Nursing homes › Texas › Carrollton › Carrollton Health and Rehabilitation Center
1618 Kirby Rd, Carrollton, TX 75006 · (972) 245-1573 · 120 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 342 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 6 facilities on the Special Focus list, $7,057,363 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: 39 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-25 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Keep residents' personal and medical records private and confidential. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Ensure medication error rates are not 5 percent or greater. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | 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. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Provide and implement an infection prevention and control program. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Reasonably accommodate the needs and preferences of each resident. | D | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Ensure each resident receives an accurate assessment. | D | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | Deficient, Provider has no plan of correction |
| 2026-06-25 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Health | Deficient, Provider has no plan of correction |
| 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 |
| 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 |
How to cite this page: CareRecords, “Carrollton Health and Rehabilitation Center — compliance, penalty and ownership record” (CCN 675972), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/carrollton-health-and-rehabilitation-center-carrollton-tx/
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675972. Corrections: data@carerecords.org.