Brookhaven Nursing and Rehabilitation Center

1855 Cheyenne Dr., Carrollton, TX 75010

Phone: 9723947141

CMS ratings and facility information

Brookhaven Nursing and Rehabilitation Center is a Medicare-certified nursing facility in Carrollton, Denton County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measures rating2 of 5
Certified beds180
OwnershipFor profit - Corporation
CMS certification number455412

Staffing

Total nursing staff turnover percent75.3
RN turnover percent72.2

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations1.67events_per_1000_resident_days20250101-20251231
Emergency-department visits1.47events_per_1000_resident_days20250101-20251231
Falls with major injury1percent2025Q2-2026Q1
Pressure ulcers5.71percent2025Q2-2026Q1
Urinary tract infections0.51percent2025Q2-2026Q1
Antipsychotic medication use9.77percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-07-230638Assure that each resident’s assessment is updated at least once every 3 months.E
2025-07-230677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2025-07-230761Ensure 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
2025-07-230636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D
2025-07-230655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2025-07-230880Provide and implement an infection prevention and control program.D
2024-06-060690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E
2024-06-060755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-06-060812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-06-060880Provide and implement an infection prevention and control program.E
2024-06-060558Reasonably accommodate the needs and preferences of each resident.D
2024-06-060677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-06-060684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-06-060689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-06-060693Ensure 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
2023-04-250761Ensure 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
2023-04-250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-04-250584Honor 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
2023-04-250687Provide appropriate foot care.D
2023-04-250690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2023-04-250693Ensure 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
2023-04-250695Provide safe and appropriate respiratory care for a resident when needed.D
2023-04-250755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-04-250880Provide and implement an infection prevention and control program.D
2023-04-250732Post nurse staffing information every day.C

Penalties

DateTypeAmount
2025-08-27Fine,272
2024-12-18Fine,021
2023-12-29Fine,446

Ownership records

NameTypeRole
OLNEY-HAMILTON HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
HUFF, MICHAELIndividualCORPORATE DIRECTOR
PMG OPCO - CARROLLTON, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
BAUDER, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROL
COIL, RYANIndividualOPERATIONAL/MANAGERIAL CONTROL
DVORAK, KENNETHIndividualOPERATIONAL/MANAGERIAL CONTROL
BAUDER, KELLYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
BAUDER, MADISONIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
BAUDER, PARKERIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
BOULWARE, STEVENIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
BOULWARE, THOMASIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
WALKER, KATIEIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
PMG OPCO - CARROLLTON, LLCOrganizationADP OF THE SNF
PRIORITY MANAGEMENT GROUP, LLCOrganizationADP OF THE SNF
COIL, RYANIndividualADP OF THE SNF
DVORAK, KENNETHIndividualADP OF THE SNF

Compare nursing homes in Denton County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.