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Nursing home report

Balch Springs Nursing Home

Balch Springs, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Balch Springs Nursing Home in Balch Springs, TX has an overall rating of 2 out of 5 stars. Its health inspection rating is 1 star and staffing rating is 1 star, with reported nurse staffing at 2.72 hours per resident per day versus the 4.1-hour federal benchmark; it also had $43,095 in fines in the last 24 months and a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.7227 hrs/resident/day

Quality measures

Last inspection: May 7, 2026Penalties, last 24 months: $43,095recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7227.

Staffing detail

Registered nurses
0.35
Licensed practical nurses
0.75
Nurse aides
1.63
Weekend nursing
2.33

Hours per resident per day.

Total staff turnover: 57%
Registered nurse turnover: 73%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

5.9%0%Improving

Residents with a fall causing major injury

2.8%6.2%Worsening

Residents with pressure ulcers (bedsores)

6.6%3.4%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

11.7%8.9%Improving

Residents whose ability to walk got worse

16.6%0%Improving

Long-stay residents on antianxiety or sleep medication

4.8%14%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

2%0%Improving

Residents with new or worsening incontinence

12.1%3.3%Improving

Residents with depressive symptoms

0%1.6%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

95.3%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

93%

Short-stay residents given the pneumonia vaccine

96.6%87.8%Worsening

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2026 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: K

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited February 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 838 — 42 CFR §483.70 — S/S: F

The home failed to let the resident's representative exercise the resident's rights. Cited May 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 551 — 42 CFR §483.10 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $43,095 was recorded.

  4. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  5. PENALTY

    A federal fine of $32,295 was recorded.

  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $43,095 in total fines.

  • Federal fine

    Mar 30, 2026

    $43,095

Operator & ownership

Recent ownership change · Mar 1, 2024

Now operated by Hamilton County Hospital District, previously Balch Springs Snf LLC.

Ownership
For profit - Corporation
Chain
Part of ADVANCED HEALTHCARE SOLUTIONS · 29 homes · 2.9 stars avg
Occupancy
72.5 residents on an average day (60% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.