Brookhaven Nursing and Rehabilitation Center
1855 Cheyenne · Carrollton, TX · 75010 · 9723947141
180 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $17,293 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 2.75 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 3 · $24,739 |
Inspection citations (46 in the current record)
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Potential for harm · D December 3, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 4, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 17, 2025 · Resident Rights
-
Immediate jeopardy · K October 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 27, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 23, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected August 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 23, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 23, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 23, 2025 · Quality of Life and Care
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Potential for harm · E July 23, 2025
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 August 30, 2025 · Pharmacy Service
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Potential for harm · D July 23, 2025
Provide and implement an infection prevention and control program.
Corrected August 30, 2025 · Infection Control
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Potential for harm · D July 23, 2025 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected August 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025 · found via complaint
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 March 12, 2025 · Nursing and Physician Services
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Immediate jeopardy · J December 18, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 13, 2024 · Quality of Life and Care
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Potential for harm · D August 30, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · D August 30, 2024 · found via complaint
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 September 5, 2024 · Resident Rights
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Potential for harm · D August 30, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 30, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 30, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 30, 2024 · found via complaint
Provide appropriate foot care.
Corrected September 5, 2024 · Quality of Life and Care
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Potential for harm · E August 30, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 5, 2024 · Quality of Life and Care
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Potential for harm · D August 30, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 5, 2024 · Pharmacy Service
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Potential for harm · D August 30, 2024 · found via complaint
Provide or obtain dental services for each resident.
Corrected September 5, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 19, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected July 19, 2024 · Resident Rights
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Potential for harm · D June 6, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 19, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 19, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 27, 2025 | Fine | $9,272 |
| December 18, 2024 | Fine | $8,021 |
| December 29, 2023 | Fine | $7,446 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455412 · certified since July 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.