Non profit - Corporation · 124 certified beds · CMS number 676358

The Villages on MacArthur, Irving, TX

CMS records 30 health deficiencies at The Villages on MacArthur in Irving, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 3, 2025. 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 2 fines totaling $25,259 in the last three years.

Inspections and deficiencies

CMS findings for The Villages on MacArthur as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Villages on MacArthur may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (15 deficiencies)

Standard inspection Jul 3, 2025. CMS counts 15 health deficiencies and 11 fire safety deficiencies in this cycle.

Jul 30, 2026 · Complaint inspection

1 deficiency, highest E

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
No plan of correction on file

Jan 2, 2026 · Complaint inspection

1 deficiency, highest E

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 5, 2026

Jul 3, 2025 · Standard + complaint inspection

13 deficiencies, highest G

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jul 10, 2025

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 Jul 10, 2025

F804 · Palatable, attractive food at safe temperatures

Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 10, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 10, 2025

F757 · Avoiding unnecessary drugs

Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 10, 2025

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 Jul 10, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 10, 2025

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 Jul 10, 2025

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 Jul 10, 2025

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 Aug 6, 2025

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 10, 2025

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Past non-compliance (fixed before the inspection), Mar 3, 2025

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 Jul 10, 2025
Previous cycle: 11 deficiencies (standard inspection Jun 6, 2024)

Standard inspection Jun 6, 2024. CMS counts 11 health deficiencies and 1 fire safety deficiency in this cycle.

Feb 21, 2025 · Complaint inspection

2 deficiencies, highest J

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 13, 2025

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 Mar 14, 2025

Sep 13, 2024 · Complaint inspection

1 deficiency, highest D

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 20, 2024

Sep 6, 2024 · Complaint inspection

1 deficiency, highest E

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 Sep 13, 2024

Jun 6, 2024 · Standard + complaint inspection

7 deficiencies, highest E

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 14, 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 Jun 14, 2024

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 Jun 14, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 14, 2024

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 Jun 14, 2024

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 14, 2024

F693 · Feeding tube use and care

Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 14, 2024
Earlier cycle: 4 deficiencies (standard inspection Apr 27, 2023)

Standard inspection Apr 27, 2023. CMS counts 4 health deficiencies and 0 fire safety deficiencies in this cycle.

Jan 10, 2024 · Complaint inspection

1 deficiency, highest D

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 Feb 2, 2024

Apr 27, 2023 · Standard inspection

3 deficiencies, highest E

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 May 5, 2023

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 May 5, 2023

F642 · Qualified staff conduct assessments

Requirement cited (CMS): Ensure a qualified health professional conducts resident assessments.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 5, 2023

Tags cited in more than one inspection

8 tags cited on more than one inspection date at The Villages on MacArthur; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F689 Accident prevention and supervision3Feb 21, 2025 (PNC); Sep 13, 2024; Sep 6, 2024
F755 Pharmacy services and a consultant pharmacist3Jul 3, 2025; Jun 6, 2024; Apr 27, 2023
F761 Drug labeling and secure storage3Jul 3, 2025; Jun 6, 2024; Apr 27, 2023
F644 Coordinating with PASARR screening2Jul 3, 2025; Feb 21, 2025
F677 Help with daily care2Jul 3, 2025; Jan 10, 2024
F695 Respiratory and oxygen care2Jul 3, 2025; Jun 6, 2024
F880 Infection prevention and control program2Jul 3, 2025; Jun 6, 2024
F919 Working call system2Jan 2, 2026; Jul 3, 2025

Fines and payment denials

DateTypeAmount / length
Jul 3, 2025Fine$11,190
Feb 21, 2025Fine$14,069

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.45 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.62 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.02 h
Nursing staff turnover
43.0% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
2 of 5
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
4 of 5

CMS figures for The Villages on MacArthur, copied as published; Texas medians are ours.

Facility details

Address
3443 N MacArthur Blvd, Irving, TX 75062
Phone
(469) 586-4424
County
Dallas
Accepts
Medicare and Medicaid
Ownership
Non profit - Corporation
Chain (CMS)
Stonegate Senior Living
Certified beds
124
Average residents per day
103.5
In Medicare/Medicaid since
Feb 25, 2014
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 does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
  • How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
  • How are medications stored and secured on each unit? (F761, cited 3 times)
  • If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 2 times)

Other nursing homes in Irving and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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