About Park Village Healthcare and Rehabilitation
Park Village Healthcare And Rehabilitation, located in Desoto, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Park Village Healthcare and Rehabilitation
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours N/A
- Safety Record Issues
Chain Affiliations & Network
This facility is part of the THE ENSIGN GROUP network. This chain operates 338 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 1 |
|
| Quality Measures | 5 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 382 | Mar 24, 2025 |
| Weighted Average | 349 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 23.8% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 10.5% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.1% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.1% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 5.9% |
| Percentage of long-stay residents who lose too much weight (QM404) | 0.7% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 2.5% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 99.6% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 2.3% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 18.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 82.5% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 2.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 9.2% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 2.2% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 7 complaints
- 2024: 13 complaints
- 2025: 21 complaints
- 2026: 1 complaint
- Total: 42 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Dec 06, 2025 | Ensure each resident receives an accurate assessment. |
| Dec 06, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Dec 06, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Nov 16, 2025 | Respond appropriately to all alleged violations. |
| Nov 16, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Nov 16, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Nov 16, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Sep 17, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Aug 25, 2025 | Provide and implement an infection prevention and control program. |
| Jun 24, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| Jun 24, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Jun 24, 2025 | 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. |
| Jun 13, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. |
| Apr 17, 2025 | 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. |
| Apr 17, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Apr 17, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Apr 17, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Apr 17, 2025 | Provide and implement an infection prevention and control program. |
| Jan 17, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Jan 17, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Jan 17, 2025 | Provide and implement an infection prevention and control program. |
| Sep 10, 2024 | 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. |
| Sep 10, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 10, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Sep 10, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Sep 02, 2024 | 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. |
| Aug 13, 2024 | Provide and implement an infection prevention and control program. |
| Aug 13, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Feb 12, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Feb 12, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Feb 12, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| Feb 09, 2024 | Honor the resident's right to choose his or her attending physician. |
| Feb 09, 2024 | Help the resident with transportation to and from laboratory services outside of the facility. |
| Jan 15, 2024 | 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. |
| Oct 31, 2023 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Oct 31, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Oct 31, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Oct 31, 2023 | Ensure that residents are free from significant medication errors. |
| Oct 31, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Oct 31, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Oct 31, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jun 21, 2026 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
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Owner & Operator Information
Business Entity
STEPHENS MEMORIAL HOSPITAL DISTRICT
Ownership Structure
- STEPHENS MEMORIAL HOSPITAL DISTRICT Direct: 100%
Management & Direction
- GENE BIGHAM MANAGING CONTROL - GOVERNING BODY
- GENE BIGHAM OPERATIONAL/MANAGERIAL CONTROL
- GENE BIGHAM ADP OF THE SNF
- SOON BURNAM CORPORATE OFFICER
- ENSIGN SERVICES INC ADP OF THE SNF
- CHAD KEETCH CORPORATE OFFICER
- BRIAN ROLAND MANAGING CONTROL - GOVERNING BODY
- BRIAN ROLAND OPERATIONAL/MANAGERIAL CONTROL
- BRIAN ROLAND ADP OF THE SNF
- SABRA HEALTH CARE REIT INC ADP OF THE SNF
- GENA SPEER CORPORATE OFFICER
- THORNTREE HEALTHCARE INC. OPERATIONAL/MANAGERIAL CONTROL
- THORNTREE HEALTHCARE INC. ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Midtowne Meadows Health and Rehab | N/A | 4 |
| The Legacy Midtown Park | N/A | 5 |
| Pure Health Transitional Care at Texas Health Pres | N/A | 5 |
| Highland Meadows | N/A | 5 |
| Legend Oaks Healthcare and Rehabilitation - Ennis | N/A | 4 |
| C C Young Memorial Home | N/A | 5 |
| La Dora Nursing and Rehabilitation Center | N/A | 5 |
| Hurst Plaza Nursing and Rehab | N/A | 4 |
| Parkwood Village | N/A | 5 |
| Ventana By Buckner | N/A | 5 |
Related Analysis
Best Nursing Homes in Desoto, TX
Compare Park Village Healthcare and Rehabilitation to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Park Village Healthcare and Rehabilitation directly at 9722301000. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.