Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Cedar Hill Healthcare Center

Cedar Hill, TX · 110 certified beds · Last Life Safety survey July 2, 2025

CMS Certification Number 675032 · first certified April 1992

Ownership

Operated by SOUTHWEST LTC · For profit - Corporation

  • Ownership changed April 1, 2017 (change of ownership)from SOUTHWEST LTC CEDAR HILL LLC
17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within TX

17 citations — more than 91% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (August 2026 to September 2026). Most TX facilities have been surveyed by September 2026. This facility’s last Life Safety survey was July 2025. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 17 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • 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.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility17TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0562024-0652025-07
Citations at each Life Safety survey
Survey dateCitations
May 4, 20236
June 26, 20246
July 2, 20255

Most-cited tags

Most-cited tags at this facility
K-05113K-03632K-09182K-02112K-09231K-03211K-03521K-03511
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0511Have properly installed electrical wiring and gas equipment.32025-07-02
K-0363Install corridor and hallway doors that block smoke.22025-07-02
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-06-26
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22025-07-02
K-0923Have proper medical gas storage and administration areas.12024-06-26
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-05-04
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.12025-07-02
K-0351Install an approved automatic sprinkler system.12024-06-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 3
  • Egress Deficiencies 3
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies3
Egress Deficiencies3
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 2, 2025 — 5 citations

Citations issued on July 2, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 2, 2025)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (August 2, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 2, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 2, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 2, 2025)

June 26, 2024 — 6 citations

Citations issued on June 26, 2024
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 9, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 9, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 9, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (August 9, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 9, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 9, 2024)

May 4, 2023 — 6 citations

Citations issued on May 4, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 18, 2023)
K-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.Deficient, Provider has date of correction (June 18, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 18, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 18, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 18, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 18, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.