Baybrooke Village Care And Rehab Center is an average performer in CMS ratings, earning a C grade with a score of 64/100. Located in Mckinney, Texas, the facility meets baseline standards across most quality metrics.
With 3.25 total nurse hours per resident per day, Baybrooke Village Care And Rehab 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 32 deficiencies at Baybrooke Village Care And Rehab Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.25 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.58 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.80 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.87 | 2.4 | Below Average |
| Weekend Total Nursing | 2.79 | 3.8 | Below Average |
| Weekend RN Hours | 0.58 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Dec 2, 2025 · Resident Rights Deficiencies
- Tag 0760 Severity EEnsure that residents are free from significant medication errors.Nov 18, 2025 · Pharmacy Service Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Nov 18, 2025 · Resident Rights Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Apr 22, 2025 · Quality of Life and Care 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 | 2.8% | 4.5% | Better |
| Falls with major injury | 2.2% | 3.0% | Better |
| On antipsychotic medication | 6.2% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 10.4% | 14.0% | Better |
| Excessive weight loss | 1.3% | 7.5% | Better |
| New/worsened incontinence | 8.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $15,642
How This Grade Was Calculated
This facility's grade of C is based on a score of 64 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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