Federal inspection record · CMS data as of October 1, 2026
The Plaza at Edgemere
8502 Edgemere, Dallas, TX · (214) 615-7045
- Certified beds
- 72
- Residents per day
- 61
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- February 19, 2004
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
The Plaza at Edgemere carries 47 inspection points. That is fewer than 70% of Texas's 1,166 rated homes.
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
13 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2E
- E
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- E
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care1E
- E
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights1D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2026-01-22
5 health deficiencies · 11 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2024-10-03
8 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-08-23
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 4 h 1 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
4 h 1 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-27 | Fine | $8,278 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.4 pts better | 0.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts better | 0.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine20 pts worse | 76.4% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2 pts worse | 95.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 2.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.8 pts better | 1.5% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.9 pts worse | 9.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.5 pts better | 9.3% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication22 pts worse | 31.8% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts worse | 18.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts worse | 1.7% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.5 pts worse | 4.3% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts better | 11.6% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers7.2 pts worse | 10.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts better | 94.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts better | 9.0% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.3 pts better | 94.7% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts better | 23.6% | 25.5% | 23.4% |
·
Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Grenelle Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Lapis Municipal Opportunities Iv LP | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 1 facilities |
| Certus Edgemere Management LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Chavez, Frank | Corporate Officer · Individual | 0% | 2 facilities |
| Chavez, Frank | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Hatch, Kjerstin | Corporate Officer · Individual | 0% | 2 facilities |
| Hatch, Kjerstin | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Lapis- Gp LLC | General Partnership Interest · Organization | 0% | 1 facilities |
| Odorizzi, Sandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Odorizzi, Sandra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Terrell, Basia | Corporate Officer · Individual | 0% | 2 facilities |
| Terrell, Basia | Operational/Managerial Control · Individual | 0% | 2 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness5F
- F
Establish roles under a Waiver declared by secretary.
- F
Establish staff and initial training requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Include a process for Emergency Preparedness collaboration.
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure electrical receptacles or cover plates have distinctive color or marking.
- D
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Egress1F
- F
Have properly located and lighted "Exit" signs.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
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