Skyline Nursing Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 178 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.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (10 vs median 8.0)
Bottom 25% in Texas · Below recommended RN staffing · Worst in OPCO SKILLED MANAGEMENT chain · $96,817 in fines · Abuse citation
What this means for your family
This facility is an excellent choice for rehabilitation and social engagement due to its highly praised activity programs and skilled therapy staff. However, families should conduct a physical walkthrough to verify current cleanliness standards and specifically ask about the protocols for monitoring residents during the night shift.
Google Reviews
Google Reviews
178 reviews on Google“Skyline Nursing Center is highly praised by many families for its compassionate nursing staff and effective rehabilitation services. However, there are serious, recurring allegations regarding cleanliness, specifically concerning pests and odors, as well as concerns about inconsistent care during night shifts.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective rehabilitation and therapy programs
- Friendly and professional admissions process
- Clean and renovated facility areas
Concerns
- Issues with cleanliness, including pests (roaches/spiders) and odors (mentioned by 3 reviewers)
- Inconsistent care or lack of monitoring during night shifts (mentioned by 2 reviewers)
- Difficulty communicating with administration or receiving timely updates (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 179 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of attentive care continues through the overnight shifts?
- 2With the recent renovations to the facility, what specific steps are being taken to maintain high standards of cleanliness and room upkeep?
- 3Could you tell me more about the rehabilitation and therapy programs available for residents looking to regain their strength?
- 4What is the best way for our family to stay in regular contact with the administration to ensure we are receiving timely updates on our loved one's care?
- 5What does a typical day of social activities and engagement look like for the residents here?
- 6In the event of a medical emergency during the night, what is the specific protocol for getting immediate physician or specialist attention?
Personalized based on this facility's data
Key Review Excerpts
“The nurses and caregivers are attentive and patient, always taking the time to listen and ensure each resident’s needs are met”
“My mom was transferred here for rehab and I am so thankful and grateful for the staff and nurses. They treated my mother with care and respect.”
“The facility is always clean, well-maintained, and has a warm, welcoming atmosphere. The activities and programs keep residents engaged and social”
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 · 16 measures
14
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Residents vaccinated for the flu
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 34 complaint-triggered deficiencies where families filed reports about issues including abuse protection, proper medical care, and medication management. Recent deficiencies persist into 2025-2026, including ongoing problems with protecting residents from financial exploitation and providing adequate daily care assistance. While all violations show correction dates, the recurring nature of problems across multiple surveys suggests systemic challenges in maintaining consistent quality care standards.
Jan 8, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Aug 6, 2025Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 4, 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.
Jan 29, 2025Routine10
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure electrical receptacles or cover plates have distinctive color or marking.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 29, 2025Complaint1
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.
Dec 27, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Federal Penalties
Fine
Aug 1, 2023
$96,817
Ownership & Operations
Who Operates This Facility
Nocona Hospital District
for profit
DALLAS TEXAS HEALTHCARE LLC
DAVID W ROBERTS
Chain Affiliation
Opco Skilled Management
64 facilities nationwide
Chain avg rating: 2.2/5 · Rank 24 of 24 (Worst)
Ownership & Management
Owners
Nocona Hospital District
Owner · Organization
Gurwitz, Solomon
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Hagins, Elizabeth
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Kaplan, Esther
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Kaplan, Mordechai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mindle, Adam
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Unger, Jeffrey
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
178 reviews from families & visitors
Official Website
Visit skylinenursingcenter.com
Medicare data downloads
Original nursing home datasets
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