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

The Villages on MacArthur

3443 N MacArthur Blvd, Irving, TX · (469) 586-4424

  • Cited for abuse (CMS abuse icon)

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
124
Residents per day
104
Ownership
Non-Profit
Chain
Stonegate Senior Living
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 25, 2014

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

    +1 star

    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.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Texas homes

The Villages on MacArthur carries 100 inspection points. That is fewer than 36% 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 · 100 pts · 2★

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

30 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 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 16 4 pts
E 11 8 pts
F 1 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.

Harm and immediate-jeopardy citations (2)

  1. G

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

    July 3, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 3, 2025

  2. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 21, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected January 13, 2025

Everything else, by area of care

Pharmacy Service7E
  1. E

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    July 3, 2025 · Standard · F757 · Corrected July 10, 2025

  2. D

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

    July 3, 2025 · Standard · F755 · Corrected July 10, 2025

  3. 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.

    July 3, 2025 · Standard · F761 · Corrected July 10, 2025

  4. E

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

    June 6, 2024 · Standard · F755 · Corrected June 14, 2024

  5. E

    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.

    June 6, 2024 · Standard · F761 · Corrected June 14, 2024

  6. E

    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.

    April 27, 2023 · Standard · F761 · Corrected May 5, 2023

  7. D

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

    April 27, 2023 · Standard · F755 · Corrected May 5, 2023

Quality of Life and Care7E
  1. D

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

    July 3, 2025 · Standard · F677 · Corrected July 10, 2025

  2. D

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

    July 3, 2025 · Standard · F695 · Corrected July 10, 2025

  3. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 13, 2024 · Complaint · F689 · Corrected September 20, 2024

  4. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 6, 2024 · Complaint · F689 · Corrected September 13, 2024

  5. D

    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.

    June 6, 2024 · Complaint · F693 · Corrected June 14, 2024

  6. D

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

    June 6, 2024 · Standard · F695 · Corrected June 14, 2024

  7. D

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

    January 10, 2024 · Complaint · F677 · Corrected February 2, 2024

Resident Assessment and Care Planning4D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    July 3, 2025 · Standard · F644 · Corrected August 6, 2025

  2. D

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

    July 3, 2025 · Complaint · F656 · Corrected July 10, 2025

  3. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    February 21, 2025 · Complaint · F644 · Corrected March 14, 2025

  4. D

    Ensure a qualified health professional conducts resident assessments.

    April 27, 2023 · Standard · F642 · Corrected May 5, 2023

Resident Rights3E
  1. E

    Keep residents' personal and medical records private and confidential.

    July 30, 2026 · Complaint · F583 · Corrected August 1, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    July 3, 2025 · Standard · F558 · Corrected July 10, 2025

  3. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    July 3, 2025 · Standard · F628 · Corrected July 10, 2025

Environmental3F
  1. E

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

    January 2, 2026 · Complaint · F919 · Corrected January 5, 2026

  2. F

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

    July 3, 2025 · Standard · F919 · Corrected July 10, 2025

  3. E

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

    June 6, 2024 · Standard · F925 · Corrected June 14, 2024

Nutrition and Dietary2E
  1. E

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

    July 3, 2025 · Standard · F804 · Corrected July 10, 2025

  2. E

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

    June 6, 2024 · Standard · F812 · Corrected June 14, 2024

Infection Control2E
  1. D

    Provide and implement an infection prevention and control program.

    July 3, 2025 · Standard · F880 · Corrected July 10, 2025

  2. E

    Provide and implement an infection prevention and control program.

    June 6, 2024 · Standard · F880 · Corrected June 14, 2024

Inspection history

  1. 2025-07-03

    15 health deficiencies · 11 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

  2. 2024-06-06

    9 health deficiencies · 1 fire-safety deficiencies

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

  3. 2023-04-27

    6 health deficiencies · 0 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 3 h 18 min of nursing staff time a day, 38 min of it from a registered nurse.

This home

3 h 18 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 51% of nursing staff and 40% of registered nurses left in the past year, along with 1 administrator.

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

$25,259 in federal fines on record over the past three years.

