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The Plaza at Edgemere

Strong Medicare quality ratings; families often praise exceptional rehabilitation and wound care. Still worth an in-person visit.

8502 Edgemere, North Dallas · Dallas, TX 7522587 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 155 Google reviews

5
4
3
2
1
The Plaza at Edgemere Nursing Home in Dallas, TX — Street View
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What this means for your family

This facility is an excellent choice for rehabilitation and memory care due to its specialized wound care and engaging activity programs. However, families should closely monitor medication schedules and check in frequently during weekends, as some reviewers reported lapses in care during off-hours.

Google Reviews

Google Reviews

155 reviews on Google
Families considering The Plaza at Edgemere will find a facility highly praised for its beautiful, clean environment and exceptional rehabilitation and wound care services. While many reviewers highlight the kindness of the management and nursing staff, there are serious concerns regarding medication delays and inconsistent monitoring during weekend shifts.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean9.0Activities10.0Meds2.0Memory10.0Comms9.0ValueN/A

Strengths

  • Exceptional rehabilitation and wound care
  • Beautiful, clean, and well-maintained facility
  • Compassionate and attentive nursing staff
  • Engaging activities and sensory care in memory care

Concerns

  • Inconsistent monitoring and slow response times during weekend shifts (mentioned by 2 reviewers)
  • Delays in medication administration and management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.72025(22)4.62026(9)

Distribution · 31 analyzed

5
28
4
0
3
0
2
1
1
2
10 reviews posted between Sep 29, 2025Oct 3, 2025 · 10 were 5-star

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback from families online; how does the administration typically use resident and family input to make improvements around the facility?
  • 2With a smaller, more intimate community of 87 residents, how do you ensure that every person receives consistent, personalized attention from the nursing team during busy shifts?
  • 3What specific steps are in place to ensure there is always enough clinical staff available to meet the medical needs of residents, especially during overnight hours?
  • 4How does the facility manage medical emergencies or sudden changes in a resident's health status after the primary care team has finished their rounds?
  • 5What kind of daily activities or social outings are planned to help residents stay engaged and connected with one another?
  • 6How do you approach addressing and resolving any care deficiencies or clinical concerns to ensure they don't become recurring issues for the residents?

Personalized based on this facility's data


Key Review Excerpts

The wound care nurse made a significant difference in her wound because it was in rough shape at first, but now she’s healed enough to go home.

Family of wound care patient · 2025★★★★★

My mom lives in the Memory Care neighborhood at The Plaza at Edgemere, and we couldn't be happier. The atmosphere is warm, and the staff truly treat residents like family.

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

Rehab was amazing and our Uncle was able to return home. We highly recommend Edgemere.

Rehab patient's family · 2026★★★★★
Source: 155 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.80hrs
OK
Registered nurses for medical care
Total Nursing
3.88hrs
95%
All nurses + aides combined

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.8%
Worse than Avg
Here
81.8%
US
93.4%
TX
96.9%
Dallas
95.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
14.4%
TX
16.1%
Dallas
17.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.7%
Worse than Avg
Here
22.7%
US
15.4%
TX
9.4%
Dallas
10.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
19.5%
TX
18.4%
Dallas
16.2%
😔

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 whose bladder or bowel control got worse

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
19.4%
TX
14.2%
Dallas
16.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
79.7%
TX
88.0%
Dallas
78.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.4%
Better than Avg
Here
93.4%
US
81.8%
TX
89.2%
Dallas
86.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.1%
Better than Avg
Here
0.1%
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

4deficiencies
1penalties
Well below state avg (9.1)
10 complaint-triggered

Multiple families have filed complaints triggering inspections at this facility, with 31 deficiencies found across 4 surveys. Recurring issues involve fire safety systems, care planning, and infection control. Recent deficiencies from a 2026 survey show uncorrected problems with emergency preparedness, fire safety equipment, and food handling, suggesting some issues persist despite previous corrections being reported.

Mar 27, 2026Complaint
1
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jan 22, 2026Routine
14
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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.

0851Potential for harm · PatternCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Dec 2, 2025Complaint
1
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.

Oct 3, 2024Complaint
8
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0851Potential for harm · PatternCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

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.

Oct 3, 2024Routine
7
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0374Potential for harm · PatternCorrected

Smoke Deficiencies

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

0917Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure electrical receptacles or cover plates have distinctive color or marking.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Aug 23, 2023Routine
1
0916Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Federal Penalties

Fine

Mar 27, 2026

$12,735

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bay 9 Holdings LLC

Organization Type

for profit

Management Company

CERTUS EDGEMERE MANAGEMENT LLC

Administrator

BOBBI J CROCKER

Ownership & Management

Owners

Grenelle Holdings LLC

Owner · Organization

100%

Lapis Municipal Opportunities IV Lp

Owner (parent company) · Organization

100%

Key personnel

Chavez, FrankOfficer / DirectorHatch, KjerstinOfficer / DirectorTerrell, BasiaOfficer / DirectorCertus Edgemere Management LLCManagerChavez, FrankManager
Source: Medicare provider data

Contact

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References & Resources

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