Carrollton Health and Rehabilitation Center

Nursing Home · Carrollton, TX

CMS overall rating 2/5 Government - Hospital district

CMS certification number675972

Contact & location

1618 Kirby Rd
Carrollton, TX 75006
Dallas County
Phone
(972) 245-1573
ZIP code
75006 – all care providers

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Facility details

Certified beds
120
Residents per day
78.1 (65% occupied)
Ownership
Government - Hospital district
Legal name
Eastland Memorial Hospital District
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
May 9, 2003
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.12 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.67 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.67 (state 0.95 · U.S. 0.86)
Nurse aides
1.78 (state 2.00 · U.S. 2.32)
Weekend total
2.57 (state 2.98 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
June 25, 2026
Health deficiencies (last cycle)
25.0 (state 9.3 · U.S. 9.3)
From complaints
10
Citations on record (3 years)
39 health · 7 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-25 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-25 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-03-26 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-05
2026-03-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-08
2026-01-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-19
2026-01-30 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-19
2026-01-30 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-19
2025-12-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-02
2025-11-20 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-07
2025-11-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-07
2025-11-20 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-07
2025-11-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-07
2025-05-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-30
2025-05-06 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-30
2025-05-06 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-30
2025-05-06 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
F0776 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-30
2025-05-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-30
2025-01-14 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-05-20
2024-04-11 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-11 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-11 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-11 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-11 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-11 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-11 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-03-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-01-05

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $19,185 in fines.

DateTypeAmount
2025-01-14Fine$10,358
2024-03-20Fine$8,827

Ownership & management

NameRoleSince
Eastland Memorial Hospital District (organization)5%+ Direct Ownership Interest · 100%
Caretrust GP LLC (organization)Administrator · NOT APPLICABLE
Caretrust Reit INC (organization)Administrator · NOT APPLICABLE
Carrollton Heights Healthcare, INC. (organization)Administrator · NOT APPLICABLE
Coil, Ryan (individual)Administrator · NOT APPLICABLE
CTR Partnership LP (organization)Administrator · NOT APPLICABLE
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Trinity Mill Holdings LLC (organization)Administrator · NOT APPLICABLE
Ward, Charles (individual)Administrator · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Taylor, Stephen (individual)Corporate Officer · NOT APPLICABLE
Coil, Ryan (individual)Managing Control - Governing Body · NOT APPLICABLE
Ward, Charles (individual)Managing Control - Governing Body · NOT APPLICABLE
Carrollton Heights Healthcare, INC. (organization)Operational/managerial Control · NOT APPLICABLE
Coil, Ryan (individual)Operational/managerial Control · NOT APPLICABLE
Ward, Charles (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Carrollton Health and Rehabilitation Center?

Carrollton Health and Rehabilitation Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Carrollton Health and Rehabilitation Center have?

It has 120 certified beds and cares for about 78 residents per day.

Has Carrollton Health and Rehabilitation Center been fined?

Yes. CMS lists 2 penalties totaling $19,185 in the last three years.

Who owns Carrollton Health and Rehabilitation Center?

It is part of The Ensign Group and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Carrollton Health and Rehabilitation Center?

(972) 245-1573. The facility is located at 1618 Kirby Rd, Carrollton, TX 75006.

Other nursing homes in Carrollton

Compare all nursing homes in Carrollton, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.