Duncanville Healthcare and Rehabilitation Center
419 S Cockrell Hill Rd, Duncanville, TX 75116 · CCN 676178
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 124
- Avg residents/day
- 80.6
- Phone
- 9727088800
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 | 2025-08-14 | 17 | 9.1 | 9.5 | +7.9 worse |
| 2 | 2024-07-10 | 11 | 9.4 | 9.8 | +1.6 worse |
| 3 | 2023-05-24 | 33 | 8.1 | 9.3 | +24.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 2 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Administration | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.69 | 61.1% |
| RN staffing (reported) | 0.27 | 85.7% |
| Total nurse staffing (adjusted) | 3.66 | — |
Fines & penalties
- Total fines
- $116,171
- Number of fines
- 7
- Number of penalties
- 8
- Payment denials
- 1
Chain
- Chain
- NEXION HEALTH
- Facilities in chain
- 52
- Chain avg overall
- 2.30 / 5
Inspection citations (61)8 immediate jeopardy3 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-05 · Health
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-05 · Health
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2025-11-08 · Health · corrected 2025-11-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-18 · Health · corrected 2025-09-21
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-14 · Health · corrected 2025-08-17
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-08-14 · Health · corrected 2025-08-17
Potential for minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-14 · Health · corrected 2025-08-17
Potential for more than minimal harm
- EF0761Ensure 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.2025-08-14 · Health · corrected 2025-08-17
Potential for more than minimal harm
- EF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-08-14 · Health · corrected 2025-08-17
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-14 · Health · corrected 2025-08-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-08-14 · Health · corrected 2025-08-17
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-05-20 · Health · corrected 2025-05-19
Immediate jeopardy
- EF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2025-05-20 · Health · corrected 2025-05-21
Potential for more than minimal harm
- EF0584Honor 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.2025-05-06 · Health · corrected 2025-05-07
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-06 · Health · corrected 2025-05-07
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-05-01 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-01 · Health · corrected 2025-05-02
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-23 · Health · corrected 2025-02-17
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.2025-01-23 · Health · corrected 2025-02-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-11-20 · Health · corrected 2024-11-21
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-16 · Health · corrected 2024-11-13
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-10 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-10 · Health · corrected 2024-09-06
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.2024-07-10 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-07-10 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-07-10 · Health · corrected 2024-09-06
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-10 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-10 · Health · corrected 2024-09-06
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-25 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-25 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-25 · Health · corrected 2024-02-26
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-25 · Health · corrected 2024-02-26
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-25 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-02-25 · Health · corrected 2024-02-26
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-25 · Health · corrected 2024-02-26
Potential for more than minimal harm
- EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-02-25 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-07 · Health · corrected 2024-02-08
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.2024-02-07 · Health · corrected 2024-02-08
Potential for more than minimal harm
- JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-12 · Health · corrected 2024-01-13
Immediate jeopardy
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-12 · Health · corrected 2024-01-13
Immediate jeopardy
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-12 · Health · corrected 2024-01-13
Immediate jeopardy
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-09-27 · Health · corrected 2023-09-28
Potential for more than minimal harm
- EF0584Honor 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.2023-09-27 · Health · corrected 2023-09-28
Potential for more than minimal harm
- DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-09-27 · Health · corrected 2023-09-28
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-09-27 · Health · corrected 2023-09-28
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-27 · Health · corrected 2023-09-28
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.2023-09-11 · Health · corrected 2023-09-12
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.2023-09-11 · Health · corrected 2023-09-12
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-31 · Health · corrected 2023-09-01
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-04 · Health · corrected 2023-07-31
Immediate jeopardy
- FF0761Ensure 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.2023-07-18 · Health · corrected 2023-07-19
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-07-18 · Health · corrected 2023-07-19
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-05-24 · Health · corrected 2023-06-21
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-24 · Health · corrected 2023-06-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-05-24 · Health · corrected 2023-06-21
Potential for more than minimal harm
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-19 · Health · corrected 2023-06-09
Immediate jeopardy
- KF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-19 · Health · corrected 2023-06-09
Immediate jeopardy
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-29 · Health · corrected 2023-03-30
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-03-29 · Health · corrected 2023-03-30
Actual harm
- GF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-29 · Health · corrected 2023-03-30
Actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-22 · Health · corrected 2023-03-23
Immediate jeopardy
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-02-21 |
| NEXION HEALTH LEASING, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2001-08-08 |
| NEXION HEALTH, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2001-08-08 |
| DALLAS COUNTY HOSPITAL DISTRICT | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-21 |
| NEXION HEALTH AT DUNCANVILLE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-21 |
| NEXION HEALTH LEASING, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2001-08-08 |
| NEXION HEALTH, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2001-08-08 |
| CERISE, FREDERICK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-21 |
| KIRLEY, FRANCIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-21 |
| LEE, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-21 |
| RINER, MEERA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-21 |
| CALLIES, MARILYN | Individual | CORPORATE OFFICER | — | 2013-02-11 |
| CERISE, FREDERICK | Individual | CORPORATE OFFICER | — | 2014-03-24 |
| PIERCE, DANIEL | Individual | CORPORATE OFFICER | — | 2021-03-16 |
| CALLIES, MARILYN | Individual | W-2 MANAGING EMPLOYEE | — | 2022-08-31 |
| TAYLOR, KIARA | Individual | W-2 MANAGING EMPLOYEE | — | 2021-09-20 |
Other facilities in Duncanville
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.