DatePenaltyAmount
2025-07-03Fine$11,190
2025-02-21Fine$14,069

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 days0.9 pts better1.12.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better0.82.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better99.1%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse3.8%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.3 pts better2.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight0.7 pts better2.2%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts better14.3%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.1 pts better8.7%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 worsened0.4 pts worse13.3%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts better10.4%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse0.9%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts better8.1%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.8 pts better2.9%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts better95.2%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts better9.8%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.8 pts better93.2%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.8 pts better24.7%25.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
South Limestone Hospital District5% Or Greater Direct Ownership Interest · Organization100%26 facilities
Campbell, ScottIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%24 facilities
Chance, JamesIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%24 facilities
Fisher, JamesIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%24 facilities
Langdon, ThomasIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%24 facilities
Lifetime Wellness, Ltd.Adp Of The SNF · Organization0%22 facilities
Martus Financial Services, Inc.Adp Of The SNF · Organization0%23 facilities
Mcgehee, WilliamIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%24 facilities
Obe, OlukayodeAdp Of The SNF · Individual0%1 facilities
Okoro, ChibuikeAdp Of The SNF · Individual0%1 facilities
Olvera, NoelOperational/Managerial Control · Individual0%2 facilities
Olvera, NoelAdp Of The SNF · Individual0%2 facilities
Pf Irving SNF Ops, LLCOperational/Managerial Control · Organization0%1 facilities
Pf Irving SNF Ops, LLCAdp Of The SNF · Organization0%1 facilities
Pharmerica Drug Systems LLCAdp Of The SNF · Organization0%33 facilities
Preservation Freehold CompanyAdp Of The SNF · Organization0%24 facilities
Price, LarryCorporate Officer · Individual0%27 facilities
Rehab Pro LPAdp Of The SNF · Organization0%23 facilities
Sanctuary Ltc, LLCAdp Of The SNF · Organization0%24 facilities
Stonegate Senior Living, LPOperational/Managerial Control · Organization0%24 facilities
Stonegate Senior Living, LPAdp Of The SNF · Organization0%24 facilities
Taylor, JohnIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%27 facilities
Umb Bank National Association5% Or Greater Mortgage Interest · Organization0%31 facilities
Yaft, JohnAdp Of The SNF · Individual0%1 facilities

·

Fire safety

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

Smoke4F
  1. E

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

    July 3, 2025 · K372 · Corrected July 22, 2025

  2. E

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

    July 3, 2025 · K374 · Corrected July 22, 2025

  3. D

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

    July 3, 2025 · K355 · Corrected July 22, 2025

  4. F

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

    June 6, 2024 · K345 · Corrected June 28, 2024

Emergency Preparedness3F
  1. F

    Establish policies and procedures including evacuation.

    July 3, 2025 · E20 · Corrected July 22, 2025

  2. F

    Establish staff and initial training requirements.

    July 3, 2025 · E37 · Corrected July 22, 2025

  3. F

    Develop and maintain an Emergency Preparedness Program (EP).

    July 3, 2025 · E4 · Corrected July 22, 2025

Gas, Vacuum, and Electrical Systems2F
  1. F

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

    July 3, 2025 · K918 · Corrected July 22, 2025

  2. F

    Have proper medical gas storage and administration areas.

    July 3, 2025 · K923 · Corrected July 22, 2025

Egress2E
  1. E

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

    July 3, 2025 · K211 · Corrected July 22, 2025

  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.

    July 3, 2025 · K222 · Corrected July 22, 2025

Services1F
  1. F

    Have properly installed electrical wiring and gas equipment.

    July 3, 2025 · K511 · Corrected July 22, 2025

·

Other homes nearby

  1. The Eden of Las Colinas

    Irving, TX · The Ensign Group

    Worst citation, 3 yrs
    K
    Nursing / resident / day
    3 h 10 min
    Fines
    $49,730
  2. Ashford Hall

    Irving, TX · Abuse icon

    Worst citation, 3 yrs
    K
    Nursing / resident / day
    3 h 59 min
    Fines
    $295,678
  3. Las Brisas Rehabilitation and Wellness Center

    Irving, TX · Fundamental Healthcare

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 13 min
    Fines
    $13,065