Overview

Address
419 S Cockrell Hill Rd, Duncanville, TX 75116
Phone
9727088800
Certified beds
124
Avg daily residents
81 (65% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2008-04-25
Setting
Urban
1 /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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 5/5

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
3.69 3.89 3.66 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.27 0.68 0.27 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.00 0.86 0.99
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.43 2.35 2.41
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.27
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.04

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)
3.24
hrs / resident / day
RN (weekend)
0.24
hrs / resident / day
Total nurse (adjusted, weekend)
3.21
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
61.1%
annual
RN turnover
85.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.38
higher acuity than avg
Case-Mix Index Ratio
1.00
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) 2025-08-14 17 7 10 108 1 108
Cycle 2/3 (prior) 2024-07-10 42 7 41 801 1 801
Total weighted health score
281.3
lower is better
Infection-control citations
10
last cycle

Deficiencies (61)

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).

1 A/B/C No actual harm — minor
49 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
8 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-12-05
0880 Provide and implement an infection prevention and control program. D 2025-12-05
0691 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. D 2025-11-08 2025-11-11
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-09-18 2025-09-21
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-08-14 2025-08-17
0732 Post nurse staffing information every day. C 2025-08-14 2025-08-17
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-08-14 2025-08-17
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 2025-08-14 2025-08-17
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. E 2025-08-14 2025-08-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-08-14 2025-08-17
0880 Provide and implement an infection prevention and control program. E 2025-08-14 2025-08-17
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. J 2025-05-20 2025-05-19
0839 Employ staff that are licensed, certified, or registered in accordance with state laws. E 2025-05-20 2025-05-21
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 2025-05-06 2025-05-07
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-05-06 2025-05-07
0602 Protect each resident from the wrongful use of the resident's belongings or money. D 2025-05-01 2025-05-02
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-05-01 2025-05-02
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2025-01-23 2025-02-17
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-01-23 2025-02-17
0880 Provide and implement an infection prevention and control program. E 2024-11-20 2024-11-21
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-10-16 2024-11-13
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 2024-07-10 2024-09-06
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-07-10 2024-09-06
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-07-10 2024-09-06
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2024-07-10 2024-09-06
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2024-07-10 2024-09-06
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-07-10 2024-09-06
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-07-10 2024-09-06
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-02-25 2024-02-26
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-02-25 2024-02-26
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-02-25 2024-02-26
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2024-02-25 2024-02-26
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-02-25 2024-02-26
0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. D 2024-02-25 2024-02-26
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-02-25 2024-02-26
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. E 2024-02-25 2024-02-26
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-02-07 2024-02-08
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 2024-02-07 2024-02-08
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. J 2024-01-12 2024-01-13
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-01-12 2024-01-13
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. J 2024-01-12 2024-01-13
0558 Reasonably accommodate the needs and preferences of each resident. E 2023-09-27 2023-09-28
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 2023-09-27 2023-09-28
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. D 2023-09-27 2023-09-28
0802 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. E 2023-09-27 2023-09-28
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-09-27 2023-09-28
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 2023-09-11 2023-09-12
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 2023-09-11 2023-09-12
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-08-31 2023-09-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2023-08-04 2023-07-31

Showing 50 most recent of 61. See the All Data CSV for the full list.

Penalties (8)

Fines issued
7
last 3 years
Total fines
$116,171
Payment denials
1
Date Type Fine amount
2024-02-07 Fine $1,668
2024-01-12 Fine $7,105
2023-03-22 Fine $15,030
2023-07-18 Fine $17,784
2023-03-22 Fine $22,335
2023-05-19 Fine $25,564
2025-05-20 Fine $26,685
2023-05-19 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 5.4% Medicaid 83.0% Other 11.6%

Operating performance

Operating Margin
3.5%
Total Margin
5.8%
Occupancy Rate
66.7%
Cost per Resident Day
$31

