12 Hospital-Based Nursing Homes in Dallas County, Texas
12 of the 82 Medicare-certified nursing homes in Dallas County, Texas (15%) are hospital-based, and all are listed below. 0 of the 12 graded homes earn an A and 1 earn a D or F. They average 3.25 nursing hours per resident per day, 0.12 hours below the 3.37 for every home in Dallas County, Texas. Golden Acres Living And Rehabilitation Center in Dallas grades highest at B (76 out of 100).
How hospital-based homes in Dallas County, Texas compare
This group set against every nursing home in Dallas County, Texas, from the current CMS release.
Golden Acres runs 264 beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends run about 9% leaner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Staff turnover is 46.6%, slightly worse than the 45.8% national figure, which usually means less continuity for residents who need consistent caregivers. The current record carries 33 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. The last inspection was January 22, 2026, so the picture is fairly current. Three stars each on health inspections, quality measures, and staffing puts this home squarely in the middle of the pack.
Willowbend runs 162 certified beds in Mesquite under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop another 11% below its own weekday coverage, and annual turnover hits 52.9% against a national 45.8%. The inspection record is where things get serious: 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, plus four fines totaling $94,394. Its last inspection was January 22, 2026. The 5/5 quality measure rating reflects resident assessment data, but the 2/5 staffing and 2/5 inspection ratings describe what families actually encounter day to day.
Pleasant Valley runs lean on nursing hours, 3.36 per resident per day, roughly 13 percent under the national average, and weekends get thinner still, dropping about 11 percent below its own weekday coverage. That staffing picture sits behind 20 deficiencies on the current record, three of them serious enough to put residents at risk of harm or jeopardy and two tied to abuse. Staff turnover is 33.3 percent, better than the national 45.8, and the quality measure score of 4 out of 5 suggests clinical metrics look decent on paper. But a 2-out-of-5 inspection rating and $53,393 in fines point to a gap between how care is measured and how it's actually delivered.
Cheyenne Medical Lodge is a hospital-district home in Mesquite with 139 certified beds, and its numbers tell a mixed story. The clinical record looks strong, 21 deficiencies on file with none at the harm level and nothing abuse-related, plus a recent May 2025 inspection and top marks on CMS quality measures. Staffing is where it thins out: 3.61 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 21% below its own weekday levels, and turnover at 47.7% runs slightly above the national rate. That pattern, solid care outcomes propped up by a workforce stretched thin on weekends and cycling through staff, is the real tension in this home's record.
Legend Oaks Healthcare and Rehabilitation Garland runs 132 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends get thinner still, dropping about 13% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. The current inspection record shows 29 deficiencies, none at the harm or jeopardy level, though three are abuse-related. Staff turnover is 38.1%, better than the 45.8% national figure. The most recent inspection was February 2025, so the picture is fairly current. Ask about weekend coverage and what those three abuse deficiencies involved before deciding.
Rowlett Health and Rehabilitation Center runs 163 beds under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, 16 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related, and a recent survey from July 2025. Staffing is where the picture dims. At 3.17 nurse hours per resident day, this home sits roughly 18% under the national average of 3.86, and weekends run about 9% thinner than its own weekdays. Annual turnover of 53.9% tops the national 45.8% average, which means the people at the bedside keep changing. Plenty of homes with worse inspection records have better staffing math than this.
Carrollton Health and Rehabilitation Center runs about 3.12 nurse hours per resident each day, roughly 19 percent under the national average, and weekend staffing drops another 18 percent below its own weekday levels. That thin coverage helps explain the two-out-of-five rating on CMS's staffing measure. The inspection record shows 36 deficiencies, including two at the level where harm or jeopardy occurred and three tied to abuse, along with two fines totaling $19,185. Texas surveyors last visited in May 2025. This is a 120-bed for-profit corporate home where the daily aide and nurse presence is the real story.
Fair Park runs about 2.97 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 20% beneath its own weekday level. That thin coverage is the big number here: staff turnover sits at 91.8% against a national average near 46%, so nearly the entire nursing staff turns over in a year. The current record shows 29 deficiencies, none at harm level but two tied to abuse, and the last inspection was in May 2025. For-profit corporate ownership and a 1-out-of-5 CMS staffing rating back up what the hours already suggest, ask who's actually on the floor on a Sunday.
Lakewest runs on thin nursing coverage, 3.20 hours per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday level. That's the kind of gap families notice as slower call buttons and rushed meals. Staff turnover sits at 71.7% against a national 45.8%, meaning most of the people caring for your relative likely weren't there a year ago.
The inspection record carries 42 deficiencies, including one at the harm level and five tied to abuse. Two fines total $25,799, and the most recent inspection was January 2026. A government hospital district owns it. Strong quality scores don't offset staffing this thin and a record this long.
The Manor At Seagoville runs on about 2.97 nurse hours per resident per day, roughly a quarter less than the national average of 3.86, and staffing thins further on weekends, dropping about 13% below its own weekday level. That shortfall shows up in the numbers: 59.1% annual turnover, well above the 45.8% national figure, and 33 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, plus two abuse-related findings and $98,062 in fines. A 2/5 inspection rating and 2/5 staffing rating sit alongside a 4/5 quality measure score, which is worth asking about. This is a for-profit corporate home where the care reported on paper and the hands available to deliver it don't match.
Five Points At Lake Highlands runs 280 certified beds in Dallas under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends dip roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 64% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is heavier still: 53 deficiencies, five at harm or jeopardy level, one abuse-related, and $58,149 in fines across five penalties. The most recent inspection was March 31, 2026, so the picture is current, not stale.
The Hillcrest of North Dallas runs on 2.66 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops about 13% below what the home staffs on weekdays. Annual turnover sits at 68.3% against a national 45.8%, so the aides and nurses at the bedside keep changing. Its inspection record shows 44 deficiencies, including 6 at the harm or jeopardy level and 3 tied to abuse, with $221,052 in fines across three penalties and a 1-out-of-5 inspection rating; the most recent survey was July 31, 2025. Ownership is a for-profit corporation. The quality measure stars don't offset what staffing and inspections show.
Frequently asked questions
How many hospital-based nursing homes are there in Dallas County, Texas?
There are 12 hospital-based Medicare-certified nursing homes in Dallas County, Texas, 15% of the 82 nursing homes there.
Are hospital-based nursing homes better staffed?
In Dallas County, Texas they average 3.25 total nursing hours per resident per day, against 3.37 for all nursing homes in Dallas County, Texas, a difference of -0.12 hours. Staff turnover averages 57% against 57.1%.
Which hospital-based nursing home grades best in Dallas County, Texas?