Nursing homes › Texas › Carrollton Health and Rehabilitation Center
1618 Kirby Rd, Carrollton, TX 75006 · 9722451573 · 120 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.12 (Texas median: 3.27). RN hours: 0.67. Weekend total: 2.57.
All-time on record: 36 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2026-04-05 |
| 2026-03-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-03-08 |
| 2026-01-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2026-02-19 |
| 2026-01-30 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | corrected 2026-02-19 |
| 2026-01-30 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | complaint | corrected 2026-02-19 |
| 2025-12-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-12-02 |
| 2025-11-20 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2025-12-07 |
| 2025-11-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-12-07 |
| 2025-11-20 | 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. | D | complaint | corrected 2025-12-07 |
| 2025-11-20 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-12-07 |
| 2025-05-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2025-05-30 |
| 2025-05-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2025-05-30 |
| 2025-05-06 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-05-30 |
| 2025-05-06 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | E | Health | corrected 2025-05-30 |
| 2025-05-06 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-05-30 |
| 2025-01-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-05-20 |
| 2024-04-11 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Health | corrected 2024-05-03 |
| 2024-04-11 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-05-03 |
| 2024-04-11 | Honor 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. | D | Health | corrected 2024-05-03 |
| 2024-04-11 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-05-03 |
| 2024-04-11 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-05-03 |
| 2024-04-11 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-05-03 |
| 2024-04-11 | 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. | D | Health | corrected 2024-05-03 |
| 2024-03-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-01-05 |
| 2023-03-02 | 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. | F | Health | corrected 2023-04-02 |
| 2023-03-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-04-02 |
| 2023-03-02 | Honor 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. | D | Health | corrected 2023-04-02 |
| 2023-03-02 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2023-04-02 |
| 2023-03-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-04-02 |
| 2023-03-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-04-02 |
| 2023-03-02 | Ensure 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. | D | Health | corrected 2023-04-02 |
| 2023-03-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-04-02 |
| 2023-03-02 | 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. | D | Health | corrected 2023-04-02 |
| 2023-03-02 | Ensure 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. | D | Health | corrected 2023-04-02 |
| 2023-03-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2023-04-02 |
| 2023-03-02 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-04-06 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-14 | Fine | $10,358 |
| 2024-03-20 | Fine | $8,827 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2017 |
| COIL, RYAN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/01/2025 |
| WARD, CHARLES | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2023 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| TAYLOR, STEPHEN | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2025 |
| CARROLLTON HEIGHTS HEALTHCARE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2017 |
| COIL, RYAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2025 |
| WARD, CHARLES | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675972. Corrections: data@carerecords.org.