SNF

METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC

CCN: 676492 · DESOTO, TX 75115 · Dallas County

Overview

Address
109 METHODIST WAY, DESOTO, TX 75115
Phone
2814195520
Certified beds
100
Avg daily residents
78 (78% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2020-10-23
Setting
Urban
2 /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.
★★★★★ 2/5
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.
★★★★★ 3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
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
 4.45 4.23 4.07 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.57 0.74 0.52 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.39 0.94 1.27 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.49 2.55 2.28 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.96 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.08 — — —

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)
4.00
hrs / resident / day
RN (weekend)
0.39
hrs / resident / day
Total nurse (adjusted, weekend)
3.65
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
54.8%
annual
RN turnover
54.5%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.50
higher acuity than avg
Case-Mix Index Ratio
1.09
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) 2025-06-27 17 5 12 238 1 238
Cycle 2/3 (prior) 2024-05-17 13 2 11 92 1 92
Total weighted health score
201.5
lower is better
Infection-control citations
0
last cycle

Deficiencies (33)

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).

29 D/E/F Actual harm — potential for minor
4 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-12-10 2025-12-11
0693 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. E 2025-12-10 2025-12-11
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2025-12-10 2025-12-11
0576 Ensure residents have reasonable access to and privacy in their use of communication methods. E 2025-12-05 —
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 2025-12-05 —
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. E 2025-06-27 2025-06-28
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2025-06-27 2025-06-30
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-06-27 2025-06-28
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2025-06-27 2025-06-28
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-06-27 2025-06-28
0880 Provide and implement an infection prevention and control program. D 2025-06-27 2025-06-30
0637 Assess the resident when there is a significant change in condition D 2025-05-08 2025-05-09
0642 Ensure a qualified health professional conducts resident assessments. E 2025-05-08 2025-05-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2025-05-08 2025-05-09
0660 Plan the resident's discharge to meet the resident's goals and needs. J 2025-05-08 2025-05-09
0661 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. J 2025-05-08 2025-05-09
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. J 2025-05-08 2025-05-09
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-02-05 2025-02-06
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-02-05 2025-02-02
0697 Provide safe, appropriate pain management for a resident who requires such services. K 2025-02-05 2025-02-03
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-02-05 2025-02-02
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-07-15 2024-07-16
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-05-17 2024-05-31
0880 Provide and implement an infection prevention and control program. E 2024-05-17 2024-06-10
0624 Prepare residents for a safe transfer or discharge from the nursing home. D 2023-06-06 2023-06-07
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-04-10 2023-04-11
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2023-04-01 2023-04-02
0759 Ensure medication error rates are not 5 percent or greater. E 2023-04-01 2023-04-02
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 2023-04-01 2023-04-02
0880 Provide and implement an infection prevention and control program. E 2023-04-01 2023-04-02
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2023-03-23 2023-03-25
0693 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. D 2023-03-23 2023-04-20
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 2023-03-23 2023-03-24

Penalties (3)

Fines issued
3
last 3 years
Total fines
$38,002
Date Type Fine amount
2023-03-23 Fine $10,009
2025-05-08 Fine $12,260
2025-02-05 Fine $15,733

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 20.7% Medicaid 17.3% Other 62.0%

Operating performance

Operating Margin
2.6%
Total Margin
3.0%
Occupancy Rate
79.7%
Cost per Resident Day
$111

Revenue & costs

Net Patient Revenue
$13.2M
Total Costs
$3.2M
Net Income
$393K

Balance sheet

Total Assets
$508K
Total Liabilities
-$832K
Fund Balance
$1.3M

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

Ownership & Corporate Structure

Chain: HMG HEALTHCARE

Chain ID
272
Facilities in chain
33
Legal business name
METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.9
Staffing
2.0
QM
4.4

Owner / manager organizations (13)

