Balch Springs Nursing Home
BALCH SPRINGS NURSING HOME in BALCH SPRINGS, TX — inspection on March 30, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
in-service education about Comprehensive Care Plans, Care Plan Revision, Measurable Objectives and
jeopardy to resident health or the[POC] System, and Documentation of Care Plan Review.
The RN's and LVN's summarized the safety topic of discussion which included policy, procedure, and the facility/leadership expectations. CNA's were able to explain and demonstrate where to find Care Plan information in the POC System.
identified as requiring Pressure Devices, were observed and interviewed between 03/27/26 at 11:34 AM to 03/30/26 at 12:25 PM.
Residents were observed to be either in possession of or actively using all ordered pressure device equipment.
Residents reported that staff generally were on time with repositioning and that they had attended Care Plan meetings and had no other complaints of their present care or treatment at the facility. An observation and interview with CNA L on 3/27/2026 CNA L was observed using the POC system, she stated that she could look up the Kardex (Care Plan) for any resident in the facility.
She was able to demonstrate looking up three different residents without issues. In an interview on 03/30/2026 at 12:33 PM MDS Coordinator/LVN H revealed that that there had been a communication issue regarding Resident #1's Care Plan, she stated that after the training there are many more redundancies to make sure that all information for each resident is given to her to be able to correctly and timely update the Care plans for each resident.
Record review of In-Service trainings Titled Comprehensive Care Plans found that 48 of 50 Nursing staff had been trained.
Two other staff members were reported to have been out of the country at the time of the trainings.
The ADM was informed the Immediate Jeopardy was removed on 03/27/2026 at 2:40 PM.
The facility remained out of compliance at a scope of Isolated and severity level of No Actual Harm with a potential for more than minimal harm due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems.
675057 03/30/2026
Balch Springs Nursing Home 4200 Shepherd LN Balch Springs, TX 75180
harm due to the facility's need to complete in-service training and evaluate the effectiveness of the
jeopardy to resident health or safety
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BALCH SPRINGS, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BALCH SPRINGS NURSING HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.