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Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › Texas › Dallas County › The Eden of Las Colinas

The Eden of Las Colinas

2101 Northgate Dr, Irving, TX 75062 · CMS Certification Number (CCN) 675967

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
65 in the last 3 inspection cycles (1 immediate jeopardy, 0 actual harm, 57 from complaints)
Fire safety citations
8
Fines (last 3 years)
1 fine, total $49,730
Payment denials
0
Most recent standard inspection
March 12, 2026
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★☆☆☆☆ 1 of 52.82.8
Staffing★☆☆☆☆ 1 of 51.92.9
Quality measures★★★★☆ 4 of 53.73.6
Long-stay quality★★★☆☆ 3 of 5Not publishedNot published
Short-stay quality★★★★☆ 4 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)March 12, 202627423
Cycle 2December 18, 202438434

CMS weighted health inspection score: 196.25 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

65 health citations across 18 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

July 15, 2026: 4 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/22/2026
D F-0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/22/2026
E F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/22/2026
D F-0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/22/2026
June 3, 2026: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/09/2026
D F-0693 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.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/09/2026
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/09/2026
May 8, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/15/2026
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/15/2026
April 14, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/30/2026
March 31, 2026: 6 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/30/2026
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/30/2026
E F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/30/2026
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/30/2026
E F-0584 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/30/2026
E F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/30/2026
March 12, 2026: 4 citations (Standard)
SeverityTagWhat was citedTypeStatus
D F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/02/2026
D F-0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/02/2026
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/02/2026
E F-0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/02/2026
February 13, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/14/2026
November 25, 2025: 6 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/09/2025
D F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/09/2025
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/09/2025
D F-0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/09/2025
E F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/09/2025
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/09/2025
August 7, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/08/2025
May 14, 2025: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/04/2025
E F-0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/04/2025
E F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/04/2025
March 28, 2025: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/21/2025
E F-0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/21/2025
K F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/21/2025
December 18, 2024: 4 citations (Standard)
SeverityTagWhat was citedTypeStatus
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
E F-0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
October 31, 2024: 9 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/25/2024
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/25/2024
D F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/25/2024
E F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/25/2024
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/25/2024
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/25/2024
E F-0584 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/25/2024
E F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/25/2024
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/25/2024
October 28, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/15/2024
September 19, 2024: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/01/2024
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/01/2024
D F-0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/01/2024
January 19, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/04/2024
November 9, 2023: 12 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
D F-0700 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
D F-0693 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.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
D F-0692 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
E F-0680 Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
E F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
E F-0584 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.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/09/2023
September 7, 2023: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/10/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

8 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
03/12/2026FK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/11/2026
03/12/2026EK-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 03/11/2026
12/18/2024FK-0345Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 01/16/2025
12/18/2024EK-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 01/16/2025
11/09/2023FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 11/20/2023
11/09/2023EK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 11/15/2023
11/09/2023EK-0363Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 11/15/2023
11/09/2023EK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 12/28/2023

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
March 28, 2025Fine$49,730—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.193.393.86
Registered nurse (RN) hours per resident per day0.40.430.69
LPN/LVN hours per resident per day0.92Not publishedNot published
Nurse aide hours per resident per day1.88Not publishedNot published
Total nurse staff hours per resident per day, weekends2.63Not publishedNot published
RN hours per resident per day, weekends0.25Not publishedNot published
Total nursing staff turnover (%)66.155.345.8
Registered nurse turnover (%)50Not publishedNot published
Administrators who have left1Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
Hamilton County Hospital District
Ownership type
For profit - Corporation
Chain
The Ensign Group (344 facilities)
Ownership changed in last 12 months
No
Certified beds
120
Average residents per day
59
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
May 21, 2003
County/parish
Dallas

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

15 ownership and management records
NameRoleTypeOwnership %Since
BARNES, MARCUSMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
COIL, RYANMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
BURNAM, SOONCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
HOOPER, GRADYCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
KEETCH, CHADCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
SWEET BAY HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
BARNES, MARCUSOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
COIL, RYANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
ENSIGN SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
SWEET BAY HEALTHCARE LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
THE ENSIGN GROUP INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
VALLEY RANCH HEALTH HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
BARNES, MARCUSADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
COIL, RYANADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.