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
Avir At Dallas runs 136 beds under for-profit LLC ownership, and its inspection record is the first thing to notice: 29 deficiencies on file, two of them serious enough to cause harm or jeopardy, plus one abuse-related finding and an $8,018 fine. Staffing is the other trouble spot, 3.28 nurse hours per resident day sits about 15% under the national average, weekends run roughly 14% lighter than weekdays, and turnover hits 75.7% against a national 45.8%, so the people caring for your family member are likely new and often stretched thin. The most recent inspection was July 2025, so the picture is current.
Heritage Gardens runs on thin staffing: 3.15 nurse hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday levels. That's a real gap when a resident needs help on a Saturday. Annual turnover sits at 59.7%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The current inspection record shows 22 deficiencies, one at harm or jeopardy level and four abuse-related, with a $38,840 fine and the most recent inspection in November 2024. The quality measure score looks strong, but that's built from chart data, not from how the place is actually staffed day to day.
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.
Town East Rehabilitation and Healthcare Center runs 130 certified beds in Mesquite under individual for-profit ownership, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day it sits about 12% under the national average, weekends drop roughly another 10% below its own weekdays, and annual turnover of 70.8% means most of the people caring for your family member will be gone within a year, against a national rate of 45.8%. The inspection record backs that up: 35 deficiencies, three serious enough to put residents in harm's way, one tied to abuse, plus two fines totaling $25,673. The 4/5 quality measure score is the bright spot, but quality measures are self-reported, and staffing is what actually delivers care.
Five Points runs a 120-bed for-profit operation in DeSoto, and the staffing numbers are the first thing to look at. At 3.03 nurse hours per resident day, it's about a fifth below the national average, and weekends drop another 13% under its own weekday coverage, that's when problems tend to surface. The bigger concern is a 91% annual turnover rate, roughly double the national figure, which means the people caring for your relative are likely new and still learning the building. Twenty-eight deficiencies sit on the current record, including two at harm or jeopardy level and one tied to abuse. Inspectors were last there in May 2025.
Northgate Plaza runs thin on nursing staff, 3.19 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. The 66.1% annual turnover means most of the people caring for your relative are new, still learning the building, or already halfway out the door.
Behind the staffing numbers sits a 1-out-of-5 health inspection rating and 65 deficiencies on the current record, including two at the harm level and two tied to abuse. Two fines total $55,697. Ownership is a for-profit corporation, and the most recent inspection was in December 2024.
Heritage at Turner Park runs 146 beds in Grand Prairie under for-profit LLC ownership, and the numbers that stand out most are about the people doing the work. Nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average, with weekends dipping about 10 percent below the home's own weekday levels, and annual turnover hitting 94.1 percent against a national rate near 46 percent. That churn means aides and nurses are constantly being replaced. The inspection record shows 17 deficiencies, three of them at harm or jeopardy level and one abuse-related, plus three fines totaling $31,873. The most recent inspection was July 31, 2025, so the record is current.
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.
South Dallas Nursing & Rehabilitation runs on 2.23 nurse staffing hours per resident day, roughly 42 percent under the national average, and weekend coverage drops another 13 percent below its own weekday level. That thin margin shows up in the inspection record: 61 deficiencies, five at harm or jeopardy level, six tied to abuse, and two fines totaling $272,139. Staff turnover sits at 50 percent, above the 45.8 percent national figure. The limited liability ownership means profits and liability stay with the company. A 4/5 on quality measures doesn't outweigh a 1/5 on both staffing and health inspections, the people providing daily care are stretched, and the state has documented what happens when they are.
The numbers at Williamsburg Village in Desoto tell a split story: residents get good clinical outcomes on paper, but the day-to-day care and oversight don't hold up. Nurse staffing runs 2.81 hours per resident day, about 27% under the national average, and weekend coverage drops roughly 13% below its own weekday level, thinner help exactly when families can't be there. Behind that sit 79 deficiencies, nine serious enough to put residents in harm's way and ten tied to abuse, plus $195,541 in fines and a spot in CMS's Special Focus Facility program. Ownership is for-profit corporate, and turnover sits slightly better than average.
Beltline Healthcare Center runs 120 beds in Garland, and the numbers there are hard to dress up. Nurse staffing sits at 3.07 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 93.9% a year, more than double the national figure, which means the aide who knows your mother this month may be gone by next. Inspectors have cited 24 deficiencies, four of them serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, with a $32,006 fine on record. The last inspection was November 2024.
The Plaza At Richardson runs on 3.02 nurse hours per resident per day, about a fifth below the national average, which is thin enough that the 1-out-of-5 staffing rating is no surprise. Turnover tells the bigger story: 95.3% of nursing staff left over the past year, roughly double the national rate, so the people caring for your relative are likely new to the building and still learning it. The 39 deficiencies on record include two tied to abuse, though none rose to the level of actual harm, and the most recent inspection was in June 2025. Weekend coverage also dips below its own weekday level.
The Lennwood Nursing And Rehabilitation runs 124 certified beds in Dallas under county government ownership, and the staffing numbers are where the trouble starts. At 2.90 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends drop another 17% beneath its own weekday level. Turnover tells a similar story: 68.6% annually, against 45.8% nationally, which means the aides and nurses your relative sees may not be there in six months. The current record shows 24 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse, with two fines totaling $29,969. The last inspection was August 29, 2024.
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.
Forest Park runs on 2.92 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips about 8% below its own weekday level. That thin staffing shows up in a 67.8% annual turnover rate, well above the 45.8% national figure. Its inspection record carries 53 deficiencies, eight at the harm or jeopardy level and four tied to abuse, along with four fines totaling $193,834. The most recent inspection was February 2026. A 4/5 quality measure score sits alongside 1/5 ratings for both staffing and health inspections, worth knowing what that quality number actually measures before weighing it against the rest.
If you're weighing Lancaster Nursing & Rehabilitation for someone you love, the federal numbers are worth sitting with. Nurse staffing runs about 3.30 hours per resident day, roughly 14% under the national average, and weekends dip another 14% below what the home itself staffs on weekdays. Staff turnover sits near 93%, more than double the national rate, meaning the aide who knows your mother this month may be gone the next. The inspection record shows 37 deficiencies, three involving actual harm or jeopardy and three tied to abuse, with $56,554 in fines and a survey as recent as October 2024. For-profit, LLC-owned, 120 beds. The pattern here is thin coverage and heavy churn, and that's what drives the low marks.
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?