Heritage Gardens Rehabilitation and Healthcare
2135 N Denton Dr, Carrollton, TX 75006 · CCN 675111
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 150
- Avg residents/day
- 78.2
- Phone
- 9722420666
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 | 2024-11-06 | 8 | 9.1 | 9.5 | -1.1 better |
| 2 | 2023-10-05 | 6 | 9.4 | 9.8 | -3.4 better |
| 3 | 2022-08-17 | 7 | 8.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Nursing and physician services | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.32 | 42.1% |
| RN staffing (reported) | 0.28 | — |
| Total nurse staffing (adjusted) | 3.27 | — |
Fines & penalties
- Total fines
- $38,243
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (21)1 actual harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-08 · Health · corrected 2025-06-26
Actual harm
- DF0880Provide and implement an infection prevention and control program.2025-04-09 · Health · corrected 2025-04-28
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-03-13 · Health · corrected 2025-03-27
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.2024-11-06 · Health · corrected 2024-12-06
Potential for more than minimal harm
- EF0727Have 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.2024-11-06 · Health · corrected 2024-12-06
Potential for more than minimal harm
- EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-11-06 · Health · corrected 2024-12-06
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-11-06 · Health · corrected 2024-12-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-11-06 · Health · corrected 2024-12-06
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.2024-03-08 · Health · corrected 2024-03-23
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 admitted2024-02-08 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-02-08 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-05 · Health · corrected 2023-10-31
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-05 · Health · corrected 2023-10-31
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-05 · Health · corrected 2023-10-27
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-10-05 · Health · corrected 2023-10-24
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-10-05 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-19 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2023-04-19 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-19 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-04-19 · Health · corrected 2023-05-05
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-17 · Health · corrected 2022-09-01
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 |
| SAVOY HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| HERNANDEZ, MIGUEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 |
| PATERSON, MORLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-21 |
| 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 |
|---|---|---|
| Mustang Park Therapy and Living Center | ★★★☆☆ | 120 |
| Brookhaven Nursing and Rehabilitation Center | ★☆☆☆☆ | 180 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.