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Nursing HomeMedicaid Investigative

Brookhaven Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1855 Cheyenne Dr., North Central · Carrollton, TX 75010180 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 69 Google reviews

5
4
3
2
1
Brookhaven Nursing and Rehabilitation Center Nursing Home in Carrollton, TX — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (10 vs median 8.0)
  • High staff turnover (62%)

Bottom 25% in Texas · Below recommended RN staffing · Worst in DYNASTY HEALTHCARE GROUP chain · $24,577 in fines · Abuse citation

Source: Medicare data

What this means for your family

The facility appears to be in a period of significant improvement due to new management and a more hands-on administrative approach. However, because of the history of severe neglect and hygiene issues, families should perform an unannounced visit to verify that the reported improvements in cleanliness and responsiveness are being maintained.

Google Reviews

Google Reviews

69 reviews on Google
Recent reviews from 2026 suggest a significant positive turnaround due to new management, with families praising improved cleanliness and attentive care. However, the facility has a history of severe neglect allegations, including reports of improper hygiene, medication errors, and unresponsive call lights.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean5.0Activities8.0Meds2.0MemoryN/AComms7.0ValueN/A

Strengths

  • Attentive and caring nursing staff
  • Effective rehabilitation and physical therapy
  • Improved cleanliness under new leadership
  • Strong communication from administration

Concerns

  • Neglect regarding hygiene and incontinence care (mentioned by 3 reviewers)
  • Unresponsive call lights and staff inattention (mentioned by 3 reviewers)
  • Medication management errors (mentioned by 2 reviewers)
  • Unpleasant facility odors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(4)'20(5)'23(3)'25(13)'26(14)

Distribution · 63 analyzed

5
39
4
3
3
3
2
4
1
14

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I've heard great things about the communication from your administration; how do you keep families updated on any changes in a resident's daily care?
  • 2With the recent improvements in cleanliness under the new leadership, what specific steps are being taken to ensure the facility stays fresh and well-maintained?
  • 3How does the nursing team manage call lights to ensure that residents receive timely assistance with personal hygiene and incontinence care?
  • 4Can you walk me through your protocols for medication management to ensure everything is administered accurately and on schedule?
  • 5What is the process for handling medical emergencies or sudden changes in health status during the night shift?
  • 6We've heard wonderful things about your physical therapy team; how do you integrate rehabilitation goals into a resident's everyday routine?

Personalized based on this facility's data


Key Review Excerpts

My nana stayed in brookhaven for a few months and we are very thankful to all the staff that took care of her. We were always able to reach someone when we have questions or just needed help even late at night.

Long-term resident's family · 2026★★★★★

The new administration is hands on and has openly talked about concerns and future plans. They network with the and families to restructure their care approach.

Family member · 2026★★★★★

My god daughter was sent to the hospital septic. She hadn't been showered, her hair was gross and nasty from not being washed, her mouth was caked with brown residue, her catheter was rotted(which caused her infection), and she was severely disoriented and her speech was limited.

Family member · 2025☆☆☆☆
Source: 69 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
59%
Registered nurses for medical care
Total Nursing
2.96hrs
72%
All nurses + aides combined
Staff Turnover
64%
Lower is better (< 30% = good)
RN Turnover
64%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

6

measures

Mixed Results

6

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
14.4%
TX
16.1%
Denton
17.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.3%
Worse than Avg
Here
24.3%
US
19.4%
TX
14.2%
Denton
15.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.4%
Mixed vs Avgs
Here
2.4%
US
12.1%
TX
2.5%
Denton
1.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.1%
Mixed vs Avgs
Here
7.1%
US
15.4%
TX
9.4%
Denton
5.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
15.3%
TX
14.9%
Denton
15.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.6%
Better than Avg
Here
97.6%
US
93.4%
TX
96.9%
Denton
92.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.1%
Better than Avg
Here
90.1%
US
81.8%
TX
89.2%
Denton
83.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility82.0%
Mixed vs Avgs
Here
82.0%
US
79.7%
TX
88.0%
Denton
88.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TX
1.5%
Denton
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
3penalties
Above state avg (9.1)
31 complaint-triggered
$24,577 in fines

Families have filed numerous complaints triggering 31 deficiencies, including repeated concerns about abuse protection, accident hazards, and medication management. The facility shows persistent problems with resident safety, care planning, and pharmacy services spanning multiple surveys, though all violations have correction dates. The high volume of complaint-driven deficiencies suggests ongoing care quality issues that families should investigate thoroughly before placement.

Dec 3, 2025Complaint
1
0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Nov 4, 2025Complaint
1
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Oct 3, 2025Complaint
1
0600Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Aug 27, 2025Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jul 23, 2025Routine
14
0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0916Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0638Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Jul 23, 2025Complaint
1
0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Federal Penalties

Fine

Aug 27, 2025

$9,272

Fine

Dec 18, 2024

$8,021

Fine

Dec 29, 2023

$7,446

Ownership & Operations

Who Operates This Facility

Owner / Operator

Olneyhamilton Hospital District

Organization Type

for profit

Management Company

DHC OPCO CARROLLTON LLC

Administrator

ESTHER IKONNE

Ownership & Management

Owners

Olney-Hamilton Hospital District

Owner · Organization

100%

Key personnel

Ikonne, EstherW-2 Managing EmployeeHuff, MichaelOfficer / DirectorDhc Opco-Carrollton, LLCManagerCohen, BradfordManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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