Cedar Lake Nursing Home

1611 W Royall Blvd · Malakoff, TX · 75148 · 9034891702

90 certified beds For profit - Limited Liability company Chain: Fannin County Hospital District

  • Cleaner inspection record than most facilities nationally.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

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

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 81
Serious harm & abuse 20% 100
Staffing 20% 79
Federal penalties 15% 37
Trend 10% 85
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day4.453.48 min · 4.1 strong
RN hours / resident-day0.480.55–0.75
Weekend hours / resident-day4.20≈ weekday level
Nursing turnover / year35%median 45%
Fines (3-yr window)4 · $27,270

Inspection citations (8 in the current record)

  • Potential for harm · D September 10, 2025

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

    Corrected September 30, 2025 · Nutrition and Dietary

  • Potential for harm · D September 10, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 30, 2025 · Infection Control

  • Potential for harm · D August 7, 2024

    Ensure each resident receives an accurate assessment.

    Corrected September 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F August 7, 2024

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

    Corrected September 7, 2024 · Nutrition and Dietary

  • Potential for harm · D August 7, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected September 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 12, 2023

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected July 31, 2023 · Resident Rights

  • Potential for harm · E July 12, 2023

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected July 31, 2023 · Nutrition and Dietary

  • Potential for harm · E July 12, 2023

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

    Corrected July 31, 2023 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
August 21, 2023Fine$4,545
August 14, 2023Fine$4,545
August 7, 2023Fine$4,545
July 17, 2023Fine$13,635

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675898 · certified since November 20, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.