Nursing HomeInspections

Balch Springs Nursing Home

Nursing home in Balch Springs, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (972) 286-0335Send a messageMap ↗

Public-record details

Address
4200 Shepard Lane, Balch Springs, TX 75180
Phone
(972) 286-0335
Listed under
For-profit
Medicare CCN
675057
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
120
Average residents per day
73
Ownership
For-profit, corporation
Legal business name
Hamilton County Hospital District
Chain
Advanced Healthcare Solutions (28 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675057. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 7, 2026. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 14, 2024 to May 7, 2026): 7 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
May 7, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 7, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
May 7, 2026Give the resident's representative the ability to exercise the resident's rights.
Resident Rights		E
Potential for more than minimal harm, pattern
May 7, 2026Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern
May 7, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		E
Potential for more than minimal harm, pattern
Mar 30, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		J
Immediate jeopardy, isolated
Mar 30, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		K
Immediate jeopardy, pattern
Mar 6, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 6, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Mar 6, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Mar 6, 2025Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Mar 6, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 21. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $28,012 in the last three years.

Mar 30, 2026Fine: $28,012

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.72 hours
Registered nurse (RN) time per resident per day
0.35 hours
Nurse aide time per resident per day
1.63 hours
Total nurse staffing on weekends
2.33 hours
Nursing staff turnover (yearly)
57%
RN turnover (yearly)
73%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.