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Nursing HomeMedicaid Investigative

Carrollton Health and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1618 Kirby Rd, Original Town · Carrollton, TX 75006120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 121 Google reviews

5
4
3
2
1

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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Above-median deficiencies (13 vs median 8.0)
  • High staff turnover (60%)

Above average in Texas · Meets national RN staffing standard · $19,185 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for families prioritizing compassionate nursing and high-quality rehabilitation therapy. However, you should proactively inquire about the consistency of meal quality and ensure there is a clear plan for monitoring call lights during evening and weekend shifts.

Google Reviews

Google Reviews

121 reviews on Google
Families considering Carrollton Health and Rehabilitation Center will find a facility widely praised for its exceptionally kind, professional, and attentive nursing and therapy staff. While many reviewers highlight the cleanliness and welcoming atmosphere, some concerns have been raised regarding food quality and occasional issues with responsiveness to call lights during certain shifts.

Quality Themes

Tap a score for details
Food3.0Staff9.0Clean9.0Activities7.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Excellent rehabilitation and therapy services
  • Professional and communicative administration

Concerns

  • Inconsistent food quality and nutrition (mentioned by 2 reviewers)
  • Slow response times to call lights (mentioned by 2 reviewers)
  • Facility maintenance issues (leaks/temperature) (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'17(1)'19(6)'21(1)'23(7)'25(45)'26(15)

Distribution · 125 analyzed

5
102
4
9
3
1
2
1
1
12
13 reviews posted between Oct 21, 2024Oct 25, 2024 · 13 were 5-star

How They Respond to Reviews

27%response rate
Good

The owner provides personalized responses to most reviews, often addressing specific staff members or details mentioned by the reviewer. For negative feedback, they primarily use a strategy of inviting the reviewer to a private phone conversation to discuss concerns.

Questions for Your Tour

  • 1I noticed how much the administration values feedback from the community; how do you typically incorporate family suggestions into the facility's daily operations?
  • 2What steps are being taken to ensure the dining experience, specifically the nutritional variety and food quality, meets the needs of all residents?
  • 3How does the nursing team manage call light response times to ensure residents feel supported and attended to promptly, especially during busy shifts?
  • 4Could you tell me more about the recent maintenance updates being made to the facility, specifically regarding climate control and room upkeep?
  • 5What does a typical day of social activities and engagement look like for the residents here?
  • 6In the event of a medical emergency after hours, what is the specific protocol for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

The staff and nurses are always friendly, attentive, and genuinely caring. A big shoutout to the administrator, Shanaya, as well, who is incredibly accommodating, professional, and always willing to help with anything we need.

Long-term resident's family · 2026★★★★★

My mum had a stroke and did therapy with Ms. Ella, who was the most helpful, patient, loving person I met. She encouraged, she made jokes, she improved my mums confidence, all while treating my mum with the greatest respect.

Rehab patient's family · 2025★★★★★

The staff really cares for the residents. It is the cleanest skilled facility I have ever visited.

Long-term resident's family · 2024☆☆☆☆
Source: 121 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility32.0%
Worse than Avg
Here
32.0%
US
14.4%
TX
16.1%
Dallas
17.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
15.4%
TX
9.4%
Dallas
10.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Dallas
2.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Dallas
95.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Dallas
97.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.2%
Mixed vs Avgs
Here
18.2%
US
19.4%
TX
14.2%
Dallas
16.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Dallas
86.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.0%
Better than Avg
Here
95.0%
US
79.7%
TX
88.0%
Dallas
78.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Dallas
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
2penalties
Well above state avg (9.1)
12 complaint-triggered
$19,185 in fines

Families have filed 18 complaints about this facility, triggering multiple investigations with recurring issues in medication management, accident prevention, and infection control. The most concerning pattern is repeated problems with accident hazards and medication errors that continue to resurface across surveys. Recent inspections from 2024-2026 show some deficiencies remain uncorrected, while most older issues have been addressed with correction plans.

Mar 26, 2026Complaint
1
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

Mar 5, 2026Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Jan 30, 2026Complaint
3
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0919Potential for harm · PatternCorrected

Environmental Deficiencies

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

Dec 1, 2025Complaint
1
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Nov 20, 2025Complaint
4
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0761Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 6, 2025Routine
7
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0776Potential for harm · PatternCorrected

Administration Deficiencies

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minimal · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal Penalties

Fine

Jan 14, 2025

$10,358

Fine

Mar 20, 2024

$8,827

Ownership & Operations

Who Operates This Facility

Owner / Operator

Eastland Memorial Hospital District

Organization Type

for profit

Management Company

CARROLLTON HEIGHTS HEALTHCARE INC

Administrator

SHANAYA MUSANI

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 29 of 84

Ownership & Management

Owners

Eastland Memorial Hospital District

Owner · Organization

100%

Key personnel

Coil, RyanManaging Control - Governing BodyWard, CharlesManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / DirectorTaylor, StephenOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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