 | — | |
| Carrara 4501 Tradition Trail, Plano, TX 75093 CCN 676429 | 6.8 km | 112 | Jun 25, 2026 | 291 IJ | $10k | |
| The Madison on Marsh 2245 Marsh Ln, Carrollton, TX 75006 CCN 676128 | 7 km | 125 | Feb 26, 2026 | 341 IJ | $8,473 | |
| The Hillcrest of North Dallas 18648 Hillcrest Rd, Dallas, TX 75252 CCN 676315 | 7.1 km | 120 | Dec 1, 2025 | 495 IJ1 harm | $221k | |
| Landmark of Plano Rehabilitation and Nursing Cente 1621 Coit Road, Plano, TX 75075 CCN 455861 | 7.9 km | 160 | Jan 20, 2026 | 611 harm | $9,240 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676156 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676156 | 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
| Jun 3, 2026 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2026 |
| Jun 3, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2026 |
| Jun 3, 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 | D · Potential harm Isolated | Corrected Jun 30, 2026 |
| Jun 3, 2026 | 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 Jun 30, 2026 |
| Jun 3, 2026 | 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 Jun 30, 2026 |
| Jun 3, 2026 | 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 30, 2026 |
| Jun 3, 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 | Corrected Jun 30, 2026 |
| Jun 3, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 30, 2026 |
| Apr 17, 2025 | 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 | K · Immediate jeopardy Pattern | Past non-compliance Feb 25, 2025 |
| Apr 17, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Past non-compliance Feb 25, 2025 | ComplaintIDR |
| Apr 17, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Past non-compliance Feb 25, 2025 | Complaint |
| Apr 17, 2025 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 1, 2025 | Complaint |
| Apr 17, 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 | E · Potential harm Pattern | Corrected May 1, 2025 | Complaint |
| Apr 17, 2025 | 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 | Corrected May 1, 2025 | Complaint |
| Apr 17, 2025 | 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 May 1, 2025 | Complaint |
| Apr 17, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 1, 2025 |
| Apr 17, 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 May 1, 2025 | Complaint |
| Apr 17, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 1, 2025 | Complaint |
| Feb 29, 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 Mar 31, 2024 |
| Feb 29, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 4, 2024 |
| Feb 29, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 4, 2024 | Complaint |
| Feb 29, 2024 | 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 | E · Potential harm Pattern | Corrected Mar 22, 2024 |
| Feb 29, 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 Mar 22, 2024 |
| Feb 29, 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 Mar 22, 2024 |
| Feb 29, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 22, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.02 (case-mix index 1.34).
| Managing employee |
| W-2 MANAGING EMPLOYEE |
| not provided |
| Mar 23, 2022 |
| Jul 27, 2026 |
41 |
| — |
| Denton Rehabilitation and Nursing Center 3345 Medpark Dr., Denton, TX 76210 CCN 675136 | 94 | Jul 16, 2026 | 32 | — |
| Meadowbrook Care Center 632 Windsor Way, Van Alstyne, TX 75495 CCN 675151 | 60 | May 5, 2026 | 251 IJ | $14k |
| The Manor at Seagoville 2416 Elizabeth Ln, Seagoville, TX 75159 CCN 675418 | 90 | Apr 1, 2026 | 382 IJ | $98k |
| Renaissance Care Center 1400 Blackshill Dr, Gainesville, TX 76240 CCN 675441 | 91 | Jun 4, 2026 | 42 | — |
| Beacon Hill 3515 S Park Ave, Denison, TX 75020 CCN 675503 | 150 | May 26, 2026 | 28 | — |
| Williamsburg Village Healthcare Campus 940 York Drive, Desoto, TX 75115 CCN 675756SFF Candidate | 242 | Jul 30, 2026 | 939 IJ | $150k |
| Jul 30, 2026 |
939 IJ |
| $150k |
| Town East Rehabilitation and Healthcare Center 3617 O'hare Dr, Mesquite, TX 75150 CCN 676146Abuse icon | 130 | Jul 9, 2026 | 432 IJ1 harm2 open | $26k |
| Ridgeview Rehabilitation and Skilled Nursing 206 Walls Dr, Cleburne, TX 76033 CCN 676197 | 134 | Dec 11, 2025 | 29 | — |