C74

BAYBROOKE VILLAGE CARE AND REHAB CENTER

Grade C 74/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

128

Ownership

For profit - Limited Liability company

Total Fines

$15,642

Last Survey

N/A

8300 ELDORADO PARKWAY WEST, MCKINNEY, TX 75070
9725489339

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.61h
LPN
0.85h
CNA
1.98h
Total
3.44h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PF BAYBROOKE SNF OPS, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2021

SOUTH LIMESTONE HOSPITAL DISTRICT

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2015

DIAZ, DIANA

IndividualCORPORATE DIRECTORSince Sep 2022

GRAY, ARNOLD

IndividualCORPORATE DIRECTORSince May 2018

HEWITT, HERBERT

IndividualCORPORATE DIRECTORSince May 2009

HOBBS, TYRELL

IndividualCORPORATE DIRECTORSince Oct 2022

O'NEAL, GLENDA

IndividualCORPORATE DIRECTORSince Jan 2012

STANTON, MARTHA

IndividualCORPORATE DIRECTORSince Jun 2013

WILSON, KENT

IndividualCORPORATE DIRECTORSince Jan 2022

PRICE, LARRY

IndividualCORPORATE OFFICERSince Oct 2012

BOARMAN, JONATHAN

IndividualW-2 MANAGING EMPLOYEESince Dec 2022

Penalties & Fines (1)

$15,642total fines
DateTypeDescriptionAmount
Feb 7, 2024Fine$15,642

Health Inspection Deficiencies (32)

November 19, 2025Health3 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Nov 21, 2025
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 21, 2025
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Nov 21, 2025
April 23, 2025Health2 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 27, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 27, 2025
January 30, 2025Health6 deficiencies
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 3, 2025
0693DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Mar 3, 2025
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Mar 3, 2025
0806EMinimal harm, Pattern

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies

Corrected Mar 3, 2025
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Mar 3, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 3, 2025
September 11, 2024Health2 deficiencies
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Sep 16, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 16, 2024
July 2, 2024Health1 deficiency
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jul 30, 2024
February 7, 2024Health1 deficiency1 severe
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 4, 2024
December 7, 2023Health7 deficiencies
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 2, 2024
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jan 2, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jan 2, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 2, 2024
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jan 2, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 2, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 2, 2024
September 19, 2023Health2 deficiencies
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Oct 3, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 10, 2023
May 3, 2023Health1 deficiency
0626DMinimal harm, Isolated

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Resident Rights Deficiencies

Corrected May 27, 2023
January 26, 2023Health1 deficiency
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Feb 8, 2023
October 7, 2022Health6 deficiencies2 severe
0580JImmediate jeopardy, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Oct 28, 2022
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Oct 28, 2022
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 28, 2022
0697KImmediate jeopardy, Pattern

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Oct 28, 2022
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Oct 28, 2022
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Oct 28, 2022

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Frequently Asked Questions

What is the CareGrader rating for BAYBROOKE VILLAGE CARE AND REHAB CENTER?

BAYBROOKE VILLAGE CARE AND REHAB CENTER in MCKINNEY, Texas has a CareGrader grade of C (Average), with a composite score of 73.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for BAYBROOKE VILLAGE CARE AND REHAB CENTER?

BAYBROOKE VILLAGE CARE AND REHAB CENTER has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does BAYBROOKE VILLAGE CARE AND REHAB CENTER have?

BAYBROOKE VILLAGE CARE AND REHAB CENTER has 32 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has BAYBROOKE VILLAGE CARE AND REHAB CENTER been fined?

Yes. BAYBROOKE VILLAGE CARE AND REHAB CENTER has $15,642 in total fines from CMS enforcement actions across 1 penalty.

How many beds does BAYBROOKE VILLAGE CARE AND REHAB CENTER have?

BAYBROOKE VILLAGE CARE AND REHAB CENTER has 128 certified beds with approximately 98 current residents (77% occupancy). The facility is located at 8300 ELDORADO PARKWAY WEST, MCKINNEY, Texas 75070. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.