Balch Springs Nursing Home
4200 SHEPARD LANE, Balch Springs, TX, 75180
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Advanced Healthcare Solutions
- Certified beds
- 120 · avg 67 residents/day
- Total nursing staff turnover
- 61.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 55.6% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 311839
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 12 Medicare-only · 108 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- January 7, 1980
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Balch Springs Hc Llc
- Administrator
- Dantrell Anderson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Advanced Healthcare Solutions chain — 30 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (5 on record)
- Ari Silberstein
Operational/managerial Control · since 2024
- Balch Springs hc Llc
Operational/managerial Control · 100% · since 2024
- Eliezer Scheiner
Operational/managerial Control · since 2024
- Grady Hooper
Corporate Officer · since 2024
- Neil Muxworthy
Corporate Director · since 2024
Recent change of ownership
March 2024 (2 years ago) · acquired from Balch Springs Nursing Home
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 18)
- F0812·Mar 6, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Mar 6, 2025
Pharmacy Service Deficiencies
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.
- E0756·Mar 6, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E0686·Mar 6, 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0692·Mar 6, 2025Complaint
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- D0755·Aug 28, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0761·May 31, 2024Complaint
Pharmacy Service Deficiencies
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.
- E0880·Feb 14, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Mar 6, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Balch Springs Nursing Home is a 120-bed Medicare/Medicaid nursing home in Balch Springs, Dallas County, licensed since 1980 and operated by Balch Springs Hc LLC under a hospital district licensee. CMS rates it 4 stars overall, with a 5-star quality-of-care rating — but staffing earns just 1 star, the lowest tier, and three administrators have left in the past year. The facility is operating at roughly 56% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest rating, shared by about 38% of Texas nursing homes. Each resident receives approximately 178 minutes of nursing care per day, roughly 63 minutes less than at a 4-star-staffing facility in Texas. Residents here also need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 178 minutes stretch thinner than the number alone suggests.
About 6 in 10 nursing staff left in the past year. At that pace, a long-stay resident will likely go through two or three primary caregivers over the course of a year.
Three administrators have left in the past year — organizational disruption that residents and frontline staff feel directly.
The facility is running at roughly 56% of its 120 licensed beds, with about 67 residents on an average day. That figure sits alongside the staffing and turnover picture above; the reader can weigh them together.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Three administrators in one year
Three administrators have turned over in the past 12 months — ask who is currently leading the facility and how long they have been in the role.
Staffing levels on nights and weekends
CMS rates staffing here 1 star; weekend nursing hours average about 154 minutes per resident — ask how many nurses and aides are on the floor during evenings and weekends.
Caregiver continuity for residents
About 6 in 10 nursing staff left in the past year — ask whether residents are assigned consistent aides and how the facility manages continuity when staff turns over.
Why so many beds are empty
The facility is operating at roughly 56% of capacity — ask what is driving the low census and whether staffing or services have changed as a result.
How care plans are reviewed
Quality of care rates 5 stars despite 1-star staffing — ask how often care plans are reviewed and who leads those reviews when staffing is limited.
Resident Council involvement
The facility has a Resident Council but no Family Council — ask how family members currently raise concerns and whether there are plans to form a Family Council.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.