The Madison On Marsh
2245 MARSH LN, Carrollton, TX, 75006
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 - Corporation · Chain: Cantex Continuing Care
- Certified beds
- 125 · avg 85 residents/day
- Total nursing staff turnover
- 55% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 70% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,473 total
State licensing & capacity
- License number
- 144435
- Service type
- Medicare/medicaid
- Licensed capacity
- 125 beds
- Bed type breakdown
- 34 Medicare-only · 91 Medicaid/Medicare
- Current license effective
- February 15, 2025
- Current license expires
- February 15, 2028
- Initial license date
- January 5, 2007
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Carrollton Health Care Center Ltd Co
- Administrator
- Roderick Wallace
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Cantex Continuing Care chain — 38 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (25 on record)
- Carrollton Health Care Center Ltd co
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Roderick Wallace
Operational/managerial Control · since 2024
+ 19 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
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)
- D0656·Dec 3, 2025Complaint
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.
- D0628·Dec 3, 2025Complaint
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E0812·Apr 17, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0677·Apr 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- J0689·Apr 17, 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.
- E0761·Jan 17, 2025Complaint
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.
- D0755·Jan 17, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0657·Jan 17, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal penalties
By year
- 20251 fine · $8,473
Most recent events
- Apr 17, 2025Fine · $8,473
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Dec 4, 2024. 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
The Madison On Marsh is a 125-bed nursing home in Carrollton, Dallas County, accepting Medicare and Medicaid. CMS rates it 3 stars overall, with a 1-star staffing rating — each resident receives about 197 minutes of nursing care per day, 44 minutes below the Texas 4-star threshold. Quality-of-care outcomes rate 5 stars. The facility operates at roughly 68% of licensed capacity. Managed by Carrollton Health Care Center Ltd Co under a license held by Dallas County Hospital District.
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 bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 197 minutes of nursing care per day, about 44 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 197 minutes stretch thinner than the raw number suggests.
RN turnover runs at roughly 7 in 10 registered nurses leaving in the past year, well above typical. A long-stay resident will likely cycle through multiple primary nurses over the course of a year.
Two administrators have left in the past year — a level of leadership instability that residents and frontline staff typically feel.
CMS fines total $8,473 from one citation. That figure sits below the Texas median of $20,699 among facilities that received any fine at all.
The facility is operating at roughly 68% of its 125 licensed beds — about 85 residents on an average day. This is paired with 1-star staffing and high administrator and RN turnover.
Quality-of-care outcomes rate 5 stars on both long-stay and short-stay measures — the top tier. That rating reflects documented resident outcomes: things like wound rates, rehospitalization, and pain management, drawn from clinical records.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current staffing levels day to day
CMS rates staffing 1 star here — ask how many nurses and aides are on the floor during a typical day shift and overnight.
Why two administrators left
Two administrators turned over in the past year — ask what prompted those changes and who is currently in the role.
How RN continuity is maintained
Roughly 7 in 10 registered nurses left in the past year — ask how the facility assigns nurses to residents and manages care continuity during vacancies.
What's driving the low occupancy
The facility runs at about 68% of licensed capacity — ask whether that reflects recent admissions patterns, staffing constraints, or something else.
How 5-star outcomes are achieved
CMS rates quality-of-care outcomes 5 stars despite 1-star staffing — ask specifically which measures drive that rating and how care plans are reviewed.
Resident Council access and frequency
The facility has a Resident Council but no Family Council — ask how often the council meets and how family members can raise concerns.
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.