Federal inspection record · CMS data as of October 1, 2026

Golden Acres Living and Rehabilitation Center

2525 Centerville Rd, Dallas, TX · (214) 327-4503

CMS overall rating

3 of 5

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Certified beds
264
Residents per day
176
Ownership
For-Profit
Chain
The Ensign Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 1, 1993

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Golden Acres Living and Rehabilitation Center carries 77 inspection points. That is fewer than 46% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 77 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

35 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 18 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care7E
  1. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 22, 2026 · Standard · F677 · Corrected January 23, 2026

  2. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    January 22, 2026 · Standard · F690 · Corrected January 23, 2026

  3. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    October 30, 2024 · Complaint · F677 · Corrected October 31, 2024

  4. E

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

    October 30, 2024 · Complaint · F695 · Corrected October 31, 2024

  5. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    October 30, 2024 · Complaint · F690 · Corrected October 31, 2024

  6. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 24, 2023 · Standard · F677 · Corrected October 4, 2023

  7. D

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

    August 24, 2023 · Standard · F695 · Corrected October 4, 2023

Resident Rights6E
  1. D

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

    March 9, 2026 · Complaint · F550 · Corrected March 10, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    October 30, 2024 · Complaint · F558 · Corrected October 31, 2024

  3. E

    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.

    July 3, 2024 · Complaint · F584 · Corrected July 4, 2024

  4. D

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

    January 20, 2024 · Complaint · F580 · Corrected January 21, 2024

  5. E

    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.

    August 24, 2023 · Standard · F584 · Corrected October 4, 2023

  6. D

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

    August 24, 2023 · Standard · F550 · Corrected October 4, 2023

Nutrition and Dietary5E
  1. E

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

    May 14, 2026 · Complaint · F812 · Corrected May 15, 2026

  2. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    January 22, 2026 · Complaint · F804 · Corrected January 23, 2026

  3. E

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

    January 22, 2026 · Standard · F812 · Corrected January 23, 2026

  4. E

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

    October 30, 2024 · Complaint · F812 · Corrected October 31, 2024

  5. E

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

    August 24, 2023 · Standard · F812 · Corrected October 4, 2023

Infection Control4E
  1. E

    Provide and implement an infection prevention and control program.

    March 9, 2026 · Complaint · F880 · Corrected March 10, 2026

  2. E

    Provide and implement an infection prevention and control program.

    January 22, 2026 · Standard · F880 · Corrected January 23, 2026

  3. E

    Provide and implement an infection prevention and control program.

    October 30, 2024 · Complaint · F880 · Corrected October 31, 2024

  4. E

    Provide and implement an infection prevention and control program.

    August 24, 2023 · Standard · F880 · Corrected October 4, 2023

Pharmacy Service4E
  1. E

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

    January 22, 2026 · Standard · F755 · Corrected January 23, 2026

  2. D

    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.

    January 22, 2026 · Standard · F761 · Corrected January 23, 2026

  3. D

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

    August 24, 2023 · Standard · F755 · Corrected October 4, 2023

  4. D

    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.

    August 24, 2023 · Standard · F761 · Corrected October 4, 2023

Environmental4E
  1. D

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

    January 22, 2026 · Standard · F919 · Corrected January 23, 2026

  2. D

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

    October 30, 2024 · Complaint · F919 · Corrected October 31, 2024

  3. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    August 24, 2023 · Standard · F921 · Corrected October 4, 2023

  4. D

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

    August 24, 2023 · Standard · F919 · Corrected October 4, 2023

Freedom from Abuse, Neglect, and Exploitation3E
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    August 27, 2026 · Complaint · F600 · Not yet marked corrected

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 7, 2024 · Complaint · F609 · Corrected September 8, 2024

  3. E

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    June 3, 2024 · Complaint · F609 · Corrected June 4, 2024

Resident Assessment and Care Planning2D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 21, 2026 · Complaint · F656 · Corrected July 22, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 24, 2023 · Standard · F656 · Corrected October 4, 2023

Inspection history

  1. 2026-01-22

    13 health deficiencies · 12 fire-safety deficiencies

    Top issue: Nutrition and Dietary (3 deficiencies)

  2. 2024-10-30

    7 health deficiencies · 12 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-08-24

    15 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 53 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

3 h 53 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 48% of nursing staff and 17% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$13,065 in federal fines on record over the past three years.

