The Hillcrest Of North Dallas
18648 HILLCREST RD, Dallas, TX, 75252
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: Opco Skilled Management
- Certified beds
- 120 · avg 111 residents/day
- Total nursing staff turnover
- 74.6% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 86.7% — 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
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $236,449 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 147656
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 19 Medicare-only · 101 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- June 18, 2012
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Hillcrest Of North Dallas Llc
- Administrator
- James B Culp
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Opco Skilled Management chain — 52 facilities across 5 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (13 on record)
- Hansen Hunter Llc
Adp of The Snf · since 2025
- Cemorne Baugh
Adp of The Snf · since 2025
- Renuka Sireesha Bellamkonda
Adp of The Snf · since 2025
- Shannan Dawn Bradley
Corporate Officer · since 2023
- Continuum Rehab Group Llc
Adp of The Snf · since 2022
- David Garetz
Operational/managerial Control · since 2022
+ 7 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 44)
- D0689·Dec 1, 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.
- E0812·Jul 31, 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.
- D0791·Jul 31, 2025Complaint
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
- D0695·Jul 31, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0689·Jul 31, 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.
- D0656·Jul 31, 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.
- D0550·Jul 31, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0919·Jul 31, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Federal penalties
By year
- 20243 fines · $221K · 1 payment denial
- 20231 fine · $15K
Most recent events
- Aug 3, 2024Payment denial · 4 days · starting Sep 13, 2024
- Aug 3, 2024Fine · $200K
- Aug 3, 2024Fine · $12K
- May 31, 2024Fine · $9,017
- Mar 17, 2023Fine · $15K
Largest single fine on record: $200K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Jul 31, 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
The Hillcrest of North Dallas is a 120-bed Medicare/Medicaid nursing home in Dallas (Collin County), managed by Hillcrest of North Dallas LLC. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Four CMS fines totaling $236,449 have been issued, and nursing staff turnover ran at 74.6% over the past year. Quality measures rate 4 stars for long-stay residents, a contrast worth examining alongside the other figures.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 173 minutes of nursing care per day, approximately 68 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — sicker or less mobile on average — so those 173 minutes stretch thinner than the raw number already suggests. RN coverage specifically runs to about 25 minutes per resident per day, against a 4-star threshold of 37 minutes in Texas.
About 7 in 10 nursing staff left in the past year — a very high rate relative to Texas peers, where the median is 50% and the 75th percentile is 60%. RN turnover is even higher: roughly 9 in 10 RNs left. A long-stay resident will likely cycle through multiple primary caregivers. Three administrators have also turned over in the past year, adding organizational instability on top of frontline churn.
CMS has issued 4 fines totaling $236,449 since the facility's data period. The Texas median for facilities that do receive fines is about $20,699 — this facility's total is more than 11 times that figure. About 30% of Texas nursing homes have received no fines at all.
Despite the staffing and inspection ratings, CMS rates the facility 4 stars on long-stay quality measures and 2 stars on short-stay quality measures. Long-stay quality measures track outcomes like pressure ulcers, falls with injury, and appropriate medication use for residents living here over time; short-stay measures track outcomes for residents here for rehabilitation or recovery.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current nursing staff coverage
Ask how many CNAs and RNs are on the floor per shift today, given that CMS records show roughly 173 minutes of total nursing care per resident per day — 68 minutes below the 4-star threshold for Texas.
Three administrators in one year
Three administrators have turned over in the past year — ask who is currently in that role, how long they have been in place, and what caused the transitions.
Staffing stability for your parent
With roughly 7 in 10 nursing staff leaving in the past year, ask how the facility assigns consistent caregivers to residents and how long the staff currently on your parent's unit have been there.
The $236,449 in CMS fines
Four CMS fines totaling $236,449 have been issued — ask what specific deficiencies triggered each fine and what corrective steps were taken afterward.
Long-stay quality measures in practice
CMS rates long-stay quality outcomes at 4 stars despite a 1-star inspection rating — ask which specific outcomes drive that score and how the facility tracks them internally.
Resident Council access
The facility has a Resident Council but no Family Council — ask how families are formally notified of care concerns and how they can raise issues 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.