About Northgate Plaza
Northgate Plaza, located in Irving, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Northgate Plaza
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 2.94 hrs
- Safety Record Clean
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
Northgate Plaza 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 | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 132 | Dec 18, 2024 |
| Weighted Average | 181 | 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) | 25.7% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 20.2% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
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) | 31.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.1% |
| 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) | 0.8% |
| 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) | 0.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 85.4% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 56.9% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.5% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 18.4% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 20.7% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 89.1% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 59.7% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 6.7% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 14.5% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 11.3% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 18 complaints
- 2024: 14 complaints
- 2025: 13 complaints
- 2026: 7 complaints
- Total: 52 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Feb 14, 2026 | Keep residents' personal and medical records private and confidential. |
| Oct 09, 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. |
| Oct 09, 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. |
| Oct 09, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Oct 09, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Oct 09, 2025 | Provide safe and appropriate respiratory care for a resident when needed. |
| Oct 09, 2025 | Provide and implement an infection prevention and control program. |
| Aug 08, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jun 04, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Jun 04, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
| Jun 04, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Apr 21, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Apr 21, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Apr 21, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Nov 25, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Nov 25, 2024 | Keep residents' personal and medical records private and confidential. |
| Nov 25, 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. |
| Nov 25, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Nov 25, 2024 | Provide safe and appropriate respiratory care for a resident when needed. |
| Nov 25, 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. |
| Nov 25, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Nov 25, 2024 | Provide and implement an infection prevention and control program. |
| Nov 25, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 15, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Oct 01, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Oct 01, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Oct 01, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Mar 04, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Dec 09, 2023 | Provide safe and appropriate respiratory care for a resident when needed. |
| Dec 09, 2023 | 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. |
| Dec 09, 2023 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. |
| Dec 09, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Dec 09, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Dec 09, 2023 | Provide and implement an infection prevention and control program. |
| Dec 09, 2023 | Reasonably accommodate the needs and preferences of each resident. |
| Dec 09, 2023 | 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. |
| Dec 09, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Dec 09, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Dec 09, 2023 | Ensure the activities program is directed by a qualified professional. |
| Dec 09, 2023 | Provide enough food/fluids to maintain a resident's health. |
| Sep 10, 2023 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Aug 25, 2023 | 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 10, 2023 | 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. |
| Aug 10, 2023 | Provide safe, appropriate pain management for a resident who requires such services. |
| Jun 19, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jun 19, 2023 | Provide and implement an infection prevention and control program. |
| Jun 21, 2026 | Reasonably accommodate the needs and preferences of each resident. |
| Jun 21, 2026 | 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. |
| Jun 21, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jun 21, 2026 | Provide safe and appropriate respiratory care for a resident when needed. |
| Jun 21, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jun 21, 2026 | Provide and implement an infection prevention and control program. |
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Owner & Operator Information
Business Entity
HAMILTON COUNTY HOSPITAL DISTRICT
Ownership Structure
Management & Direction
- MARCUS BARNES W-2 MANAGING EMPLOYEE
- MARCUS BARNES OPERATIONAL/MANAGERIAL CONTROL
- SOON BURNAM CORPORATE OFFICER
- SOON BURNAM OPERATIONAL/MANAGERIAL CONTROL
- WILLIAM FORREST CORPORATE DIRECTOR
- HAMILTON COUNTY HOSPITAL DISTRICT OPERATIONAL/MANAGERIAL CONTROL
- GRADY HOOPER CORPORATE OFFICER
- DENA MCGREGOR CORPORATE DIRECTOR
- NEIL MUXWORTHY CORPORATE DIRECTOR
- NEIL MUXWORTHY CORPORATE OFFICER
- SWEET BAY HEALTHCARE LLC OPERATIONAL/MANAGERIAL CONTROL
- ROBERT WITZSCHE CORPORATE DIRECTOR
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 |
| Trinity Terrace | N/A | 5 |
| C C Young Memorial Home | N/A | 5 |
| La Dora Nursing and Rehabilitation Center | N/A | 5 |
| Allegiant Wellness and Rehab | 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 Irving, TX
Compare Northgate Plaza 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 Northgate Plaza directly at 9722554460. 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.