Wylie, TX

Garnet Hill Rehabilitation And Skilled Care

2-star overall rating with 2-star inspections with $40,290 in total fines with 12 recent health deficiencies

1420 Mccreary Rd, Wylie, TX

(972) 442-6776

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

128

Certified beds

Average residents

101

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Stonegate Senior Living

Operator or chain grouping

Approved since

2008-08-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

24 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.61

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.11

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.45

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.33

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.01

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.55

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.64

CMS adjusted RN staffing hours

Adjusted total hours

3.64

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

13%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

27%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,714

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

38.87

Composite VBP score used to determine payment impact.

Payment multiplier

0.9919

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.39

Baseline 23.38% · Performance 20.27% · Measure score 4.39 · Achievement 2.50 · Improvement 4.39

Healthcare-associated infections

Baseline 6.08% · Performance 8.17% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

8.94

Baseline 40.74% · Performance 27.16% · Measure score 8.94 · Achievement 8.94 · Improvement 8.05

Adjusted total nurse staffing

2.22

Baseline 2.84 hours · Performance 3.64 hours · Measure score 2.22 · Achievement 1.97 · Improvement 2.22

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.5%	10.72% 1.8 pts worse	No Different than the National Rate · Eligible stays 143 · Observed rate 14.69% · Lower 95% interval 8.62%
Discharge to community	57.64%	50.57% 7.1 pts better	No Different than the National Rate · Eligible stays 117 · Observed rate 52.99% · Lower 95% interval 49.69%
Medicare spending per beneficiary	1.13	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 93 · Denominator 93
Falls with major injury	1.08%	0.77% 0.3 pts worse	Numerator 1 · Denominator 93
Discharge self-care score	56.41%	53.69% 2.7 pts better	Numerator 22 · Denominator 39
Discharge mobility score	56.41%	50.94% 5.5 pts better	Numerator 22 · Denominator 39
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 93 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.17%	7.12% 1 pts worse	No Different than the National Rate · Eligible stays 97 · Observed rate 11.34% · Lower 95% interval 5.2%
Staff COVID-19 vaccination coverage	0.93%	8.2% 7.3 pts worse	Numerator 1 · Denominator 108
Staff flu vaccination coverage	29.2%	42% 12.8 pts worse	Numerator 40 · Denominator 137
Discharge function score	48.72%	56.45% 7.7 pts worse	Numerator 19 · Denominator 39
Transfer of health information to provider	81.25%	95.95% 14.7 pts worse	Numerator 26 · Denominator 32
Transfer of health information to patient	75.76%	96.28% 20.5 pts worse	Numerator 25 · Denominator 33
Resident COVID-19 vaccinations up to date	26.67%	25.2% 1.5 pts better	Numerator 12 · Denominator 45

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	4.0	2.1 1.9 pts worse	1.9 2.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 3.6 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	2.1 0.2 pts better	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	85.8%	97.1% 11.3 pts worse	93.4% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 70.8% · Q4 71.4% · 4Q avg 85.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.1%	97.9% 0.2 pts better	95.5% 2.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.3% 0.8 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.2% · Q3 3.4% · Q4 3.3% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.1%	2.7% 1.6 pts better	11.4% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.4% · Q4 1.2% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight	2.9%	3.3% 0.4 pts better	5.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 4.4% · Q4 6.6% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.2%	18.9% 0.7 pts better	19.6% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 20.0% · Q3 21.4% · Q4 14.1% · 4Q avg 18.2%
Percentage of long-stay residents who received an antipsychotic medication	13.0%	10.8% 2.2 pts worse	16.7% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 14.5% · Q3 14.3% · Q4 7.7% · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	22.3%	15.4% 6.9 pts worse	16.3% 6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 22.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	32.5%	16.1% 16.4 pts worse	14.9% 17.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 46.3% · Q2 38.6% · Q3 22.4% · Q4 20.7% · 4Q avg 32.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.6%	0.5% 2.1 pts worse	1.0% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.4% · Q3 2.8% · Q4 1.5% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	0.8% 0.1 pts worse	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.7%	15.0% 14.7 pts worse	19.8% 9.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 48.0% · Q3 32.4% · Q4 18.4% · 4Q avg 29.7%
Percentage of long-stay residents with pressure ulcers	1.8%	4.2% 2.4 pts better	5.1% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.3% · Q3 3.3% · Q4 1.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	51.3%	89.7% 38.4 pts worse	81.7% 30.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 59.5% · Q2 53.2% · Q3 50.5% · Q4 41.2% · 4Q avg 51.3%
Percentage of short-stay residents who had an outpatient emergency department visit	7.7%	12.0% 4.3 pts better	12.0% 4.3 pts better	Short Stay · 20240701-20250630 · Adjusted 7.7% · Observed 7.6% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.5% 0.4 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	62.2%	88.0% 25.8 pts worse	79.7% 17.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 62.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.2%	25.9% 0.7 pts better	23.9% 1.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.2% · Observed 25.8% · Expected 24.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-24 · Fire 2025-01-24

12 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-12-08 · Fire 2023-12-08

20 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-10-06 · Fire 2022-10-06

11 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2022-10-06

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-06

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-11-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-16

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-07-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-07-16

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-07-16

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-03-19

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2025-04-16

D · Potential for more than minimal harm 2025-03-19

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-16

D · Potential for more than minimal harm 2025-03-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-16

E · Potential for more than minimal harm 2025-01-24

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-02-21

E · Potential for more than minimal harm 2025-01-24

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-24

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-24

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-21

J · Immediate jeopardy 2024-12-06

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-12-06

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-12-06

F761 · Pharmacy Service Deficiencies

Health

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 2024-12-07

D · Potential for more than minimal harm 2024-12-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-07

G · Actual harm 2023-12-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-12-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-08

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-08

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-08

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-08

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-08

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-08