Duncanville Healthcare And Rehabilitation Center
419 S COCKRELL HILL RD, Duncanville, TX, 75116
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: Nexion Health
- Certified beds
- 124 · avg 81 residents/day
- Total nursing staff turnover
- 61.1% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 85.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 7 fines · $116,171 total
- Payment denials
- 1 denial
- Infection control citations
- 10
State licensing & capacity
- License number
- 144508
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 44 Medicare-only · 80 Medicaid/Medicare
- Current license effective
- February 21, 2025
- Current license expires
- February 21, 2028
- Initial license date
- April 24, 2008
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At Duncanville, Inc
- Administrator
- Mccoy Renfro
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (11 on record)
- Marilyn Callies
W-2 Managing Employee · since 2022
- Kiara Taylor
W-2 Managing Employee · 100% · since 2021
- Daniel Pierce
Corporate Officer · since 2021
- Brian Lee
Operational/managerial Control · since 2015
- Dallas County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2015
- Francis Kirley
Operational/managerial Control · since 2015
+ 5 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 61)
- D0880·Dec 5, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0550·Dec 5, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0691·Nov 8, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D0609·Sep 18, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0880·Aug 14, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Aug 14, 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.
- E0773·Aug 14, 2025
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- E0761·Aug 14, 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.
Federal penalties
By year
- 20251 fine · $27K
- 20242 fines · $8,773
- 20234 fines · $81K · 1 payment denial
Most recent events
- May 20, 2025Fine · $27K
- Feb 7, 2024Fine · $1,668
- Jan 12, 2024Fine · $7,105
- Jul 18, 2023Fine · $18K
- May 19, 2023Payment denial · 5 days · starting Jun 16, 2023
- May 19, 2023Fine · $26K
Largest single fine on record: $27K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Aug 14, 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
Duncanville Healthcare And Rehabilitation Center is a 124-bed nursing home in Duncanville (Dallas County) accepting Medicare and Medicaid, managed by Nexion Health. CMS rates it 1 star overall — the lowest tier — with 1-star ratings on both health inspections and staffing. Seven fines totaling $116,171 have been assessed. Quality-of-care outcome measures rate 4 stars for long-stay residents and 5 stars for short-stay, an unusual split given the other ratings. Licensed through February 2028.
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. Each resident receives about 222 minutes of nursing care per day — roughly 19 minutes less than the threshold for a 4-star-staffing facility in Texas. Of those minutes, registered nurses account for only 16 per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility. About 38% of Texas nursing homes share this 1-star staffing rating.
About 6 in 10 nursing staff left in the past year — above the 75th percentile for Texas, meaning turnover here is higher than at roughly three-quarters of nursing homes in the state. RN turnover runs even higher: about 9 in 10 registered nurses left in the past year. A long-stay resident will likely cycle through multiple primary caregivers over the course of a year.
CMS has recorded 7 fines totaling $116,171 — more than five times the Texas state median of $20,699 per facility. Roughly 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 65% of its 124 licensed beds — about 81 residents on an average day. That level of occupancy, alongside the staffing and fine data, is worth considering together.
Quality-of-care outcome measures rate 4 stars for long-stay residents and 5 stars for short-stay — the top tier for short stays. These scores reflect resident health outcomes such as rates of falls, pressure wounds, and hospital readmissions, and they sit in contrast to the 1-star ratings on inspections and staffing.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With 222 daily nursing minutes per resident and weekend hours logged at 3.24 hours per resident, ask how many nurses and aides are on duty during nights and weekend shifts specifically.
RN turnover and consistency of care
About 9 in 10 registered nurses left in the past year — ask how long the current RN staff has been in place and how care plans are handed off when a nurse departs.
Seven CMS fines and what changed
Seven fines totaling $116,171 have been assessed — ask what the citations were for and what specific steps have been taken to address each one.
Ten infection-control citations
CMS recorded 10 infection-control citations; ask what protocols have been updated since those findings and how current infection rates compare to prior years.
Why occupancy is at 65 percent
About 81 of 124 beds are filled on an average day — ask whether that reflects a recent discharge pattern, referral changes, or something else affecting the facility's population.
How outcome scores stay high despite low inspection rating
Short-stay quality outcomes rate 5 stars while health inspections rate 1 star — ask how the facility tracks and reports those outcome measures and who audits the data.
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.