Garnet Hill Rehabilitation and Skilled Care

Name: Garnet Hill Rehabilitation and Skilled Care
Address: 1420 MCCREARY RD, Wylie, TX, 75098, US
Telephone: 9724426776

1420 McCreary Rd, Wylie, TX 75098 · Dallas County · 128 certified beds · avg 90 residents/day · certified since Aug 28, 2008

Part of chain: STONEGATE SENIOR LIVING (24 facilities, chain avg rating 2.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

$31,959

Fines, last 3 years

3.53

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Dec 6, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Dec 7, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Dec 8, 2023 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 5, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (38)

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
Jun 11, 2026	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. · from a complaint
Apr 23, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 23, 2026	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
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 safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Apr 23, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 16, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jul 16, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 16, 2025	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. · from a complaint
Jul 16, 2025	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. · from a complaint
Mar 19, 2025	D · Potential for harm, one-off	The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. · from a complaint
Mar 19, 2025	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. · from a complaint
Mar 19, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jan 24, 2025	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Jan 24, 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. · from a complaint
Jan 24, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Jan 24, 2025	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. · from a complaint
Jan 24, 2025	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. · from a complaint
Dec 6, 2024	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 6, 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. · from a complaint
Dec 6, 2024	D · Potential for harm, one-off	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. · from a complaint
Dec 6, 2024	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. · from a complaint
Dec 8, 2023	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 8, 2023	F · Potential for harm, facility-wide	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. · from a complaint
Dec 8, 2023	E · Potential for harm, repeated	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.
Dec 8, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Dec 8, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Dec 8, 2023	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.
Dec 8, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 8, 2023	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.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Dec 8, 2023	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 8, 2023	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. · from a complaint
Dec 8, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Dec 8, 2023	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.
Dec 8, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	16	1	G ▲
2024	4	1	J ▲
2025	12	0	E
2026	6	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)

2 fines totaling $31,959.

Date	Type	Amount / length
Dec 6, 2024	Fine	$18,179
Dec 8, 2023	Fine	$13,780

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)	3.53	3.46	3.95	top 33% in Texas; bottom 38% in the U.S.
Registered Nurse hours	0.56	0.44	0.69	top 19% in Texas; bottom 47% in the U.S.
Weekend total nurse staffing	3.16	3.04	3.50	top 31% in Texas; bottom 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.55	0.34	0.48	top 10% in Texas; top 28% in the U.S.
Total nursing staff turnover (%)	31.3	55.3	45.8	top 7% in Texas; top 17% in the U.S.
RN turnover (%)	41.2	54.6	42.9	top 34% in Texas; top 49% 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 3.64, RN 0.58, weekend 3.25. 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: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
South Limestone Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	02/27/2015
Allison, Jennifer	Individual	ADP of the SNF	NOT APPLICABLE	10/14/2019
Anene, Sylvia	Individual	Operational/Managerial Control	NOT APPLICABLE	11/17/2025
Anene, Sylvia	Individual	ADP of the SNF	NOT APPLICABLE	11/17/2025
Campbell, Scott	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/02/2025
Chance, James	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/04/2025
Fisher, James	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/04/2025
Langdon, Thomas	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/02/2025
Lifetime Wellness, LTD.	Organization	ADP of the SNF	NOT APPLICABLE	09/23/2021
Martus Financial Services, INC.	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2023
McGehee, William	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/02/2025
PF GH SNF Ops, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/23/2021
PF GH SNF Ops, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/02/2025
Pharmerica Drug Systems LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/27/2017
Preservation Freehold Company	Organization	ADP of the SNF	NOT APPLICABLE	09/23/2021
Price, Larry	Individual	Corporate Officer	NOT APPLICABLE	06/01/1982
Rehab Pro LP	Organization	ADP of the SNF	NOT APPLICABLE	09/23/2021
Sanctuary LTC, LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/23/2021
Sharma, Neeraj	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2012
Stonegate Senior Living, LP	Organization	Operational/Managerial Control	NOT APPLICABLE	06/22/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How is routine foot care handled here, and does a podiatrist visit regularly?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who on your staff manages IV therapy, and what training and monitoring is in place?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"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
Wylie Oaks Healthcare and Rehabilitation	4.1 mi	Wylie, TX	★★☆☆☆	2/5
Collinwood Nursing and Rehabilitation	4.8 mi	Plano, TX	★★☆☆☆	2/5
San Remo	4.8 mi	Richardson, TX	★★☆☆☆	2/5
Victoria Gardens of Allen	5.7 mi	Allen, TX	★★★★☆	4/5
The Parks at Garland Healthcare and Rehab	6.6 mi	Garland, TX	★★★★☆	4/5
The Park in Plano	6.7 mi	Plano, TX	★★★☆☆	4/5
Pleasant Valley Healthcare and Rehabilitation Cent	6.9 mi	Garland, TX	★★☆☆☆	2/5
Remington Transitional Care of Richardson	7.0 mi	Richardson, TX	★★★★☆	4/5
The Belmont at Twin Creeks	7.2 mi	Allen, TX	★★★★☆	3/5
Beltline Healthcare Center	7.2 mi	Garland, TX	★☆☆☆☆	1/5	SFF
Legend Oaks Healthcare and Rehabilitation Garland	7.4 mi	Garland, TX	★★★☆☆	3/5
Lindan Park Care Center LP	7.7 mi	Richardson, TX	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Wylie →

Facility data as of CMS processing date 2026-08-01. CCN 676192.

The Care File

Visit checklist — Garnet Hill Rehabilitation and Skilled Care

1420 McCreary Rd, Wylie, TX 75098 · 9724426776

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $31,959

Most serious findings on record:

▲ Dec 6, 2024 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Dec 8, 2023 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How is routine foot care handled here, and does a podiatrist visit regularly?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Who on your staff manages IV therapy, and what training and monitoring is in place?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676192 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)