Mustang Park Therapy and Living Center
Carrollton · 1.3 mi · 120 beds
Citations0Substantiated0
Brookhaven Nursing and Rehabilitation Center
1855 Cheyenne, Carrollton, TX, 75010
Nursing home180 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 11 deficiencies against Brookhaven Nursing and Rehabilitation Center in Carrollton, Texas at its most recent standard inspection on 2025-07-23, 6 of them arising from complaints. 3 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 3 times, totalling $24,739. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
180certified beds
11deficiencies at the last inspection
3immediate-jeopardy findings on record
1actual-harm findings on record
3federal fines, $24,739
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.3
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.43
Potential for minimal harmThe least serious band.1
Most recentDDDKGEEEDDDDDJEDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-05-27 · from a complaint · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2025-12-03 · from a complaint · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2025-11-04 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0600 · 2025-10-03 · from a complaint · Immediate jeopardy to resident health or safety
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 · F0600 · 2025-08-27 · from a complaint · Actual harm to a resident
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · F0638 · 2025-07-23 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-07-23 · standard survey · No actual harm, potential for more than minimal harm
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 · F0761 · 2025-07-23 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · F0636 · 2025-07-23 · from a complaint · No actual harm, potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · F0655 · 2025-07-23 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-07-23 · standard survey · No actual harm, potential for more than minimal harm
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies · F0551 · 2025-03-04 · from a complaint · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0726 · 2025-02-12 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-12-18 · from a complaint · Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-08-30 · from a complaint · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2024-08-30 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0585 · 2024-08-30 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-08-30 · from a complaint · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2024-08-30 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2024-08-30 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.14646
Nursing staff turnoverShare of nursing staff who left in a year75.3%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS3
Total fined$24,739
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership
Who owns Brookhaven Nursing and Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| OLNEY-HAMILTON HOSPITAL DISTRICT | Organization | 100% | since 04/01/2021 |
| HUFF, MICHAEL | Individual | NOT APPLICABLE | since 04/01/2021 |
| PMG OPCO - CARROLLTON, LLC | Organization | NOT APPLICABLE | since 11/01/2025 |
| BAUDER, WILLIAM | Individual | NOT APPLICABLE | since 11/01/2025 |
| COIL, RYAN | Individual | NOT APPLICABLE | since 11/01/2025 |
| DVORAK, KENNETH | Individual | NOT APPLICABLE | since 11/01/2025 |
| BAUDER, KELLY | Individual | NOT APPLICABLE | since 03/25/2026 |
| BAUDER, MADISON | Individual | NOT APPLICABLE | since 03/25/2026 |
| BAUDER, PARKER | Individual | NOT APPLICABLE | since 03/25/2026 |
| BOULWARE, STEVEN | Individual | NOT APPLICABLE | since 03/25/2026 |
| BOULWARE, THOMAS | Individual | NOT APPLICABLE | since 03/25/2026 |
| WALKER, KATIE | Individual | NOT APPLICABLE | since 03/25/2026 |
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Prestonwood Rehabilitation & Nursing Center INC
Plano · 2.0 mi · 132 beds
Citations0Substantiated0
Accel at Willow Bend
Plano · 3.1 mi · 110 beds
Citations0Substantiated0
Heritage Gardens Rehabilitation and Healthcare
Carrollton · 4.0 mi · 150 beds
Citations0Substantiated0
The Madison on Marsh
Carrollton · 4.3 mi · 125 beds
Citations0Substantiated0
Vista Ridge Nursing & Rehabilitation Center
Lewisville · 5.3 mi · 132 beds
Citations0Substantiated0
Contact
Ask Brookhaven Nursing and Rehabilitation Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 455412.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction