For profit - Corporation · 120 certified beds · CMS number 675057
Balch Springs Nursing Home, Balch Springs, TX
CMS records 21 health deficiencies at Balch Springs Nursing Home in Balch Springs, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 7, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $28,012 in the last three years.
- 21deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $28,012fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Balch Springs Nursing Home as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Balch Springs Nursing Home may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection May 7, 2026. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.
May 7, 2026 · Standard inspection
5 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 27, 2026
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 27, 2026
F628 · Discharge paperwork, notices, and bed-hold information
Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 27, 2026
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 27, 2026
F551 · Role of the resident's representative
Requirement cited (CMS): Give the resident's representative the ability to exercise the resident's rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 27, 2026
Mar 30, 2026 · Complaint inspection
2 deficiencies, highest K
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 23, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 23, 2026
Previous cycle: 5 deficiencies (standard inspection Mar 6, 2025)
Standard inspection Mar 6, 2025. CMS counts 5 health deficiencies and 2 fire safety deficiencies in this cycle.
Mar 6, 2025 · Standard + complaint inspection
5 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 6, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 6, 2025
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 6, 2025
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 6, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 6, 2025
Earlier cycle: 9 deficiencies (standard inspection Feb 14, 2024)
Standard inspection Feb 14, 2024. CMS counts 9 health deficiencies and 5 fire safety deficiencies in this cycle.
Aug 28, 2024 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 18, 2024
May 31, 2024 · Complaint inspection
1 deficiency, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 3, 2024
Feb 14, 2024 · Standard + complaint inspection
7 deficiencies, highest F
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 19, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 19, 2024
F838 · Facility-wide assessment of needs
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 19, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 19, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 19, 2024
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Balch Springs Nursing Home; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F761 Drug labeling and secure storage | 3 | Mar 6, 2025; May 31, 2024; Feb 14, 2024 |
| F686 Pressure ulcer prevention and care | 2 | Mar 30, 2026; Mar 6, 2025 |
| F880 Infection prevention and control program | 2 | May 7, 2026; Feb 14, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 30, 2026 | Fine | $28,012 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.72 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.35 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.33 h
- Nursing staff turnover
- 56.5% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 2 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for Balch Springs Nursing Home, copied as published; Texas medians are ours.
Facility details
- Address
- 4200 Shepard Lane, Balch Springs, TX 75180
- Phone
- (972) 286-0335
- County
- Dallas
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Advanced Healthcare Solutions
- Certified beds
- 120
- Average residents per day
- 72.5
- In Medicare/Medicaid since
- Jun 1, 1992
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are medications stored and secured on each unit? (F761, cited 3 times)
- How often are residents who spend a lot of time in bed or a wheelchair repositioned and checked for skin problems? (F686, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
- How does the home record who a resident's representative is and which decisions they can make? (F551, cited 1 time)
Other nursing homes in Balch Springs and the same chain
- Greenville Health & Rehabilitation Center
Greenville · 90 deficiencies - El Paso Health & Rehabilitation Center
El Paso · 55 deficiencies - Sulphur Springs Health and Rehabilitation
Sulphur Springs · 52 deficiencies - Winfield Rehab & Nursing
Crockett · 48 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.