Carrollton Health and Rehabilitation Center

1618 Kirby Rd · Carrollton, TX · 75006 · 9722451573

120 certified beds For profit - Corporation Chain: The Ensign Group

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.

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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

1 immediate-jeopardy citation in prior inspection cycles

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

1 abuse-related citation at the actual-harm level

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

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 78
Staffing 20% 20
Federal penalties 15% 60
Trend 10% 48
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)2 · $19,185

Inspection citations (36 in the current record)

  • Potential for harm · E March 26, 2026 · found via complaint

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

    Corrected April 5, 2026 · Nutrition and Dietary

  • Potential for harm · D March 5, 2026 · found via complaint

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

    Corrected March 8, 2026 · Pharmacy Service

  • Potential for harm · E January 30, 2026 · found via complaint

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

    Corrected February 19, 2026 · Quality of Life and Care

  • Potential for harm · E January 30, 2026 · found via complaint

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

    Corrected February 19, 2026 · Quality of Life and Care

  • Potential for harm · E January 30, 2026 · found via complaint

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

    Corrected February 19, 2026 · Environmental

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 2, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected December 7, 2025 · Resident Rights

  • Potential for harm · D November 20, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 7, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2025 · found via complaint

    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.

    Corrected December 7, 2025 · Pharmacy Service

  • Potential for harm · D November 20, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 7, 2025 · Infection Control

  • Potential for harm · E May 6, 2025

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

    Corrected May 30, 2025 · Quality of Life and Care

  • Potential for harm · E May 6, 2025

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

    Corrected May 30, 2025 · Pharmacy Service

  • Potential for harm · E May 6, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 30, 2025 · Pharmacy Service

  • Potential for harm · E May 6, 2025

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    Corrected May 30, 2025 · Administration

  • Potential for harm · D May 6, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 30, 2025 · Infection Control

  • Actual harm · G January 14, 2025 · found via complaint

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

    Corrected May 20, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 11, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 3, 2024 · Resident Rights

  • Potential for harm · D April 11, 2024

    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.

    Corrected May 3, 2024 · Resident Rights

  • Potential for harm · D April 11, 2024

    Ensure each resident receives an accurate assessment.

    Corrected May 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E April 11, 2024

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected May 3, 2024 · Quality of Life and Care

  • Potential for harm · D April 11, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected May 3, 2024 · Pharmacy Service

  • Potential for harm · D April 11, 2024

    Ensure that residents are free from significant medication errors.

    Corrected May 3, 2024 · Pharmacy Service

  • Potential for harm · D April 11, 2024

    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.

    Corrected May 3, 2024 · Pharmacy Service

  • Immediate jeopardy · J March 20, 2024 · found via complaint

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

    Corrected January 5, 2024 · Quality of Life and Care

  • Potential for harm · D March 2, 2023

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

    Corrected April 2, 2023 · Resident Rights

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

Federal penalties

DateTypeAmount / length
January 14, 2025Fine$10,358
March 20, 2024Fine$8,827

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675972 · certified since May 9, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.