About Heritage Gardens Rehabilitation and Healthcare
Heritage Gardens Rehabilitation And Healthcare, located in Carrollton, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Heritage Gardens Rehabilitation and Healthcare
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.30 hrs
- 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).
Below Average Staffing
Heritage Gardens Rehabilitation and Healthcare provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 2 |
|
| Quality Measures | 4 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 72 | Nov 06, 2024 |
| Weighted Average | 69 | 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) | 19.1% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 11.4% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.6% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.8% |
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) | 29.9% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.2% |
| 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) | 0.4% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.5% |
| 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) | 0.8% |
| 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) | 99.1% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 16.9% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 98.5% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 87.1% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 12.0% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 1.1% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2024: 5 complaints
- 2025: 3 complaints
- 2026: 3 complaints
- Total: 11 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 16, 2026 | Respond appropriately to all alleged violations. |
| Mar 16, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Mar 16, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jun 26, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Apr 28, 2025 | Provide and implement an infection prevention and control program. |
| Mar 27, 2025 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. |
| Dec 06, 2024 | Provide and implement an infection prevention and control program. |
| Dec 06, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Mar 23, 2024 | 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. |
| Mar 08, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| Mar 08, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
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Owner & Operator Information
Business Entity
EASTLAND MEMORIAL HOSPITAL DISTRICT
Ownership Structure
- EASTLAND MEMORIAL HOSPITAL DISTRICT Direct: 100%
Management & Direction
- SOON BURNAM CORPORATE OFFICER
- CARETRUST GP LLC ADP OF THE SNF
- CARETRUST REIT INC ADP OF THE SNF
- CTR PARTNERSHIP LP ADP OF THE SNF
- ENSIGN SERVICES INC ADP OF THE SNF
- MIGUEL HERNANDEZ MANAGING CONTROL - GOVERNING BODY
- MIGUEL HERNANDEZ ADP OF THE SNF
- MIGUEL HERNANDEZ OPERATIONAL/MANAGERIAL CONTROL
- JOSEY RANCH HEALTHCARE HOLDINGS LLC ADP OF THE SNF
- CHAD KEETCH CORPORATE OFFICER
- MORLEY PATERSON ADP OF THE SNF
- MORLEY PATERSON OPERATIONAL/MANAGERIAL CONTROL
- MORLEY PATERSON MANAGING CONTROL - GOVERNING BODY
- SAVOY HEALTHCARE INC. OPERATIONAL/MANAGERIAL CONTROL
- SAVOY HEALTHCARE INC. ADP OF THE SNF
- STEPHEN TAYLOR CORPORATE OFFICER
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| North Park Health and Rehabilitation Center | N/A | 3 |
| The Legacy Midtown Park | N/A | 5 |
| Pure Health Transitional Care at Texas Health Pres | N/A | 5 |
| Princeton Medical Lodge | 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 |
| Traymore Nursing Center | N/A | 4 |
| Ventana By Buckner | N/A | 5 |
Related Analysis
Best Nursing Homes in Carrollton, TX
Compare Heritage Gardens Rehabilitation and Healthcare 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 Heritage Gardens Rehabilitation and Healthcare directly at 9722420666. 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.