78 Nursing Homes That Accept Medicaid in Dallas County, Texas
78 of the 82 Medicare-certified nursing homes in Dallas County, Texas (95%) are Medicaid-certified, and all are listed below. 3 of the 78 graded homes earn an A and 8 earn a D or F. They average 3.3 nursing hours per resident per day, 0.07 hours below the 3.37 for every home in Dallas County, Texas. The Legacy Midtown Park in Dallas grades highest at A (89 out of 100).
How Medicaid-certified 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
3.3
All homes in Dallas County, Texas: 3.37
Worse than the local average
Nurse staff turnover
57.6%
All homes in Dallas County, Texas: 57.1%
Worse than the local average
Average ElderGrade score
66.5/100
All homes in Dallas County, Texas: 67.5/100
Worse than the local average
Grade spread
B
C
D
3 grade A, 27 grade B, 40 grade C, 8 grade D,
The best-graded Medicaid-certified home in Dallas County, Texas is
The Legacy Midtown Park
in Dallas, TX, grade A, 89/100.
Every Medicaid-certified nursing home in Dallas County, Texas
Skyline Nursing Center is a 204-bed hospital-district home in Dallas, and the numbers behind its federal record are hard to read kindly. Nurse staffing runs about 3.05 hours per resident day, roughly a fifth below the national average, and it drops another 10% on weekends, when families often visit and coverage matters most. Annual turnover sits at 50%. The inspection history is heavier still: 39 deficiencies on the current record, including 5 at the level where residents were actually harmed or put in jeopardy, plus 6 tied to abuse. One fine of $96,817 has been levied, and the most recent inspection was April 2026.
Advanced Health & Rehab Center of Garland runs on 2.97 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 10% below its own weekday staffing. That thin coverage shows up in the inspection record: 41 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and three fines totaling $237,224. Staff turnover of 43.5% is slightly better than the national 45.8%, and the quality measure score is strong, but the staffing and inspection scores sit at the bottom. It's hospital-district owned and was inspected in April 2025. Ask about weekend nurse coverage and what changed since that inspection.
The Villa at Mountain View runs 3.31 nurse staffing hours per resident day, roughly 14% under the national average of 3.86, and weekends drop about 9% below its own weekday levels. That matters when you consider the record: 36 deficiencies, four of them at the harm or jeopardy level, one tied to abuse, plus three fines totaling $33,580. Staff turnover sits at 48.3%, a few points above the national 45.8%, and the most recent inspection was May 2025. Ownership is for-profit corporate, with 120 certified beds. The quality measure score looks strong on paper, but the staffing and inspection numbers describe a building where care depends heavily on who happens to be working that day.
The Villages On Macarthur runs leaner than most: 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays. That matters because its inspection record carries 29 deficiencies, two of them at the harm or jeopardy level and one tied to abuse, with $25,259 in fines across two penalties. The health inspection rating sits at 2 out of 5, though quality measures score 4 and staffing 3. Turnover is 43%, slightly better than the 45.8% national figure, and the most recent inspection was July 2025. A nonprofit with recent eyes on it, but the harm-level findings are the part to ask about directly.
Palomino Place runs 120 beds in Mesquite, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 52.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. The inspection record shows 32 deficiencies, five serious enough to involve harm or jeopardy, plus one tied to abuse, and $165,086 in fines across three penalties. The last inspection was December 11, 2025, so the record is current. For-profit corporate ownership rounds out the picture.
Ashford Hall runs 206 certified beds in Irving under corporate ownership, and the numbers behind its record are worth sitting with. State inspectors have logged 35 deficiencies, six of them serious enough to put residents in immediate harm or jeopardy, and six tied to abuse. Fines total $301,255 across four penalties. Staff turnover sits at 77.1%, well above the 45.8% national average, which means the people caring for residents are constantly changing. Nurse staffing runs 3.71 hours per resident day, slightly under the national figure, and weekends dip about 8% below the home's own weekday levels. Low turnover and steady weekend coverage are what keep residents safe; here, neither is holding.
Cedar Hill Healthcare Center runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 6% below its own weekday numbers. The inspection record shows 27 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $22,503 in fines across two penalties; the last inspection was July 2, 2025. Staff turnover sits at 44.3%, slightly under the national 45.8%, so retention isn't the outlier here, thin daily staffing and the harm-level findings are. Corporate for-profit ownership, 110 certified beds in Dallas County.
Balch Springs Nursing Home runs on 2.72 nurse hours per resident day, roughly 29% under the national average, and weekend coverage drops about 15% below its own weekday level. That thin margin shows up in the numbers: a 1-out-of-5 staffing rating, 56.5% annual turnover against a national 45.8%, and 21 deficiencies on the current record, two of them serious enough to reach harm or jeopardy. Ownership is for-profit corporate, and there's one fine totaling $43,095. The last inspection was May 2026. Resident outcome measures look strong at 5 out of 5, which suggests the clinical care itself isn't the problem, the question is whether the staffing can hold that up.
Garland Nursing and Rehabilitation runs on thinner staffing than most homes, 3.38 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops about 11% below the home's own weekday level. That gap shows up in the numbers that matter: a one-star health inspection rating, 43 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, plus six tied to abuse. Fines total $91,343 across five penalties. Annual turnover of 50.9% means more than half the nursing staff leaves each year, well above the 45.8% national rate, so residents cycle through caregivers who are still learning the building.
