Balch Springs Nursing Home
4200 Shepherd Ln, Balch Springs, TX, 75180
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Advanced Healthcare Solutions
- Certified beds
- 120 · avg 68 residents/day
- Total nursing staff turnover
- 56.9% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 58.3% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $43,095 total
Medicare certification
- CMS Certification Number
- 675057
- Certified beds
- 120 beds · avg 68 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Hamilton County Hospital District
- Chain affiliation
- Advanced Healthcare Solutions
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Advanced Healthcare Solutions chain — 30 facilities. Chain-wide average overall rating 3.0 / 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 May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 21)
- D0880·May 7, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0644·May 7, 2026
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E0628·May 7, 2026
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E0583·May 7, 2026
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- E0551·May 7, 2026
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
- K0686·Mar 30, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- J0656·Mar 30, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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.
Federal penalties
By year
- 20261 fine · $43K
Most recent events
- Mar 30, 2026Fine · $43K
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: May 7, 2026. 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Balch Springs Nursing Homeinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.