Southern Oaks Therapy and Living Center
3350 Bonnie View Rd, Dallas, TX 75216
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Follow this homeSouthern Oaks Therapy and Living Center is a nursing home in Dallas, 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 rating3 of 5
- Last standard health inspectionSeptember 10, 2025 (1 year ago)
- Health citations since August 8, 202424 (Texas average 28)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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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 28, 2026
Staffing
Total nurse staffing reported to CMS went from 2.6 to 1.9 hours per resident per day.
Health inspection on July 8, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on July 24, 2026.
CMS has cited this home for F0558 2 times since 2026.
Citation F0909. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
CMS lists it as corrected on July 24, 2026.
Health inspection on June 4, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on June 12, 2026.
Health inspection on May 21, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on May 29, 2026.
Health inspection on May 7, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
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 May 20, 2026.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Health inspection on April 21, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
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 May 9, 2026.
CMS has cited this home for F0880 3 times since 2024.
Health inspection on February 15, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0558. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on March 2, 2026.
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 March 2, 2026.
CMS has cited this home for F0761 2 times since 2024.
Health inspection on February 6, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0627. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
CMS lists it as corrected on February 23, 2026.
Health inspection on January 14, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0690. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on January 23, 2026.
CMS update of January 14, 2026
Star rating
The CMS overall star rating changed from not rated by CMS to 4 of 5.
Star rating
The CMS health inspection star rating changed from not rated by CMS to 4 of 5.
Star rating
The CMS staffing star rating changed from not rated by CMS to 1 of 5.
Star rating
The CMS quality measures star rating changed from not rated by CMS to 5 of 5.
CMS update of November 20, 2025
Fire safety citation
CMS removed citation E0039 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0222 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0223 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0293 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0321 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0324 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0342 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0372 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0374 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0511 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0741 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0761 from the fire safety inspection on August 2, 2024.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on August 2, 2024.
Health inspection on September 10, 2025
3 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 3 citations
Citation F0559. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
CMS lists it as corrected on September 30, 2025.
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 September 30, 2025.
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 September 30, 2025.
Fire safety inspection on September 10, 2025
7 citationsCMS lists this as a standard inspection.
Show the 7 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 September 30, 2025.
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on September 30, 2025.
CMS has cited this home for K0372 2 times since 2024.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on September 30, 2025.
Citation K0916. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a battery powered remote alarm panel in a location accessible by operating personnel.
CMS lists it as corrected on October 10, 2025.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on October 4, 2025.
CMS has cited this home for K0918 2 times since 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 September 30, 2025.
CMS has cited this home for K0321 2 times since 2024.
Citation K0741. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on September 30, 2025.
CMS has cited this home for K0741 2 times since 2024.
CMS update of July 30, 2025
Ownership
CMS no longer lists a chain for this home.
CMS update of June 25, 2025
Listing
This home now appears in CMS data.
Fire safety inspection on June 19, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation K0222. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on June 20, 2025.
CMS has cited this home for K0222 2 times since 2024.
Health inspection on May 20, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
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 21, 2025.
Health inspection on April 23, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0584. Severity D: potential for more than minimal harm, isolated.
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 May 9, 2025.
Citation F0691. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
CMS lists it as corrected on May 9, 2025.
Health inspection on August 8, 2024
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation F0925. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on September 7, 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 September 7, 2024.
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 September 7, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
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 September 7, 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 September 7, 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 September 7, 2024.
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 October 31, 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on September 7, 2024.
Fire safety inspection on August 8, 2024
14 citationsCMS lists this as a standard inspection.
Show the 14 citations
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on September 15, 2024.
Citation K0293. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on September 15, 2024.
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on November 14, 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 15, 2024.
Citation K0374. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on September 15, 2024.
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on September 15, 2024.
Citation K0741. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on September 15, 2024.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on September 15, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 15, 2024.
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on September 15, 2024.
Citation K0223. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
CMS lists it as corrected on September 15, 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 September 15, 2024.
Citation K0342. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
CMS lists it as corrected on September 15, 2024.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on September 15, 2024.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (469) 320-4400
- Last standard health inspection
- September 10, 2025 (1 year ago)
- Certified beds
- 150
- Residents per day, on average
- 69
- Ownership type
- For profit - Corporation
- Legal business name
- West Wharton County Hospital District
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (24 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- WEST WHARTON COUNTY HOSPITAL DISTRICT5% or greater direct ownership interest · 100% · since 05/01/2026
- GULF PRAIRIE HEALTHCARE LLCOperational/managerial control · not applicable · since 05/01/2026
- BROWN, DEANDREOperational/managerial control · not applicable · since 05/01/2026
- LEO, NICHOLASOperational/managerial control · not applicable · since 05/01/2026
Questions
When was Southern Oaks Therapy and Living Center last inspected?
CMS lists September 10, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Southern Oaks Therapy and Living Center have?
CMS lists 24 health citations since August 8, 2024. CMS also calls these deficiencies.
Has Southern Oaks Therapy and Living Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Southern Oaks Therapy and Living Center?
Its CMS overall star rating is 3 of 5.
Is Southern Oaks Therapy and Living Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.