Federal inspection record · CMS data as of October 1, 2026
Garnet Hill Rehabilitation And Skilled Care
1420 Mccreary Rd, Wylie, TX · (972) 442-6776
- Certified beds
- 128
- Residents per day
- 94
- Ownership
- For-Profit
- Chain
- Stonegate Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 28, 2008
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Garnet Hill Rehabilitation And Skilled Care carries 67.75 inspection points. That is fewer than 53% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care11E
- D
Provide appropriate foot care.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service8E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- D
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.
Resident Rights5E
- D
Give the resident's representative the ability to exercise the resident's rights.
- E
Keep residents' personal and medical records private and confidential.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
Honor 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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning5D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-04-23
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-01-24
16 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-12-08
16 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 54 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 54 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 44% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$31,959 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-06 | Fine | $18,179 |
| 2023-12-08 | Fine | $13,780 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 3.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine18.9 pts worse | 77.5% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts worse | 95.6% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 4.1% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 1.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 3.6% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts better | 16.6% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts worse | 10.2% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.6 pts better | 5.3% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.6 pts better | 8.2% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 0.8% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.7 pts better | 11.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 1.3% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine34.3 pts worse | 54.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 9.3% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.1 pts worse | 73.3% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.9 pts worse | 34.4% | 25.5% | 23.4% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| South Limestone Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 26 facilities |
| Allison, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Anene, Sylvia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Anene, Sylvia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Campbell, Scott | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Chance, James | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Fisher, James | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Langdon, Thomas | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Lifetime Wellness, Ltd. | Adp Of The SNF · Organization | 0% | 22 facilities |
| Martus Financial Services, Inc. | Adp Of The SNF · Organization | 0% | 23 facilities |
| Mcgehee, William | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Pf Gh SNF Ops, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Pf Gh SNF Ops, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pharmerica Drug Systems LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Preservation Freehold Company | Adp Of The SNF · Organization | 0% | 24 facilities |
| Price, Larry | Corporate Officer · Individual | 0% | 27 facilities |
| Rehab Pro LP | Adp Of The SNF · Organization | 0% | 23 facilities |
| Sanctuary Ltc, LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Sharma, Neeraj | Adp Of The SNF · Individual | 0% | 7 facilities |
| Stonegate Senior Living, LP | Operational/Managerial Control · Organization | 0% | 24 facilities |
| Stonegate Senior Living, LP | Adp Of The SNF · Organization | 0% | 24 facilities |
| Taylor, John | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 27 facilities |
| Umb Bank National Association | 5% Or Greater Mortgage Interest · Organization | 0% | 31 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Install an approved automatic sprinkler system.
Miscellaneous1F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Wylie Oaks Healthcare and Rehabilitation
Wylie, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 21 min
- Fines
- $58,390
-
Collinwood Nursing and Rehabilitation
Plano, TX · Paramount Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- —
- Fines
- $51,973
-
San Remo
Richardson, TX · Cantex Continuing Care
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0