Cycle 1
Health 2025-07-02 · Fire 2025-07-02
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Dallas, TX
Pure Health Transitional Care At Texas Health Pres
5-star overall rating with 5-star inspections with 2 recent health deficiencies
8200 Walnut Hill Lane Main 5, Dallas, TX
(214) 345-7500
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
49
Certified beds
Average residents
44
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Purehealth
Operator or chain grouping
Approved since
2017-01-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 3 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.00
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.30
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
1.77
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
4.06
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
2.30
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.54
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.78
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
3.85
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,741
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9918
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.86% · Performance 21.43% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
10
Baseline 6.27% · Performance 4.83% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
1.79
Baseline 63.41% · Performance 56.36% · Measure score 1.79 · Achievement 1.79 · Improvement 1.33
Adjusted total nurse staffing
3.71
Baseline 4.30 hours · Performance 4.13 hours · Measure score 3.71 · Achievement 3.71 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.1% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 401 · Observed rate 8.23% · Lower 95% interval 7.31% |
| Discharge to community | 70.86% |
50.57%
20.3 pts better
|
Better than the National Rate · Eligible stays 358 · Observed rate 64.53% · Lower 95% interval 65.16% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 223 · Denominator 223 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 223 |
| Discharge self-care score | 68.26% |
53.69%
14.6 pts better
|
Numerator 114 · Denominator 167 |
| Discharge mobility score | 50.3% |
50.94%
0.6 pts worse
|
Numerator 84 · Denominator 167 |
| Pressure ulcers or injuries, new or worsened | 0.45% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 223 · Adjusted rate 0.46% |
| Healthcare-associated infections requiring hospitalization | 4.83% |
7.12%
2.3 pts better
|
No Different than the National Rate · Eligible stays 202 · Observed rate 2.97% · Lower 95% interval 3.35% |
| Staff COVID-19 vaccination coverage | 4% |
8.2%
4.2 pts worse
|
Numerator 4 · Denominator 100 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 64.07% |
56.45%
7.6 pts better
|
Numerator 107 · Denominator 167 |
| Transfer of health information to provider | 88.52% |
95.95%
7.4 pts worse
|
Numerator 54 · Denominator 61 |
| Transfer of health information to patient | 98.74% |
96.28%
2.5 pts better
|
Numerator 157 · Denominator 159 |
| Resident COVID-19 vaccinations up to date | 3.45% |
25.2%
21.8 pts worse
|
Numerator 4 · Denominator 116 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
89.7%
7.7 pts better
|
81.7%
15.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 97.0% · Q3 96.8% · Q4 97.6% · 4Q avg 97.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
12.0%
0.2 pts better
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 11.1% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.4% · Q4 1.6% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.5% |
88.0%
3.5 pts better
|
79.7%
11.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.3% |
25.9%
9.4 pts worse
|
23.9%
11.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.3% · Observed 35.3% · Expected 23.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-13 · Fire 2024-06-13
1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-04-19 · Fire 2023-04-19
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-07-02
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-08-19
D · Potential for more than minimal harm
2025-07-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-19
D · Potential for more than minimal harm
2024-06-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-08
E · Potential for more than minimal harm
2023-05-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-19
D · Potential for more than minimal harm
2023-05-15
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-19
E · Potential for more than minimal harm
2023-04-19
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-04-20
Penalties and ownership
What sits behind the stars
Ownership
Ph Ops Of Dallas LLC
5% Or Greater Direct Ownership Interest · Organization
Bell, Kevin
5% Or Greater Indirect Ownership Interest · Individual
Bell, Kevin
Operational/Managerial Control · Individual
Bell, Kevin
Corporate Officer · Individual
Bgaf Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Campion, Robert
5% Or Greater Indirect Ownership Interest · Individual
Campion, Robert
Operational/Managerial Control · Individual
Campion, Robert
Corporate Officer · Individual
Dwight Mortgage Trust LLC
5% Or Greater Mortgage Interest · Organization
Fraser, Siobaughn
Operational/Managerial Control · Individual
Heise, Ryan
Operational/Managerial Control · Individual
Kccj1 Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Lbei Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Redding, Kristi
Operational/Managerial Control · Individual
Rojas, Jorge
Operational/Managerial Control · Individual
Tx Act Op Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
The Meadows Health and Rehabilitation Center
Dallas, TX
1-star overall rating with 1-star inspections with $35,731 in total fines with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Five Points at Lake Highlands Nursing and Rehab
Dallas, TX
1-star overall rating with 1-star inspections with $72,182 in total fines with 24 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
The Legacy Midtown Park
Dallas, TX
5-star overall rating with 5-star inspections with $27,523 in total fines with 3 recent health deficiencies
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