Federal inspection record · CMS data as of October 1, 2026

Landmark of Plano Rehabilitation and Nursing Cente

1621 Coit Road, Plano, TX · (972) 596-7930

CMS overall rating

1 of 5

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Certified beds
160
Residents per day
72
Ownership
For-Profit
Chain
Creative Solutions In Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 12, 1990

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Landmark of Plano Rehabilitation and Nursing Cente carries 90 inspection points. That is fewer than 41% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 90 pts · 2★

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

42 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 28 4 pts
E 13 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (1)

  1. G

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

    March 18, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 16, 2025

Everything else, by area of care

Quality of Life and Care16E
  1. D

    Provide or get specialized rehabilitative services as required for a resident.

    November 26, 2025 · Complaint · F825 · Corrected November 27, 2025

  2. E

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

    November 24, 2025 · Complaint · F677 · Corrected November 25, 2025

  3. E

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

    August 26, 2025 · Standard · F677 · Corrected August 28, 2025

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 26, 2025 · Standard · F684 · Corrected August 28, 2025

  5. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    August 26, 2025 · Standard · F686 · Corrected August 28, 2025

  6. D

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

    August 26, 2025 · Standard · F689 · Corrected August 28, 2025

  7. D

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

    August 26, 2025 · Standard · F695 · Corrected August 28, 2025

  8. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    June 19, 2025 · Complaint · F686 · Corrected June 20, 2025

  9. E

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

    May 28, 2025 · Complaint · F677 · Corrected May 29, 2025

  10. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 28, 2025 · Complaint · F684 · Corrected May 29, 2025

  11. E

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

    February 4, 2025 · Complaint · F677 · Corrected February 6, 2025

  12. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    August 27, 2024 · Complaint · F693 · Corrected September 12, 2024

  13. D

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

    July 11, 2024 · Standard · F689 · Corrected July 12, 2024

  14. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    July 11, 2024 · Standard · F693 · Corrected July 12, 2024

  15. D

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

    May 17, 2023 · Standard · F677 · Corrected May 19, 2023

  16. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    May 17, 2023 · Standard · F693 · Corrected May 19, 2023

Resident Rights8E
  1. E

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    November 13, 2025 · Complaint · F578 · Corrected December 13, 2025

  2. E

    Reasonably accommodate the needs and preferences of each resident.

    August 26, 2025 · Standard · F558 · Corrected August 28, 2025

  3. D

    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.

    August 26, 2025 · Standard · F584 · Corrected August 28, 2025

  4. D

    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.

    July 18, 2025 · Complaint · F584 · Corrected July 19, 2025

  5. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    May 28, 2025 · Complaint · F557 · Corrected May 29, 2025

  6. 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.

    May 14, 2025 · Complaint · F584 · Corrected May 16, 2025

  7. D

    Reasonably accommodate the needs and preferences of each resident.

    August 27, 2024 · Complaint · F558 · Corrected September 12, 2024

  8. D

    Keep residents' personal and medical records private and confidential.

    August 27, 2024 · Complaint · F583 · Corrected September 12, 2024

Pharmacy Service5E
  1. 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.

    August 26, 2025 · Standard · F761 · Corrected August 28, 2025

  2. E

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

    June 19, 2025 · Complaint · F755 · Corrected June 20, 2025

  3. E

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    May 17, 2023 · Standard · F758 · Corrected May 19, 2023

  4. D

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

    May 17, 2023 · Standard · F755 · Corrected May 19, 2023

  5. D

    Ensure medication error rates are not 5 percent or greater.

    May 17, 2023 · Standard · F759 · Corrected May 19, 2023

Infection Control4D
  1. D

    Provide and implement an infection prevention and control program.

    August 26, 2025 · Standard · F880 · Corrected August 28, 2025

  2. D

    Provide and implement an infection prevention and control program.

    March 18, 2025 · Complaint · F880 · Corrected March 19, 2025

  3. D

    Provide and implement an infection prevention and control program.

    August 27, 2024 · Complaint · F880 · Corrected September 12, 2024

  4. D

    Provide and implement an infection prevention and control program.

    May 17, 2023 · Standard · F880 · Corrected May 19, 2023

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    January 20, 2026 · Complaint · F609 · Corrected January 21, 2026

  2. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    August 26, 2025 · Standard · F605 · Corrected August 28, 2025

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    July 18, 2025 · Complaint · F609 · Corrected July 19, 2025

Resident Assessment and Care Planning3E
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    August 26, 2025 · Standard · F644 · Corrected August 28, 2025

  2. E

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

    June 19, 2025 · Complaint · F842 · Corrected June 20, 2025

  3. D

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

    August 27, 2024 · Complaint · F842 · Corrected September 12, 2024

Nursing and Physician Services1E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    February 4, 2025 · Complaint · F725 · Corrected February 6, 2025

Environmental1D
  1. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    August 27, 2024 · Complaint · F919 · Corrected September 12, 2024

Inspection history

  1. 2025-08-26

    15 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (7 deficiencies)

  2. 2024-07-11

    15 health deficiencies · 14 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  3. 2023-05-17

    12 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 21 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

3 h 21 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 60% of nursing staff and 70% of registered nurses left in the past year, along with 2 administrators.

