Nursing HomeMedicaid Investigative

The Hillcrest of North Dallas

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

18648 Hillcrest Rd, Far North Dallas · Dallas, TX 75252|120 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

4.2/5

based on 130 Google reviews

(972) 517-7771 Directions Website

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6/ 10

high 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)
Low staffing rating (1/5 stars)
Above-median deficiencies (15 vs median 8.0)
High staff turnover (75%)
High RN turnover (87%)

Bottom 25% in Texas · Below recommended RN staffing · Very high staff turnover · Worst in OPCO SKILLED MANAGEMENT chain · $236,449 in fines

Source: Medicare data

What this means for your family

This facility offers a beautiful, clean environment and has highly praised therapy and nursing individuals. However, you must be extremely vigilant regarding communication and patient safety, as multiple families have reported serious issues with neglect and unresponsive call lights.

Google Reviews

130 reviews on Google

“Families often praise the facility for its clean, modern environment and the kindness of specific nursing and therapy staff members. However, there are serious, recurring allegations regarding neglect, lack of communication, and hygiene issues that should be investigated closely.”

Quality Themes

Tap a score for details

Strengths

Clean and well-maintained facility
Friendly and attentive nursing staff
Effective rehabilitation and therapy programs
Welcoming and professional administration

Concerns

Allegations of neglect and patient safety issues (mentioned by 3 reviewers)
Poor communication from nursing and administration (mentioned by 4 reviewers)
High staff turnover and inconsistency (mentioned by 3 reviewers)
Unpleasant odors in certain areas of the building (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 116 analyzed

How They Respond to Reviews

0%response rate

Questions for Your Tour

1I've heard wonderful things about how clean and well-maintained the facility is; what steps do you take to ensure the living areas stay fresh and pleasant for the residents?
2With so many positive comments about your therapy programs, could you tell us more about how the rehabilitation process works for someone needing extra support?
3Since communication is so important to us, what specific systems do you have in place to keep families updated on changes in a loved one's condition?
4Can you walk us through your specific protocols for medication management to ensure everything is administered accurately and on schedule?
5How does the nursing team handle medical emergencies or sudden changes in health during the overnight hours?
6What kind of daily activities or social outings do you organize to help residents stay engaged and connected with one another?

Personalized based on this facility's data

Key Review Excerpts

“I was a resident at Hillcrest of North Dallas recently. Initially I was concerned. Admittedly, some of the wonderful reviews were troubling... They did not fail.”

Former resident · 2025★★★★★

“I had to move my mother here because she was being mistreated at another facility. And we immediately felt the love and care once she arrived. My mother seems happier here.”

Long-term resident's family · 2025★★★★★

“The nurses regularly ignore the alarms when the patients call for help. Our personal experience lasted not even three days. They put my mother-in-law in a bed that was a deflated air mattress.”

Rehab patient's family · 2023★★★★★

Source: 130 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.40hrs

53%

Registered nurses for medical care

Total Nursing

2.70hrs

66%

All nurses + aides combined

Staff Turnover

74%

Lower is better (< 30% = good)

RN Turnover

85%

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

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

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.9%

Better than Avg

Here

0.9%

12.1%

2.5%

Collin

6.5%

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

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility6.2%

Better than Avg

Here

6.2%

14.4%

16.1%

Collin

15.7%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility7.0%

Better than Avg

Here

7.0%

15.3%

14.9%

Collin

16.7%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility89.9%

Worse than Avg

Here

89.9%

95.5%

98.0%

Collin

99.1%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility14.1%

Mixed vs Avgs

Here

14.1%

15.4%

9.4%

Collin

8.7%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility15.4%

Mixed vs Avgs

Here

15.4%

19.4%

14.2%

Collin

16.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility77.3%

Worse than Avg

Here

77.3%

79.7%

88.0%

Collin

91.5%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility86.4%

Mixed vs Avgs

Here

86.4%

81.8%

89.2%

Collin

88.9%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.9%

Better than Avg

Here

0.9%

1.6%

1.5%

Collin

1.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies

4penalties

Well above state avg (9.1)

33 complaint-triggered

$236,449 in fines

This facility has generated significant family complaints, with 34 of 49 deficiencies triggered by families reporting concerns about abuse prevention, medication management, and safety hazards. Recent serious issues in 2024 included failures to protect residents from abuse and neglect, though the facility has corrected each violation. The pattern shows persistent problems across medication services and accident prevention that families should discuss during visits.

Dec 1, 2025Complaint1 finding

0689Potential for harm · IsolatedCorrected

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 31, 2025Routine4 findings

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

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

Jul 31, 2025Complaint6 findings

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

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.

0689Potential for harm · IsolatedCorrected

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 · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

Jun 3, 2025Complaint1 finding

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.

May 22, 2025Complaint2 findings

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.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

May 1, 2025Complaint1 finding

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.

Federal Penalties

Fine

Aug 3, 2024

$12,202

Fine

Aug 3, 2024

$199,833

Payment Denial

Aug 3, 2024

4-day denial

Fine

May 31, 2024

$9,017

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dallas County Hospital District

Organization Type

for profit

Management Company

HILLCREST OF NORTH DALLAS LLC

Administrator

JAMES B CULP

Chain Affiliation

Chain Name

Opco Skilled Management

Chain Size

64 facilities nationwide

Chain avg rating: 2.2/5 · Rank 19 of 24 (Worst)

Ownership & Management

Owners

Dallas County Hospital District

Owner · Organization

100%

Gurwitz, Solomon