C72

THE MADISON ON MARSH

Grade C 72/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
5/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

125

Ownership

For profit - Corporation

Total Fines

$8,281

Last Survey

N/A

2245 MARSH LN, CARROLLTON, TX 75006
9724161764

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.51h
LPN
0.82h
CNA
1.94h
Total
3.27h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

DALLAS COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2015

100%

CARROLLTON HEALTH CARE CENTER LTD CO

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2015

ERIKSEN, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2015

SIMMS, TRACY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2015

UNDERHILL, ROBIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2015

BING, ERIC

IndividualCORPORATE DIRECTORSince Feb 2022

BRADLEY, SHANNAN

IndividualCORPORATE DIRECTORSince Dec 2023

FURNISS, TODD

IndividualCORPORATE DIRECTORSince Feb 2022

MARTINEZ, ROBERT

IndividualCORPORATE DIRECTORSince Feb 2016

MIGUEZ, RAMON

IndividualCORPORATE DIRECTORSince Aug 2020

MINNER, FARIDA

IndividualCORPORATE DIRECTORSince Feb 2022

O'BANNON, DON

IndividualCORPORATE DIRECTORSince Sep 2018

PALACIOS, ELIZABETH

IndividualCORPORATE DIRECTORSince Sep 2018

PETTY, MARJORIE

IndividualCORPORATE DIRECTORSince Feb 2021

PROCTOR, JOHN

IndividualCORPORATE DIRECTORSince Sep 2019

SUTTER, LISA

IndividualCORPORATE DIRECTORSince Feb 2020

TILLOTSON, JEFF

IndividualCORPORATE DIRECTORSince Mar 2016

CASTANEDA, EDMUNDO

IndividualCORPORATE OFFICERSince Jan 2022

CERISE, FREDERICK

IndividualCORPORATE OFFICERSince Mar 2014

ERIKSEN, DAVID

IndividualCONTRACTED MANAGING EMPLOYEESince Feb 2015

SIMMS, TRACY

IndividualCONTRACTED MANAGING EMPLOYEESince Feb 2015

UNDERHILL, ROBIN

IndividualCONTRACTED MANAGING EMPLOYEESince Feb 2015

BRADLEY, SHANNAN

IndividualW-2 MANAGING EMPLOYEESince Dec 2023

CASTANEDA, EDMUNDO

IndividualW-2 MANAGING EMPLOYEESince Jan 2022

KARUNAKARAN, LAVANYA

IndividualW-2 MANAGING EMPLOYEESince Mar 2022

Penalties & Fines (1)

$8,281total fines
DateTypeDescriptionAmount
Apr 17, 2025Fine$8,281

Health Inspection Deficiencies (19)

April 17, 2025Health3 deficiencies1 severe
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Apr 23, 2025
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 1, 2025
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 23, 2025
January 17, 2025Health4 deficiencies
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Jan 18, 2025
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 18, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jan 18, 2025
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Jan 18, 2025
December 4, 2024Health3 deficiencies
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 5, 2024
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Dec 5, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Dec 5, 2024
October 19, 2023Health5 deficiencies
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Oct 20, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Oct 20, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 20, 2023
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 20, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 20, 2023
August 16, 2023Health1 deficiency
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Aug 20, 2023
August 17, 2022Health3 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Sep 14, 2022
0808DMinimal harm, Isolated

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Nutrition and Dietary Deficiencies

Corrected Sep 14, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 14, 2022

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Frequently Asked Questions

What is the CareGrader rating for THE MADISON ON MARSH?

THE MADISON ON MARSH in CARROLLTON, Texas has a CareGrader grade of C (Average), with a composite score of 72 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for THE MADISON ON MARSH?

THE MADISON ON MARSH has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does THE MADISON ON MARSH have?

THE MADISON ON MARSH has 19 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has THE MADISON ON MARSH been fined?

Yes. THE MADISON ON MARSH has $8,281 in total fines from CMS enforcement actions across 1 penalty.

How many beds does THE MADISON ON MARSH have?

THE MADISON ON MARSH has 125 certified beds with approximately 84 current residents (67% occupancy). The facility is located at 2245 MARSH LN, CARROLLTON, Texas 75006. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.