Victoria Gardens of Frisco
10700 Rolater Dr., Frisco, TX 75035 · Collin County · 118 certified beds · avg 84 residents/day · certified since Nov 5, 1999
Part of chain: PRIORITY MANAGEMENT (38 facilities, chain avg rating 2.9★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Feb 25, 2025 · F-0689 · triggered by a complaint
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 (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: Feb 22, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Oct 23, 2024 · F-0604 · triggered by a complaint
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Why it matters: Unneeded restraints can cause injuries, muscle loss, and deep emotional distress.
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: Sep 9, 2024 (Past Non-Compliance)
All citations in the current public record (15)
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 |
|---|---|---|
| Jan 14, 2026 | 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. · from a complaint |
| Dec 8, 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. · from a complaint |
| May 29, 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. |
| May 29, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint |
| Feb 25, 2025 | ▲ J · Immediate jeopardy, 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 |
| Oct 23, 2024 | ▲ J · Immediate jeopardy, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Jun 13, 2024 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint |
| Apr 18, 2024 | 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 18, 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. · from a complaint |
| Apr 18, 2024 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Mar 22, 2024 | 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. · from a complaint |
| Dec 16, 2023 | 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. · from a complaint |
| Dec 16, 2023 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · from a complaint |
| Mar 2, 2023 | 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. |
| Mar 2, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 6 | 1 | J ▲ |
| 2025 | 4 | 1 | J ▲ |
| 2026 | 1 | 0 | D |
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 $23,546.
| Date | Type | Amount / length |
|---|---|---|
| Feb 25, 2025 | Fine | $9,113 |
| Oct 23, 2024 | Fine | $14,433 |
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) | 3.25 | 3.46 | 3.95 | bottom 44% in Texas; bottom 24% in the U.S. |
| Registered Nurse hours | 0.41 | 0.44 | 0.69 | top 46% in Texas; bottom 23% in the U.S. |
| Weekend total nurse staffing | 2.80 | 3.04 | 3.50 | bottom 39% in Texas; bottom 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.34 | 0.48 | top 42% in Texas; bottom 36% in the U.S. |
| Total nursing staff turnover (%) | 46.3 | 55.3 | 45.8 | top 36% in Texas; bottom 46% in the U.S. |
| RN turnover (%) | 20.0 | 54.6 | 42.9 | top 6% in Texas; top 13% 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 3.32, RN 0.41, weekend 2.86. Staffing rating: 2/5.
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 |
|---|---|---|---|---|
| Bauder Family Investments, LLC | Organization | 5% or Greater Direct Ownership Interest | 33% | 04/01/2024 |
| Bauder, Kelly | Individual | 5% or Greater Indirect Ownership Interest | 8% | 04/01/2024 |
| Bauder, Madison | Individual | 5% or Greater Indirect Ownership Interest | 8% | 04/01/2024 |
| Bauder, Parker | Individual | 5% or Greater Indirect Ownership Interest | 8% | 04/01/2024 |
| Boulware St James LLC | Organization | 5% or Greater Direct Ownership Interest | 33% | 04/01/2024 |
| Boulware, Douglas | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2024 |
| Boulware, Sandra | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2024 |
| Boulware, Thomas | Individual | 5% or Greater Indirect Ownership Interest | 8% | 04/01/2024 |
| Steven Boulware Family Investments LLC | Organization | 5% or Greater Direct Ownership Interest | 33% | 04/01/2024 |
| Walker, Katie | Individual | 5% or Greater Indirect Ownership Interest | 8% | 04/01/2024 |
| Ahmed, MD Jewel | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Ahmed, MD Jewel | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Bauder, Kelly | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Bauder, Madison | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Bauder, Parker | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Bauder, William | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2024 |
| Bauder, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Bauder, William | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Boulware, Douglas | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Boulware, Steven | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2024 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "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 |
|---|---|---|---|---|---|
| Stonemere Rehabilitation Center | 1.7 mi | Frisco, TX | ★★★★☆ | 4/5 | |
| Baybrooke Village Care and Rehab Center | 2.8 mi | McKinney, TX | ★★★☆☆ | 2/5 | |
| The Legacy at Willow Bend | 4.4 mi | Plano, TX | ★★★★★ | 4/5 | |
| Prairie Estates | 5.5 mi | Frisco, TX | ★★★☆☆ | 3/5 | |
| The Belmont at Twin Creeks | 6.5 mi | Allen, TX | ★★★★☆ | 3/5 | |
| Accel at Willow Bend | 7.6 mi | Plano, TX | ★☆☆☆☆ | 2/5 | |
| Belterra Health & Rehab | 7.8 mi | McKinney, TX | ★★★★☆ | 4/5 | |
| Life Care Center of Plano | 7.9 mi | Plano, TX | ★★★★☆ | 3/5 | |
| Victoria Gardens of Allen | 7.9 mi | Allen, TX | ★★★★☆ | 4/5 | |
| Prestonwood Rehabilitation & Nursing Center | 8.1 mi | Plano, TX | ★★★★☆ | 2/5 | abuse |
| Landmark of Plano Rehabilitation and Nursing Cente | 8.2 mi | Plano, TX | ★★☆☆☆ | 2/5 | |
| The Park in Plano | 8.2 mi | Plano, TX | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675811.