D61

Cedar Hill Healthcare Center

Grade D 61/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
2/5
Quality
1/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

110

Ownership

For profit - Corporation

Total Fines

$37,160

Last Survey

N/A

230 S Clark Rd, Cedar Hill, TX 75104
9722917877

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.49h
LPN
0.94h
CNA
2.26h
Total
3.69h
Facility
State Average

Turnover Rates

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

Ownership

SOUTHWEST LTC CEDAR HILL LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2017

ROLAND, BRIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2021

SIMMONS, KARL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2017

TIDWELL, TODD

IndividualCORPORATE DIRECTORSince Oct 2013

NIKOI, MABEL

IndividualW-2 MANAGING EMPLOYEESince Jan 2020

Penalties & Fines (4)

$37,160total fines
DateTypeDescriptionAmount
Aug 15, 2025Fine$14,020
Nov 5, 2024Fine$13,390
Nov 5, 2024Payment Denial
Mar 2, 2023Fine$9,750

Health Inspection Deficiencies (34)

August 15, 2025Health1 deficiency1 severe
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 Jul 31, 2025
July 2, 2025Health7 deficiencies
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 10, 2025
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 10, 2025
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 10, 2025
0687DMinimal harm, Isolated

Provide appropriate foot care.

Quality of Life and Care Deficiencies

Corrected Aug 10, 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 Aug 10, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 10, 2025
0919EMinimal harm, Pattern

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Aug 10, 2025
March 5, 2025Health2 deficiencies
0558EMinimal harm, Pattern

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Apr 21, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 21, 2025
November 5, 2024Health1 deficiency1 severe
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 20, 2024
June 26, 2024Health9 deficiencies
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 15, 2024
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 15, 2024
0925EMinimal harm, Pattern

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies

Corrected Aug 15, 2024
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Aug 15, 2024
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Aug 15, 2024
0770EMinimal harm, Pattern

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies

Corrected Aug 15, 2024
0812FMinimal harm, Widespread

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 Aug 15, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 15, 2024
0940EMinimal harm, Pattern

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Administration Deficiencies

Corrected Aug 15, 2024
July 10, 2023Health1 deficiency
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 10, 2023
May 4, 2023Health6 deficiencies
0727DMinimal harm, Isolated

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected Jun 20, 2023
0791EMinimal harm, Pattern

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies

Corrected Jun 20, 2023
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Jun 20, 2023
0925DMinimal harm, Isolated

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies

Corrected Jun 20, 2023
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Jun 20, 2023
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 Jun 20, 2023
April 18, 2023Health1 deficiency
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected May 25, 2023
March 2, 2023Health1 deficiency
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 31, 2023
March 25, 2022Health5 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 6, 2022
0689DMinimal harm, 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 May 6, 2022
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected May 6, 2022
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 May 6, 2022
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 May 6, 2022

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Frequently Asked Questions

What is the CareGrader rating for Cedar Hill Healthcare Center?

Cedar Hill Healthcare Center in Cedar Hill, Texas has a CareGrader grade of D (Below Average), with a composite score of 60.5 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 Cedar Hill Healthcare Center?

Cedar Hill Healthcare Center has an overall CMS star rating of 1 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Cedar Hill Healthcare Center have?

Cedar Hill Healthcare Center has 34 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 Cedar Hill Healthcare Center been fined?

Yes. Cedar Hill Healthcare Center has $37,160 in total fines from CMS enforcement actions across 4 penalties.

How many beds does Cedar Hill Healthcare Center have?

Cedar Hill Healthcare Center has 110 certified beds with approximately 83 current residents (75% occupancy). The facility is located at 230 S Clark Rd, Cedar Hill, Texas 75104. 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.