Show Inspection Reports
Total health inspections
10
Texas average 7.4
Last Health inspection on Apr 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in McKinney
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Baybrooke Village Care & Rehab Center
Nursing Home in McKinney
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Baybrooke Village Care & Rehab Center
Overview of Baybrooke Village Care & Rehab Center
Located in the warm city of McKinney, TX, is Baybrooke Village Care & Rehab Center, a senior living community and facility that offers skilled nursing, rehabilitation, respite, and long-term care services to their residents. Their clinical programs aim to treat residents that need higher levels of care; from 24/7 skilled nursing, to medication management, and assistance with daily living activities such as bathing, dressing, and eating.
Committed to providing high quality, individualized care, they employ a team of registered nurses, nurse practitioners, and medical professionals certified in IV therapy. They also offer occupational, physical, and speech therapy, as well as balance retraining and pain management services and programs.
Sam Major serves as the Administrator at Baybrooke Village Care & Rehab Center, overseeing daily operations and ensuring quality care for residents. He is a key leader dedicated to maintaining a supportive and professional community environment.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
128
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
70.7%
Residents per day (avg)
94
Occupancy rate
70.7%
Residents per day (avg)
94
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
32% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
57% of new residents, often for short stays.
Typical stay
24 days
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
7 months
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$14.4M
Operating deficit
-$38.6K
Governmental community
Operated by state authorities.
Home revenue
$14.4M
Operating deficit
-$38.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$14.4M
128-bed community
A larger shared setting that may offer more common spaces and organized community services.
19 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 33 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Services
About this community
Facility TypeNursing
StatusActive
IssuanceFebruary 27, 2025
ExpirationFebruary 27, 2028
CountyCOLLIN
License Number144752
Year Opened4/20/2006
Baybrooke Village Care & Rehab Center is administrated by Alexandria Maduka.
Management CompanyPF BAYBROOKE SNF OPS, LLC
OwnerSOUTH LIMESTONE HOSPITAL DISTRICT
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicare
60 units
Medicaid and Medicare
68 units
Total beds
128 units
Staffing
Key information about the people who lead and staff this community.
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Specific ProgramsSkilled Nursing, Respite Care, Short Term Rehabilitation, Long Term Care, Outpatient Rehabilitation
Types of Care at Baybrooke Village Care & Rehab Center
Skilled Nursing
Respite Care
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
12 visits/inspections
6 visits/inspections triggered by complaints
5 routine inspections
Results
11 with issues
1 without issues
Latest inspection
Date
December 3, 2025
Complaint Investigation38 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Health Inspection History
Inspections
Total health citations
29
Texas average 25.9
Citations per inspection
2.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 29 citations resulted from standard inspections; 10 of 29 resulted from complaint investigations; and 1 of 29 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
3
50% worse than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
3 critical citations
0 serious citations
26 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 23, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 23, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 23, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 23, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 30, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 30, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 30, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 30, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Frisco The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
Belterra Health & Rehabilitation
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Mckinney
103
88.0%
+39%
2.06
-43%
0
11
3.7
0
116
-
41
Pmg Opco - Mckinney Llc
$14.7M
$4.6M
31.2%
676367
North Park Health and Rehabilitation Center
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Mckinney
140
59.4%
-6%
3.54
-3%
0
13
3.3
0
93
-
22
Mckinney I Enterprises, Llc
$8.3M
$4.9M
59.1%
675196
McKinney Healthcare and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Mckinney
125
60.7%
-4%
3.46
-5%
1
22
3.7
0
80
-
8
Moonflower Healthcare, Inc.
