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Nursing HomeMedicaid Investigative

Cedar Hill Healthcare Center

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

230 S Clark Rd, Cedar Hill, TX 75104110 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 82 Google reviews

5
4
3
2
1

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3/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (10 vs median 8.0)

Bottom 25% in Texas · Below recommended RN staffing · Worst in SOUTHWEST LTC chain · $22,503 in fines

Source: Medicare data

What this means for your family

This facility offers a professional administrative team and a friendly atmosphere for many, making it a pleasant place for visits. However, the presence of serious allegations regarding medical neglect, hygiene, and understaffing on the secure unit is a major red flag. If you choose this facility, you must implement a rigorous daily check-in routine to monitor your loved one's physical condition and hygiene.

Google Reviews

Google Reviews

82 reviews on Google
Families considering Cedar Hill Healthcare Center will find a polarizing environment. While many reviewers praise the professional administration and the friendly, caring nature of the nursing staff, there are serious, recurring allegations regarding understaffing, neglectful hygiene care, and physical/verbal abuse on the secure unit. Recent reviews highlight a significant divide between those who find the facility clean and pleasant and those who report severe medical oversight and facility maintenance issues.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean5.0Activities4.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Professional and friendly administration
  • Responsive and caring nursing staff
  • Clean and odor-free environment (noted by several)
  • Smooth admission and touring process

Concerns

  • Understaffing and lack of responsiveness (mentioned by 3 reviewers)
  • Neglect regarding hygiene and incontinence care (mentioned by 2 reviewers)
  • Facility maintenance and cleanliness issues (roaches/smell) (mentioned by 2 reviewers)
  • Allegations of patient abuse on secure/lockdown unit (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(3)'20(2)'22(14)'24(3)'26(3)

Distribution · 82 analyzed

5
52
4
4
3
5
2
4
1
17

How They Respond to Reviews

13%response rate
Good

The owner frequently uses the reviewer's name to personalize responses and acknowledges specific details mentioned in positive reviews. They maintain a professional tone and address negative feedback by requesting further communication or acknowledging that feedback has been shared.

Questions for Your Tour

  • 1It’s great to see how professional and welcoming the administration team is; how do you ensure that this level of care and communication is maintained between the staff and families?
  • 2I noticed some mentions of the facility being very clean and odor-free; what specific protocols do you have in place for daily maintenance and deep cleaning of the resident rooms?
  • 3With the recent health inspections, what specific steps has the facility taken to address the identified deficiencies and improve medication management processes?
  • 4How does the nursing team manage hygiene and incontinence care to ensure every resident's personal dignity and comfort are prioritized?
  • 5Can you tell me more about the daily activity calendar and how you are working to expand the variety of events available for the residents?
  • 6In the event of a medical emergency or a change in a resident's condition after hours, what is the specific protocol for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

My experience from the Administration office to the employees, I am amazed how professional they are. They are very friendly, they interact with the patients and family.

Rehab patient's family · 2022★★★★★

The event for the Thanksgiving UNITY Gathering was very nicely prepared. The place was decorated and Xmas trees were all lit up. Sitting arrangements were made, the food was delicious and had more than enough food for all.

Long-term resident's family · 2023★★★★★

She fell at 4:00 am and they did nothing but give her pain meds. We forced them to take her to the hospital at 3:00 pm. She had 4 broken ribs and a broken nose.

Long-term resident's family · 2025☆☆☆☆
Source: 82 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
54%
Registered nurses for medical care
Total Nursing
2.94hrs
72%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
30%
Lower is better (< 30% = good)

Both 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 · 15 measures

Medicare Rating
1/ 5
Better Than Avg

9

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.7%
Worse than Avg
Here
28.7%
US
14.4%
TX
16.1%
Dallas
18.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
19.5%
TX
18.4%
Dallas
16.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Dallas
2.0%

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 Facility99.4%
Better than Avg
Here
99.4%
US
93.4%
TX
96.9%
Dallas
95.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.2%
Mixed vs Avgs
Here
19.2%
US
19.4%
TX
14.2%
Dallas
16.2%
💉

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%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.0%
Better than Avg
Here
96.0%
US
79.7%
TX
88.0%
Dallas
78.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.7%
Better than Avg
Here
95.7%
US
81.8%
TX
89.2%
Dallas
86.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
3penalties
Near state avg (9.1)
20 complaint-triggered
$22,503 in fines

Families have repeatedly filed complaints resulting in 22 deficiency citations, indicating ongoing concerns about safety and care quality. The facility shows persistent problems across infection control, fire safety systems, and care planning that recur in multiple surveys from 2023 through 2025. While the facility reports correcting issues, the pattern of recurring deficiencies in critical areas suggests systemic challenges that families should carefully consider.

Aug 15, 2025Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jul 2, 2025Routine
5
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0352Minimal · WidespreadCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Jul 2, 2025Complaint
7
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.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

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

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 5, 2025Complaint
2
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 5, 2024Complaint
1
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jun 26, 2024Complaint
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0584Potential for harm · PatternCorrected

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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0770Potential for harm · PatternCorrected

Administration Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0940Potential for harm · PatternCorrected

Administration Deficiencies

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

Federal Penalties

Fine

Aug 15, 2025

$9,113

Fine

Nov 5, 2024

$13,390

Payment Denial

Nov 5, 2024

8-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stephens Memorial Hospital District

Organization Type

for profit

Management Company

PMG OPCO CEDAR HILL, LLC

Administrator

MABEL NIKOI

Chain Affiliation

Chain Name

Southwest Ltc

Chain Size

13 facilities nationwide

Chain avg rating: 3.4/5 · Rank 7 of 7 (Worst)

Ownership & Management

Key personnel

Nikoi, MabelW-2 Managing EmployeeTidwell, ToddOfficer / DirectorSouthwest Ltc Cedar Hill LLCManagerRoland, BrianManagerSimmons, KarlManager
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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