Balch Springs Nursing Home
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 123 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (1/5 stars)
- High staff turnover (62%)
- High RN turnover (56%)
Top 25% in Texas · Critically understaffed (RN) · Chain outperformer · No penalties on record
What this means for your family
While the facility has shown periods of excellent rehabilitation outcomes and compassionate nursing, recent years have seen alarming reports of neglect and hygiene issues. If you choose this facility, you must be extremely vigilant about checking on your loved one's hygiene, feeding, and responsiveness to call lights, especially during evening and weekend shifts.
Google Reviews
Google Reviews
123 reviews on Google“Families considering Balch Springs Nursing Home will find a facility with a highly polarized reputation. While many long-term residents and rehab patients praise the compassionate nursing staff and effective physical therapy, there are serious, recurring allegations of neglect, including failure to provide food, hygiene, and timely medical attention. Recent reviews suggest a period of management transition, with some noting improvements and others reporting significant issues with cleanliness and responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and skilled nursing staff
- Effective physical and occupational therapy
- Cleanliness in certain wings/recent management
- Professional administrative leadership (noted by some)
Concerns
- Neglect regarding hygiene and feeding (mentioned by 3 reviewers)
- Unresponsive call lights and staff (mentioned by 2 reviewers)
- Unpleasant facility odors (urine) (mentioned by 2 reviewers)
- Inconsistent care during evening/night shifts (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 111 analyzed
How They Respond to Reviews
The owner relies heavily on standardized templates to respond to reviews. Negative reviews are met with a repetitive script inviting the reviewer to call the Administrator, while positive reviews use a fixed set of celebratory phrases.
Questions for Your Tour
- 1We've heard great things about the compassion of your nursing staff; how do you ensure that same level of attentive care is maintained during the evening and overnight shifts?
- 2With the recent management changes, what specific steps are being taken to improve the cleanliness of the facility and ensure a fresh environment for residents?
- 3How do you manage the call light system to ensure that residents receive timely assistance with personal hygiene and mealtime needs?
- 4Could you tell us more about the dining experience and how the facility is working to improve the variety and quality of the meals served?
- 5What is the protocol for handling a medical emergency during the night, and how quickly can a nurse respond to a resident's needs?
- 6What kind of daily activities or social programs are available to keep the residents engaged and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“They took very good care of her and she really enjoyed her stay. The staff was nice and professional.”
“My relative entered this facility hoping to get the assistance that was needed so he could have some mobility. He entered the facility on Monday, October 13, 2025 and was neglected until October 16, 2025.”
“The therapy department is a very dynamic group. The residents love therapy, give their best effort, and achieve great therapy outcomes.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with recurring issues across medication management, fire safety, and care quality, with families filing multiple complaints about pharmacy services. Problems persist across surveys, including repeated deficiencies in smoke barriers, drug labeling that triggered complaints in 2024 and recurred in 2025, and food safety violations appearing in both 2023 and 2025. While all violations show correction dates, the pattern of recurring issues in critical areas like medication safety warrants careful consideration.
Mar 30, 2026Complaint2
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Mar 6, 2025Routine6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies
Provide properly protected cooking facilities.
Mar 6, 2025Complaint1
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Aug 28, 2024Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 31, 2024Complaint1
Pharmacy Service Deficiencies
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.
Feb 14, 2024Routine10
Administration Deficiencies
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Federal Penalties
Fine
Mar 30, 2026
$32,295
Ownership & Operations
Who Operates This Facility
Hamilton County Hospital District
for profit
BALCH SPRINGS HC LLC
DANTRELL ANDERSON
Chain Affiliation
Advanced Healthcare Solutions
30 facilities nationwide
Chain avg rating: 3.2/5 · Rank 7 of 30
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
123 reviews from families & visitors
Official Website
Visit balchspringshealthandrehab.com
Medicare data downloads
Original nursing home datasets
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