ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

65 Medicaid Nursing Homes With a Clean Record in Dallas County, Texas

65 of the 82 Medicare-certified nursing homes in Dallas County, Texas (79%) are Medicaid-certified, clean-record, and all are listed below. 3 of the 65 graded homes earn an A and 5 earn a D or F. Nurse staff turnover runs 56.4%, 0.7 points lower than the 57.1% across all homes there. The Legacy Midtown Park in Dallas grades highest at A (89 out of 100).

How Medicaid-certified, clean-record homes in Dallas County, Texas compare

This group set against every nursing home in Dallas County, Texas, from the current CMS release.

Nursing hours per resident per day

3.33

All homes in Dallas County, Texas: 3.37

Worse than the local average

Nurse staff turnover

56.4%

All homes in Dallas County, Texas: 57.1%

Better than the local average

Average ElderGrade score

67.9/100

All homes in Dallas County, Texas: 67.5/100

Better than the local average

Grade spread

B
C

3 grade A, 27 grade B, 30 grade C, 5 grade D,

The best-graded Medicaid-certified, clean-record home in Dallas County, Texas is The Legacy Midtown Park in Dallas, TX, grade A, 89/100.

Every Medicaid-certified, clean-record nursing home in Dallas County, Texas

Showing 1 to 20 of 65, best-graded first.

A

89/100

The Legacy Midtown Park

Dallas, TX · Dallas County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.71 /day
Staff turnover
33%
Serious cites
0

The Legacy Midtown Park in Dallas runs a tight ship on the things that matter most: 5.71 nurse staffing hours per resident day, roughly half again the national average, with weekend coverage dipping only about 9% below weekdays. Staff turnover sits at 33.3% against a national 45.8%, so the people caring for residents tend to stay. Inspections back that up, the most recent, in September 2025, produced six deficiencies, none at harm or jeopardy level, though one was abuse-related. Four fines totaling $27,523 have accumulated on the record. As a nonprofit with 54 beds, it's small enough that problems don't hide easily, and the inspection history suggests few serious ones have.

A

88/100

Continuing Care At Highland Springs

Dallas, TX · Dallas County

CMS 3/544 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
31%
Serious cites
0

Continuing Care At Highland Springs runs 44 certified beds as a nonprofit, and its staffing is a genuine bright spot: 4.29 nurse hours per resident day, roughly 11% above the national average, with weekend coverage dipping about 10% below its own weekday levels. Turnover sits at 31.4%, well under the 45.8% national figure, so the people caring for residents tend to stay. The friction is on the inspection side, 17 deficiencies on record, two of them serious enough to reach harm or jeopardy, plus one $46,105 fine, with the most recent inspection in September 2025. That combination of strong daily staffing and a troublesome survey history is what pulls the overall picture down.

A

86/100

Pure Health Transitional Care At Texas Health Pres

Dallas, TX · Dallas County

CMS 5/549 bedsFor-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
54%
Serious cites
0

Pure Health Transitional Care sits on the Texas Health Presbyterian campus in Dallas, a 49-bed for-profit run by a limited liability company. The numbers that matter most here are the inspection record: four deficiencies on file, none causing harm or jeopardy, none abuse-related, and a survey completed in July 2025. That's a clean recent look. Staffing runs 4.35 nurse hours per resident day, about 13% above the national average, though weekends dip roughly 9% below the home's own weekday level. Annual turnover is 53.7%, higher than the 45.8% national figure, so you'll want to ask how often residents see the same faces.

B

84/100

Lindan Park Care Center

Richardson, TX · Dallas County

CMS 5/5138 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
38%
Serious cites
0

Lindan Park runs 138 certified beds in Richardson under corporate ownership, and its inspection record is the main thing to know: 24 deficiencies on file, including three at the harm or jeopardy level and two tied to abuse. Two fines total $75,233, and the health inspection rating sits at 2 out of 5. Staffing lands at 3.45 hours per resident day, roughly 11 percent under the national average, and weekends dip slightly below its own weekday numbers. Turnover is the one bright spot at 38.3 percent, better than the 45.8 percent national figure. The most recent inspection was March 2025, so the record is current.

B

84/100

Villages Of Lake Highlands

Dallas, TX · Dallas County

CMS 2/5126 bedsFor-profitMedicaid
Nurse hours
4.48 /day
Staff turnover
35%
Serious cites
0

Villages Of Lake Highlands sits in Dallas with 126 certified beds and a corporate for-profit owner. The staffing numbers are the good news: 4.48 nurse hours per resident day, about 16% above the national average, with turnover at 35.4%, well below the 45.8% national figure. Weekends run roughly 10% leaner than weekdays, so coverage does thin out. The inspection record is where it gets harder. Fourteen deficiencies on the current record, five of them at harm or jeopardy level, plus three fines totaling $29,022 and a recent May 2025 inspection. No abuse citations, which matters. The federal quality measure rating of 5/5 contrasts sharply with a 1/5 on health inspections, a gap worth asking the administrator about directly.

