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Nursing HomeMedicaid Investigative

Heritage Gardens Rehabilitation and Healthcare

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

2135 N Denton Dr, Original Town · Carrollton, TX 75006150 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 101 Google reviews

5
4
3
2
1
Heritage Gardens Rehabilitation and Healthcare Nursing Home in Carrollton, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

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

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in THE ENSIGN GROUP chain · $38,243 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility's therapy and rehabilitation team is exceptional and highly recommended for post-acute recovery. However, families must be extremely vigilant regarding nursing care, specifically checking on medication schedules and ensuring adequate supervision during night shifts to prevent falls.

Google Reviews

Google Reviews

101 reviews on Google
Families can expect a highly skilled rehabilitation and therapy team that is frequently praised for helping patients regain mobility. While many reviewers highlight a warm, clean, and welcoming environment, there are serious, recurring reports of medical neglect, including falls, medication errors, and inadequate nighttime supervision.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean9.0ActivitiesN/AMeds1.0MemoryN/AComms5.0ValueN/A

Strengths

  • Excellent rehabilitation and therapy services
  • Clean and well-maintained facility
  • Kind and professional administrative staff
  • Compassionate therapy team

Concerns

  • Patient neglect and safety issues (falls/unattended) (mentioned by 3 reviewers)
  • Inadequate staffing or slow response times during night/weekend shifts (mentioned by 2 reviewers)
  • Unprofessional behavior by specific nursing staff (mentioned by 2 reviewers)
  • Medication management errors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'16(3)'18(5)'20(6)'22(3)'24(23)'26(6)

Distribution · 106 analyzed

5
75
4
7
3
1
2
2
1
21

How They Respond to Reviews

3%response rate
Good

The owner uses a mix of generic templates for positive reviews and more personalized, empathetic responses for negative reviews. Recent responses show a specific effort by the new administrator to address serious grievances by introducing himself and inviting direct communication.

Questions for Your Tour

  • 1I noticed the administration team is very responsive to feedback; how does the leadership team involve families in the care planning process?
  • 2The therapy services here have such a great reputation; could you tell me more about how the rehabilitation team works with residents to meet their mobility goals?
  • 3What specific protocols are in place to ensure medication is administered accurately and on schedule, especially during shift changes?
  • 4How do you ensure that residents are closely monitored and attended to during the night and weekend shifts to prevent falls?
  • 5Could you describe what a typical day looks like for residents, including the types of social activities and dining experiences you offer?
  • 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

The therapists worked with him to strengthen his legs for walking. ... One thing I thought was incredible was everytime I had a concern it was resolved immediately

Rehab patient's family · 2025★★★☆☆

I was amazed by the staff. Every one I encountered had a smile and was so kind. The facility was very well kept and clean.

Visitor · 2025★★★★★

My grandmother was admitted and within less than 24 hours, she experienced neglect that resulted in a serious fall and a hospital stay.

Long-term resident's family · 2025☆☆☆☆
Source: 101 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
3.30hrs
81%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
40%
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 · 17 measures

Medicare Rating
4/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.9%
Worse than Avg
Here
29.9%
US
14.4%
TX
16.1%
Dallas
17.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
15.4%
TX
9.4%
Dallas
10.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
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 whose bladder or bowel control got worse

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
19.4%
TX
14.2%
Dallas
16.1%
💉

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 who lost too much weight

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
5.3%
TX
3.2%
Dallas
2.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
81.8%
TX
89.2%
Dallas
86.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.1%
Mixed vs Avgs
Here
87.1%
US
79.7%
TX
88.0%
Dallas
78.9%
💊

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

9deficiencies
1penalties
Near state avg (9.1)
16 complaint-triggered
$38,243 in fines

Families have repeatedly filed complaints that triggered inspections, with serious concerns including resident abuse, inadequate nursing competency, and medication errors appearing as recently as 2025. The facility shows recurring problems across fire safety systems, infection control, and basic care areas like daily living assistance and treatment planning. While all deficiencies show correction dates, the pattern of ongoing complaints and repeat violations in critical areas like safety and nursing care suggests persistent quality issues that families should carefully consider.

Mar 9, 2026Complaint
3
0600Potential for harm · 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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jul 8, 2025Complaint
1
0600Actual harm · 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.

Apr 9, 2025Complaint
2
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 13, 2025Complaint
1
0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nov 6, 2024Routine
8
0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0745Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Nov 6, 2024Complaint
2
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Jul 8, 2025

$38,840

Ownership & Operations

Who Operates This Facility

Owner / Operator

Eastland Memorial Hospital District

Organization Type

for profit

Management Company

SAVOY HEALTHCARE INC

Administrator

MORLEY PATERSON

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 75 of 84 (Worst)

Ownership & Management

Owners

Eastland Memorial Hospital District

Owner · Organization

100%

Key personnel

Hernandez, MiguelManaging Control - Governing BodyPaterson, MorleyManaging 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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