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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 230 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 16% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 11 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 206 analyzed
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.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
1
measures
2
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 whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
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
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
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
Hamilton County Hospital District
for profit
BLUEBONETT HEALTHCARE, INC
KRISTEN MADISON
The Ensign Group
346 facilities nationwide
Chain avg rating: 2.9/5 · Rank 54 of 84
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
230 reviews from families & visitors
Official Website
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Medicare data downloads
Original nursing home datasets
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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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