$12.3M
$4.7M
38.4%
675004
Baybrooke Village Care & Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Mckinney
128
70.7%
+11%
3.50
-4%
1
29
2.9
3
94
-
33
Pf Baybrooke Snf Ops, Llc
$13.1M
$4.7M
35.6%
676096
Park Manor McKinney
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Mckinney
138
52.2%
-18%
3.23
-11%
1
18
6.0
2
77
-
52
Yellowstar Healthcare Llc
$10.5M
$4.6M
43.9%
675175
Places of interest near Baybrooke Village Care & Rehab Center
6.3 miles from city center — 3.94 miles to nearest hospital (Baylor Scott & White Medical Center - McKinney)
Calculate Travel Distance to Baybrooke Village Care & Rehab Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
129
Employees
102
Contractors
27
Staff to resident ratio
1.42:1
6% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
46
Average shift
7.9 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
33,095
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
54
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
12%
3,956 contractor hours this quarter
Physical Therapy Assistant: 7
Speech Language Pathologist: 5
Respiratory Therapy Technician: 5
Physical Therapy Aide: 5
Qualified Social Worker: 2
Other Dietary Services Staff: 2
Dietitian: 1
Staff by category
| Certified Nursing Assistant | 54 | 0 | 54 | 14,240 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 19 | 0 | 19 | 6,390 | 91 | 100% | 7.9 |
| Registered Nurse | 13 | 0 | 13 | 2,934 | 91 | 100% | 9.4 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,638 | 91 | 100% | 8.8 |
| RN Director of Nursing | 2 | 0 | 2 | 976 | 70 | 77% | 7.9 |
| Speech Language Pathologist | 0 | 5 | 5 | 940 | 80 | 88% | 6.6 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 818 | 69 | 76% | 7.3 |
| Physical Therapy Assistant | 0 | 7 | 7 | 788 | 70 | 77% | 5.3 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 565 | 67 | 74% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Dietitian | 0 | 1 | 1 | 499 | 61 | 67% | 8.2 |
| Qualified Social Worker | 0 | 2 | 2 | 408 | 62 | 68% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 380 | 48 | 53% | 7.9 |
| Physical Therapy Aide | 0 | 5 | 5 | 351 | 48 | 53% | 6.1 |
| Other Dietary Services Staff | 0 | 2 | 2 | 153 | 20 | 22% | 7.3 |
54 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
13 Registered Nurse
% of Days
100%
7 Medication Aide/Technician
% of Days
100%
2 RN Director of Nursing
% of Days
77%
5 Speech Language Pathologist
% of Days
88%
5 Respiratory Therapy Technician
% of Days
76%
7 Physical Therapy Assistant
% of Days
77%
4 Clinical Nurse Specialist
% of Days
74%
1 Mental Health Service Worker
% of Days
70%
1 Administrator
% of Days
69%
1 Dietitian
% of Days
67%
2 Qualified Social Worker
% of Days
68%
1 Nurse Practitioner
% of Days
53%
5 Physical Therapy Aide
% of Days
53%
2 Other Dietary Services Staff
% of Days
22%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
91 residents
Residents by payment source
Medicare
23 residents (25.3%)
Medicaid
51 residents (56%)
Private pay or other
17 residents (18.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.0
42% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.6
47% better than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.2%
Percent of long-stay residents whose need for help with daily activities has increased
8.2%
49% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.5%
Percent of long-stay residents whose ability to move independently worsened
8.5%
48% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.0%
42% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
In line with Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.5%
Percent of long-stay high risk residents with pressure ulcers
3.5%
20% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.3%
Percent of long-stay residents who lose too much weight
1.3%
61% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.4%
Percent of long-stay residents who have depressive symptoms
0.4%
86% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.7%
Percent of long-stay residents who received an antipsychotic medication
1.7%
79% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.96
Number of hospitalizations per 1,000 long-stay resident days.
1.96
8% better than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.62
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.62
22% better than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.9%
In line with Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
40% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.3%
In line with Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.6%
9% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.2%
7% better than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
75.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
75.8%
41% better than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
46.6%
Rate of successful return to home or community from a skilled nursing facility.
46.6%
8% worse than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$16K
81% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$16K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 7, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 7, 2024
$16K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Baybrooke Village Care & Rehab Center based on CMS SNF Cost Reports.
Occupancy Rate
70.7%
↓ 3.3pp vs 2022
Net Income
-$38.6K
↓ ~$477.2K vs 2022
Total Payroll
$5.2M
↓ ~$191.0K vs 2022
Profit Margin
-0.3%
↓ 3.4pp vs 2022
Loading trend charts...
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