Deficiency Index

Park Village Healthcare and Rehabilitation

Desoto, Texas · CCN 455727

54 surveys since 2010, 22 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
155
Surveys
54
Harm or worse
22
Immediate jeopardy
13
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy13

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file35/54

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
150
Ownership
For profit - Corporation
Chain
THE ENSIGN GROUP
County
Dallas
Medicare-certified since
1987

CMS ratings

Overall
2
Health inspection
1
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

May 14, 2026

179 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.053.26
Registered-nurse hours per resident day0.25—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$221,389 across 6 penalties
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ58.6%K11.7%L—
Actual harmG23.4%H—I—
No harm, potential for more than minimalD3560.3%E1424.1%F11.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 58 of the 155 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8805×

    Provide and implement an infection prevention and control program.

  • F7614×

    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.

  • F5803×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F5843×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6003×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

In the surveyor’s words

From the most serious findings on record at Park Village Healthcare and Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, patternF880Mar 24, 2025

    Based on observation, interview, and record review, the facility failed to maintain an Infection Control Program designed to help prevent the transmission of disease and infection; maintain a system for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents, staff, volunteers, and visitors; follow accepted national standards; follow a system of surveillance designed to identify possible communicable diseases or infections before they could spread to other persons in the facility; follow standard and transmission-based precautions to prevent spread of infections for twenty eight residents (Residents #1, #6, #7, #8, #10, #11, #13, #15, #19, #20, #27, #28, #38, #41, #44, #48, #49, #52, #54, #55, #57, #60, #63, #64, #66, #69,… […]

  • Immediate jeopardy, patternF684Feb 17, 2022

    Based on observation, interview, and record review the facility failed to ensure one (Resident #1) of two residents reviewed for quality of care received treatment care in accordance with professional standards of practice in that: The facility failed to notify the physician and obtain wound care orders when Resident #1 was noted with a wound. The facility failed to ensure a wound assessment was performed and documented for Resident #1 for approximately three weeks after the wound was observed and reported to nursing staff. The facility failed to ensure Resident #1 was provided wound care to promote healing. The resident's wound deteriorated, developed an infection that required debridement and treatment with intravenous antibiotic therapy. […]

  • Immediate jeopardy, isolatedF600Nov 15, 2025

    Based on observation, interview, and record review the facility failed to ensure residents were free from abuse and neglect for 2 of 8 residents (Resident #1 and Resident #2) reviewed for abuse and neglect.The facility failed to ensure there was no inappropriate sexual behavior between Resident #1 and Resident #2. Resident #1 was observed in the dining room by CNA-A massaging the breast of Resident #2.An Immediate Jeopardy (IJ) was identified on 11/14/25. The IJ template was provided to the facility on [DATE] at 7:12 PM. While the IJ was removed on 11/15/25, the facility remained out of compliance at a scope of isolated with the severity level at a potential for more than minimal harm that is not immediate jeopardy, because all staff had not been trained. […]

  • Immediate jeopardy, isolatedF610Nov 15, 2025

    Based on interview and record review, the facility failed to have evidence that all allegations of abuse, neglect, exploitation, or mistreatment, were thoroughly investigated for 2 of 18 residents (Resident #1, Resident #2) reviewed for abuse and neglect.The facility failed to thoroughly investigate inappropriate sexual behavior between Resident #1 and Resident #2. Resident #1 was observed in the dining room by CNA-A massaging the breast of Resident #2.An Immediate Jeopardy (IJ) was identified on 11/14/25. The IJ template was provided to the facility on [DATE] at 7:12 PM. […]

  • Immediate jeopardy, isolatedF925Jul 23, 2025

    Based on observation, record review and interview, the facility failed to maintain an effective pest control program so that the facility is free of pests and rodents for 1 (Resident #1's room) of 8 residents room reviewed for pest. The facility failed to ensure Resident #1's room was free of ants on 07/20/25. As a result of the bites Resident#1 was transported to the local hospital and admitted on [DATE].Based on observation, record review and interview, the facility failed to maintain an effective pest control program so that the facility is free of pests and rodents for 1 (Resident #1's room) of 8 residents room reviewed for pest. The facility failed to ensure Resident #1's room was free of ants on 07/20/25. […]

Read 38 findings in full →The most serious and the most recent: 38 of 155 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 25, 2026Complaint2 findings
  • May 14, 2026Standard6 findings
  • Dec 5, 2025Complaint3 findings
  • Nov 15, 2025Complaint4 findings · 2 harm
  • Oct 1, 2025Complaint1 finding · 1 harm
  • Aug 20, 2025Complaint1 finding
  • Jul 23, 2025Complaint1 finding · 1 harm
  • Jun 20, 2025Complaint3 findings
Show the 46 earlier surveys
  • May 28, 2025Complaint1 finding
  • Mar 24, 2025Standard and complaint8 findings · 1 harm
  • Jan 16, 2025Complaint3 findings
  • Aug 30, 2024Complaint4 findings
  • Aug 5, 2024Complaint1 finding
  • Jul 30, 2024Complaint2 findings
  • Feb 8, 2024Standard4 findings
  • Jan 8, 2024Complaint2 findings
  • Dec 22, 2023Complaint1 finding
  • Oct 30, 2023Complaint4 findings · 2 harm
  • Oct 19, 2023Complaint3 findings · 1 harm
  • Jan 18, 2023Complaint2 findings
  • Dec 6, 2022Complaint2 findings · 2 harm
  • Nov 10, 2022Standard6 findings
  • Mar 3, 2022Complaint1 finding
  • Feb 17, 2022Infection control1 finding · 1 harm
  • Dec 2, 2021Complaint2 findings
  • Sep 21, 2021Standard2 findings
  • Aug 4, 2021Complaint4 findings
  • Oct 1, 2020Complaint1 finding
  • Aug 5, 2020Complaint1 finding · 1 harm
  • Apr 23, 2020Complaint1 finding
  • Mar 21, 2020Complaint1 finding
  • Dec 13, 2019Complaint2 findings
  • Nov 15, 2019Standard and complaint5 findings
  • Aug 1, 2019Complaint3 findings
  • May 30, 2019Complaint1 finding
  • Dec 21, 2018Standard and complaint3 findings
  • Jun 1, 2018Complaint1 finding
  • Feb 2, 2018Complaint2 findings
  • Nov 17, 2017Standard3 findings
  • Feb 25, 2017Complaint1 finding
  • Nov 9, 2016Standard1 finding
  • Jun 9, 2016Complaint1 finding
  • Dec 11, 2015Standard6 findings
  • Feb 4, 2015Standard8 findings
  • Jun 6, 2014Complaint1 finding · 1 harm
  • Apr 9, 2014Complaint4 findings
  • Jan 9, 2014—10 findings · 3 harm
  • Mar 27, 2013—1 finding · 1 harm
  • Jan 4, 2013—2 findings
  • Nov 3, 2011—4 findings
  • Jul 7, 2011—1 finding
  • Apr 7, 2011—3 findings
  • Oct 8, 2010—13 findings · 5 harm
  • Sep 16, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction