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Canton Oaks

1901 S TRADE DAYS BLVD, Canton, TX, 75103

Type
Nursing home
State-licensedCMS certified · CCN 676300

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.

Full report →

CMS Star Ratings

Overall3/5
Health inspections3/5
Staffing4/5
Quality measures3/5

Facility & Staffing

Ownership
For profit - Corporation · Chain: Fundamental Healthcare
Certified beds
120 · avg 67 residents/day
Total nursing staff turnover
39.1%lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
RN turnover
22.2%lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Administrators who left
0 departednear the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
3 fines · $67,903 total

State licensing & capacity

License number
147840
Service type
Medicare/medicaid
Licensed capacity
120 beds
Bed type breakdown
14 Medicare-only · 106 Medicaid/Medicare
Current license effective
April 1, 2023
Current license expires
April 1, 2026
Initial license date
August 31, 2011

Texas HHSC licensing registry · as of April 16, 2026

Ownership & operations

Licensee
Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
Operator / manager
Canton Long Term Care Llc
Administrator
Douglas Humble Iv

Texas HHSC licensing registry · as of April 16, 2026

Federal ownership record

Non-profitOther

Chain affiliation

Part of the Fundamental Healthcare chain — 69 facilities across 7 states. Chain-wide average overall rating 2.4 / 5.

Disclosed owners (9 on record)

  • Edmundo Castaneda

    Corporate Officer · since 2022

  • Canton Long Term Care, Llc

    Operational/managerial Control · since 2017

  • Casey Evans

    Corporate Officer · since 2017

  • Dallas County Hospital District

    5% or Greater Direct Ownership Interest · 100% · since 2017

  • Douglas Humble

    Adp of The Snf · since 2017

  • Frederick p Cerise

    Corporate Officer · since 2017

+ 3 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.

Federal inspection record

5 health citations on file3 immediate-jeopardy findings4 from complaints3 federal fines totalling $68K

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 5 of 5)

  • K0689·Mar 26, 2025Complaint

    Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • D0842·Jul 23, 2024Complaint

    Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • J0693·Jul 23, 2024Complaint

    Quality of Life and Care Deficiencies

    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.

  • D0644·Jun 5, 2024

    Resident Assessment and Care Planning Deficiencies

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • J0760·Apr 14, 2023Complaint

    Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $17K
  • 20241 fine · $32K
  • 20231 fine · $19K

Most recent events

  • Mar 26, 2025Fine · $17K
  • Jul 23, 2024Fine · $32K
  • Apr 14, 2023Fine · $19K

Largest single fine on record: $32K.

Fire-safety citations

8 Life-Safety-Code citations on file. Most recent: Jul 23, 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

Canton Oaks is a 120-bed nursing home in Canton, Texas, licensed for Medicare and Medicaid. CMS rates it 3 stars overall, with a 4-star staffing rating and a 5-star rating on long-stay quality measures — though short-stay quality measures rate 2 stars. Three CMS fines totaling $67,903 have been issued, and the facility is operating at roughly 55% of licensed beds. Managed by Canton Long Term Care LLC under a Dallas County Hospital District license.

Written from CMS Care Compare and state licensing records · last updated April 19, 2026

What the data says

CMS rates staffing here 4 stars — placing Canton Oaks in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 198 minutes of nursing care per day. However, residents here need more hands-on care than at a typical Texas facility — they are sicker or less mobile on average — so those hours stretch thinner than the raw number suggests.

About 4 in 10 nursing staff left in the past year, below the Texas 25th-percentile cutoff of 42% — better than about three-quarters of nursing homes in the state. RN turnover runs at roughly 2 in 10, also in the low tier. A long-stay resident is less likely to cycle through primary caregivers here than at a typical Texas facility.

Canton Oaks has received 3 CMS fines totaling $67,903. The state median for facilities that receive any fines at all is $20,699, and about 30% of Texas nursing homes have no fines at all. This facility's total sits roughly three times the state median.

The facility is operating at about 55% of its 120 licensed beds — 66 residents on an average day. That is substantially below typical occupancy and is present alongside the fine record above.

Long-stay quality measures rate 5 stars — the top CMS tier. Short-stay quality measures rate 2 stars. Long-stay residents are those who live at the facility for months or years; short-stay residents are typically recovering from a hospital stay before returning home. The gap between these two ratings is large.

Written from CMS Care Compare and state licensing records · last updated April 19, 2026

Questions to ask when you tour

  1. Short-stay outcomes vs long-stay

    CMS rates long-stay quality 5 stars but short-stay quality 2 stars — ask which specific measures drive the short-stay gap and what steps are underway to address them.

  2. Three fines totaling $67,903

    Ask what the three CMS fines cited since the record period were for, and what process changes followed each citation.

  3. Occupancy at 55 percent

    The facility is running at roughly half its licensed capacity — ask what is driving low census and whether any planned changes would affect staffing levels or services.

  4. Staffing stretch with higher-need residents

    Residents here require more hands-on care than at an average Texas facility — ask how the staffing schedule adjusts on weekends, when nursing hours drop to about 182 minutes per resident per day.

  5. Management company relationship

    The facility is licensed under a hospital district but managed by Canton Long Term Care LLC — ask who holds day-to-day operational authority and who to contact when concerns arise.

  6. Resident Council participation

    The facility has a Resident Council but no Family Council — ask how families are formally kept informed and how they can raise concerns outside of individual care conferences.

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.