The Hillcrest of North Dallas

18648 Hillcrest Rd · Dallas, TX · 75252 · 9725177771

120 certified beds For profit - Corporation Chain: Opco Skilled Management Hospital-based

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $212,035 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

5 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

3 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$212,035 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Total nurse staffing below 3.0 hours per resident-day

2.70 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

74% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 24
Serious harm & abuse 20% 54
Staffing 20% 42
Federal penalties 15% 11
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.703.48 min · 4.1 strong
RN hours / resident-day0.400.55–0.75
Weekend hours / resident-day2.38≈ weekday level
Nursing turnover / year74%median 45%
Fines (3-yr window)3 · $221,052

Inspection citations (44 in the current record)

  • Potential for harm · D December 1, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 2, 2025 · Quality of Life and Care

  • Potential for harm · E July 31, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 1, 2025 · Quality of Life and Care

  • Potential for harm · E July 31, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 1, 2025 · Infection Control

  • Potential for harm · E July 31, 2025

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected August 1, 2025 · Environmental

  • Potential for harm · D July 31, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 1, 2025 · Resident Rights

  • Potential for harm · D July 31, 2025 · 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 August 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 31, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 1, 2025 · Quality of Life and Care

  • Potential for harm · D July 31, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 1, 2025 · Quality of Life and Care

  • Potential for harm · D July 31, 2025 · found via complaint

    Provide or obtain dental services for each resident.

    Corrected August 1, 2025 · Quality of Life and Care

  • Potential for harm · E July 31, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 1, 2025 · Nutrition and Dietary

  • Potential for harm · E June 3, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 4, 2025 · Pharmacy Service

  • Potential for harm · E May 22, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 23, 2025 · Pharmacy Service

  • Potential for harm · E May 22, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected May 23, 2025 · Pharmacy Service

  • Potential for harm · D May 1, 2025 · 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 May 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 4, 2025 · found via complaint

    Prepare residents for a safe transfer or discharge from the nursing home.

    Corrected April 10, 2025 · Resident Rights

  • Potential for harm · D December 7, 2024 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 8, 2024 · Quality of Life and Care

  • Potential for harm · E December 2, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 3, 2024 · Resident Rights

  • Actual harm · G September 16, 2024 · found via complaint

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected September 17, 2024 · Quality of Life and Care

  • Potential for harm · D August 30, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 31, 2024 · Quality of Life and Care

  • Potential for harm · E August 30, 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 August 31, 2024 · Pharmacy Service

  • Potential for harm · E August 30, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected August 31, 2024 · Resident Assessment and Care Planning

  • Immediate jeopardy · K August 12, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 13, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K August 12, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected August 13, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K August 12, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 13, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K August 12, 2024 · 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 August 13, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 3, 2024Fine$12,202
August 3, 2024Fine$199,833
August 3, 2024Payment Denial4 days
May 31, 2024Fine$9,017

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676315 · certified since June 18, 2012. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.