Starfile / Texas

Brookhaven Nursing and Rehabilitation Center

1855 Cheyenne, Carrollton, TX 75010 · CCN 455412

Abuse icon

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$24,577

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

DYNASTY HEALTHCARE GROUP

Facilities in chain

5

Chain avg overall

2.40 / 5

Inspection citations (47)3 immediate jeopardy1 actual harm

1. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-12-03 · Health · corrected 2026-01-16

   Potential for more than minimal harm

2. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-11-04 · Health · corrected 2025-11-17

   Potential for more than minimal harm

3. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-10-03 · Health · corrected 2025-10-06

   Immediate jeopardy

4. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-27 · Health

   Actual harm

5. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-07-23 · Health · corrected 2025-08-30

   Potential for more than minimal harm

6. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2025-07-23 · Health · corrected 2025-08-30

   Potential for more than minimal harm

7. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-07-23 · Health · corrected 2025-08-23

   Potential for more than minimal harm

8. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-23 · Health · corrected 2025-08-23

   Potential for more than minimal harm

9. EF0761Ensure 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.2025-07-23 · Health · corrected 2025-08-30

   Potential for more than minimal harm

10. DF0880Provide and implement an infection prevention and control program.2025-07-23 · Health · corrected 2025-08-30

    Potential for more than minimal harm

11. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-02-12 · Health · corrected 2025-03-12

    Potential for more than minimal harm

12. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-18 · Health · corrected 2024-11-13

    Immediate jeopardy

13. DF0558Reasonably accommodate the needs and preferences of each resident.2024-08-30 · Health · corrected 2024-09-05

    Potential for more than minimal harm

14. DF0585Honor 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.2024-08-30 · Health · corrected 2024-09-05

    Potential for more than minimal harm

15. DF0641Ensure each resident receives an accurate assessment.2024-08-30 · Health · corrected 2024-09-05

    Potential for more than minimal harm

16. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-30 · Health · corrected 2024-09-05

    Potential for more than minimal harm

17. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-30 · Health · corrected 2024-09-05

    Potential for more than minimal harm

18. DF0687Provide appropriate foot care.2024-08-30 · Health · corrected 2024-09-05

    Potential for more than minimal harm

19. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-30 · Health · corrected 2024-09-05

    Potential for more than minimal harm

20. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-30 · Health · corrected 2024-09-05

    Potential for more than minimal harm

21. DF0791Provide or obtain dental services for each resident.2024-08-30 · Health · corrected 2024-09-05

    Potential for more than minimal harm

22. DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-06 · Health · corrected 2024-07-19

    Potential for more than minimal harm

23. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-06 · Health · corrected 2024-07-19

    Potential for more than minimal harm

24. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-06 · Health · corrected 2024-07-19

    Potential for more than minimal harm

25. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-06 · Health · corrected 2024-07-19

    Potential for more than minimal harm

26. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-06-06 · Health · corrected 2024-07-19

    Potential for more than minimal harm

27. DF0693Ensure 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.2024-06-06 · Health · corrected 2024-07-19

    Potential for more than minimal harm

28. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-06 · Health · corrected 2024-07-19

    Potential for more than minimal harm

29. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-06 · Health · corrected 2024-07-19

    Potential for more than minimal harm

30. EF0880Provide and implement an infection prevention and control program.2024-06-06 · Health · corrected 2024-07-19

    Potential for more than minimal harm

31. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-30 · Health · corrected 2024-03-01

    Potential for more than minimal harm

32. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-30 · Health · corrected 2024-03-01

    Potential for more than minimal harm

33. DF0761Ensure 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.2024-01-30 · Health · corrected 2024-03-01

    Potential for more than minimal harm

34. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-29 · Health · corrected 2023-11-30

    Immediate jeopardy

35. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-12-29 · Health · corrected 2024-01-26

    Potential for more than minimal harm

36. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-17 · Health · corrected 2023-08-28

    Potential for more than minimal harm

37. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-09 · Health · corrected 2023-05-18

    Potential for more than minimal harm

38. DF0584Honor 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.2023-04-25 · Health · corrected 2023-05-06

    Potential for more than minimal harm

39. DF0687Provide appropriate foot care.2023-04-25 · Health · corrected 2023-05-06

    Potential for more than minimal harm

40. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-25 · Health · corrected 2023-05-06

    Potential for more than minimal harm

41. DF0693Ensure 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.2023-04-25 · Health · corrected 2023-05-06

    Potential for more than minimal harm

42. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-25 · Health · corrected 2023-05-06

    Potential for more than minimal harm

43. CF0732Post nurse staffing information every day.2023-04-25 · Health · corrected 2023-05-06

    Potential for minimal harm

44. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-25 · Health · corrected 2023-05-06

    Potential for more than minimal harm

45. EF0761Ensure 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.2023-04-25 · Health · corrected 2023-05-06

    Potential for more than minimal harm

46. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-25 · Health · corrected 2023-06-02

    Potential for more than minimal harm

47. DF0880Provide and implement an infection prevention and control program.2023-04-25 · Health · corrected 2023-06-02

    Potential for more than minimal harm

Ownership

Other facilities in Carrollton

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.