The home failed to provide safe, appropriate pain management for a resident who needed it. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
HOLLYMEAD
FLOWER MOUND, TX · Medicare-certified · 112 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
HOLLYMEAD in Flower Mound, TX has a 3-star overall rating, with 3-star health inspection, staffing, and quality ratings. It reports 3.42 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has $9,110 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4197 hrs/resident/day
Quality measures
Last inspection: April 3, 2026Penalties, last 24 months: $9,110recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4197.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 1.35
- Nurse aides
- 1.64
- Weekend nursing
- 3.18
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 33%
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
4.3%0%Improving
Residents with a fall causing major injury
1.4%5.9%Worsening
Residents with pressure ulcers (bedsores)
7.2%2.6%Improving
Residents with a urinary tract infection
1.4%0%Improving
Residents who lost too much weight
5%1.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.5%22.2%Worsening
Residents whose ability to walk got worse
12.1%16.3%Worsening
Long-stay residents on antianxiety or sleep medication
16.1%11.7%Improving
Short-stay residents newly given an antipsychotic
0.7%0.7%No change
Residents with a long-term catheter
0%1%Worsening
Residents with new or worsening incontinence
22.4%13.1%Improving
Residents with depressive symptoms
1.5%0%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
65.3%19.1%Worsening
Short-stay residents given the seasonal flu vaccine
—78.5%—
Short-stay residents given the pneumonia vaccine
59.4%28.6%Worsening
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
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 April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — 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 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $9,110 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,110 in total fines.
- $9,110
Federal fine
Jan 2, 2025
Operator & ownership
Recent ownership change · Sep 1, 2019
Now operated by Dallas County Hospital District, previously Decatur Hospital Authority.
- Ownership
- For profit - Corporation
- Chain
- Part of CANTEX CONTINUING CARE · 38 homes · 3 stars avg
- Occupancy
- 95.2 residents on an average day (85% of 112 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 11 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.