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Nursing HomeMedicaid Investigative

Williamsburg Village Healthcare Campus

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

940 York Drive, Desoto, TX 75115242 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 182 Google reviews

5
4
3
2
1
Williamsburg Village Healthcare Campus Nursing Home in Desoto, TX — Street View
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7/ 10
critical 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 (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (25 vs median 8.0)
  • High RN turnover (62%)

Below average in Texas · Critically understaffed (RN) · Worst in DALLAS COUNTY HOSPITAL DISTRICT chain · $85,161 in fines · Abuse citation

Source: Medicare data

What this means for your family

While the admissions team and physical therapy are significant strengths, the facility has a pattern of serious, high-severity complaints regarding resident neglect and safety. If you choose this facility, you must implement frequent, unannounced visits and consider placing a camera in the room to monitor care quality.

Google Reviews

Google Reviews

182 reviews on Google
Williamsburg Village Healthcare Campus receives high praise for its admissions team, specifically Tonya Cooper, and its physical therapy department. However, families should be extremely cautious due to multiple serious allegations of neglect, including severe bedsores, medication errors, and incidents of physical harm. While some residents thrive in the memory care unit, others report significant issues with staffing shortages and poor hygiene.

Quality Themes

Tap a score for details
Food4.0Staff4.0Clean3.0ActivitiesN/AMeds2.0Memory5.0Comms3.0ValueN/A

Strengths

  • Professional and helpful admissions staff
  • Effective physical therapy department
  • Clean and well-maintained housekeeping
  • Compassionate individual caregivers

Concerns

  • Severe staffing shortages and neglect (mentioned by 6 reviewers)
  • Poor hygiene and unpleasant odors (mentioned by 4 reviewers)
  • Inadequate communication from administration (mentioned by 3 reviewers)
  • Issues with wound care and bedsores (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'16(1)'18(6)'20(6)'22(27)'24(40)'26(8)

Distribution · 186 analyzed

5
110
4
10
3
6
2
4
1
56
27 reviews posted between Jul 2, 2025Jul 3, 2025 · 27 were 5-star
11 reviews posted between Sep 23, 2024Sep 26, 2024 · 11 were 5-star

How They Respond to Reviews

60%response rate
Good

The owner provides highly personalized responses to 5-star reviews, frequently naming specific staff members mentioned by reviewers. For negative reviews, the owner maintains a professional tone, acknowledging the issue and providing specific contact information or a compliance hotline for resolution.

Questions for Your Tour

  • 1It is great to see how professional the admissions team is; how does the administration keep families updated on a resident's daily care and well-being?
  • 2With the physical therapy department being a known strength here, how do you work with therapists to create a personalized recovery plan for my loved one?
  • 3What specific steps are being taken to ensure consistent hygiene and a fresh-smelling environment in the resident rooms and common areas?
  • 4How does the nursing team manage medication schedules and wound care to ensure everything is handled accurately and promptly?
  • 5Could you tell me more about the dining experience and how the meal service is structured for the residents?
  • 6What kind of daily activities or social events are available to help residents stay engaged and connected with others?

Personalized based on this facility's data


Key Review Excerpts

The admissions lady Mrs. Cooper was very kind and patient with us. It gave my family peace of mind knowing we were making the enough decision.

Rehab patient's family · 2025★★★★★

My brother has resided in the memory care (secured unit) since 2019. I have always had great communication with the staff and been informed of changes positive as well as any changes that needed to be modified.

Memory care family member · 2025★★★★★

On Wednesday, the staff at this Nurse gnome dropped my mother. They did not notify my family until Thursday evening Friday morning. My mom was pronounced dead at Charlton Methodist.

Long-term resident's family · 2025☆☆☆☆
Source: 182 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.17hrs
22%
Registered nurses for medical care
Total Nursing
2.76hrs
67%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
54%
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

Worse Than Avg

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.4%
Better than Avg
Here
2.4%
US
19.4%
TX
14.2%
Dallas
16.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.4%
Better than Avg
Here
2.4%
US
14.4%
TX
16.1%
Dallas
18.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
15.3%
TX
14.9%
Dallas
17.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
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 on antipsychotic medication

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
15.4%
TX
9.4%
Dallas
10.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.4%
Better than Avg
Here
10.4%
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 Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
TX
89.2%
Dallas
86.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.3%
Better than Avg
Here
88.3%
US
79.7%
TX
88.0%
Dallas
78.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Worse than Avg
Here
2.2%
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

34deficiencies
7penalties
Well above state avg (9.1)
55 complaint-triggered
$85,161 in fines

This facility has concerning patterns with multiple families filing complaints that triggered 39 of 66 total deficiencies. The most recurring issues involve daily care assistance, resident protection from abuse and neglect, and medication management. Three separate abuse/neglect violations occurred in 2024-2025 alone, indicating ongoing serious safety concerns. While the facility corrects violations when cited, the persistent pattern of complaint-driven deficiencies across critical care areas suggests systemic problems that families should carefully evaluate before placement.

Mar 26, 2026Complaint
4
0580Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Mar 10, 2026Routine
19
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.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

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.

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.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0914Potential for harm · PatternCorrected

Environmental Deficiencies

Provide bedrooms that don't allow residents to see each other when privacy is needed.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0584Potential for harm · IsolatedCorrected

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.

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.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Mar 3, 2026Complaint
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.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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.

Feb 13, 2026Complaint
3
0689Immediate jeopardy · 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.

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.

Nov 20, 2025Complaint
3
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.

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.

Jun 19, 2025Complaint
6
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

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.

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.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0693Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Mar 3, 2026

$15,940

Fine

Mar 3, 2026

$36,465

Fine

Feb 13, 2026

$24,845

Fine

Jun 19, 2025

$17,345

Fine

Jun 19, 2025

$17,345

Fine

Feb 26, 2025

$16,149

Fine

May 6, 2024

$15,642

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dallas County Hospital District

Organization Type

for profit

Management Company

PF WILLIAMSBURG SNF OPS, LLC

Administrator

GIBSON D VERNON

Chain Affiliation

Chain Name

Dallas County Hospital District

Chain Size

5 facilities nationwide

Chain avg rating: 2.8/5 · Rank 4 of 5 (Worst)

Ownership & Management

Owners

Dallas County Hospital District

Owner · Organization

100%

Campbell, Scott

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Chance, James

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Fisher, James

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Langdon, Thomas

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Mcgehee, William

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Taylor, John

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Umb Bank Na5% or Greater Mortgage InterestCastaneda, EdmundoOfficer / DirectorCerise, FrederickOfficer / DirectorPf Williamsburg Snf Ops, LLCManagerStonegate Senior Living, LpManager
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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