Heritage Gardens Rehabilitation And Healthcare has received an F grade based on CMS data, with a score of 23/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Carrollton facility should carefully review its inspection history and quality metrics.
With 3.32 total nurse hours per resident per day, Heritage Gardens Rehabilitation And Healthcare falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 21 deficiencies at Heritage Gardens Rehabilitation And Healthcare. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.32 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.28 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.04 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.00 | 2.4 | Below Average |
| Weekend Total Nursing | 2.81 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jul 7, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Apr 8, 2025 · Infection Control Deficiencies
- Tag 0726 Severity EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Mar 12, 2025 · Nursing and Physician Services Deficiencies
- Tag 0727 Severity EHave 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.Nov 5, 2024 · Nursing and Physician Services Deficiencies
- Tag 0745 Severity EProvide medically-related social services to help each resident achieve the highest possible quality of life.Nov 5, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.5% | 4.5% | Better |
| Falls with major injury | 0.4% | 3.0% | Better |
| On antipsychotic medication | 0.5% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 31.5% | 14.0% | Worse |
| Excessive weight loss | 3.0% | 7.5% | Better |
| New/worsened incontinence | 12.7% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $38,243
How This Grade Was Calculated
This facility's grade of F is based on a score of 23 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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