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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J6 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E8 | F6 |
| 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 | |
|---|---|---|---|---|---|---|
| May 13, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 22, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Sep 22, 2025 | Health | Health Standard | 5 | Immediate jeopardy | — | Open → |
| Mar 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 18, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 16, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Aug 16, 2024 | Health | Health Complaint, Health Standard | 7 | Immediate jeopardy | — | Open → |
| Jul 1, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jun 15, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 15, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 22, 2025 | Civil money penalty (fine) | $97,391 | — | 676474|Fine|135385 |
| Aug 16, 2024 | Civil money penalty (fine) | $15,141 | — | 676474|Fine|113240 |
| Jul 1, 2024 | Civil money penalty (fine) | $8,021 | — | 676474|Fine|113031 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J6 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E8 | F6 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 13, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2026 | Complaint |
| May 13, 2026 | 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 May 14, 2026 | Complaint |
“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 this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Mark Noel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2019 |
| Troy Issac | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 17, 2019 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Golden Acres Living and Rehabilitation Center 2525 Centerville Rd, Dallas, TX 75228 CCN 675081 | 4.5 km | 264 | Aug 27, 2026 | 631 open | $13k | |
| Palomino Place 3160 Gus Thomasson Road, Mesquite, TX 75150 CCN 676422Abuse icon | 5.1 km | 120 | Aug 11, 2026 | 373 IJ2 harm | $165k | |
| C C Young Memorial Home 4849 W. Lawther Dr., Dallas, TX 75214 CCN 675592 | 6.7 km | 129 | Jul 8, 2026 | 13 | — | |
| Willowbend Nursing and Rehabilitation Center 2231 Highway 80 E, Mesquite, TX 75150 CCN 675272 | 6.7 km | 162 | Aug 28, 2026 | 524 IJ1 open | $24k | |
| Villages of Lake Highlands 8615 Lullwater Drive, Dallas, TX 75238 CCN 676268 | 6.9 km | 126 | Jul 23, 2026 | 334 IJ1 harm | $29k | |
| Edgewood Rehabilitation and Care Center 1101 Windbell Dr, Mesquite, TX 75149 CCN 676326 | 7 km | 142 | Apr 28, 2026 | 24 | — | |
| Christian Care Communities and Services Mesquite 1000 Wiggins Parkway, Mesquite, TX 75150 CCN 455617 | 7.8 km | 180 | May 21, 2026 | 314 IJ | $29k | |
| Town East Rehabilitation and Healthcare Center 3617 O'hare Dr, Mesquite, TX 75150 CCN 676146Abuse icon | 8.1 km | 130 | Jul 9, 2026 | 432 IJ1 harm2 open | $26k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676474 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676474 | 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
| May 13, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2026 | Complaint |
| Apr 22, 2026 | 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 | D · Potential harm Isolated | Corrected Apr 23, 2026 | Complaint |
| Apr 2, 2026 | F-0727 | Have 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. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 3, 2026 | Complaint |
| Sep 22, 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 | J · Immediate jeopardy Isolated | Corrected Sep 23, 2025 |
| Sep 22, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Sep 23, 2025 |
| Sep 22, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Sep 23, 2025 |
| Sep 22, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 16, 2025 |
| Sep 22, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 16, 2025 |
| Sep 22, 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 Oct 16, 2025 |
| Sep 22, 2025 | 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 Oct 16, 2025 |
| Sep 22, 2025 | F-0727 | Have 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. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Sep 23, 2025 |
| Sep 22, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 23, 2025 |
| Sep 22, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Oct 16, 2025 |
| Mar 21, 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 | D · Potential harm Isolated | Corrected Mar 22, 2025 | Complaint |
| Dec 9, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 10, 2024 | Complaint |
| Oct 18, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 21, 2024 | Complaint |
| Oct 18, 2024 | 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 Oct 21, 2024 | Complaint |
| Oct 18, 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 | D · Potential harm Isolated | Corrected Oct 21, 2024 | Complaint |
| Aug 16, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Aug 17, 2024 | Complaint |
| Aug 16, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 17, 2024 | Complaint |
| Aug 16, 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 15, 2024 |
| Aug 16, 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 Aug 17, 2024 |
| Aug 16, 2024 | F-0727 | Have 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. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 17, 2024 |
| Aug 16, 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 | E · Potential harm Pattern | Corrected Aug 17, 2024 |
| Aug 16, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 17, 2024 |
| Aug 16, 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 17, 2024 | Complaint |
| Jul 1, 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 | J · Immediate jeopardy Isolated | Corrected Jul 2, 2024 | Complaint |
| Jul 1, 2024 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jul 2, 2024 | Complaint |
| Jun 15, 2023 | 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 | F · Potential harm Widespread | Corrected Jun 15, 2023 |
| Jun 15, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 30, 2023 |
| Jun 15, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 11, 2023 |
| Jun 15, 2023 | F-0727 | Have 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. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 20, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.65 (case-mix index 1.23).