The Plaza At Edgemere is an average performer in CMS ratings, earning a C grade with a score of 60/100. Located in Dallas, Texas, the facility meets baseline standards across most quality metrics.
Recent inspections identified 12 deficiencies at The Plaza At Edgemere. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures
🏥 Staffing Details
Staffing hours data not available for this facility.
🔍 Inspection & Deficiency History
12
Total Deficiencies
Jan 21, 2026
Most Recent Inspection
🟠 12 Moderate
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 21, 2026 · Nutrition and Dietary Deficiencies
- Tag 0851 Severity EElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Jan 21, 2026 · Administration Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Jan 21, 2026 · Infection Control Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 1, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Oct 2, 2024 · Nutrition and Dietary 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 | 4.6% | 4.5% | Average |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 22.2% | 14.5% | Worse |
| Urinary tract infections | 3.0% | 2.5% | Worse |
| ADL decline (daily activities) | 26.7% | 14.0% | Worse |
| Excessive weight loss | 2.8% | 7.5% | Better |
| New/worsened incontinence | 8.1% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 60 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Ownership
For profit - Limited Liability company
Certified Beds
72
Provider Type
Medicare
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 21, 2026
Deficiencies (Cycle 1)
4
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