Balch Springs Nursing Home
4200 Shepard Lane, Balch Springs, TX 75180 · Dallas County
For-profit · 120 certified beds · 60% occupancy · (972) 286-0335
Balch Springs Nursing Home reviews: what the government record shows
The U.S. government (CMS) rates Balch Springs Nursing Home 2 out of 5 stars overall, below average. Its nurse staffing is 17% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 2.72 hrs/resident/day (-17% vs TX median)
- Antipsychotic drug use
- 1.5% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4.6% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $28,012
- Inspection findings
- 21 cited, 2 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Nurse staffing of 2.72 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Balch Springs Nursing Home
Is Balch Springs Nursing Home a good nursing home?
Balch Springs Nursing Home in Balch Springs, Texas holds a 2 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Balch Springs Nursing Home staffed?
Balch Springs Nursing Home reports 2.72 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Balch Springs Nursing Home been fined or flagged for abuse?
Balch Springs Nursing Home has paid approximately $28,012 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.72 nurse hours per resident per day. 17% below the Texas median of 3.27.
Nursing staff turnover: 56.5% · RN turnover: 72.7%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0686 · Mar 30, 2026ComplaintCorrected Apr 23, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0656 · Mar 30, 2026ComplaintCorrected Apr 23, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0551 · May 7, 2026Corrected May 27, 2026
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies
- Potential for harmTag F0583 · May 7, 2026Corrected May 27, 2026
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0628 · May 7, 2026Corrected May 27, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
- Potential for harmTag F0644 · May 7, 2026Corrected May 27, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0880 · May 7, 2026Corrected May 27, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0812 · Mar 6, 2025Corrected Apr 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0686 · Mar 6, 2025Corrected Apr 6, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0756 · Mar 6, 2025Corrected Apr 6, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Showing the 10 most recent and serious of 21 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is part of the Advanced Healthcare Solutions chain, which operates 28 facilities, with a chain-average CMS rating of 2.9 stars.