Millbrook Healthcare and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 187 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 8.0)
- High staff turnover (66%)
Below average in Texas · Critically understaffed (RN) · Below chain average · $13,565 in fines
What this means for your family
This facility is an excellent choice for rehabilitation, particularly for post-surgical recovery, due to their highly-rated therapy team. While the facility is noted for being exceptionally clean and welcoming, families should proactively establish a communication plan with the nursing staff to ensure you are promptly notified of any changes in your loved one's condition.
Google Reviews
Google Reviews
187 reviews on Google“Millbrook Healthcare and Rehabilitation Center is highly regarded for its exceptional physical therapy team and a front-desk staff that is frequently praised for being welcoming and professional. While many families report a clean, pleasant-smelling environment, some past reviews have raised serious concerns regarding communication delays and nursing professionalism during ownership transitions.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab services
- Welcoming and professional front-desk staff
- Clean and well-maintained facility
- Compassionate and attentive nursing and aide staff
Concerns
- Communication delays regarding resident health status (mentioned by 2 reviewers)
- Unpleasant odors in certain areas of the building (mentioned by 2 reviewers)
- Staffing professionalism and organization during ownership changes (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 170 analyzed
How They Respond to Reviews
The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific staff members mentioned. While positive reviews are met with warmth, negative reviews are addressed with a mix of empathy and defensive rebuttals.
Questions for Your Tour
- 1We've heard wonderful things about the physical therapy and rehab services here; could you tell us more about how that program supports resident recovery?
- 2How does the nursing team ensure that family members are kept updated and informed about any changes in a resident's health status?
- 3What steps are being taken to ensure consistent staffing levels and professional organization across all shifts?
- 4We noticed the facility is very well-maintained; how often are the common areas and resident rooms deep-cleaned to ensure a fresh environment?
- 5Could you describe what a typical day looks like for residents, including meal times and scheduled social activities?
- 6How does the clinical team handle medical emergencies or urgent health changes during the overnight hours?
Personalized based on this facility's data
Key Review Excerpts
“The Physical Therapists at Millbrook are far and beyond my expectations. I’m getting better daily after total hip replacement.”
“I was not aware of the things I would need to apply for Medicaid and I was afraid to complete it incorrectly. [...] the business office manager went above and beyond to ensure My mom would have a place”
“Just walked into this facility wondering if I was going to be slammed in the face with smell of urine and/or bleach at the door, since this is my</em> my experience everytime I have to go to a LLC facility. But to my pleasant surprise, not only does it smell really nice like a hotel, it’s not overpowering and very pleasant to the nose.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
13
measures
4
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints against this facility, resulting in 11 complaint-triggered deficiencies out of 28 total violations across 10 surveys. The most recurring problems involve infection control, medication management, and resident rights issues including privacy and dignified treatment. While all deficiencies show correction dates, the pattern of repeated infections control violations and ongoing family complaints suggests persistent care quality concerns that warrant careful consideration during any visit.
Dec 3, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Dec 2, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 1, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Sep 9, 2025Complaint1
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 7, 2025Complaint3
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Feb 11, 2025Routine7
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal Penalties
Fine
Nov 29, 2023
$13,565
Ownership & Operations
Who Operates This Facility
Hamilton County Hospital District
for profit
BLUEBONETT HEALTHCARE, INC
KRISTEN MADISON
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 54 of 84
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
187 reviews from families & visitors
Official Website
Visit millbrookhealthcare.net
Medicare data downloads
Original nursing home datasets
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