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

$9,240 in federal fines on record over the past three years.

DatePenaltyAmount
2025-02-04Fine$9,240

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts worse2.62.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse2.22.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts worse94.9%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better98.8%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better2.4%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.6 pts better1.7%2.3%13.5%
Percentage of long-stay residents who lose too much weight1.5 pts better1.4%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts better14.1%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.7 pts better7.1%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened10.2 pts worse23.1%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased18.5 pts worse34.3%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts better0.3%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts worse12.9%12.5%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts worse6.0%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better90.7%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.7 pts worse18.9%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission11.3 pts worse36.8%25.5%23.4%

·

Who owns and runs it

20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nocona Hospital District5% Or Greater Direct Ownership Interest · Organization100%22 facilities
Admire-Webb, PaulaManaging Control - Governing Body · Individual0%1 facilities
Blake, GaryOperational/Managerial Control · Individual0%139 facilities
Blake, GaryAdp Of The SNF · Individual0%139 facilities
Blake, MalisaOperational/Managerial Control · Individual0%139 facilities
Blake, MalisaAdp Of The SNF · Individual0%139 facilities
Brown, RonaldManaging Control - Governing Body · Individual0%1 facilities
Ferguson, KristalManaging Control - Governing Body · Individual0%1 facilities
Henson, HarryAdp Of The SNF · Individual0%3 facilities
Huggins, LindaCorporate Director · Individual0%138 facilities
Keck, RobertManaging Control - Governing Body · Individual0%1 facilities
Koontz, KenManaging Control - Governing Body · Individual0%1 facilities
Lemon, CrisManaging Control - Governing Body · Individual0%1 facilities
May, CharlesManaging Control - Governing Body · Individual0%1 facilities
Meekins, GregManaging Control - Governing Body · Individual0%22 facilities
Meekins, GregCorporate Officer · Individual0%22 facilities
Plano Ii Enterprises, L.l.c.Operational/Managerial Control · Organization0%1 facilities
Plano Ii Enterprises, L.l.c.Adp Of The SNF · Organization0%1 facilities
Raju, JerrillAdp Of The SNF · Individual0%1 facilities
Willig, ZacharyCorporate Director · Individual0%84 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. E

    Install an approved automatic sprinkler system.

    August 26, 2025 · K351 · Corrected September 26, 2025

  2. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    July 11, 2024 · K321 · Corrected August 9, 2024

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    July 11, 2024 · K345 · Corrected August 9, 2024

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    July 11, 2024 · K353 · Corrected August 9, 2024

  5. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    July 11, 2024 · K355 · Corrected August 9, 2024

  6. E

    Install corridor and hallway doors that block smoke.

    July 11, 2024 · K363 · Corrected August 9, 2024

  7. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    July 11, 2024 · K372 · Corrected August 9, 2024

  8. F

    Provide properly protected cooking facilities.

    May 17, 2023 · K324 · Corrected May 26, 2023

  9. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 17, 2023 · K321 · Corrected May 26, 2023

Gas, Vacuum, and Electrical Systems4F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    July 11, 2024 · K918 · Corrected August 9, 2024

  2. F

    Have proper medical gas storage and administration areas.

    July 11, 2024 · K923 · Corrected August 9, 2024

  3. E

    Ensure electrical receptacles or cover plates have distinctive color or marking.

    July 11, 2024 · K917 · Corrected August 9, 2024

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    May 17, 2023 · K918 · Corrected May 19, 2023

Miscellaneous3F
  1. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    August 26, 2025 · K741 · Corrected August 29, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    July 11, 2024 · K712 · Corrected August 9, 2024

  3. F

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    July 11, 2024 · K741 · Corrected August 9, 2024

Egress3E
  1. E

    Have exits that are accessible at all times.

    July 11, 2024 · K271 · Corrected August 9, 2024

  2. E

    Install proper backup exit lighting.

    July 11, 2024 · K281 · Corrected August 9, 2024

  3. E

    Install emergency lighting that can last at least 1 1/2 hours.

    July 11, 2024 · K291 · Corrected August 9, 2024

·

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