Duncanville Healthcare and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 179 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 overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (17 vs median 8.0)
- High staff turnover (61%)
- High RN turnover (86%)
Bottom 25% in Texas · Critically understaffed (RN) · Above average staffing · Worst in NEXION HEALTH chain · $116,171 in fines
What this means for your family
This facility offers an excellent rehabilitation program and a very clean, secure environment that many families find comforting. However, you must be extremely vigilant regarding nursing oversight, as multiple recent reviews highlight dangerous lapses in medication management and response to emergencies. We recommend frequent unannounced visits and direct communication with the Director of Nursing to ensure care standards are being met.
Google Reviews
Google Reviews
179 reviews on Google“Families often praise the facility for its clean, welcoming atmosphere and a therapy/rehab team that demonstrates significant skill in patient recovery. However, there are serious, recurring allegations regarding nursing neglect, including missed feedings, delayed medication, and inadequate response to call lights. While many long-term residents appear happy, the facility faces critical scrutiny regarding staffing levels and hygiene during night shifts.”
Quality Themes
Tap a score for detailsStrengths
- Effective and skilled rehabilitation/therapy team
- Clean and well-maintained facility environment
- Welcoming and professional administrative staff
- Secure and controlled access for resident safety
Concerns
- Nursing neglect and delayed response to call lights (mentioned by 4 reviewers)
- Inadequate staffing levels, particularly during off-hours (mentioned by 3 reviewers)
- Issues with facility hygiene and odors (mentioned by 3 reviewers)
- Inconsistent meal delivery and dietary oversight (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 184 analyzed
How They Respond to Reviews
The owner relies almost exclusively on a standardized template that directs all negative feedback to a specific person (VP of Compliance) via a single phone number. While they use the reviewer's name occasionally, they do not address the specific details of the complaints.
Questions for Your Tour
- 1I noticed your administrative team is often described as very welcoming; how do you ensure that same level of communication extends to the nursing staff during shift changes?
- 2Since your therapy team is highly regarded, how do you coordinate with them to ensure a resident's physical rehabilitation goals are integrated into their daily routine?
- 3What specific protocols are in place to ensure call lights are answered promptly, especially during the overnight or off-hours?
- 4Could you walk me through your process for medication management and how you ensure accuracy and oversight for every dose?
- 5How does the facility manage meal delivery and dietary oversight to ensure all residents receive their specific nutritional needs on a consistent schedule?
- 6What is your procedure for handling medical emergencies after hours when the primary clinical leadership might not be on-site?
Personalized based on this facility's data
Key Review Excerpts
“My dad was placed here during his recovery and the care he received was nothing short of amazing! The facility was always clean, the staff were friendly and attentive, and the director always addressed any issues we had immediately.”
“The facility is well lit, clean and spacious for the residents and families. As a healthcare Chaplain 15 years now; I am happy to see the Activity Director and residents enjoys Events.”
“Broken ribs and fractured shoulder laying on the floor for hours yelling for help after falling out of the bed. Night shift staff finally came and refused to send him to the ER nor acknowledged the patient wish to goto the ER.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
3
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents who lost too much weight
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 a concerning pattern with 77% of its deficiencies triggered by family and resident complaints, indicating ongoing care quality issues. The most recurring problems involve medication management, food safety and nutrition, and infection control protocols. While the facility reports correcting most violations, the high volume of complaint-driven investigations and repeated issues in the same care areas suggest persistent operational challenges that families should carefully consider before placement.
Mar 25, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 5, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 8, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Sep 18, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 14, 2025Routine8
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
May 20, 2025Complaint2
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Federal Penalties
Fine
May 20, 2025
$26,685
Fine
Feb 7, 2024
$1,668
Fine
Jan 12, 2024
$7,105
Fine
Jul 18, 2023
$17,784
Fine
May 19, 2023
$25,564
Payment Denial
May 19, 2023
5-day denial
Ownership & Operations
Who Operates This Facility
Dallas County Hospital District
for profit
NEXION HEALTH AT DUNCANVILLE, INC
MCCOY RENFRO
Chain Affiliation
Nexion Health
52 facilities nationwide
Chain avg rating: 2.9/5 · Rank 24 of 26 (Worst)
Ownership & Management
Owners
Dallas County Hospital District
Owner · Organization
Nexion Health Leasing, INC.
Owner (parent company) · Organization
Nexion Health, INC.
Owner (parent company) · Organization
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
179 reviews from families & visitors
Official Website
Visit nexion-health.com
Medicare data downloads
Original nursing home datasets
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