Grand Brook Memory Care of Allen at Twin Creeks

Nursing Home, Assisted Living & Memory Care · Allen, TX

CMS overall rating

965 Junction Dr, Allen, TX 75013 View map

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Grand Brook Memory Care of Allen at Twin Creeks accepts Medicare, Medicaid, and private pay.

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Grand Brook Memory Care of Allen at Twin Creeks accepts Medicare, Medicaid, and private pay.

Overview of Grand Brook Memory Care of Allen at Twin Creeks

Grand Brook Memory Care of Allen at Twin Creeks is a renowned destination that has been delivering top-notch quality care for over 35 years. This esteemed assisted living memory care community, accommodating 32 residents, boasts a strategic location near Highway 75 that benefits residents and their families, ensuring easy accessibility for families and visitors.

With two distinct residential-style neighborhoods featuring private suites and spacious living spaces, the community offers a comforting and homely environment. Residents can access various amenities, including a cozy café, a serene chapel, and inviting common areas for relaxation and enjoyment. Life engagement is at the core of the community’s values, evidenced by a diverse range of activities such as exercise programs, gardening, and art classes. The outdoor areas are thoughtfully secured, allowing residents to relish nature’s beauty while feeling safe and protected.

Facility Direct Line (469) 421-0400 jsmith@grandbrook.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 35m per day

vs avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	24m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 25m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 13m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	16m per day

Capacity and availability

129 days

36-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

8 years in operation

An established community with some operational experience and growing routines.

Walk Score: 27 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

61%

Similar to the Texas average: 63.5%

Occupied beds

22 / 36

Average occupied beds in Texas homes 75 beds

Facility TypeType B

StatusLicensed

ExpirationJune 10, 2027

CountyCollin

License Number148236

Year Opened10/6/2017

Grand Brook Memory Care of Allen at Twin Creeks is legally operated by Allen Memory Care Llc, and administered by Joanna Razowski.

Management CompanyCONSTANT CARE MANAGEMENT COMPANY, LLC

OwnerALLEN MEMORY CARE LLC

Ownership TypeLimited Liability Company (LLC)

Alzheimer's Units

36 units

Total beds

36 units

Secured Perimeter

Emergency SystemsEmergency response systems available.

Staffing

Key information about the people who lead and staff this community.

Administrator Email[email protected]

Respite Care

Nursing Services

24-Hour Staffing

Alzheimer's Certification

Licensed Nursing Available 7 Days A Week

Compassionate Staff On-Site 24 Hours A Day

Thoughtfully Prepared Meals

Individualized Meal Planning

Regular Housekeeping And Personal Laundry Service

Secure Community With Monitoring Systems

Comfortable Common Areas

Religious Services

Since 2023 · 3 years of data 6 citations 2 inspections

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Texas state average

Overall vs. TX average

Latest Inspection January 2, 2023

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	TX Average	vs. TX Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	6	6	This facility has total citations in line with the Texas average (6 vs. TX avg 6).— At avg
Health citations Citations related to resident care, clinical practices, and day-to-day operations.	3	2	This facility has 50% more health citations than a typical Texas assisted living residence (3 vs. TX avg 2).↑ 50% worse
Life safety citations Citations related to building safety — fire prevention, emergency egress, and similar.	3	6	This facility has 50% fewer life safety citations than a typical Texas assisted living residence (3 vs. TX avg 6).↓ 50% better
Citations per year Average citations per year since 2023.	2	2	This facility has citations per year in line with the Texas average (2 vs. TX avg 2).— At avg

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	TX Average	vs. TX Avg
Inspections with citations Inspections that resulted in at least one regulatory citation.	2	1	This facility has 100% more inspections with citations than a typical Texas assisted living residence (2 vs. TX avg 1).↑ 100% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

January 2, 2023 inspection found five deficiencies including failure to assess residents, improper food handling, and fire safety training and documentation lapses.
Fire safety violations included missing annual fire marshal inspection, lack of staff training on fire extinguishers, and failure to maintain smoke compartmentation.
Deficiencies showed consistent problems in resident care planning, food safety, and fire safety compliance without any complaint investigations reported.

Show Inspection Reports

Inspections since 2023

Total health inspections 6

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

3.83

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

10 of 23 citations resulted from standard inspections; 12 of 23 resulted from complaint investigations; and 1 of 23 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

21 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 3 years)

Infection Control moderate citation Jul 10, 2025

Corrected

Administration moderate citation Aug 29, 2024

Corrected

Infection Control moderate citation Aug 29, 2024

Corrected

Nursing Services minor citation Aug 29, 2024

Corrected

Total staff 65

Employees 62

Contractors 3

Staff to resident ratio 1.25 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 25

