Texas › Denton County › Carrollton
Brookhaven Nursing and Rehabilitation Center
1855 Cheyenne Dr., Carrollton, TX 75010
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Brookhaven Nursing and Rehabilitation Center, in Carrollton, Texas, is certified for 180 beds under for-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 48 health deficiencies across the three most recent survey cycles (11, 21, 16 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 26.7 per 100 beds, about the same as the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $25K.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Denton Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 48 | 32 | 25 | 28.7 |
| Citations per 100 beds | 26.7 | 29.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | — | 3.5 | 3.3 | 3.9 |
| RN hours per resident day | — | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 75.3% | 61.4% | 52.1% | 45.8% |
| Fines listed | $24,739 | $14,433 | $16,801 | — |
County and state figures are medians across facilities (18 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jul 2025, 6 Jun 2024.
Severity mix: J ×2 K ×1 G ×1 D ×31 E ×12 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 3 Jun 2026 |
| 3 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 16 Jan 2026 |
| 4 Nov 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 17 Nov 2025 |
| 3 Oct 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 6 Oct 2025 |
| 27 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | Past Non-Compliance |
| 23 Jul 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 30 Aug 2025 |
| 23 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 23 Aug 2025 |
| 23 Jul 2025 | F0761 | 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. | E | Standard survey | 30 Aug 2025 |
| 23 Jul 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 30 Aug 2025 |
| 23 Jul 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 23 Aug 2025 |
| 23 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Aug 2025 |
| 4 Mar 2025 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 27 Mar 2025 |
| 12 Feb 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 12 Mar 2025 |
| 18 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 13 Nov 2024 |
| 30 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 5 Sep 2024 |
| 30 Aug 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 5 Sep 2024 |
| 30 Aug 2024 | F0585 | Honor 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. | D | Complaint investigation | 5 Sep 2024 |
| 30 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 5 Sep 2024 |
| 30 Aug 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 5 Sep 2024 |
| 30 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 5 Sep 2024 |
| 30 Aug 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 5 Sep 2024 |
| 30 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 5 Sep 2024 |
| 30 Aug 2024 | F0791 | Provide or obtain dental services for each resident. | D | Complaint investigation | 5 Sep 2024 |
| 6 Jun 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 19 Jul 2024 |
| 6 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 19 Jul 2024 |
| 6 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 19 Jul 2024 |
| 6 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 19 Jul 2024 |
| 6 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 19 Jul 2024 |
| 6 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 Jul 2024 |
| 6 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Jul 2024 |
| 6 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Jul 2024 |
| 6 Jun 2024 | F0693 | 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. | D | Complaint investigation | 19 Jul 2024 |
| 30 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 1 Mar 2024 |
| 30 Jan 2024 | F0761 | 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. | D | Complaint investigation | 1 Mar 2024 |
| 29 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 30 Nov 2023 |
| 29 Dec 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 26 Jan 2024 |
| 17 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 28 Aug 2023 |
| 25 Apr 2023 | F0761 | 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. | E | Standard survey | 6 May 2023 |
| 25 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Jun 2023 |
| 25 Apr 2023 | F0584 | 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. | D | Standard survey | 6 May 2023 |
| 25 Apr 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 6 May 2023 |
| 25 Apr 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 6 May 2023 |
| 25 Apr 2023 | F0693 | 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. | D | Standard survey | 6 May 2023 |
| 25 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 May 2023 |
| 25 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 6 May 2023 |
| 25 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Jun 2023 |
| 25 Apr 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 6 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Aug 2025 | Fine | $9,272 | |
| 18 Dec 2024 | Fine | $8,021 | |
| 29 Dec 2023 | Fine | $7,446 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 75.3%, RNs 72.2%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.8% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Olney-Hamilton Hospital District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Olney-Hamilton Hospital District | 5% or greater direct ownership interest | 100% | 04/01/2021 |
| Pmg Opco - Carrollton, LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2025 |
| Pmg Opco - Carrollton, LLC | Adp of the snf | NOT APPLICABLE | 03/25/2026 |
| Priority Management Group, LLC | Adp of the snf | NOT APPLICABLE | 11/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Denton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Pilot Point | Pilot Point | 63 | 4 | 4 | 2 | 14 | 22.2 | — | 3 Mar 2026 |
| Denton Rehabilitation and Nursing Center | Denton | 94 | 4 | 3 | 4 | 29 | 30.9 | — | 2 Apr 2026 |
| Lake Forest Village By Purehealth | Denton | 60 | 4 | 3 | 4 | 12 | 20.0 | — | 11 Feb 2026 |
| Prestonwood Rehabilitation & Nursing Centerabuse icon | Plano | 132 | 4 | 2 | 5 | 16 | 12.1 | $14K | 17 Apr 2025 |
| Vista Ridge Nursing & Rehabilitation Center | Lewisville | 132 | 4 | 3 | 2 | 27 | 20.5 | $10K | 9 Jun 2026 |
| Cedar Ridge Rehabilitation and Healthcare Center | Pilot Point | 108 | 3 | 3 | 2 | 34 | 31.5 | — | 1 Apr 2026 |
| Cross Timbers Rehabilitation and Healthcare Center | Flower Mound | 120 | 3 | 3 | 3 | 24 | 20.0 | $8K | 16 Apr 2026 |
| Denton Village By Purehealthabuse icon | Denton | 88 | 3 | 2 | 3 | 26 | 29.5 | $55K | 18 Nov 2025 |
All 18 facilities in Denton County
Questions and answers
How many deficiencies has Brookhaven Nursing and Rehabilitation Center been cited for?
48 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Brookhaven Nursing and Rehabilitation Center been fined?
Yes. CMS lists fines totalling $25K in the period covered.
How does staffing at Brookhaven Nursing and Rehabilitation Center compare?
CMS does not report staffing hours for this facility.
Who operates Brookhaven Nursing and Rehabilitation Center?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Olney-Hamilton Hospital District and Pmg Opco - Carrollton, LLC. Individual owners and managers are not listed on this site.
When was Brookhaven Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 27 May 2026; the most recent standard health survey was 23 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.