Balch Springs Nursing Home
4200 Shepherd Ln · Balch Springs, TX · 75180 · 9722860335
120 certified beds For profit - Corporation Chain: Advanced Healthcare Solutions
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Total nurse staffing below 3.0 hours per resident-day
2.90 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.90 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.53 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 1 · $43,095 |
Inspection citations (21 in the current record)
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Potential for harm · E May 7, 2026
Give the resident's representative the ability to exercise the resident's rights.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · E May 7, 2026
Keep residents' personal and medical records private and confidential.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · E May 7, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D May 7, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D May 7, 2026
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
-
Immediate jeopardy · J March 30, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 23, 2026 · Resident Assessment and Care Planning
-
Immediate jeopardy · K March 30, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 23, 2026 · Quality of Life and Care
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Potential for harm · D March 6, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 6, 2025 · Quality of Life and Care
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Potential for harm · E March 6, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 6, 2025 · Quality of Life and Care
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Potential for harm · E March 6, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 6, 2025 · Pharmacy Service
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Potential for harm · E March 6, 2025
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.
Corrected April 6, 2025 · Pharmacy Service
-
Potential for harm · F March 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 6, 2025 · Nutrition and Dietary
-
Potential for harm · D August 28, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 18, 2024 · Pharmacy Service
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Potential for harm · D May 31, 2024 · found via complaint
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.
Corrected June 3, 2024 · Pharmacy Service
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Potential for harm · E February 14, 2024
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.
Corrected February 19, 2024 · Resident Rights
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Potential for harm · E February 14, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 19, 2024 · Quality of Life and Care
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Potential for harm · D February 14, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 19, 2024 · Quality of Life and Care
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Potential for harm · F February 14, 2024
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected February 19, 2024 · Administration
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Potential for harm · E February 14, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 19, 2024 · Environmental
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Potential for harm · D February 14, 2024 · found via complaint
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.
Corrected February 19, 2024 · Pharmacy Service
-
Potential for harm · E February 14, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 19, 2024 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 30, 2026 | Fine | $43,095 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675057 · certified since June 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.