Nursing homes › Texas › Carrollton › Brookhaven Nursing and Rehabilitation Center
1855 Cheyenne Dr., Carrollton, TX 75010 · (972) 394-7141 · 180 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
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CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Corporation.
In the downloaded CMS dataset: 48 deficiency citations, including 3 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-27 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-06-03 |
| 2025-12-03 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2026-01-16 |
| 2025-11-04 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-11-17 |
| 2025-10-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2025-10-06 |
| 2025-08-27 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | Past Non-Compliance |
| 2025-07-23 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Health | corrected 2025-08-30 |
| 2025-07-23 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2025-08-23 |
| 2025-07-23 | 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 | Health | corrected 2025-08-30 |
| 2025-07-23 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | complaint | corrected 2025-08-30 |
| 2025-07-23 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-08-23 |
| 2025-07-23 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-08-30 |
| 2025-03-04 | Give the resident's representative the ability to exercise the resident's rights. | D | complaint | corrected 2025-03-27 |
| 2025-02-12 | 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 | corrected 2025-03-12 |
| 2024-12-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-11-13 |
| 2024-08-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-09-05 |
| 2024-08-30 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2024-09-05 |
| 2024-08-30 | 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 | corrected 2024-09-05 |
| 2024-08-30 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-09-05 |
| 2024-08-30 | PASARR screening for Mental disorders or Intellectual Disabilities | D | complaint | corrected 2024-09-05 |
| 2024-08-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-09-05 |
| 2024-08-30 | Provide appropriate foot care. | D | complaint | corrected 2024-09-05 |
| 2024-08-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-09-05 |
| 2024-08-30 | Provide or obtain dental services for each resident. | D | complaint | corrected 2024-09-05 |
| 2024-06-06 | 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 | corrected 2024-07-19 |
| 2024-06-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-07-19 |
| 2024-06-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-07-19 |
| 2024-06-06 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-07-19 |
| 2024-06-06 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2024-07-19 |
| 2024-06-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-07-19 |
| 2024-06-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-07-19 |
| 2024-06-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-07-19 |
| 2024-06-06 | 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 | corrected 2024-07-19 |
| 2024-01-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-03-01 |
| 2024-01-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-03-01 |
| 2024-01-30 | 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 | corrected 2024-03-01 |
| 2023-12-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2023-11-30 |
| 2023-12-29 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | complaint | corrected 2024-01-26 |
| 2023-08-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-08-28 |
| 2023-04-25 | 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 | Health | corrected 2023-05-06 |
| 2023-04-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-06-02 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-27 | Fine | $9,272 |
| 2024-12-18 | Fine | $8,021 |
| 2023-12-29 | Fine | $7,446 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| OLNEY-HAMILTON HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2021 |
| HUFF, MICHAEL | Corporate Director | Individual | NOT APPLICABLE | since 04/01/2021 |
| PMG OPCO - CARROLLTON, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2025 |
| BAUDER, WILLIAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2025 |
| COIL, RYAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2025 |
| DVORAK, KENNETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2025 |
How to cite this page: CareRecords, “Brookhaven Nursing and Rehabilitation Center — compliance, penalty and ownership record” (CCN 455412), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/brookhaven-nursing-and-rehabilitation-center-carrollton-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455412. Corrections: data@carerecords.org.