The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Heritage Gardens Rehabilitation and Healthcare
Carrollton, TX · Medicare-certified · 150 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Heritage Gardens Rehabilitation and Healthcare in Carrollton, TX has a 1 out of 5 overall rating, with a 1-star staffing rating and nurse staffing below the federal benchmark (3.15 vs 4.1 hours per resident per day). It also has a recent abuse citation, 2-star health inspection rating, and $38,840 in fines over the last 24 months, though its quality measures rating is 4 stars.
Facility ratings
Health inspections
Staffing
3.1515 hrs/resident/day
Quality measures
Last inspection: April 14, 2026Penalties, last 24 months: $38,840recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1515.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 0.96
- Nurse aides
- 1.81
- Weekend nursing
- 2.63
Hours per resident per day.
Total staff turnover: 60%
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
2.3%2.2%No change
Residents with a fall causing major injury
0%3.3%Worsening
Residents with pressure ulcers (bedsores)
2.2%4.8%Worsening
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
37%24.5%Improving
Residents whose ability to walk got worse
12.3%0%Improving
Long-stay residents on antianxiety or sleep medication
16.7%14.5%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9%15.1%Worsening
Residents with depressive symptoms
0%0%No change
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
—98.5%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—87.1%—
Short-stay residents given the pneumonia vaccine
98.9%100%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — limited pattern, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 726 — 42 CFR §483.35 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $38,840 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $38,840 in total fines.
- $38,840
Federal fine
Jul 8, 2025
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 66.7 residents on an average day (44% of 150 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.