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Nursing HomeMedicaid Top Rated

The Madison on Marsh

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

2245 Marsh Ln, Southwest Carrollton · Carrollton, TX 75006125 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 49 Google reviews

5
4
3
2
1
The Madison on Marsh Nursing Home in Carrollton, TX — Street View
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What this means for your family

This facility is an excellent choice for families seeking high-quality memory care, particularly if you value a staff that treats residents with deep personal compassion. The use of technology for daily updates provides great peace of mind. However, if your loved one has specific dietary or physical activity requirements, you should verify their current nutritional and mobility protocols during your tour.

Google Reviews

Google Reviews

49 reviews on Google
Families considering this facility can expect a highly compassionate environment, with many reviewers praising the staff's ability to treat residents like family. While the community is widely celebrated for its excellent memory care and engaging activities, one reviewer raised serious concerns regarding resident nutrition and physical inactivity.

Quality Themes

Tap a score for details
Food5.0Staff10.0Clean10.0Activities9.0MedsN/AMemory10.0Comms9.0Value5.0

Strengths

  • Compassionate and attentive nursing staff
  • Engaging and diverse activities program
  • Clean and well-maintained facility
  • Strong, visible leadership and administration
  • Smooth transitions into memory care

Concerns

  • Concerns regarding resident diet and physical inactivity

Rating Trends

Tap a year to see what changed

234'18(1)'20(5)'22(11)'24(8)'26(6)

Distribution · 52 analyzed

5
47
4
2
3
1
2
0
1
2

How They Respond to Reviews

63%response rate
Good

The owner primarily uses personalized responses that address specific staff members and details mentioned in the reviews. While most responses are warm and empathetic, some shorter reviews receive more templated, brief acknowledgments.

Questions for Your Tour

  • 1We've heard wonderful things about the leadership here; how does the administration stay involved with the day-to-day care of the residents?
  • 2The activity program sounds very diverse; could you tell us more about how you keep residents physically active and engaged throughout the week?
  • 3How does the kitchen team work to ensure that residents receive nutritious and varied meals that cater to different dietary needs?
  • 4With the transition into memory care being a strength here, what specific steps do you take to make that move feel seamless for a new resident?
  • 5In the event of a medical emergency during the night, what is the protocol for ensuring immediate care and notifying the family?
  • 6What steps is the facility currently taking to increase the number of staff members available on each shift to support the nursing team?

Personalized based on this facility's data


Key Review Excerpts

The care he gets now is so much better. We consider his caregivers (like Paris, Rosie and Robert) an extension of the family.

Memory care family member · 2025★★★★★

Anytime I have asked for help for her with very specific things, it has been addressed immediately with great communication. It was also VERY important to my family that my mom was able to transition into memory care with her pet.

Memory care family member · 2025★★★★★

The staff is very upbeat, always available and keeps us informed daily. They actually have an app where we get updates and pictures throughout the day.

Long-term resident's family · 2020★★★★★
Source: 49 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
66%
Registered nurses for medical care
Total Nursing
3.38hrs
82%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
64%
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
5/ 5
Better Than Avg

16

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
19.4%
TX
14.2%
Dallas
16.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
14.4%
TX
16.1%
Dallas
18.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.7%
Better than Avg
Here
5.7%
US
15.3%
TX
14.9%
Dallas
17.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
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 on antipsychotic medication

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
15.4%
TX
9.4%
Dallas
10.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
19.5%
TX
18.4%
Dallas
16.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Dallas
86.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.5%
Better than Avg
Here
95.5%
US
79.7%
TX
88.0%
Dallas
78.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
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

5deficiencies
1penalties
Near state avg (9.1)
13 complaint-triggered
$8,473 in fines

This facility has generated 13 complaint-triggered deficiencies, indicating families have filed reports about care concerns. The most recurring issues involve medication management, care planning, and safety hazards. Problems span from 2022 to 2025, with recent complaints in 2025 about accident prevention, daily living assistance, and medication labeling, suggesting ongoing care quality challenges that families should investigate thoroughly during any visit.

Dec 3, 2025Complaint
2
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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.

Apr 17, 2025Complaint
3
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.

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.

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.

Jan 17, 2025Complaint
4
0761Potential for harm · PatternCorrected

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.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Dec 4, 2024Routine
9
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0232Potential for harm · PatternCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Dec 4, 2024Complaint
1
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.

Oct 19, 2023Routine
5
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0761Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Apr 17, 2025

$8,473

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dallas County Hospital District

Organization Type

for profit

Management Company

CARROLLTON HEALTH CARE CENTER LTD CO

Administrator

RODERICK WALLACE

Chain Affiliation

Chain Name

Cantex Continuing Care

Chain Size

38 facilities nationwide

Chain avg rating: 3.2/5 · Rank 26 of 37

Ownership & Management

Owners

Dallas County Hospital District

Owner · Organization

100%

Key personnel

Castaneda, EdmundoOfficer / DirectorCerise, FrederickOfficer / DirectorCarrollton Health Care Center Ltd CoManagerPatel, KetanManagerSindatry, MariaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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