Sandy Lake Rehabilitation And Care Center
1410 E SANDY LAKE RD, Coppell, TX, 75019
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: Fundamental Healthcare
- Certified beds
- 123 · avg 79 residents/day
- Total nursing staff turnover
- 63.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 45.5% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $23,677 total
State licensing & capacity
- License number
- 147577
- Service type
- Medicare/medicaid
- Licensed capacity
- 123 beds
- Bed type breakdown
- 18 Medicare-only · 105 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- March 10, 2010
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Care Inn Of Sanger Llc Dba Sanger Care Llc
- Administrator
- Rhonda D Dillard
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Fundamental Healthcare chain — 69 facilities across 7 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (8 on record)
- Miguel a Hernandez
Operational/managerial Control · since 2026
- Rhonda Dillard
Operational/managerial Control · since 2024
- Edmundo Castaneda
Corporate Director · since 2022
- Care Inn of Sanger Llc
Operational/managerial Control · since 2017
- Dallas County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2017
- Fundamental Administrative Services Llc
Adp of The Snf · since 2017
+ 2 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 39)
- E0880·Aug 19, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Aug 19, 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·Aug 19, 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.
- E0760·Aug 19, 2025
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0755·Aug 19, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0695·Aug 19, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0693·Aug 19, 2025
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.
- E0689·Aug 19, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20251 fine · $9,244
- 20241 fine · $14K
Most recent events
- Apr 17, 2025Fine · $9,244
- Jul 25, 2024Fine · $14K
Largest single fine on record: $14K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Aug 19, 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
Sandy Lake Rehabilitation And Care Center is a 123-bed nursing home in Coppell, Dallas County, operated under a management contract with Care Inn Of Sanger LLC and licensed to Dallas County Hospital District. CMS rates it 2 stars overall, with a 2-star staffing rating and 2-star health inspection rating — though quality-of-care measures score 4 stars for long-stay residents and 5 stars for short-stay. The facility is running at about 64% of licensed capacity, with 78 residents on average per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 193 minutes of nursing care per day — roughly 48 minutes less than at a 4-star-staffing facility in Texas. Beyond the raw minutes, residents here tend to need more hands-on care than at a typical facility — less mobile or more medically dependent on average — so those hours stretch thinner than the number alone suggests.
About 6 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover reach 60% — this facility sits just above that line. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
One administrator has turned over in the past year. A single change can reflect a normal transition; it is one data point alongside the staffing and turnover figures.
CMS recorded 2 fines totaling $23,677 — close to the Texas state median of $20,699 for facilities that receive any fines at all. About 30% of Texas nursing homes had zero fines in the same period.
The facility is operating at roughly 64% of its 123 licensed beds, averaging 78 residents per day. Lower occupancy in an otherwise active market can reflect referral patterns, reputation, or staffing constraints — the record does not say which.
Quality-of-care measures rate 4 stars for long-stay residents and 5 stars for short-stay residents — both above the 2-star overall and staffing ratings. Short-stay residents are typically those recovering from a hospitalization; a 5-star short-stay score covers outcomes like pain management, re-hospitalization rates, and functional improvement.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Nursing coverage on nights and weekends
Weekend staffing here is reported at 2.82 hours per resident per day — lower than the weekday figure; ask how many nurses and aides are on the floor overnight and on Saturdays and Sundays.
Why occupancy sits at 64%
With roughly 44 beds empty on a typical day, ask directly what is driving low census — whether it reflects staffing limits, referral patterns, or something else.
Staffing stability for long-stay residents
About 6 in 10 nursing staff left last year; ask how the facility assigns consistent caregivers to residents who are here for months at a time.
Recent administrator transition
One administrator left in the past year; ask who the current administrator is, how long they have been in the role, and what changed in daily operations.
What drove the two CMS fines
Two fines totaling $23,677 were issued; ask what the citations were for and what the facility changed in response.
How the Resident Council operates
The facility has a Resident Council but no Family Council; ask how families can formally raise concerns and how often the Resident Council meets and reports back.
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.