About Southern Oaks Therapy and Living Center
Southern Oaks Therapy And Living Center, located in DALLAS, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Southern Oaks Therapy and Living Center
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours N/A
- Safety Record Clean
Chain Affiliations & Network
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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 | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 1 |
|
| Staffing | Not Rated |
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 124 | Jun 08, 2023 |
| Cycle 2 | 232 | Mar 09, 2022 |
| Cycle 3 | 333 | Apr 26, 2021 |
| Weighted Average | 195 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2025. 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) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| 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) | 34.9% |
| Percentage of long-stay residents who lose too much weight (QM404) | 12.1% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 3.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 2.3% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.9% |
| 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) | 3.6% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 82.9% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM419) | 12.1% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 33.9% |
| 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) | 62.7% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 18.9% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 68.7% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 29.2% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 6.7% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 35.0% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2022: 5 complaints
- 2023: 36 complaints
- 2024: 15 complaints
- Total: 56 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jul 26, 2024 | Have approved installation, maintenance and testing program for fire alarm systems. |
| Jun 14, 2024 | Have generator or other power source capable of supplying service within 10 seconds. |
| May 25, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| May 25, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| May 25, 2024 | Provide and implement an infection prevention and control program. |
| May 25, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| May 25, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| May 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. |
| Apr 30, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Apr 22, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Apr 22, 2024 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. |
| Apr 22, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Mar 01, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Feb 09, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Feb 09, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Dec 18, 2023 | Post nurse staffing information every day. |
| Nov 17, 2023 | Employ staff that are licensed, certified, or registered in accordance with state laws. |
| Nov 17, 2023 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Nov 17, 2023 | Honor each resident's preferences, choices, values and beliefs. |
| Nov 17, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Nov 17, 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. |
| Oct 27, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Oct 27, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Oct 27, 2023 | Ensure each resident receives an accurate assessment. |
| Sep 10, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Aug 16, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Aug 16, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jul 05, 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. |
| Jul 05, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Jul 05, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jul 05, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jul 05, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Jul 05, 2023 | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| Jul 05, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jul 05, 2023 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. |
| Jul 05, 2023 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. |
| Jul 05, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Jul 05, 2023 | Dispose of garbage and refuse properly. |
| Jul 05, 2023 | Provide and implement an infection prevention and control program. |
| Jul 05, 2023 | Keep all essential equipment working safely. |
| Jun 17, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| May 29, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| May 15, 2023 | Provide and implement an infection prevention and control program. |
| May 04, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| May 04, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| May 04, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| May 04, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Mar 23, 2023 | Provide and implement an infection prevention and control program. |
| Mar 23, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Mar 14, 2023 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Mar 14, 2023 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. |
Nearby Hospitals
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BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE
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CARROLLTON REGIONAL MEDICAL CENTER
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CRESCENT MEDICAL CENTER LANCASTER
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DALLAS MEDICAL CENTER
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METHODIST DALLAS MEDICAL CENTER
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MEDICAL CITY LEWISVILLE
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PARKLAND HEALTH & HOSPITAL SYSTEM
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METHODIST CHARLTON MEDICAL CENTER
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MEDICAL CITY DALLAS HOSPITAL
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DALLAS REGIONAL MEDICAL CENTER
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MEDICAL CITY PLANO
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BAYLOR UNIVERSITY MEDICAL CENTER
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TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
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TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL
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METHODIST RICHARDSON MEDICAL CENTER
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BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE
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Owner & Operator Information
Business Entity
Legal Business Name Not Available
Management & Direction
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 |
| 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 |
| Traymore Nursing Center | N/A | 4 |
Related Analysis
Best Nursing Homes in DALLAS, TX
Compare Southern Oaks Therapy and Living Center 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 Southern Oaks Therapy and Living Center directly at 4693204400. 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.