PlainNursing
CMS Nursing Home Compare · August 2026

Balch Springs Nursing Home

4200 Shepard Lane, Balch Springs, TX 75180

Balch Springs Nursing Home, a 120-bed for profit - corporation nursing facility in Balch Springs, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #790 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9722860335

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2 / 5
Below average · CMS overall · nat'l 3.0
#790 of 1,165
In-state rank among rated TX homes
2.72
Well below average · nurse hrs/day · nat'l 3.86
21
Inspection findings · 2 serious

The verdict

Balch Springs Nursing Home, a 120-bed for profit - corporation nursing facility in Balch Springs, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #790 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#790 of 1,165
In-state rank among rated TX homes
2.72
Nurse hrs/resident-day · national 3.86
21
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675057
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
120
Residents
73
In Hospital
No
County
Dallas
Last Inspection
May 7, 2026

Staffing Data

How the 2.72 total nursing hours per resident-day are staffed:

RN Hours
0.35 (nat'l avg: 0.69)
LPN Hours
0.75
CNA Hours
1.63
Total Nursing Hours
2.72 (nat'l avg: 3.86)
PT Hours
0.16
Nursing Turnover
56.5%
RN Turnover
72.7%

What the CMS Record Reveals About Balch Springs Nursing Home

According to CMS Nursing Home Compare, Balch Springs Nursing Home ranks #790 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Balch Springs Nursing Home operates 120 certified beds in Balch Springs, TX with approximately 73 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 1★ · staffing 1★ · quality 5★).

The inspection file contains 21 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $28K. Staffing is reported at 2.72 total nursing hours per resident day (national average 3.86), with RN coverage at 0.35 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Balch Springs Nursing Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 56.5% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (21 most recent)

D - Isolated - Minimal harm May 7, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 27, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 27, 2026

E - Pattern - Minimal harm May 7, 2026 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: May 27, 2026

E - Pattern - Minimal harm May 7, 2026 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: May 27, 2026

E - Pattern - Minimal harm May 7, 2026 Tag: 0551

Give the resident's representative the ability to exercise the resident's rights.

Category: Resident Rights Deficiencies

Corrected: May 27, 2026

J - Isolated - Jeopardy Mar 30, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 23, 2026

K - Pattern - Jeopardy Mar 30, 2026 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 23, 2026

D - Isolated - Minimal harm Mar 6, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 6, 2025

E - Pattern - Minimal harm Mar 6, 2025 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Apr 6, 2025

E - Pattern - Minimal harm Mar 6, 2025 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Apr 6, 2025

E - Pattern - Minimal harm Mar 6, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 6, 2025

F - Widespread - Minimal harm Mar 6, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 6, 2025

D - Isolated - Minimal harm Aug 28, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 18, 2024

D - Isolated - Minimal harm May 31, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jun 3, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 19, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 19, 2024

E - Pattern - Minimal harm Feb 14, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Feb 19, 2024

E - Pattern - Minimal harm Feb 14, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 19, 2024

E - Pattern - Minimal harm Feb 14, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 19, 2024

E - Pattern - Minimal harm Feb 14, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Feb 19, 2024

F - Widespread - Minimal harm Feb 14, 2024 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Feb 19, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 4.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 1.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 8.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.3% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 93.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 93.0% No

Penalty History 1 penalties totaling $28K

Date Type Amount
Mar 30, 2026 Fine $28K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Balch Springs Nursing Home, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Balch Springs Nursing Home

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 120 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Balch Springs Nursing Home?
Balch Springs Nursing Home has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (5★).
Where does Balch Springs Nursing Home rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Balch Springs Nursing Home ranks 790th among 1,165 rated nursing homes in TX (#790 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Balch Springs Nursing Home?
Balch Springs Nursing Home reports 2.72 total nursing hours per resident day (national average: 3.86). RN hours are 0.35 per resident day (national average: 0.69). Nursing staff turnover is 56.5%.
How many beds does Balch Springs Nursing Home have?
Balch Springs Nursing Home has 120 certified beds with approximately 73 residents. The facility is located at 4200 Shepard Lane, Balch Springs, TX 75180.
Does Balch Springs Nursing Home have any deficiencies on record?
Yes, Balch Springs Nursing Home has 21 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Balch Springs Nursing Home received any fines or penalties?
Yes, Balch Springs Nursing Home has received 1 penalties totaling $28K.
Who owns Balch Springs Nursing Home?
Balch Springs Nursing Home is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Balch Springs Nursing Home last inspected?
The most recent health inspection for Balch Springs Nursing Home was on May 7, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Balch Springs Nursing Home?
Balch Springs Nursing Home is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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