Avante Rehabilitation Center runs on 2.58 nurse staffing hours per resident day, about a third below the national average of 3.86, and weekends dip roughly 9% under its own weekday levels. Staff turnover sits at 66% against a national 45.8%, so the people caring for residents keep changing. The current inspection record shows 19 deficiencies, six of them at harm or jeopardy level and two abuse-related, with two fines totaling $24,542. That 5/5 quality measure rating looks strong, but quality measures come from submitted assessment data, the staffing and inspection numbers describe what's actually happening on the floor. Ask about weekend coverage, turnover, and how those abuse deficiencies were resolved before you decide.
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.
Brentwood Place Four runs on 3.19 nurse hours per resident per day, about 17% under the national average of 3.86, and weekend coverage dips roughly another 10% below its own weekday numbers. That thin staffing shows up in the turnover figure: 65.2% annually against a national 45.8%, meaning most of the people caring for residents were not there a year ago. The health inspection record carries 30 deficiencies, none at harm or jeopardy level, but 3 tied to abuse. Its quality measure score is perfect, which tends to reflect charted care rather than the hands available to deliver it. A June 2025 inspection is recent, so the picture is current, not stale.
Richardson Nursing and Rehabilitation runs 280 certified beds under a hospital district, and the staffing numbers are the first thing you should notice. At 2.60 nurse hours per resident day, it's about a third below the national average of 3.86, and weekends drop roughly another 14% from its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record shows 47 deficiencies, including two at the harm level and two tied to abuse; a single fine of $8,977 is on file, and the last inspection was December 2024. CMS rates the home 1 out of 5 on staffing and 2 out of 5 on health inspections, which tells you the quality measure score isn't the whole picture here.
Traymore Nursing Center runs on thinner staffing than most homes its size. At 3.44 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 14% below what the home itself staffs on weekdays. Turnover is 54.9%, well above the 45.8% national figure, so the people providing care keep changing.
The inspection record is mixed. Eleven deficiencies, three of them at the level where residents were actually harmed or put in jeopardy, plus two fines totaling $30,113. The most recent inspection was July 2025, so the picture is current.
What stands out is the gap: inspectors rated the care environment 4 out of 5, yet the staffing rating is 1 out of 5. Good survey results are hard to sustain when there aren't enough consistent hands on the floor.
Le Reve runs on 3.06 nurse hours per resident day, roughly a fifth under the national average, and weekend coverage drops about 11% below what it manages on weekdays. Staff turnover sits at 64.7% against a national 45.8%, so the people caring for residents are, more often than not, new, and the health inspection record is where that shows: 26 deficiencies on the current record, six of them at harm or jeopardy level and three tied to abuse. Three fines totaling $120,553. Ownership is corporate and for-profit. One thing the numbers don't capture: CMS scored the quality measures 4 out of 5, which suggests some clinical care is being tracked well even as staffing and inspection results lag badly behind.
Desoto Nursing & Rehabilitation Center runs about 2.96 nurse hours per resident day, roughly a quarter below the national average of 3.86, and staffing thins out further on weekends. The bigger red flag is turnover: 96.6% of nursing staff leave within a year, against a national rate near 46%, which makes it hard to keep consistent caregivers who know the residents. The 18 deficiencies on record include one at the harm or jeopardy level, and a single fine of $12,740 has been levied. Quality measures look strong at 5/5 stars, but staffing sits at 1/5, and that gap between good outcomes on paper and thin, constantly changing staff is what drives the low overall score.
Park Village runs 3.05 nurse hours per resident day against a national average of 3.86, and weekends drop another 15% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record carries 52 deficiencies, eight at harm or jeopardy level and seven tied to abuse, with six fines totaling $221,389. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. Quality measures look strong at 5/5, but that score sits alongside a 1/5 on both inspections and staffing, a split worth asking about directly.
Nurse staffing at The Highlands runs 3.32 hours per resident day against a national average of 3.86, roughly 14% lighter, and weekends drop about 11% below the home's own weekday level, so coverage is thinnest exactly when families tend to visit and aides often work short. The inspection record shows 24 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus four abuse-related citations and one fine of $47,726; the most recent inspection was December 30, 2025. This is a for-profit limited liability company with 116 certified beds, and its CMS staffing rating sits at 1 out of 5 while health inspections and quality measures each sit at 2.
Treemont's staff turnover runs about 94 percent a year, roughly double the national average, which tells you the people caring for residents here are, more often than not, new to the building. That instability shows up in the numbers: 41 deficiencies on the current record, five serious enough to involve harm or jeopardy, six tied to abuse, and four fines totaling $63,262. Federal inspectors last visited in July 2025 and rated the home two stars for health inspections, two for quality measures, and one for staffing. It's a for-profit limited liability company with 130 certified beds.
Millbrook runs on thin staffing: 3.08 nurse hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level. The people who do show up don't stay, 69.7% turnover versus 45.8% nationally means most of the staff you'd meet today likely won't be there next year. Inspectors cited 22 deficiencies, one serious enough to involve harm or jeopardy, and fined the home $13,565; the most recent inspection was in February 2025. A for-profit limited liability company owns the place. The quality measures look better than the staffing numbers, but good scores on paper don't change how few hands are on the floor.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Dallas County, Texas?
There are 78 Medicaid-certified Medicare-certified nursing homes in Dallas County, Texas, 95% of the 82 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In Dallas County, Texas they average 3.3 total nursing hours per resident per day, against 3.37 for all nursing homes in Dallas County, Texas, a difference of -0.07 hours. Staff turnover averages 57.6% against 57.1%.
Which Medicaid-certified nursing home grades best in Dallas County, Texas?