About Brookhaven Nursing and Rehabilitation Center
Brookhaven Nursing And Rehabilitation Center, located in Carrollton, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Brookhaven Nursing and Rehabilitation Center
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 2.96 hrs
- Safety Record Issues
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Brookhaven Nursing and Rehabilitation Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 2 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 189 | Jul 23, 2025 |
| Weighted Average | 184 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 36.3% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 15.7% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.4% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.2% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 25.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.1% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.3% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 2.4% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.3% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.1% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 97.6% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 90.1% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 21.7% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 21.0% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 99.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 82.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 7.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 24.3% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 7.1% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 22 complaints
- 2025: 4 complaints
- 2026: 2 complaints
- Total: 31 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jan 16, 2026 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| Nov 17, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| Oct 06, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Aug 30, 2025 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. |
| Mar 12, 2025 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. |
| Nov 13, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 05, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Sep 05, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Sep 05, 2024 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. |
| Sep 05, 2024 | Ensure each resident receives an accurate assessment. |
| Sep 05, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities |
| Sep 05, 2024 | Provide appropriate foot care. |
| Sep 05, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 05, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Sep 05, 2024 | Provide or obtain dental services for each resident. |
| Jul 19, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Jul 19, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jul 19, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jul 19, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Jul 19, 2024 | 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. |
| Jul 19, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jul 19, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Jul 19, 2024 | Provide and implement an infection prevention and control program. |
| Mar 01, 2024 | 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. |
| Mar 01, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 01, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jan 26, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| Nov 30, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Aug 28, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| May 18, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jun 21, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
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Owner & Operator Information
Business Entity
OLNEY-HAMILTON HOSPITAL DISTRICT
Ownership Structure
- OLNEY-HAMILTON HOSPITAL DISTRICT Direct: 100%
Management & Direction
- BRADFORD COHEN OPERATIONAL/MANAGERIAL CONTROL
- DHC OPCO-CARROLLTON LLC OPERATIONAL/MANAGERIAL CONTROL
- MICHAEL HUFF CORPORATE DIRECTOR
- ESTHER IKONNE W-2 MANAGING EMPLOYEE
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| North Park Health and Rehabilitation Center | N/A | 3 |
| The Legacy Midtown Park | N/A | 5 |
| Pure Health Transitional Care at Texas Health Pres | N/A | 5 |
| Princeton Medical Lodge | N/A | 4 |
| C C Young Memorial Home | N/A | 5 |
| La Dora Nursing and Rehabilitation Center | N/A | 5 |
| Hurst Plaza Nursing and Rehab | N/A | 4 |
| Parkwood Village | N/A | 5 |
| Ventana By Buckner | N/A | 5 |
| Traymore Nursing Center | N/A | 4 |
Related Analysis
Best Nursing Homes in Carrollton, TX
Compare Brookhaven Nursing and Rehabilitation Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Brookhaven Nursing and Rehabilitation Center directly at 9723947141. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.