Starfile

Starfile / Texas

NORTHGATE PLAZA

2101 NORTHGATE DR, IRVING, TX 75062 · CCN 675967

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
120
Avg residents/day
58.0
Phone
9722554460

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12024-12-18179.19.5+7.9 worse
22023-11-09259.49.8+15.6 worse
32022-09-28178.19.3+8.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care6
Resident assessment and care planning2
Nursing and physician services1
Resident rights3
Nutrition and dietary2
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.9985.1%
RN staffing (reported)0.4585.7%
Total nurse staffing (adjusted)3.63

Fines & penalties

Total fines
$55,697
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 (59)1 immediate jeopardy1 actual harm

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-25 · Health · corrected 2025-10-09

    Potential for more than minimal harm

  2. EF0558Reasonably accommodate the needs and preferences of each resident.2025-11-25 · Health · corrected 2025-10-09

    Potential for more than minimal harm

  3. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-11-25 · Health · corrected 2025-10-09

    Potential for more than minimal harm

  4. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-25 · Health · corrected 2025-10-09

    Potential for more than minimal harm

  5. 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.2025-11-25 · Health · corrected 2025-10-09

    Potential for more than minimal harm

  6. DF0880Provide and implement an infection prevention and control program.2025-11-25 · Health · corrected 2025-10-09

    Potential for more than minimal harm

  7. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-07 · Health · corrected 2025-08-08

    Potential for more than minimal harm

  8. EF0558Reasonably accommodate the needs and preferences of each resident.2025-05-14 · Health · corrected 2025-06-04

    Potential for more than minimal harm

  9. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-05-14 · Health · corrected 2025-06-04

    Potential for more than minimal harm

  10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-14 · Health · corrected 2025-06-04

    Potential for more than minimal harm

  11. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-28 · Health · corrected 2025-04-21

    Immediate jeopardy

  12. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-03-28 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  13. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-28 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-18 · Health · corrected 2025-01-17

    Potential for more than minimal harm

  15. 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.2024-12-18 · Health · corrected 2025-01-17

    Potential for more than minimal harm

  16. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-18 · Health · corrected 2025-01-17

    Potential for more than minimal harm

  17. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-18 · Health · corrected 2025-01-17

    Potential for more than minimal harm

  18. DF0558Reasonably accommodate the needs and preferences of each resident.2024-10-31 · Health · corrected 2024-11-25

    Potential for more than minimal harm

  19. EF0583Keep residents' personal and medical records private and confidential.2024-10-31 · Health · corrected 2024-11-25

    Potential for more than minimal harm

  20. 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.2024-10-31 · Health · corrected 2024-11-25

    Potential for more than minimal harm

  21. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-31 · Health · corrected 2024-11-25

    Potential for more than minimal harm

  22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-31 · Health · corrected 2024-11-25

    Potential for more than minimal harm

  23. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-31 · Health · corrected 2024-11-25

    Potential for more than minimal harm

  24. 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.2024-10-31 · Health · corrected 2024-11-25

    Potential for more than minimal harm

  25. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-31 · Health · corrected 2024-11-25

    Potential for more than minimal harm

  26. DF0880Provide and implement an infection prevention and control program.2024-10-31 · Health · corrected 2024-11-25

    Potential for more than minimal harm

  27. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-28 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  28. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-19 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  29. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-19 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  30. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-19 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  31. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-19 · Health · corrected 2024-03-04

    Potential for more than minimal harm

  32. DF0558Reasonably accommodate the needs and preferences of each resident.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  33. 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.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  34. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  35. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  36. EF0680Ensure the activities program is directed by a qualified professional.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  37. DF0692Provide enough food/fluids to maintain a resident's health.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  38. 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.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  39. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  40. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  41. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  42. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  43. DF0880Provide and implement an infection prevention and control program.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

  44. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-09-07 · Health · corrected 2023-09-10

    Potential for more than minimal harm

  45. 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.2023-08-22 · Health · corrected 2023-08-25

    Potential for more than minimal harm

  46. EF0585Honor 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.2023-08-04 · Health · corrected 2023-08-10

    Potential for more than minimal harm

  47. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-08-04 · Health · corrected 2023-08-10

    Actual harm

  48. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-16 · Health · corrected 2023-06-19

    Potential for more than minimal harm

  49. DF0880Provide and implement an infection prevention and control program.2023-06-16 · Health · corrected 2023-06-19

    Potential for more than minimal harm

  50. 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.2023-04-13 · Health · corrected 2023-04-17

    Potential for more than minimal harm

  51. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-13 · Health · corrected 2023-04-17

    Potential for more than minimal harm

  52. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-09-28 · Health · corrected 2022-10-23

    Potential for more than minimal harm

  53. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-28 · Health · corrected 2022-10-22

    Potential for more than minimal harm

  54. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-28 · Health · corrected 2022-10-23

    Potential for more than minimal harm

  55. DF0687Provide appropriate foot care.2022-09-28 · Health · corrected 2022-11-11

    Potential for more than minimal harm

  56. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-09-28 · Health · corrected 2022-10-23

    Potential for more than minimal harm

  57. DF0759Ensure medication error rates are not 5 percent or greater.2022-09-28 · Health · corrected 2022-10-24

    Potential for more than minimal harm

  58. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-28 · Health · corrected 2022-10-03

    Potential for more than minimal harm

  59. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-09-28 · Health · corrected 2022-10-24

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HAMILTON COUNTY HOSPITAL DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-05-01
SWEET BAY HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-07-01
BARNES, MARCUSIndividualOPERATIONAL/MANAGERIAL CONTROL2022-07-01
BURNAM, SOONIndividualOPERATIONAL/MANAGERIAL CONTROL2022-07-01
FORREST, WILLIAMIndividualCORPORATE DIRECTOR1992-05-20
MCGREGOR, DENAIndividualCORPORATE DIRECTOR2016-12-15
MUXWORTHY, NEILIndividualCORPORATE DIRECTOR1996-05-20
WITZSCHE, ROBERTIndividualCORPORATE DIRECTOR1998-12-28
BURNAM, SOONIndividualCORPORATE OFFICER2022-07-01
HOOPER, GRADYIndividualCORPORATE OFFICER2015-12-01
MUXWORTHY, NEILIndividualCORPORATE OFFICER1996-05-20
BARNES, MARCUSIndividualW-2 MANAGING EMPLOYEE2022-07-01

Other facilities in IRVING

NameOverallBeds
Avir at Irving★★★★☆84
AVANTE REHABILITATION CENTER★★★☆☆120
LAS BRISAS REHABILITATION AND WELLNESS CENTER★★★☆☆128
ASHFORD HALL★☆☆☆☆206

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.