SNF
HERITAGE AT TURNER PARK HEALTH & REHAB
CCN: 455733 · GRAND PRAIRIE, TX 75050 · Dallas County
Overview
- Address
- 820 SMALL ST, GRAND PRAIRIE, TX 75050
- Phone
- 9722621351
- Certified beds
- 146
- Avg daily residents
- 86 (59% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1988-01-27
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.05 | 3.24 | 3.63 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.21 | 0.57 | 0.25 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.86 | 0.72 | 1.02 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.98 | 1.96 | 2.36 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.07 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.03 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.77
hrs / resident / day
RN (weekend)
0.22
hrs / resident / day
Total nurse (adjusted, weekend)
3.29
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
51.4%
annual
RN turnover
71.4%
annual
Administrators departed
2
last 12 months
Resident acuity
Nursing Case-Mix Index
1.15
near national average
Case-Mix Index Ratio
0.83
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-07-31 | 1 | 1 | 0 | 4 | 1 | 4 |
| Cycle 2/3 (prior) | 2024-06-06 | 14 | 2 | 14 | 167 | 1 | 167 |
Total weighted health score
44.8
lower is better
Infection-control citations
0
last cycle
Deficiencies (16)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
14 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-07-31 | 2025-08-01 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2025-01-19 | 2025-01-20 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-01-08 | 2025-01-09 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2025-01-08 | 2025-01-09 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-01-08 | 2025-01-09 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-01-08 | 2025-01-09 |
| 0584 | 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. | D | 2024-09-06 | 2024-09-07 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-09-06 | 2024-09-07 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-06-06 | 2024-07-07 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2024-06-06 | 2024-07-07 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-04-10 | 2024-05-01 |
| 0584 | 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. | E | 2024-03-12 | 2024-03-22 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-03-12 | 2024-03-22 |
| 0761 | 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. | E | 2024-03-12 | 2024-03-22 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-01-29 | 2024-02-21 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-04-13 | 2023-05-10 |
Penalties (3)
Fines issued
2
last 3 years
Total fines
$17,493
Payment denials
1
| Date | Type | Fine amount |
|---|---|---|
| 2024-04-10 | Fine | $8,525 |
| 2024-06-06 | Fine | $8,968 |
| 2024-06-06 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 4.0% Medicaid 74.8% Other 21.2%
Operating performance
Operating Margin
-44.4%
Total Margin
-14.6%
Occupancy Rate
43.1%
Cost per Resident Day
$31
Revenue & costs
Net Patient Revenue
$5.0M
Total Costs
$798K
Net Income
-$913K
Balance sheet
Total Assets
$8.8M
Total Liabilities
$9.4M
Fund Balance
-$913K
Current Ratio
0.90
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CREATIVE SOLUTIONS IN HEALTHCARE
- Chain ID
169- Facilities in chain
- 149
- Legal business name
- STEPHENS MEMORIAL HOSPITAL DISTRICT
Chain-average star ratings (for peer context)
Overall
2.7
Health
2.7
Staffing
2.0
QM
3.6
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| STEPHENS MEMORIAL HOSPITAL DISTRICT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2017 |
| GRAND PRAIRIE I ENTERPRISES, L.L.C. | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2023 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2023 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2023 |
| ECHOLS, JOHN | CORPORATE DIRECTOR | since 04/01/2017 |
| HUGGINS, LINDA | CORPORATE DIRECTOR | since 01/01/2023 |
| WILLIG, ZACHARY | CORPORATE DIRECTOR | since 07/01/2025 |
| SPEER, GENA | CORPORATE OFFICER | since 07/01/2025 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- None
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $31 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.90 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 74.8% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 4.0% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-913,063 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $4,963,436 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 43.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -44.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $8,784,184 | metrics.total_assets |
| Cost Report | Total Costs ($) | $797,617 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-913,063 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $9,436,175 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -14.6% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.02341 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.35963 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.24745 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.63049 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.29080 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 86.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.71996 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.95668 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.56748 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.24412 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.85935 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.7 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.7 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.0 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 169 | Chain ID |
| Provider Information | Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE | Chain Name |
| Provider Information | City/Town | GRAND PRAIRIE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 455733 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Dallas | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1988-01-27 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 32.7488 | Latitude |
| Provider Information | Legal Business Name | STEPHENS MEMORIAL HOSPITAL DISTRICT | Legal Business Name |
| Provider Information | Location | 820 SMALL ST,GRAND PRAIRIE,TX,75050 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -96.994 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 146 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 149 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.14925 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.83421 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 820 SMALL ST | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | HERITAGE AT TURNER PARK HEALTH & REHAB | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 390 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 4 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-31 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 4 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 1 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-06-06 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 167 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 14 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 167 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 14 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.21643 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 71.4 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.06783 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.85991 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.98267 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03016 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.20792 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.05049 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | TX | State |
| Provider Information | Telephone Number | 9722621351 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 17493.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.76508 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 51.4 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 44.750 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | None | With a Resident and Family Council |
| Provider Information | ZIP Code | 75050 | ZIP Code |