Revenue & costs

Net Patient Revenue
$8.0M
Total Costs
$948K
Net Income
$478K

Balance sheet

Total Assets
$5.6M
Total Liabilities
$2.6M
Fund Balance
$3.0M
Current Ratio
2.16

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: NEXION HEALTH

Chain ID
370
Facilities in chain
52
Legal business name
DALLAS COUNTY HOSPITAL DISTRICT
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.4
Staffing
2.8
QM
2.8

Owner / manager organizations (7)

Organization Role Association
DALLAS COUNTY HOSPITAL DISTRICT 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/21/2015
NEXION HEALTH LEASING, INC. 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/08/2001
NEXION HEALTH, INC. 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/08/2001
DALLAS COUNTY HOSPITAL DISTRICT OPERATIONAL/MANAGERIAL CONTROL since 02/21/2015
NEXION HEALTH AT DUNCANVILLE INC OPERATIONAL/MANAGERIAL CONTROL since 02/21/2015
NEXION HEALTH LEASING, INC. OPERATIONAL/MANAGERIAL CONTROL since 08/08/2001
NEXION HEALTH, INC. OPERATIONAL/MANAGERIAL CONTROL since 08/08/2001

Owner / manager individuals (9)

Name Role Association
CERISE, FREDERICK OPERATIONAL/MANAGERIAL CONTROL since 02/21/2015
KIRLEY, FRANCIS OPERATIONAL/MANAGERIAL CONTROL since 02/21/2015
LEE, BRIAN OPERATIONAL/MANAGERIAL CONTROL since 02/21/2015
RINER, MEERA OPERATIONAL/MANAGERIAL CONTROL since 02/21/2015
CALLIES, MARILYN CORPORATE OFFICER since 02/11/2013
CERISE, FREDERICK CORPORATE OFFICER since 03/24/2014
PIERCE, DANIEL CORPORATE OFFICER since 03/16/2021
CALLIES, MARILYN W-2 MANAGING EMPLOYEE since 08/31/2022
TAYLOR, KIARA W-2 MANAGING EMPLOYEE since 09/20/2021

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
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $31 metrics.cost_per_resident_day
Cost Report Current Ratio 2.16 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 83.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 5.4% metrics.medicare_day_share
Cost Report Net Income ($) $477,618 metrics.net_income
Cost Report Net Patient Revenue ($) $7,995,760 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 66.7% metrics.occupancy_rate
Cost Report Operating Margin (%) 3.5% metrics.operating_margin
Cost Report Total Assets ($) $5,560,860 metrics.total_assets
Cost Report Total Costs ($) $947,777 metrics.total_costs
Cost Report Total Fund Balances ($) $2,987,189 metrics.fund_balance
Cost Report Total Liabilities ($) $2,573,671 metrics.total_liabilities
Cost Report Total Margin (%) 5.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.98712 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.40569 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.26904 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.66185 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.21477 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 80.6 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 0.86395 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.34801 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.68098 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.89293 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.43121 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.4 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.8 Chain Average Staffing Rating
Provider Information Chain ID 370 Chain ID
Provider Information Chain Name NEXION HEALTH Chain Name
Provider Information City/Town Duncanville City/Town
Provider Information CMS Certification Number (CCN) 676178 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 2008-04-25 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 32.6493 Latitude
Provider Information Legal Business Name DALLAS COUNTY HOSPITAL DISTRICT Legal Business Name
Provider Information Location 419 S Cockrell Hill Rd,Duncanville,TX,75116 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 -96.891 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 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 124 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 10 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 52 Number of Facilities in Chain
Provider Information Number of Fines 7 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.37909 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.00105 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation 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 419 S Cockrell 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 Duncanville 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 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 108 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 10 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 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-08-14 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 108 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 17 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-07-10 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 801 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 41 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 801 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 42 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.23673 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 85.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.26657 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.99530 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.42563 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.03924 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.27128 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 3.69220 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 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 9727088800 Telephone Number
Provider Information Total Amount of Fines in Dollars 116171.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.24141 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 8 Total Number of Penalties
Provider Information Total nursing staff turnover 61.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 281.250 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 75116 ZIP Code