For profit - Corporation · 128 certified beds · CMS number 676192
Garnet Hill Rehabilitation and Skilled Care, Wylie, TX
CMS records 38 health deficiencies at Garnet Hill Rehabilitation and Skilled Care in Wylie, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 23, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 2 fines totaling $31,959 in the last three years.
- 38deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $31,959fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Garnet Hill Rehabilitation and Skilled Care as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Garnet Hill Rehabilitation and Skilled Care may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Apr 23, 2026. CMS counts 6 health deficiencies and 6 fire safety deficiencies in this cycle.
Jun 11, 2026 · Complaint inspection
1 deficiency, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 12, 2026
Apr 23, 2026 · Standard inspection
5 deficiencies, highest D
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 24, 2026
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 24, 2026
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 24, 2026
F687 · Foot care
Requirement cited (CMS): Provide appropriate foot care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 24, 2026
F605 · Limits on psychotropic drugs and chemical restraints
Requirement cited (CMS): Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 24, 2026
Previous cycle: 16 deficiencies (standard inspection Jan 24, 2025)
Standard inspection Jan 24, 2025. CMS counts 16 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 16, 2025 · Complaint inspection
4 deficiencies, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 18, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 18, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 18, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 18, 2025
Mar 19, 2025 · Complaint inspection
3 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 16, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 16, 2025
F551 · Role of the resident's representative
Requirement cited (CMS): Give the resident's representative the ability to exercise the resident's rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 16, 2025
Jan 24, 2025 · Standard + complaint inspection
5 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 21, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 21, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 21, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 21, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 21, 2025
Dec 6, 2024 · Complaint inspection
4 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 7, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 7, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 7, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 7, 2024
Earlier cycle: 16 deficiencies (standard inspection Dec 8, 2023)
Standard inspection Dec 8, 2023. CMS counts 16 health deficiencies and 0 fire safety deficiencies in this cycle.
Dec 8, 2023 · Standard + complaint inspection
16 deficiencies, highest G
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jan 5, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jan 5, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F604 · Limits on physical restraints
Requirement cited (CMS): Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
Tags cited in more than one inspection
9 tags cited on more than one inspection date at Garnet Hill Rehabilitation and Skilled Care; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F690 Bladder, bowel, and catheter care | 4 | Apr 23, 2026; Jan 24, 2025; Dec 6, 2024; Dec 8, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 4 | Jun 11, 2026; Jul 16, 2025; Mar 19, 2025; Dec 8, 2023 |
| F641 Accurate resident assessments | 2 | Jan 24, 2025; Dec 8, 2023 |
| F677 Help with daily care | 2 | Jul 16, 2025; Dec 8, 2023 |
| F689 Accident prevention and supervision | 2 | Jul 16, 2025; Dec 8, 2023 |
| F695 Respiratory and oxygen care | 2 | Jul 16, 2025; Jan 24, 2025 |
| F761 Drug labeling and secure storage | 2 | Dec 6, 2024; Dec 8, 2023 |
| F812 Food safety and sanitation | 2 | Jan 24, 2025; Dec 8, 2023 |
| F880 Infection prevention and control program | 2 | Dec 6, 2024; Dec 8, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Dec 6, 2024 | Fine | $18,179 |
| Dec 8, 2023 | Fine | $13,780 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.64 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.58 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.25 h
- Nursing staff turnover
- 31.3% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
CMS figures for Garnet Hill Rehabilitation and Skilled Care, copied as published; Texas medians are ours.
Facility details
- Address
- 1420 McCreary Rd, Wylie, TX 75098
- Phone
- (972) 442-6776
- County
- Dallas
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Stonegate Senior Living
- Certified beds
- 128
- Average residents per day
- 89.5
- In Medicare/Medicaid since
- Aug 28, 2008
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home support residents who need help with toileting or incontinence? (F690, cited 4 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 4 times)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 2 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
Other nursing homes in Wylie and the same chain
- Wylie Oaks Healthcare and Rehabilitation
Wylie · 28 deficiencies - Reunion Plaza Senior Care and Rehabilitation Cente
Texarkana · 90 deficiencies - Accel at Willow Bend
Plano · 52 deficiencies - Baybrooke Village Care and Rehab Center
McKinney · 44 deficiencies - Heritage Plaza Nursing Center
Texarkana · 40 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.