CARROLLTON HEALTH AND REHABILITATION CENTER
1618 KIRBY RD, CARROLLTON, TX 75006 · CCN 675972
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 78.7
- Phone
- 9722451573
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-06 | 13 | 9.1 | 9.5 | +3.9 worse |
| 2 | 2024-04-11 | 9 | 9.4 | 9.8 | -0.4 better |
| 3 | 2023-03-02 | 12 | 8.1 | 9.3 | +3.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident rights | 1 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.16 | 60.0% |
| RN staffing (reported) | 0.86 | 50.0% |
| Total nurse staffing (adjusted) | 3.38 | — |
Fines & penalties
- Total fines
- $19,185
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (34)1 immediate jeopardy1 actual harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-30 · Health
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2026-01-30 · Health
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2026-01-30 · Health
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-01 · Health · corrected 2025-12-02
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-11-20 · Health · corrected 2025-12-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-20 · Health · corrected 2025-12-07
Potential for more than minimal harm
- DF0761Ensure 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.2025-11-20 · Health · corrected 2025-12-07
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-11-20 · Health · corrected 2025-12-07
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-06 · Health · corrected 2025-05-30
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-06 · Health · corrected 2025-05-30
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-05-06 · Health · corrected 2025-05-30
Potential for more than minimal harm
- EF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2025-05-06 · Health · corrected 2025-05-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-06 · Health · corrected 2025-05-30
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-14 · Health · corrected 2024-05-20
Actual harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-11 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0584Honor 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.2024-04-11 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-04-11 · Health · corrected 2024-05-03
Potential for more than minimal harm
- EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-04-11 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-04-11 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-04-11 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0761Ensure 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.2024-04-11 · Health · corrected 2024-05-03
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-20 · Health · corrected 2024-01-05
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- DF0584Honor 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.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- FF0727Have 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.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- DF0761Ensure 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.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-02 · Health · corrected 2023-04-02
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-03-02 · Health · corrected 2023-04-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 |
| CARROLLTON HEIGHTS HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| COIL, RYAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-01 |
| WARD, CHARLES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2017-04-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| TAYLOR, STEPHEN | Individual | CORPORATE OFFICER | — | 2025-07-01 |
Other facilities in CARROLLTON
| Name | Overall | Beds |
|---|---|---|
| THE MADISON ON MARSH | ★★★☆☆ | 125 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.