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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Plaza at Edgemere is a remarkable healthcare community located in the charming Preston Hollow neighborhood. The Tuscan inspired architecture is a sight to behold, and the apartments starting at 1000 square feet are spacious and elegant. This community offers assisted living, memory support, and skilled nursing, rehabilitation services. Understanding that senior living is continually evolving, they constantly upgrade their services to stay up-to-date with the latest trends and technology. The beautifully landscaped grounds, as well as spacious patios and balconies, offer a peaceful environment where residents can enjoy a peaceful abode.
This home takes away the stress of home maintenance, allowing residents to focus on enjoying their golden years. Concierge services, housekeeping, and laundry, transportation services, and even underground parking for the convenience of its residents, are rendered with superb quality. Residents can take advantage of a wide range of amenities, including a library for book lovers, putting green, billiard room, herb garden, guest suites that provide comfortable accommodations for visitors, an arts studio and woodshop offering creative spaces for artists and craftsmen, and a heated indoor pool. The Plaza at Edgemere Health care truly offers a luxurious and fulfilling lifestyle for retirees.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 125th out of 246 homes in Texas.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 17m per day | ▲ 10% State avg: 2h 59m per day · National avg: 3h 26m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
55% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #29 / 259Payroll — state benchmarkedThis home is ranked 29th out of 259 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Texas average: 63.5%The Plaza at Edgemere Health Care is legally operated by Bay 9 Holdings Llc.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
2 with citations
0 without citations
Texas average: 1 inspection with citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Texas average: 6 citations
Texas average: 2 health citations
Texas average: 6 life safety citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Texas average: 1 enforcement action
The most recent inspection on December 2, 2025, identified a deficiency related to the facility’s failure to develop and implement a comprehensive person-centered care plan for a resident following falls. Earlier inspections showed a pattern of deficiencies in care planning, resident dignity, medication management, infection control, food safety, and staffing data submission. Prior reports noted issues such as improper respiratory care equipment storage, unattended medications, and lapses in infection prevention practices. Complaint investigations were not listed in the available reports. The facility’s record shows recurring challenges with care planning and infection control, with some improvement after 2024 but ongoing concerns as of the latest inspection.
Texas average 7.4
Last Health inspection on Oct 2024
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
1 of 9 citations resulted from standard inspections; and 8 of 9 came from combined inspections (standard and complaint).
100% better than Texas averageTexas average: 2
0
100% better than Texas averageTexas average: 0.4
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Oct 03, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 03, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 03, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 03, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
| Autumn Leaves |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Dallas | 124 | 66.6% | +5% | 4.05 | 0% | +12% | 0 | 0 | 0.0 | 0 | 88 | C+ | 58 | Lcs Al Operator Mm Llc | $6.7M | $3.1M | 45.6% | 675830 | ||||
| The Plaza at Edgemere Health Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Dallas (Preston Hollow) | 129 | 54.9% | -13% | 3.49 | -9% | -4% | 0 | 9 | 4.5 | 0 | 64 | - | 58 | Grenelle Holdings Llc | $23.3M | $7.6M | 32.4% | 676002 | ||||
| Continuing Care at Highland Springs |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Dallas (Far North Dallas) | 44 | 96.8% | +53% | 5.27 | +99% | +45% | 0 | 15 | 3.8 | 0 | 43 | - | - | Neville, Matthew | $80.5M | $21.7M | 26.9% | 676329 | ||||
| Discovery Village At Southlake |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Southlake | 41 | 71.3% | +12% | 3.99 | -33% | +10% | 1 | 16 | 3.2 | 1 | 37 | A+ | 29 | Hcri Tucson Properties Inc | $10.3M | $2.6M | 24.9% | 676351 | ||||
| C C Young Memorial Home | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Dallas | 129 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | C. C. Young Memorial Home | - | - | - | - |
6.2 miles from city center
Estimated distance in miles from Dallas's city center to The Plaza at Edgemere Health Care's address, calculated via Google Maps.
— 2.07 miles to nearest hospital (Texas Health Presbyterian Hospital Dallas)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
99% better than Texas averageTexas average ratio: 1.51:1
9% worse than Texas averageTexas average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursThis role is partially covered by contractors.
Total hours from contractors
7,496 contractor hours this quarter
| Certified Nursing Assistant | 41 | 16 | 57 | 11,473 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 18 | 12 | 30 | 5,473 | 91 | 100% | 8.7 |
| Registered Nurse | 10 | 0 | 10 | 3,473 | 91 | 100% | 8.8 |
| Speech Language Pathologist | 0 | 10 | 10 | 1,771 | 85 | 93% | 7.3 |
| Physical Therapy Aide | 0 | 5 | 5 | 1,312 | 90 | 99% | 7.3 |
| Respiratory Therapy Technician | 0 | 9 | 9 | 1,254 | 87 | 96% | 6.8 |
| Physical Therapy Assistant | 0 | 8 | 8 | 1,051 | 80 | 88% | 6.8 |
| Qualified Social Worker | 0 | 5 | 5 | 923 | 71 | 78% | 6.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 814 | 64 | 70% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 527 | 62 | 68% | 8.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 487 | 68 | 75% | 7.2 |
| Administrator | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Dietitian | 1 | 0 | 1 | 476 | 65 | 71% | 7.3 |
| RN Director of Nursing | 1 | 0 | 1 | 465 | 62 | 68% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 450 | 60 | 66% | 7.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 398 | 50 | 55% | 8 |
| Medical Director | 0 | 2 | 2 | 153 | 63 | 69% | 1.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 49 | 20 | 22% | 2.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 48 | 6 | 7% | 8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
49Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
21% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.3
8% worse than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.9%
35% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.6%
19% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.9%
36% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.5%
89% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.6%
24% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
17.1%
118% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
In line with Texas averageTexas average: 97.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.43
33% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.87
58% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
8% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.1%
90% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
10% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.5%
In line with Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.5%
38% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
62.7%
17% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.4%
29% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for The Plaza at Edgemere Health Care based on CMS SNF Cost Reports.
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