Brookhaven Nursing And Rehabilitation Center
Nursing home · 1855 CHEYENNE DR., Carrollton, TX 75010 · Denton County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 180
- State license
- 005202
- Medicare CCN
- 455412
- Licensed entity
- OLNEY-HAMILTON HOSPITAL DISTRICT
- Ownership
- For profit - Corporation
- Phone
- (972) 394-7141
- Medicare ratings
- Inspections 1★ · Staffing 1★ · Quality 2★
- CMS abuse flag
- Cited for abuse (CMS marks this facility with its abuse icon)
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Aug 27, 2025 — Fine ($9,272)
- Dec 18, 2024 — Fine ($8,021)
- Dec 29, 2023 — Fine ($7,446)
Inspection findings
-
May 27, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 3, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0644 Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected Jan 16, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 4, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0628 Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Nov 17, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 3, 2025 Health · 1 finding
-
Serious
Scope/severity K
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Oct 6, 2025 · CMS health inspection
-
Serious
Scope/severity K
Complaint
-
Aug 27, 2025 Health · 1 finding
-
Serious
Scope/severity G
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS health inspection
-
Serious
Scope/severity G
Complaint
-
Jul 23, 2025 Health · 15 findings
-
Not serious
Scope/severity D
Complaint
F0636 Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected Aug 30, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0638 Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected Aug 30, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Aug 23, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Aug 23, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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.
Corrected Aug 30, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Aug 30, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Aug 16, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0271 Egress Deficiencies
Have exits that are accessible at all times.
Corrected Aug 16, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Aug 16, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Aug 16, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Jul 25, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jul 28, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Jul 28, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0916 Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected Sep 8, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jul 31, 2025 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
-
Mar 4, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0551 Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Corrected Mar 27, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 12, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0726 Nursing and Physician Services Deficiencies
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.
Corrected Mar 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 18, 2024 Health · 1 finding
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Nov 13, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Aug 30, 2024 Health · 9 findings
-
Not serious
Scope/severity D
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Sep 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0585 Resident Rights Deficiencies
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.
Corrected Sep 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Sep 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Sep 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Sep 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0687 Quality of Life and Care Deficiencies
Provide appropriate foot care.
Corrected Sep 5, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Sep 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Sep 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0791 Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Corrected Sep 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 6, 2024 Fire Safety · 26 findings
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
E0007 Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
E0018 Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
E0031 Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0693 Quality of Life and Care Deficiencies
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.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0912 Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0916 Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jul 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Jan 30, 2024 Health · 3 findings
-
Not serious
Scope/severity E
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0761 Pharmacy Service Deficiencies
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.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Dec 29, 2023 Health · 2 findings
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Nov 30, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0919 Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Jan 26, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Aug 17, 2023 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Aug 28, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 25, 2023 Health · 14 findings
-
Not serious
Scope/severity D
F0584 Resident Rights Deficiencies
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.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0687 Quality of Life and Care Deficiencies
Provide appropriate foot care.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0693 Quality of Life and Care Deficiencies
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.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity C
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jun 2, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 2, 2023 · CMS health inspection
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected May 16, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0347 Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Corrected May 16, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected May 16, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0900 Miscellaneous Deficiencies
Meet Health Care Facilities Code mechanical requirements.
Corrected May 16, 2023 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- BAUDER, KELLY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/25/2026
- BAUDER, MADISON — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/25/2026
- BAUDER, PARKER — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/25/2026
- BAUDER, WILLIAM — operational/managerial control, NOT APPLICABLE, since 11/01/2025
- BOULWARE, STEVEN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/25/2026
- BOULWARE, THOMAS — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/25/2026
- COIL, RYAN — operational/managerial control, NOT APPLICABLE, since 11/01/2025
- COIL, RYAN — adp of the snf, NOT APPLICABLE, since 11/01/2025
- DVORAK, KENNETH — operational/managerial control, NOT APPLICABLE, since 11/01/2025
- DVORAK, KENNETH — adp of the snf, NOT APPLICABLE, since 11/01/2025
- HUFF, MICHAEL — corporate director, NOT APPLICABLE, since 04/01/2021
- WALKER, KATIE — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/25/2026
- OLNEY-HAMILTON HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 04/01/2021
- PMG OPCO - CARROLLTON, LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2025
- PMG OPCO - CARROLLTON, LLC — adp of the snf, NOT APPLICABLE, since 03/25/2026
- PRIORITY MANAGEMENT GROUP, LLC — adp of the snf, NOT APPLICABLE, since 11/01/2025
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.