Treemont Healthcare and Rehabilitation Center
CCN: 455823 · Dallas, TX 75230 · Dallas County
Overview
- Address
- 5550 Harvest Hill Rd, Dallas, TX 75230
- Phone
- 9726611862
- Certified beds
- 130
- Avg daily residents
- 79 (60% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1989-06-27
- Setting
- Urban
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 | 3.24 | 3.52 | 3.55 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.66 | 0.62 | 0.72 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.92 | 0.78 | 1.00 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.66 | 2.12 | 1.82 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.58 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.05 | — | — | — |
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
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
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) | 2025-07-17 | 6 | 3 | 3 | 119 | 0 | 119 |
| Cycle 2/3 (prior) | 2024-07-23 | 33 | 8 | 30 | 303 | 1 | 303 |
Deficiencies (42)
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).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-10-29 | 2025-10-30 |
| 0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | 2025-07-17 | 2025-08-05 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-07-17 | 2025-08-05 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-07-17 | 2025-08-05 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2025-05-17 | 2025-05-18 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-05-03 | 2025-05-05 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-11-21 | 2024-12-09 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-23 | 2024-08-15 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-07-23 | 2024-08-15 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-07-23 | 2024-08-15 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-07-23 | 2024-07-25 |
| 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 | 2024-07-23 | 2024-08-30 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-07-23 | 2024-08-15 |
| 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 | 2024-07-23 | 2024-08-15 |
| 0908 | Keep all essential equipment working safely. | E | 2024-07-23 | 2024-08-15 |
| 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-07-23 | 2024-08-15 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-04-13 | 2024-04-14 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-13 | 2024-04-14 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-01-31 | 2024-02-01 |
| 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. | D | 2024-01-31 | 2024-02-01 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-01-31 | 2024-02-01 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-12-14 | 2023-12-15 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2023-12-14 | 2023-12-15 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-12-14 | 2023-12-15 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-11-29 | 2023-12-09 |
| 0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2023-11-29 | 2023-12-09 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-09-21 | 2023-07-17 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | 2023-09-21 | 2023-07-17 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | 2023-09-21 | 2023-07-17 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-09-13 | 2023-09-14 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2023-06-01 | 2023-06-27 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-06-01 | 2023-06-27 |
| 0908 | Keep all essential equipment working safely. | E | 2023-06-01 | 2023-06-27 |
| 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 | 2023-06-01 | 2023-06-27 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2023-06-01 | 2023-06-27 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-06-01 | 2023-06-27 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-06-01 | 2023-06-27 |
| 0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | 2023-06-01 | 2023-06-27 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2023-06-01 | 2023-06-27 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-05-25 | 2023-05-26 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-05-04 | 2023-05-05 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-05-04 | 2023-03-24 |
Penalties (5)
| Date | Type | Fine amount |
|---|---|---|
| 2023-05-04 | Fine | $14,623 |
| 2023-09-13 | Fine | $15,857 |
| 2023-09-13 | Fine | $15,857 |
| 2025-10-29 | Fine | $19,120 |
| 2023-05-04 | Fine | $24,480 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2024). 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
- WEST WHARTON COUNTY HOSPITAL DISTRICT
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 02/01/2023 |
| DALLAS II ENTERPRISES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2023 |
Owner / manager individuals (4)
| Name | Role | Association |
|---|---|---|
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2023 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2023 |
| HUGGINS, LINDA | CORPORATE DIRECTOR | since 02/01/2023 |
| MAK, DAVID | CORPORATE OFFICER | since 05/17/2021 |
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
- Both
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- 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 2024, 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 ($) | $25 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 79.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-349,083 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,736,813 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 67.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -22.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $7,754,156 | metrics.total_assets |
| Cost Report | Total Costs ($) | $801,550 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-349,083 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $8,095,347 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -4.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.00451 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.82482 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.72310 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.55244 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.08462 | 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 | 78.6 | 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 | 0.78153 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.12402 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.61602 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.52157 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.10389 | 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 | Dallas | City/Town |
| Provider Information | CMS Certification Number (CCN) | 455823 | 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 | 1989-06-27 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 32.9222 | Latitude |
| Provider Information | Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT | Legal Business Name |
| Provider Information | Location | 5550 Harvest Hill Rd,Dallas,TX,75230 | 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 | -96.815 | 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 | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 130 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | 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 | 5 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.24753 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.90555 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | 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 | 5550 Harvest Hill Rd | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Treemont Healthcare and Rehabilitation Center | 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 | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 119 | 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 | 3 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 0 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 119 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 6 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-07-23 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 303 | 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 | 30 | 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 | 303 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 33 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.88908 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 30.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.57577 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.91622 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.66443 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05339 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.65954 | 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 | 3.24019 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | 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 | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | TX | State |
| Provider Information | Telephone Number | 9726611862 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 89937.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.81349 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 5 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 53.6 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 165.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 75230 | ZIP Code |