Balch Springs Nursing Home in Balch Springs, TX has an overall 2-star rating, with a 1-star health inspection score and 2-star staffing; reported nurse staffing is 2.90 hours per resident per day versus the 4.1 federal benchmark. It also has $32,295 in fines over the last 24 months and a recent federal penalty, while quality measures are rated 5 stars.
Last inspection: March 30, 2026Penalties, last 24 months: $32,295recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8959.
Staffing detail
Registered nurses
0.35
Licensed practical nurses
0.80
Nurse aides
1.75
Weekend nursing
2.53
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 58%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3%Improving
Residents with a fall causing major injury
4.2%Steady
Residents with pressure ulcers (bedsores)
4.5%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.9%Improving
Residents whose ability to walk got worse
7.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
6.4%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.5%Steady
Residents with new or worsening incontinence
11.7%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
95.3%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
93%Steady
Short-stay residents given the pneumonia vaccine
94.4%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.
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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 ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $32,295 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $32,295 in total fines.
Federal fine
Mar 30, 2026
$32,295
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of ADVANCED HEALTHCARE SOLUTIONS · 30 homes · 3 stars avg
Occupancy
68.2 residents on an average day (57% 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.