B

80/100

Christian Care Communities And Services Mesquite

Mesquite, TX · Dallas County

CMS 4/5180 bedsNon-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
52%
Serious cites
0

Nurse staffing at this Mesquite nonprofit runs 3.99 hours per resident day, slightly above the national average of 3.86, and weekends dip about 4% below its own weekday levels, a small drop, but worth asking about. The bigger concerns sit elsewhere: annual turnover is 52% against a national 45.8%, and the current record carries 15 deficiencies, four at harm or jeopardy level and one abuse-related, plus two fines totaling $28,941. The 5/5 quality measure score stands out, but that's largely self-reported data, while the 3/5 inspection rating reflects what surveyors actually found when they visited in March 2025.

B

79/100

Remington Transitional Care Of Richardson

Richardson, TX · Dallas County

CMS 4/590 bedsNon-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
42%
Serious cites
0

Remington Transitional Care of Richardson runs about 3.53 nurse hours per resident per day, roughly 9% under the national average of 3.86, and weekends drop another 7% below its own weekday numbers, so if you're touring, ask how weekend coverage actually looks on the floor. Turnover sits at 42%, slightly better than the 45.8% national figure, which matters because fewer familiar faces usually means more consistent care. The inspection record is clean where it counts: 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in June 2025. As a nonprofit, it has no shareholder pressure driving margins.

B

79/100

Methodist Transitional Care Center-Desoto Llc

Desoto, TX · Dallas County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
55%
Serious cites
0

Methodist Transitional Care Center-Desoto runs 100 certified beds under for-profit LLC ownership, and its staffing sits at 4.34 nurse hours per resident day, roughly 12% above the national average of 3.86. That cushion thins on weekends, which run about 12% below the home's own weekday level. Annual turnover is 54.6%, nearly nine points above the national 45.8%, so the people delivering that care change over often. The current inspection record shows 27 deficiencies, four of them at harm or jeopardy level and one abuse-related, with two fines totaling $27,993 and a health inspection rating of 2 out of 5. Quality measures score 5 out of 5, and the last inspection was June 27, 2025.

B

78/100

The Reserve At Richardson

Richardson, TX · Dallas County

CMS 3/5129 bedsGovernmentMedicaid
Nurse hours
3.49 /day
Staff turnover
34%
Serious cites
0

The Reserve At Richardson runs on leaner nurse staffing than most homes, 3.49 hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekday coverage. Turnover sits at 34.4%, better than the 45.8% national figure, so the people who are there tend to stay. What stands out is the inspection record: 35 deficiencies, including one at the harm level and three tied to abuse, plus a $14,069 fine, with the most recent inspection dated May 2026. A 4/5 on quality measures and 3/5 on inspections don't cancel that out. Government hospital district ownership doesn't change the arithmetic on the floor.

B

77/100

The Parks At Garland Healthcare And Rehab

Garland, TX · Dallas County

CMS 4/5132 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
44%
Serious cites
0

The Parks at Garland runs lean on nursing hours, 3.13 per resident day against a national average of 3.86, and weekends drop another 10% below its own weekday coverage. Turnover sits right around the national rate at 44.3%, so the issue isn't retention so much as how many hands are scheduled. The inspection record is the heavier concern: 20 deficiencies, four of them serious enough to cause harm or jeopardy, plus two tied to abuse. Two fines total $40,050, and the most recent inspection was January 30, 2025. Quality measures score well, but that means little when the last survey found real problems and staffing stays under the national mark.

B

76/100

Golden Acres Living And Rehabilitation Center

Dallas, TX · Dallas County

CMS 3/5264 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
47%
Serious cites
0

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.

B

76/100

San Remo

Richardson, TX · Dallas County

CMS 2/5112 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
47%
Serious cites
0

San Remo runs 112 certified beds in Richardson under corporate for-profit ownership, and its staffing sits at 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends run about 6% leaner than weekdays, and turnover lands at 46.8%, a touch above the 45.8% national figure, so coverage thins out exactly when families tend to visit. The health inspection side is the weak spot: a 2/5 star rating and 34 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy. That record was last reviewed in February 2026. Quality measures score well at 4/5, which pulls the overall picture up, but the inspection history is what a family should weigh hardest.

B

75/100

Willowbend Nursing And Rehabilitation Center

Mesquite, TX · Dallas County

CMS 3/5162 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
53%
Serious cites
0

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.

B

75/100

Pleasant Valley Healthcare And Rehabilitation Cent

Garland, TX · Dallas County

CMS 2/5124 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
33%
Serious cites
0

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.

