Belterra Health & Rehab
2170 North Lake Forest Drive, McKinney, TX 75071 · Collin County · 103 certified beds · avg 91 residents/day · certified since Aug 28, 2014
Part of chain: PRIORITY MANAGEMENT (38 facilities, chain avg rating 2.9★)
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
2.81
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 23, 2026 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 23, 2026 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 23, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 23, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 23, 2026 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Feb 13, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 13, 2025 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 13, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 13, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 13, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 11, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 11, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 0 | E |
| 2025 | 5 | 0 | E |
| 2026 | 10 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.81 | 3.46 | 3.95 | bottom 12% in Texas; bottom 8% in the U.S. |
| Registered Nurse hours | 0.67 | 0.44 | 0.69 | top 11% in Texas; top 40% in the U.S. |
| Weekend total nurse staffing | 2.55 | 3.04 | 3.50 | bottom 19% in Texas; bottom 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.76 | 0.34 | 0.48 | top 3% in Texas; top 13% in the U.S. |
| Total nursing staff turnover (%) | 36.7 | 55.3 | 45.8 | top 15% in Texas; top 28% in the U.S. |
| RN turnover (%) | 35.3 | 54.6 | 42.9 | top 25% in Texas; top 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.39, RN 0.80, weekend 3.07. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2025 |
| Ali, Malik | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Bauder Family Investments, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2025 |
| Bauder Family Investments, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Bauder, Kelly | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2025 |
| Bauder, Kelly | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Bauder, Madison | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/01/2025 |
| Bauder, Madison | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Bauder, Parker | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/01/2025 |
| Bauder, Parker | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Bauder, William | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2025 |
| Bauder, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Bauder, William | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Boulware St James LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2024 |
| Boulware St James LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Boulware, Douglas | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2025 |
| Boulware, Douglas | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Boulware, Sandra | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/01/2025 |
| Boulware, Sandra | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Boulware, Steven | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Park Manor of McKinney | 3.0 mi | McKinney, TX | ★★☆☆☆ | 3/5 | |
| North Park Health and Rehabilitation Center | 3.9 mi | McKinney, TX | ★★★☆☆ | 5/5 | |
| McKinney Healthcare and Rehabilitation Center | 4.4 mi | McKinney, TX | ★★★★☆ | 4/5 | |
| Baybrooke Village Care and Rehab Center | 5.4 mi | McKinney, TX | ★★★☆☆ | 2/5 | |
| The Belmont at Twin Creeks | 6.7 mi | Allen, TX | ★★★★☆ | 3/5 | |
| Victoria Gardens of Allen | 7.8 mi | Allen, TX | ★★★★☆ | 4/5 | |
| Victoria Gardens of Frisco | 7.8 mi | Frisco, TX | ★★★★☆ | 4/5 | |
| Stonemere Rehabilitation Center | 8.4 mi | Frisco, TX | ★★★★☆ | 4/5 | |
| Princeton Medical Lodge | 9.2 mi | Princeton, TX | ★★★★☆ | 5/5 | |
| Settlers Ridge Care Center | 10.2 mi | Celina, TX | ★★★★☆ | 4/5 | |
| The Legacy at Willow Bend | 11.6 mi | Plano, TX | ★★★★★ | 4/5 | |
| The Park in Plano | 11.8 mi | Plano, TX | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676367.