F

Duncanville Healthcare and Rehabilitation Center

419 S Cockrell Hill Rd, Duncanville, TX 75116
Score: 4 / 100

Duncanville Healthcare And Rehabilitation Center has received an F grade based on CMS data, with a score of 4/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Duncanville facility should carefully review its inspection history and quality metrics.

Staffing at Duncanville Healthcare And Rehabilitation Center is near the national average, with 3.69 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 61 deficiencies at Duncanville Healthcare And Rehabilitation Center, including 8 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.69 3.8 Average
Registered Nurses (RN) 0.27 0.7 Below Average
Licensed Practical Nurses (LPN) 1.00 0.7 Above Average
Certified Nursing Assistants (CNA) 2.43 2.4 Average
Weekend Total Nursing 3.24 3.8 Below Average
Weekend RN Hours 0.24 0.7 Below Average

🔍 Inspection & Deficiency History

61
Total Deficiencies
Dec 4, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 52 Moderate 🔴 8 Serious
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Dec 4, 2025 · Resident Rights Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Dec 4, 2025 · Infection Control Deficiencies
  • Tag 0691 Severity D
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    Nov 7, 2025 · Quality of Life and Care Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Sep 17, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Aug 13, 2025 · Pharmacy Service 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 3.3% 4.5% Better
Falls with major injury 4.2% 3.0% Worse
On antipsychotic medication 5.6% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 16.5% 14.0% Worse
Excessive weight loss 1.1% 7.5% Better
New/worsened incontinence 8.1% 45.0% Better

⚠️ Penalties & Fines

7 penalties recorded by CMS

Total fines: $116,171

How This Grade Was Calculated

This facility's grade of F is based on a score of 4 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
124
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 13, 2025
Deficiencies (Cycle 1)
17