Northgate Plaza

CCN 675967 · HAMILTON COUNTY HOSPITAL DISTRICT · For profit - Corporation · THE ENSIGN GROUP chain · 120 certified beds · Dallas · TX


Northgate Plaza is a 120-bed nursing home in Irving, Texas. CMS has certified it for Medicare and Medicaid since 2003-05-21. It averages 59.0 residents a day.

What harm was found in the violations cited at Northgate Plaza?

CMS lists 64 health-inspection deficiencies for Northgate Plaza, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-03.

Survey dateTagDeficiencySeverity
2026-06-03F0684, F0693, F0695Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide safe and appropriate respiratory care for a resident when needed.D
2026-05-08F0656, F0842Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-04-14F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2026-03-31F0558, F0584, F0695, F0755, F0880Reasonably accommodate the needs and preferences of each resident. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.E
2026-03-31F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-03-12F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.E
2026-03-12F0684, F0690, F0812Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2026-02-13F0583Keep residents' personal and medical records private and confidential.D
2025-11-25F0558Reasonably accommodate the needs and preferences of each resident.E
2025-11-25F0550, F0690, F0695, F0761, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide and implement an infection prevention and control program.D
2025-08-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-05-14F0558, F0604Reasonably accommodate the needs and preferences of each resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E
2025-05-14F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-03-28F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K
2025-03-28F0806, F0842Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-12-18F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-12-18F0727Have 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.E
2024-12-18F0677, F0842Provide care and assistance to perform activities of daily living for any resident who is unable. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-10-31F0583, F0584, F0695, F0812Keep residents' personal and medical records private and confidential. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-10-31F0558, F0677, F0689, F0761, F0880Reasonably accommodate the needs and preferences of each resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide and implement an infection prevention and control program.D
2024-10-28F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-09-19F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-09-19F0657, F0689Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-01-19F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2023-11-09F0584, F0677, F0680, F0812Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure the activities program is directed by a qualified professional. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-11-09F0558, F0656, F0692, F0693, F0695, F0700, F0755, F0880Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough food/fluids to maintain a resident's health. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.D
2023-09-07F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2023-08-22F0761Ensure 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.D
2023-08-04F0697Provide safe, appropriate pain management for a resident who requires such services.G
2023-08-04F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E

Why was Northgate Plaza fined?

DateTypeAmount
2025-03-28Fine$49,730

How is Northgate Plaza staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.191683.38539
Total nursing staff turnover (%)66.155.3
Average number of residents per day59.075.8

Who owns Northgate Plaza, and what chain is it in?

Northgate Plaza is registered with CMS as For profit - Corporation, operates under the legal business name HAMILTON COUNTY HOSPITAL DISTRICT and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYBARNES, MARCUS, COIL, RYANsince 06/23/2025
CORPORATE OFFICERBURNAM, SOON, HOOPER, GRADY, KEETCH, CHADsince 03/01/2011
OPERATIONAL/MANAGERIAL CONTROLSWEET BAY HEALTHCARE LLC, BARNES, MARCUS, COIL, RYANsince 06/23/2025
ADP OF THE SNFENSIGN SERVICES INC, STANDARD BEARER HEALTHCARE OP, LP, SWEET BAY HEALTHCARE LLC, THE ENSIGN GROUP INC, VALLEY RANCH HEALTH HOLDINGS LLC, BARNES, MARCUS, COIL, RYANsince 04/19/2022

Were you or a family member harmed at Northgate Plaza?