Brookhaven Nursing And Rehabilitation Center has received an F grade based on CMS data, with a score of 14/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Carrollton facility should carefully review its inspection history and quality metrics.
With 3.28 total nurse hours per resident per day, Brookhaven Nursing And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 47 deficiencies at Brookhaven Nursing And Rehabilitation Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.28 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.74 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.70 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.85 | 2.4 | Below Average |
| Weekend Total Nursing | 2.88 | 3.8 | Below Average |
| Weekend RN Hours | 0.56 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Dec 2, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Nov 3, 2025 · Resident Rights Deficiencies
- Tag 0600 Severity KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Oct 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Aug 26, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0638 Severity EAssure that each resident’s assessment is updated at least once every 3 months.Jul 22, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.4% | 4.5% | Worse |
| Falls with major injury | 1.1% | 3.0% | Better |
| On antipsychotic medication | 8.2% | 14.5% | Better |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 25.7% | 14.0% | Worse |
| Excessive weight loss | 3.5% | 7.5% | Better |
| New/worsened incontinence | 23.2% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $24,577
How This Grade Was Calculated
This facility's grade of F is based on a score of 14 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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