Brookhaven Nursing and Rehabilitation Center
Brookhaven Nursing and Rehabilitation Center is a 180-bed nursing home in Carrollton, Texas. CMS has certified it for Medicare and Medicaid since 1973-07-01. It averages 114.9 residents a day.
What harm was found in the violations cited at Brookhaven Nursing and Rehabilitation Center?
CMS lists 48 health-inspection deficiencies for Brookhaven Nursing and Rehabilitation Center since 2023-04-25, 38 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 2026-05-27.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-27 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-12-03 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2025-11-04 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2025-10-03 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K |
| 2025-08-27 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-07-23 | F0638, F0677, F0761 | Assure that each resident’s assessment is updated at least once every 3 months. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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 |
| 2025-07-23 | F0636, F0655, F0880 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide and implement an infection prevention and control program. | D |
| 2025-03-04 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D |
| 2025-02-12 | 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 |
| 2024-12-18 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-08-30 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-08-30 | F0558, F0585, F0641, F0645, F0656, F0687, F0755, F0791 | Reasonably accommodate the needs and preferences of each resident. / 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. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate foot care. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide or obtain dental services for each resident. | D |
| 2024-06-06 | F0690, F0755, F0812, F0880 | 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-06-06 | F0558, F0677, F0684, F0689, F0693 | Reasonably accommodate the needs and preferences of each resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 |
| 2024-01-30 | F0689, F0755 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-01-30 | 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 |
| 2023-12-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-12-29 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2023-08-17 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-04-25 | F0761, F0812 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-04-25 | F0584, F0687, F0690, F0693, F0695, F0755, F0880 | 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 appropriate foot care. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / 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 |
| 2023-04-25 | F0732 | Post nurse staffing information every day. | C |
Why was Brookhaven Nursing and Rehabilitation Center fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-08-27 | Fine | $9,272 |
| 2024-12-18 | Fine | $8,021 |
| 2023-12-29 | Fine | $7,446 |
How is Brookhaven Nursing and Rehabilitation Center staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nursing staff turnover (%) | 75.3 | 55.3 |
| Average number of residents per day | 114.9 | 75.8 |
Who owns Brookhaven Nursing and Rehabilitation Center?
Brookhaven Nursing and Rehabilitation Center is registered with CMS as For profit - Corporation, operates under the legal business name OLNEY-HAMILTON HOSPITAL DISTRICT.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | OLNEY-HAMILTON HOSPITAL DISTRICT | since 04/01/2021 |
| CORPORATE DIRECTOR | HUFF, MICHAEL | since 04/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | PMG OPCO - CARROLLTON, LLC, BAUDER, WILLIAM, COIL, RYAN, DVORAK, KENNETH | since 11/01/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | BAUDER, KELLY, BAUDER, MADISON, BAUDER, PARKER, BOULWARE, STEVEN, BOULWARE, THOMAS, WALKER, KATIE | since 03/25/2026 |
| ADP OF THE SNF | PMG OPCO - CARROLLTON, LLC, PRIORITY MANAGEMENT GROUP, LLC, COIL, RYAN, DVORAK, KENNETH | since 03/25/2026 |
Were you or a family member harmed at Brookhaven Nursing and Rehabilitation Center?