For profit - Limited Liability company · 110 certified beds · CMS number 455994
DeSoto Nursing & Rehabilitation Center, DeSoto, TX
CMS records 18 health deficiencies at DeSoto Nursing & Rehabilitation Center in DeSoto, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 12, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $8,281 in the last three years.
- 18deficiencies, 3 cycles (TX median 25)
- 12in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $8,281fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for DeSoto Nursing & Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and DeSoto Nursing & Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (12 deficiencies)
Standard inspection Feb 12, 2026. CMS counts 12 health deficiencies and 3 fire safety deficiencies in this cycle.
May 20, 2026 · Complaint inspection
3 deficiencies, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 21, 2026
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 21, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 21, 2026
Apr 30, 2026 · Complaint inspection
2 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
F773 · Ordering labs and reporting results
Requirement cited (CMS): Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
Feb 12, 2026 · Standard + complaint inspection
5 deficiencies, highest J
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 Feb 13, 2026
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 13, 2026
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 13, 2026
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Jan 17, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 13, 2026
Nov 24, 2025 · Complaint inspection
2 deficiencies, highest D
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 Nov 25, 2025
F557 · Respect and personal belongings
Requirement cited (CMS): Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 25, 2025
Previous cycle: 1 deficiency (standard inspection Nov 21, 2024)
Standard inspection Nov 21, 2024. CMS counts 1 health deficiency and 8 fire safety deficiencies in this cycle.
Jul 15, 2025 · 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 Aug 6, 2025
Earlier cycle: 5 deficiencies (standard inspection Oct 5, 2023)
Standard inspection Oct 5, 2023. CMS counts 5 health deficiencies and 7 fire safety deficiencies in this cycle.
May 16, 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 7, 2024
Oct 5, 2023 · Standard inspection
4 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 29, 2023
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 29, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 29, 2023
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 29, 2023
Tags cited in more than one inspection
5 tags cited on more than one inspection date at DeSoto Nursing & Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 3 | May 20, 2026; Feb 12, 2026; Nov 24, 2025 |
| F677 Help with daily care | 2 | May 20, 2026; Oct 5, 2023 |
| F761 Drug labeling and secure storage | 2 | Jul 15, 2025; May 16, 2024 |
| F812 Food safety and sanitation | 2 | Feb 12, 2026; Oct 5, 2023 |
| F842 Complete, confidential medical records | 2 | Apr 30, 2026; Oct 5, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Feb 12, 2026 | Fine | $8,281 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.96 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.27 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.73 h
- Nursing staff turnover
- 96.6% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for DeSoto Nursing & Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 1101 North Hampton Road, DeSoto, TX 75115
- Phone
- (972) 223-3944
- County
- Dallas
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 110
- Average residents per day
- 79.6
- In Medicare/Medicaid since
- Feb 7, 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 do staff track and report infections among residents? (F880, cited 3 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
Other nursing homes in DeSoto and the same chain
- Williamsburg Village Healthcare Campus
DeSoto · 84 deficiencies - Park Village Healthcare and Rehabilitation
DeSoto · 52 deficiencies - Five Points Nursing and Rehabilitation
DeSoto · 27 deficiencies - Methodist Transitional Care Center-Desoto LLC
DeSoto · 27 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.