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Garnet Hill Rehabilitation and Skilled CareCMS ratings, inspections and fines

Address
1420 McCreary Rd, Wylie, TX 75098
CCN
676192
Ownership type
For-profit, corporation
Certified beds
128
Residents per day
90
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating3 of 5
Staffing rating3 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Garnet Hill Rehabilitation and Skilled Care an overall rating of 3 of 5 stars. The last standard survey was on 23 Apr 2026. The latest survey cycle has 6 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $31,959 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Garnet Hill Rehabilitation and Skilled Care, with medians
Rating (1 to 5 stars)This homeDallas County medianTexas medianUS average (CMS)
Overall rating32.03.03.0
Health inspection rating32.03.02.8
Staffing rating32.02.02.9
Quality measure rating44.04.03.6

A median is the middle value of the homes in the group: 81 homes in the county, 1,177 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Garnet Hill Rehabilitation and Skilled Care in the last three survey cycles
Survey cycleStandard surveyCitationsTexas median
Cycle 1 (latest)23 Apr 202668
Cycle 224 Jan 2025168
Cycle 3No date168

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 38 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 6 citations

Standard survey of this cycle: .

Health citations of Garnet Hill Rehabilitation and Skilled Care in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 Jun 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation12 Jun 2026
23 Apr 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey24 Apr 2026
23 Apr 2026F0687Provide appropriate foot care.DStandard survey24 Apr 2026
23 Apr 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey24 Apr 2026
23 Apr 2026F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey24 Apr 2026
23 Apr 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey24 Apr 2026

Survey cycle 2: 16 citations

Standard survey of this cycle: .

Health citations of Garnet Hill Rehabilitation and Skilled Care in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
16 Jul 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation18 Jul 2025
16 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation18 Jul 2025
16 Jul 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation18 Jul 2025
16 Jul 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation18 Jul 2025
19 Mar 2025F0551Give the resident's representative the ability to exercise the resident's rights.DComplaint investigation16 Apr 2025
19 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation16 Apr 2025
19 Mar 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation16 Apr 2025
24 Jan 2025F0583Keep residents' personal and medical records private and confidential.EComplaint investigation21 Feb 2025
24 Jan 2025F0641Ensure each resident receives an accurate assessment.DComplaint investigation21 Feb 2025
24 Jan 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation21 Feb 2025
24 Jan 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation21 Feb 2025
24 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation21 Feb 2025
6 Dec 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation7 Dec 2024
6 Dec 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation7 Dec 2024
6 Dec 2024F0761Ensure 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.DComplaint investigation7 Dec 2024
6 Dec 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation7 Dec 2024

Survey cycle 3: 16 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Garnet Hill Rehabilitation and Skilled Care in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
8 Dec 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey5 Jan 2024
8 Dec 2023F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey5 Jan 2024
8 Dec 2023F0584Honor 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.EComplaint investigation5 Jan 2024
8 Dec 2023F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey5 Jan 2024
8 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation5 Jan 2024
8 Dec 2023F0641Ensure each resident receives an accurate assessment.DStandard survey5 Jan 2024
8 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation5 Jan 2024
8 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey5 Jan 2024
8 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation5 Jan 2024
8 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey5 Jan 2024
8 Dec 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey5 Jan 2024
8 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey5 Jan 2024
8 Dec 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey5 Jan 2024
8 Dec 2023F0761Ensure 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.DStandard survey5 Jan 2024
8 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation5 Jan 2024
8 Dec 2023F0880Provide and implement an infection prevention and control program.EStandard survey5 Jan 2024

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Garnet Hill Rehabilitation and Skilled Care in the CMS penalties file
DateTypeFineDays without payment
6 Dec 2024Fine$18,179
8 Dec 2023Fine$13,780

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Garnet Hill Rehabilitation and Skilled Care
StaffThis homeTexas medianTexas average (CMS)
All nurse staff3.643.303.39
Registered nurses (RN)0.580.400.43
Licensed practical nurses (LPN)0.750.95
Nurse aides2.312.00
All nurse staff, weekends3.252.902.98
Nurse staff turnover in a year
31.3%
Nurse staff turnover, Texas median
52.1%
RN turnover in a year
41.2%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Garnet Hill Rehabilitation and Skilled Care, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.0%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.3%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.3%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.4%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.6%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.7%8.3%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, corporation
Legal business name
South Limestone Hospital District
Chain
Stonegate Senior Living (24 homes in the CMS chain file)
Organisations in the CMS ownership record of Garnet Hill Rehabilitation and Skilled Care
OrganisationRole in the CMS recordInterestSince
South Limestone Hospital District5% or greater direct ownership interest100%27 Feb 2015
Umb Bank National Association5% or greater mortgage interest23 Sep 2021
PF GH SNF Ops, LLCOperational/managerial control23 Sep 2021
Stonegate Senior Living, LPOperational/managerial control22 Jun 2022
Lifetime Wellness, Ltd.Adp of the snf23 Sep 2021
Martus Financial Services, Inc.Adp of the snf31 Dec 2023
PF GH SNF Ops, LLCAdp of the snf2 Dec 2025
Pharmerica Drug Systems LLCAdp of the snf27 Aug 2017
Preservation Freehold CompanyAdp of the snf23 Sep 2021
Rehab Pro LPAdp of the snf23 Sep 2021
Sanctuary LTC, LLCAdp of the snf23 Sep 2021
Stonegate Senior Living, LPAdp of the snf2 Dec 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Dallas County

The 12 nearest other nursing homes in Dallas County, Texas
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Wylie Oaks Healthcare and RehabilitationWylie2 of 59$58,39012 Jun 2025
San RemoRichardson2 of 520$019 Feb 2026
The Parks at Garland Healthcare and RehabGarland4 of 57$10,34510 Apr 2026
Pleasant Valley Healthcare and Rehabilitation CentGarland2 of 57$53,3934 Jun 2026
Remington Transitional Care of RichardsonRichardson4 of 55$012 Jun 2025
Beltline Healthcare CenterSpecial Focus candidateGarland1 of 511$32,00612 Feb 2026
Legend Oaks Healthcare and Rehabilitation GarlandGarland3 of 510$030 Apr 2026
Lindan Park Care Center LPRichardson4 of 54$75,2336 May 2026
The Reserve at RichardsonRichardson3 of 516$14,06921 May 2026
The Plaza at RichardsonRichardson2 of 510$026 Jun 2025
Avir at GarlandGarland1 of 510$91,34321 May 2026
Rowlett Health and Rehabilitation CenterRowlett3 of 55$024 Jul 2025

All 81 nursing homes in Dallas County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Garnet Hill Rehabilitation and Skilled Care (CCN 676192). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/garnet-hill-rehabilitation-and-skilled-care-wylie-tx-676192/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Garnet Hill Rehabilitation and Skilled Care last inspected?
The latest inspection with a citation in the CMS record was on 11 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 24 Jan 2025.
Who operates Garnet Hill Rehabilitation and Skilled Care?
The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Stonegate Senior Living. The CMS ownership file names PF GH SNF Ops, LLC and Stonegate Senior Living, LP for operational or managerial control. This site does not show the names of persons.
Is Garnet Hill Rehabilitation and Skilled Care a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.