B

75/100

The Madison On Marsh

Carrollton, TX · Dallas County

CMS 4/5125 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
47%
Serious cites
0

The Madison On Marsh runs a four-star health inspection record and top marks on quality measures, which tells you the clinical care basics are being handled. The staffing side is a different story. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends run thinner still. Turnover at 46.8% is slightly worse than the typical U.S. nursing home, so the faces around your family member may change often. The current inspection record shows 21 deficiencies, including one at the harm level and two tied to abuse. That combination, solid inspections but thin, churning staff, is worth asking about directly before you decide.

B

75/100

Garnet Hill Rehabilitation And Skilled Care

Wylie, TX · Dallas County

CMS 3/5128 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
31%
Serious cites
0

Garnet Hill runs 128 beds in Wylie under corporate ownership, and its nursing hours come in at 3.64 per resident day, about 6% under the national average of 3.86. Weekends thin out further, roughly 11% below the home's own weekday staffing, so the coverage gap families notice on Saturdays is real. Turnover is the bright spot at 31.3%, well under the 45.8% national figure, which suggests less churn than many homes. But the current record carries 38 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus $31,959 in fines. The most recent inspection closed in April 2026, so the findings are recent.

B

73/100

Mesquite Tree Nursing Center

Mesquite, TX · Dallas County

CMS 4/5143 bedsGovernmentMedicaid
Nurse hours
3.23 /day
Staff turnover
59%
Serious cites
0

Mesquite Tree runs on 3.23 nurse hours per resident day, roughly 16% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.8%, well above the 45.8% national figure, which means the aides and nurses caring for your relative are often new to the building. The inspection record shows 25 deficiencies, including one at the harm level and one abuse-related, plus a $13,397 fine; the most recent inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are where the real story sits.

B

73/100

The Villages Of Dallas

Dallas, TX · Dallas County

CMS 3/5160 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
59%
Serious cites
0

The Villages of Dallas runs 160 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average of 3.86, though weekends drop about 13% below its own weekday level. The bigger concern is turnover: 58.8% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. That churn shows up in the inspection record, 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $31,303 in fines across two penalties. CMS rated quality measures 5 stars and health inspections 3, but staffing only 2. The last inspection was April 16, 2026.

B

73/100

Brentwood Place Two

Dallas, TX · Dallas County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
2.51 /day
Staff turnover
39%
Serious cites
0

Brentwood Place Two runs 120 certified beds in Dallas under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 2.51 nurse hours per resident day, it sits about 35% under the national average of 3.86, with weekends dropping roughly 15% below its own weekday level. That thin coverage shows up in the inspection record: 33 deficiencies, four at harm or jeopardy level and two tied to abuse, plus a $14,433 fine. The split ratings tell the story plainly, one star for staffing, two for health inspections, yet five for quality measures. Turnover at 39.4% is actually better than the 45.8% national figure, so the problem isn't retention. It's how few hands are scheduled per resident, especially on weekends. Ask about weekend coverage specifically.

B

73/100

Mesquite Village Wellness & Rehabilitation

Mesquite, TX · Dallas County

CMS 3/5149 bedsFor-profitMedicaid
Nurse hours
2.68 /day
Staff turnover
37%
Serious cites
0

Mesquite Village Wellness & Rehabilitation runs 149 certified beds under corporate ownership, and its strongest numbers sit on the clinical side, the 5/5 quality measure rating says residents' care outcomes track well against federal benchmarks. Staffing is where the picture changes: 2.68 nurse hours per resident day lands roughly 31% under the national average, weekend coverage dips about 6% below its own weekday levels, and that staffing rating comes in at 1/5. Turnover at 36.6% is actually better than the 45.8% national figure, so retention isn't the problem, raw hours are. The inspection record shows 21 deficiencies, including one at harm or jeopardy level and one abuse-related, with a single fine of $8,021 and a survey completed in August 2025.

Frequently asked questions

How many Medicaid-certified, clean-record nursing homes are there in Dallas County, Texas?
There are 65 Medicaid-certified, clean-record Medicare-certified nursing homes in Dallas County, Texas, 79% of the 82 nursing homes there.
Are Medicaid-certified, clean-record nursing homes better staffed?
In Dallas County, Texas they average 3.33 total nursing hours per resident per day, against 3.37 for all nursing homes in Dallas County, Texas, a difference of -0.04 hours. Staff turnover averages 56.4% against 57.1%.
Which Medicaid-certified, clean-record nursing home grades best in Dallas County, Texas?
The Legacy Midtown Park in Dallas, TX, grade A, 89 out of 100.
Does being Medicaid-certified, clean-record mean a nursing home is safe?
No. Of the 65 graded Medicaid-certified, clean-record homes in Dallas County, Texas, 3 grade A and 5 grade D or F.
Do Medicaid-certified, clean-record nursing homes in Dallas County, Texas accept Medicaid?
65 of the 65 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Dallas County, Texas