The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — isolated incident, actual harm.
View the original federal record
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
1 of 5 overall
Heritage Gardens Rehabilitation and Healthcare has an overall rating of 1 out of 5 stars. Its staffing is rated 1 out of 5 stars and reported nurse staffing is 3.30 hours per resident per day versus the 4.1 federal benchmark; it also has a recent abuse citation, $38,840 in fines in the last 24 months, and a 2-star health inspection rating.
Facility ratings
Health inspections
Staffing
3.3011 hrs/resident/day
Quality measures
Last inspection: March 9, 2026Penalties, last 24 months: $38,840recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3011.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 1.00
- Nurse aides
- 1.96
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 40%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.1%Worsening
Residents with a fall causing major injury
0.8%Steady
Residents with pressure ulcers (bedsores)
3.6%Worsening
Residents with a urinary tract infection
0.4%Worsening
Residents who lost too much weight
2.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
29.9%Improving
Residents whose ability to walk got worse
14.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.9%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
12%Worsening
Residents with depressive symptoms
0.5%Worsening
Long-stay residents given the seasonal flu vaccine
98.5%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
87.1%Steady
Short-stay residents given the pneumonia vaccine
99.1%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 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.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: E
The home failed to provide needed social services to help each resident reach the best possible quality of life. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 745 — 42 CFR §483.40 — 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 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 · 338 homes · 3.2 stars avg
- Occupancy
- 71.4 residents on an average day (48% 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.