DatePenaltyAmount
2026-08-27Fine$13,065

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same2.02.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better1.12.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better98.8%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better1.5%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.8 pts better1.5%2.3%13.5%
Percentage of long-stay residents who lose too much weight0.1 pts worse3.0%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts worse24.6%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication9 pts worse18.8%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened12 pts worse24.9%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased13.8 pts worse29.6%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.1%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts worse1.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts worse19.3%12.5%18.3%
Percentage of long-stay residents with pressure ulcers2 pts better1.7%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better100.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5.1 pts worse17.3%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better0.6%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better100.0%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.9 pts worse31.4%25.5%23.4%

·

Who owns and runs it

17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Eastland Memorial Hospital District5% Or Greater Direct Ownership Interest · Organization100%34 facilities
Burnam, SoonCorporate Officer · Individual0%353 facilities
Caretrust Gp LLCAdp Of The SNF · Organization0%95 facilities
Caretrust Reit IncAdp Of The SNF · Organization0%102 facilities
Ctr Partnership LPAdp Of The SNF · Organization0%104 facilities
Ensign Services IncAdp Of The SNF · Organization0%299 facilities
Hillendahl Health Holdings LLCAdp Of The SNF · Organization0%1 facilities
Keetch, ChadCorporate Officer · Individual0%301 facilities
Nayak, NeetaManaging Control - Governing Body · Individual0%3 facilities
Nayak, NeetaOperational/Managerial Control · Individual0%3 facilities
Nayak, NeetaAdp Of The SNF · Individual0%3 facilities
Pomerado Ranch Healthcare, Inc.Operational/Managerial Control · Organization0%1 facilities
Pomerado Ranch Healthcare, Inc.Adp Of The SNF · Organization0%1 facilities
Taylor, StephenCorporate Officer · Individual0%22 facilities
Thompson, ChristopherManaging Control - Governing Body · Individual0%10 facilities
Thompson, ChristopherOperational/Managerial Control · Individual0%10 facilities
Thompson, ChristopherAdp Of The SNF · Individual0%10 facilities

·

Fire safety

28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke18F
  1. F

    Install a fire alarm system that can be heard throughout the facility.

    January 22, 2026 · K341 · Corrected January 23, 2026

  2. E

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

    January 22, 2026 · K321 · Corrected February 13, 2026

  3. E

    Have an alternate power supply for its alarm system.

    January 22, 2026 · K344 · Corrected January 23, 2026

  4. E

    Install an approved automatic sprinkler system.

    January 22, 2026 · K351 · Corrected January 23, 2026

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 22, 2026 · K353 · Corrected March 5, 2026

  6. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    January 22, 2026 · K355 · Corrected January 23, 2026

  7. E

    Install corridor and hallway doors that block smoke.

    January 22, 2026 · K363 · Corrected January 30, 2026

  8. E

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

    January 22, 2026 · K372 · Corrected February 13, 2026

  9. D

    Have properly installed hallway dispensers for alcohol-based hand rub.

    January 22, 2026 · K325 · Corrected January 23, 2026

  10. D

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

    January 22, 2026 · K374 · Corrected January 23, 2026

  11. E

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

    October 30, 2024 · K343 · Corrected November 1, 2024

  12. E

    Install an approved automatic sprinkler system.

    October 30, 2024 · K351 · Corrected November 1, 2024

  13. E

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    October 30, 2024 · K352 · Corrected November 1, 2024

  14. E

    Install corridor and hallway doors that block smoke.

    October 30, 2024 · K363 · Corrected November 1, 2024

  15. E

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

    October 30, 2024 · K374 · Corrected November 1, 2024

  16. D

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

    October 30, 2024 · K321 · Corrected November 8, 2024

  17. C

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

    October 30, 2024 · K345 · Corrected November 1, 2024

  18. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 24, 2023 · K353 · Corrected August 25, 2023

Egress5F
  1. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    January 22, 2026 · K222 · Corrected January 23, 2026

  2. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    October 30, 2024 · K222 · Corrected November 1, 2024

  3. E

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

    October 30, 2024 · K232 · Corrected November 1, 2024

  4. D

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

    October 30, 2024 · K211 · Corrected November 1, 2024

  5. F

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

    August 24, 2023 · K211 · Corrected August 25, 2023

Services3C
  1. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    January 22, 2026 · K521 · Corrected January 23, 2026

  2. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    October 30, 2024 · K521 · Corrected November 1, 2024

  3. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    August 24, 2023 · K521 · Corrected August 25, 2023

Miscellaneous2F
  1. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    October 30, 2024 · K741 · Corrected November 1, 2024

  2. F

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    August 24, 2023 · K741 · Corrected August 25, 2023

·

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