facebook tracking Balch Springs Nursing Home, Balch Springs TX: CMS Ratings
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Balch Springs Nursing Home

All states › Texas › Balch Springs › Balch Springs Nursing Home

4200 Shepard Lane Balch Springs, TX 75180 · Dallas County

(972) 286-0335

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 675057 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Balch Springs Nursing Home a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Balch Springs Nursing Home as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 21 citations in the last three years. CMS imposed 1 penalty, including $28,012 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 2.72 hours per resident per day at Balch Springs Nursing Home, below the Texas median of 3.30 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.31 hours, 15% below its all-week average. Ask how weekends are staffed. 61% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 2.72 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.31 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.31 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 61% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 71.4% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 78 About 65% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJune 1992
Part of a chainAdvanced Healthcare Solutions
Legal business nameHAMILTON COUNTY HOSPITAL DISTRICT

Paying for care at Balch Springs Nursing Home: Medicare and Medicaid

Balch Springs Nursing Home is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 7, 2026 and found 5 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 21 citations at Balch Springs Nursing Home across 6 inspection dates, 7 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 30, 2026 (complaint inspection). The most common areas cited were pharmacy service (5) and quality of life and care (5). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level K, March 30, 2026).

May 7, 2026 · 5 citations

EGive the resident's representative the ability to exercise the resident's rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0551 · Deficient, Provider has date of correction (May 27, 2026)

EKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (May 27, 2026)

EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (May 27, 2026)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (May 27, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 27, 2026)

March 30, 2026 · 2 citations, includes immediate jeopardy · includes complaint inspection

KProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Apr 23, 2026)

JDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Immediate jeopardy · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Apr 23, 2026)

March 6, 2025 · 5 citations · includes complaint inspection

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 6, 2025)

EProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Apr 6, 2025)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Apr 6, 2025)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 6, 2025)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Complaint inspection · Deficient, Provider has date of correction (Apr 6, 2025)

August 28, 2024 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Sep 18, 2024)

May 31, 2024 · 1 citation · includes complaint inspection

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Jun 3, 2024)

February 14, 2024 · 7 citations · includes complaint inspection

FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Feb 19, 2024)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Feb 19, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Feb 19, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Feb 19, 2024)

EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Feb 19, 2024)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Feb 19, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Feb 19, 2024)

Questions to ask on a tour of Balch Springs Nursing Home

  1. Inspectors cited the home at the immediate-jeopardy level on March 30, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
  4. Nursing staff turnover was 61% a year. How many of the staff come from agencies?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $28,012 in fines.

DateTypeAmount or length
Mar 30, 2026 Fine $28,012

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 1/5 1/5 5/5
August 2026 2/5 1/5 1/5 5/5
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Location

Hospitals near Balch Springs Nursing Home

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 4.3 mi
    Dallas Regional Medical Center Mesquite
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 46m for patients treated and sent home
  • 5.2 mi
    Texas Regional Medical Center at Sunnyvale Sunnyvale
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 48m for patients treated and sent home
  • 9.5 mi
    White Rock Medical Center Dallas
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 23m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Mesquite Tree Nursing Center Mesquite · 3.0 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 143 beds · Medicaid
Mesquite Village Wellness & Rehabilitation Mesquite · 3.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 1/5 149 beds · Medicaid
Edgewood Rehabilitation and Care Center Mesquite · 4.3 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 142 beds · Medicaid
Cheyenne Medical Lodge Mesquite · 4.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 1/5 139 beds · Medicaid
The Manor at Seagoville Seagoville · 4.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 1/5 90 beds · Medicaid

More nursing homes near Balch Springs Nursing Home ›   All nursing homes in Balch Springs ›

Compare Balch Springs Nursing Home with the 3 closest homes side by side ›

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Other Advanced Healthcare Solutions nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 28 Advanced Healthcare Solutions nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/balch-springs/balch-springs-nursing-home/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.