Organization Role Association
CIBC BANK USA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2018
FORVIS MAZARS LLP 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2018
HMG HEALTHCARE LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/01/2019
METHODIST HOSPITALS OF DALLAS 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/01/2019
METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/15/2020
ZIONS BANCORPORATION 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2018
CIBC BANK USA OPERATIONAL/MANAGERIAL CONTROL since 04/01/2021
DESOTO REHABILITATION INSTITUTE LLC OPERATIONAL/MANAGERIAL CONTROL since 11/01/2019
FORVIS MAZARS LLP OPERATIONAL/MANAGERIAL CONTROL since 04/01/2018
GLOBAL PRIME HEALTH, LLC OPERATIONAL/MANAGERIAL CONTROL since 04/01/2018
METHODIST HOSPITALS OF DALLAS OPERATIONAL/MANAGERIAL CONTROL since 04/01/2018
METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC OPERATIONAL/MANAGERIAL CONTROL since 03/15/2020
ZIONS BANCORPORATION OPERATIONAL/MANAGERIAL CONTROL since 04/01/2021

Owner / manager individuals (17)

Name Role Association
CULP, ROLAND 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2018
DASPIT, LAURENCE 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2019
PICO, ANA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2018
PRINCE, DEREK 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2019
BALSAMO, KRYSTAL OPERATIONAL/MANAGERIAL CONTROL since 04/01/2018
CULP, ROLAND OPERATIONAL/MANAGERIAL CONTROL since 04/01/2018
DASPIT, LAURENCE OPERATIONAL/MANAGERIAL CONTROL since 04/01/2018
DAVIS, GEORGETTE OPERATIONAL/MANAGERIAL CONTROL since 08/20/2001
DOHN, WILLIAM OPERATIONAL/MANAGERIAL CONTROL since 04/01/2018
PERKINS, CATINA OPERATIONAL/MANAGERIAL CONTROL since 04/15/2024
PICO, ANA OPERATIONAL/MANAGERIAL CONTROL since 04/01/2018
PRINCE, DEREK OPERATIONAL/MANAGERIAL CONTROL since 04/01/2018
REINARZ, CHRISTIAN OPERATIONAL/MANAGERIAL CONTROL since 04/01/2018
VEGA, BRANDI OPERATIONAL/MANAGERIAL CONTROL since 06/15/2023
ANTHAMATTEN, DUSTIN CORPORATE OFFICER since 11/01/2019
DASPIT, LAURENCE CORPORATE OFFICER since 11/01/2019
LAUKAITIS, FRANCES W CORPORATE OFFICER since 11/01/2019

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.

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Show 112 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $111 metrics.cost_per_resident_day
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 17.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 20.7% metrics.medicare_day_share
Cost Report Net Income ($) $392,542 metrics.net_income
Cost Report Net Patient Revenue ($) $13,203,347 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 79.7% metrics.occupancy_rate
Cost Report Operating Margin (%) 2.6% metrics.operating_margin
Cost Report Total Assets ($) $507,976 metrics.total_assets
Cost Report Total Costs ($) $3,232,336 metrics.total_costs
Cost Report Total Fund Balances ($) $1,339,481 metrics.fund_balance
Cost Report Total Liabilities ($) $-831,505 metrics.total_liabilities
Cost Report Total Margin (%) 3.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.27071 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.27791 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.51885 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.06746 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.64942 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 78.0 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 0.93847 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.55056 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.73972 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.22875 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.72719 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.4 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.0 Chain Average Staffing Rating
Provider Information Chain ID 272 Chain ID
Provider Information Chain Name HMG HEALTHCARE Chain Name
Provider Information City/Town DESOTO City/Town
Provider Information CMS Certification Number (CCN) 676492 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 2020-10-23 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote 22 Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 32.5968 Latitude
Provider Information Legal Business Name METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC Legal Business Name
Provider Information Location 109 METHODIST WAY,DESOTO,TX,75115 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -96.867 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 100 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 33 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.49806 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.08740 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 109 METHODIST WAY Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC 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 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 238 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 12 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 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-27 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 238 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 2 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-05-17 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 92 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 11 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 92 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.39405 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 54.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.96004 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.39177 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.49492 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.08369 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.56828 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 4.45496 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 3 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 2814195520 Telephone Number
Provider Information Total Amount of Fines in Dollars 38002.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.99709 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 54.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 201.500 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 75115 ZIP Code