Balch Springs Nursing Home
4200 Shepard Lane, Balch Springs, TX 75180
Balch Springs Nursing Home is a nursing home in Balch Springs, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionMay 7, 2026 (6 months ago)
- Health citations since February 14, 202421 (Texas average 28)
- Fines in the past three years1, $28,012 in total
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Fine
CMS changed the fine from March 30, 2026 from $43,095 to $28,012.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of June 24, 2026
Fine
CMS changed the fine from March 30, 2026 from $32,295 to $43,095.
CMS update of May 27, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 1 of 5.
Health inspection on May 7, 2026
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0551. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Give the resident's representative the ability to exercise the resident's rights.
CMS lists it as corrected on May 27, 2026.
Citation F0583. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on May 27, 2026.
Citation F0628. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on May 27, 2026.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on May 27, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 27, 2026.
CMS has cited this home for F0880 2 times since 2024.
Fire safety inspection on May 7, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on May 27, 2026.
CMS has cited this home for K0345 2 times since 2024.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 17, 2026.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on March 30, 2026
2 citationsCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
129 of 1,177 Texas homes (11%) got a citation at the immediate jeopardy level in 2026.
CMS fine of $28,012 on March 30, 2026.
Show the 2 citations
Citation F0686. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on April 23, 2026.
CMS has cited this home for F0686 2 times since 2025.
Citation F0656. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 23, 2026.
CMS update of November 20, 2025
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of April 30, 2025
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
Staffing
Total nurse staffing reported to CMS went from 3.3 to 3.0 hours per resident per day.
Health inspection on March 6, 2025
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 6, 2025.
Citation F0686. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on April 6, 2025.
Citation F0756. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on April 6, 2025.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on April 6, 2025.
CMS has cited this home for F0761 3 times since 2024.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on April 6, 2025.
Fire safety inspection on March 6, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on April 6, 2025.
CMS has cited this home for K0374 2 times since 2024.
Citation K0324. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on April 6, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of December 20, 2024
Name
CMS lists a new legal business name for this home.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Health inspection on August 28, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on September 18, 2024.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Name
CMS lists a new legal business name for this home.
Health inspection on May 31, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 3, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on February 14, 2024
7 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 7 citations
Citation F0838. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
CMS lists it as corrected on February 19, 2024.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 19, 2024.
Citation F0689. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 19, 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 19, 2024.
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on February 19, 2024.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on February 19, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on February 19, 2024.
Fire safety inspection on February 14, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on March 20, 2024.
Citation K0271. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have exits that are accessible at all times.
CMS lists it as corrected on February 16, 2024.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on March 19, 2024.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on February 16, 2024.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on February 16, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS star ratings
- 2 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (972) 286-0335
- Last standard health inspection
- May 7, 2026 (6 months ago)
- Certified beds
- 120
- Residents per day, on average
- 78
- Ownership type
- For profit - Corporation
- Legal business name
- Hamilton County Hospital District
- Chain
- Advanced Healthcare Solutions
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (21 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- BALCH SPRINGS HC LLCOperational/managerial control · not applicable · since 03/01/2024
- SCHEINER, ELIEZEROperational/managerial control · not applicable · since 03/01/2024
- SILBERSTEIN, ARIOperational/managerial control · not applicable · since 03/01/2024
Questions
When was Balch Springs Nursing Home last inspected?
CMS lists May 7, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Balch Springs Nursing Home have?
CMS lists 21 health citations since February 14, 2024. CMS also calls these deficiencies.
Has Balch Springs Nursing Home been fined?
CMS lists 1 fine in the past three years, $28,012 in total.
What is the CMS star rating of Balch Springs Nursing Home?
Its CMS overall star rating is 2 of 5.
Is Balch Springs Nursing Home a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.