The Hillcrest of North Dallas

    18648 Hillcrest Rd, Dallas, TX 75252
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.95·(192)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      3.9
    • Meals

      3.1
    • Amenities

      3.3
    • Value

      1.8

    Pros

    • Compassionate, attentive nursing and caregiving staff
    • Strong physical, occupational, and speech therapy services
    • Engaging activities program (music, piano, bingo)
    • Clean, attractive facility design and comfortable rooms
    • Helpful admissions and front-desk team
    • Supportive social work and care coordination
    • Responsive rehabilitation team with positive functional outcomes
    • Flexible meal accommodations and proactive dietary manager
    • Convenient location and pleasant grounds

    Cons

    • High staff turnover and inconsistent staffing
    • Variable staff competency and training gaps
    • Medication administration and timing control gaps
    • Delays in responding to nurse-call requests
    • Inconsistent family communication and transparency
    • Infection-control and PPE management weaknesses
    • Facility maintenance and HVAC reliability issues
    • Inconsistent sanitation and incontinence-care practices
    • Weak incident-escalation and clinical-response processes
    • Food quality and meal-service consistency issues
    • Administrative leadership instability and poor follow-through
    • Regulatory citations and low quality-rating indicators
    • Insufficient night/weekend staffing affecting continuity
    • Room assignment and roommate-placement process gaps
    • Allegations of staff misconduct and concerning conduct reports

    Summary of reviews

    The Hillcrest of North Dallas elicits a strongly mixed set of impressions. Many families and residents praise the facility’s therapy programs, individual caregivers, and overall environment: physical, occupational, and speech therapy are frequently cited as effective, and several reviewers describe measurable functional gains during rehabilitation. Multiple caregivers, nurses, therapists, and members of the admissions and front-desk teams receive positive mention for being compassionate, attentive, and helpful. The building and common areas are often described as clean and attractive, and the activities program (music, piano, bingo and other daily programming) is a recurrent positive that supports resident engagement.

    At the same time, a persistent pattern of operational weaknesses appears across reviews. Staffing instability and high turnover are the most consistent themes, producing variability in care continuity and skill level among shifts. Reviewers describe gaps in medication timing and administration controls, delays in responding to call lights, and inconsistent documentation or follow-up after clinical events. Several accounts indicate failures in incident escalation and clinical response that led to hospital transfers or urgent care—these describe systemic process gaps rather than single isolated comments. Infection-control processes and PPE availability have also been raised as concerns during infectious outbreaks.

    Dining and dietary services present a mixed picture: the dietary manager and some meal offerings receive praise, and flexible accommodations are noted; however, reviewers also report inconsistent food quality, delayed or missing meal service, and variability on weekends. The activities program is generally a strength and contributes positively to residents’ social engagement and mood.

    Facility-maintenance and environmental reliability are uneven. Many reviewers appreciate the attractive décor and clean presentation, yet others describe HVAC failures, maintenance delays, odors in corridors, laundry-tracking issues, and pest-control concerns that signal inconsistent upkeep in parts of the building. Room-assignment processes and roommate placements have produced stress for some residents and families.

    Management and communication are another area of divergence. Some families commend individual leaders and social-work/care-coordination staff for helpful planning and compassionate communication. Conversely, a number of reviews criticize administrative transparency, leadership instability, poor follow-through on meetings and complaints, and a challenging admissions/discharge experience. There are also mentions of regulatory attention and a low quality rating on public metrics, which suggest oversight concerns that prospective families should review directly.

    Taken together, the Hillcrest of North Dallas may offer strong rehabilitation services, caring individual staff members, and a well-equipped activities program, but it also exhibits operational inconsistency that affects clinical reliability and family communication. Prospective residents and families should weigh the documented strengths in therapy and resident engagement against patterns of staffing instability, care-continuity gaps, and maintenance or infection-control issues. A focused tour, direct conversations with clinical leadership about staffing levels, medication controls, infection protocols, incident escalation procedures, and recent regulatory actions, plus requests for current staffing and quality metrics, would be prudent prior to placement.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    The Hillcrest of North Dallas is located at 18648 Hillcrest Rd, Dallas, TX, 75252.

    About The Hillcrest of North Dallas

    The Hillcrest of North Dallas is a skilled nursing and rehabilitation center with 120 certified beds, and the staff there offer both short-term rehab and long-term care, so folks can get help whether they're there for a short stay or need more ongoing support. The place has a team made up of licensed therapists, nurses, social workers, and independent physicians, and they're there around the clock to help out, making sure residents get the care they need day or night. Hillcrest is known for providing both assisted living for those who need help with day-to-day things like bathing, dressing, or taking medicine, and also memory care for people with Alzheimer's dementia, which helps folks feel safe and prevents wandering. There are private rooms that are pretty spacious, each with a TV and a phone, and the kitchen staff, including chefs and dietitians, plan and prepare meals that follow nutritious guidelines and include choices for dietary needs and faith-based preferences.

    They focus on care for folks who require more help, like wound care with certified wound care nurses and a wound care specialist doctor, and there are also services for palliative and supportive care if someone needs that level. The team also does rehabilitation with physical, occupational, and speech therapy, making plans that fit each person, and tries to help residents regain some independence. Social services are available as well, to help anyone adjusting to new living arrangements or managing changes in their health, and the staff, who are often described as helpful and joyful, work to keep a friendly and welcoming feeling in the place, so people don't feel alone. There are plenty of activities planned by the staff, and the facility has won awards for having some of the best activities, which help keep folks engaged mentally, emotionally, and physically. Hillcrest has received the Best of Senior Living Award for its efforts in different types of care.

    However, the facility has had a number of challenges over the years, and inspection reports show 40 deficiencies, including three for infection control and some related to resident rights and respiratory care, which got severity level D and E ratings. The Hillcrest of North Dallas is a Special Focus Facility Candidate, which means there have been serious quality concerns, but the government hasn't given it a formal flag yet. Nurse staffing levels are a bit lower than the state average with 3.25 nurse hours per resident per day, and the nurse turnover rate is higher than is typical in Texas, coming in at 67.5%. Inspections have taken place recently, in December of 2024, and the facility's had a history of quality issues, but it continues to operate under the management of Dallas County Hospital District since April 2017, and Hillcrest Of North Dallas LLC since November 2022, and it has ownership or management ties with Fundamental Healthcare. This is a for-profit partnership.

    Hillcrest makes a point of focusing on residents' rights and practical support, trying to create an environment of warmth and care, and it has staff available at all hours for whatever residents might need, from health care to personal assistance and social activities.

    People often ask...

    The Hillcrest of North Dallas offers assisted living, memory care, and skilled nursing.

    There are 23 photos of The Hillcrest of North Dallas on Mirador.

    The full address for this community is 18648 Hillcrest Rd, Dallas, TX 75252.

    No, The Hillcrest of North Dallas does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RpauBAAR
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity120 residents
    LicenseeDALLAS COUNTY HOSPITAL DISTRICT
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    3

    Reports

    28

    Citations

    0

    Complaints

    1

    Years

    22 Sept 2026Inspection
    Identified multiple deficiencies related to safety, resident care, infection control, emergency planning, and residents' rights.
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    31 Jul 2025Inspection
    Found deficiencies in daily living services, care planning, safety measures, infection control, food handling, dental care, and resident rights. Also noted missing call systems and inadequate respiratory care.
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    30 Jul 2025Life Safety
    Identified deficiencies in sprinkler system inspections, including visual checks of components and heads.
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    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Hillcrest of North Dallas. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Hillcrest of North Dallas directly. There is no cost for this service. We are compensated by the community you select.

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