Average shift 8.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 20,342

Nursing staff breakdown

11.6 hours

9.5 hours

9.2 hours

Contractor staffing

120 contractor hours this quarter

Occupational Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category


Certified Nursing Assistant	29	0	29	11,091	92	100%	9.2
Licensed Practical Nurse	8	0	8	3,211	92	100%	9.5
Registered Nurse	6	0	6	1,363	90	98%	11.6
RN Director of Nursing	2	0	2	956	69	75%	8.6
Physical Therapy Aide	3	0	3	546	70	76%	7.4
Nurse Practitioner	1	0	1	528	66	72%	8
Medication Aide/Technician	1	0	1	513	44	48%	11.7
Administrator	2	0	2	496	59	64%	8
Dietitian	1	0	1	474	64	70%	7.4
Qualified Social Worker	1	0	1	443	60	65%	7.4
Speech Language Pathologist	2	0	2	407	65	71%	6.3
Mental Health Service Worker	1	0	1	81	12	13%	6.7
Respiratory Therapy Technician	1	0	1	51	25	27%	2
Occupational Therapy Aide	0	1	1	49	7	8%	7
Occupational Therapy Assistant	0	1	1	41	30	33%	1.4
Clinical Nurse Specialist	2	0	2	40	5	5%	8
Medical Director	0	1	1	30	15	16%	2
Physical Therapy Assistant	2	0	2	25	12	13%	2.1

29 Certified Nursing Assistant

% of Days 100%

8 Licensed Practical Nurse

% of Days 100%

6 Registered Nurse

% of Days 98%

2 RN Director of Nursing

% of Days 75%

3 Physical Therapy Aide

% of Days 76%

1 Nurse Practitioner

% of Days 72%

1 Medication Aide/Technician

% of Days 48%

2 Administrator

% of Days 64%

1 Dietitian

% of Days 70%

1 Qualified Social Worker

% of Days 65%

2 Speech Language Pathologist

% of Days 71%

1 Mental Health Service Worker

% of Days 13%

1 Respiratory Therapy Technician

% of Days 27%

1 Occupational Therapy Aide

% of Days 8%

1 Occupational Therapy Assistant

% of Days 33%

2 Clinical Nurse Specialist

% of Days 5%

1 Medical Director

% of Days 16%

2 Physical Therapy Assistant

% of Days 13%

View All Staffing Data

Total fines amount $78K

In line with State average

State average: $80K

Number of fines 2

20% fewer fines than State average

State average: 2.5

Payment Denials 0

100% fewer payment denials than State average

State average: 0.2

Fines amount comparison

This facility $78K

State average $80K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Feb 9, 2024

$4K

Civil Money Penalty Nov 13, 2023

$74K

Last updated: Jan 2026

High-risk clinical events score 16.3

89% worse than State average

State average: 8.6

Functional decline score 30.2

88% worse than State average

State average: 16.0

Long-stay resident measures

Need for Help with Daily Activities Increased 35.8%

121% worse than State average

State average: 16.2%

Walking Ability Worsened 34.3%

111% worse than State average

State average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence 20.5%

31% worse than State average

State average: 15.7%

Falls with Major Injury 1.5%

54% better than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers 5.6%

25% worse than State average

State average: 4.4%

Urinary Tract Infection 0.5%

36% better than State average

State average: 0.8%

Lost Too Much Weight 4.3%

23% worse than State average

State average: 3.5%

Depressive Symptoms 2.0%

31% better than State average

State average: 2.9%

Antipsychotic Use 7.3%

7% better than State average

State average: 7.9%

Pneumococcal Vaccine 95.6%

In line with State average

State average: 97.3%

Influenza Vaccine 100.0%

In line with State average

State average: 97.9%

Short-stay resident measures

Pneumococcal Vaccine 58.2%

36% worse than State average

State average: 90.4%

Antipsychotic medication increase 2.4%

68% worse than State average

State average: 1.4%

Influenza Vaccine 57.1%

35% worse than State average

State average: 88.0%

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

51% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

25% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 52

Medicare

3.8% of residents

Medicaid

76.9% of residents

Private pay or other

19.2% of residents

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.

Financial Trends

Historical financial and operational data for Grand Brook Memory Care of Allen at Twin Creeks from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 156.4% ↑ 107.1pp vs 2022

Net Patient Income -$1.1M ↓ ~$266.8K vs 2022

Payroll Costs $2.8M ↑ ~$555.4K vs 2022

Operating Margin -24.6% ↓ 5.1pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	53.3%	58.2%	51.5%	57.3%	58.4%	55.7%	62.8%	64.5%	56.3%	39.9%	35.3%	49.3%	156.4%
Beds	92	92	92	92	92	92	92	92	92	92	92	92	36
Net Income	-$265,914	-$275,734	-$826,057	$1,798,839	-$1,069,312	-$851,959	-$183,732	-$102,198	-$761,641	-$960,420	-$1,114,350	-$501,608	-$1,038,901
Gross Revenue	$3,674,993	$4,449,023	$3,754,451	$8,342,404	$5,898,440	$6,251,858	$6,438,074	$6,528,191	$5,683,404	$4,308,536	$3,684,365	$5,310,314	$5,996,225
Operating Expenses	$3,570,045	$3,761,450	$3,501,814	$4,152,025	$4,418,187	$4,860,363	$4,594,703	$4,598,483	$4,634,328	$4,421,896	$4,200,853	$5,066,693	$5,544,864
Net Patient Income	-$316,730	-$275,904	-$826,057	$1,798,839	-$1,070,958	-$854,699	-$185,879	-$102,351	-$768,967	-$1,213,052	-$1,467,358	-$826,920	-$1,093,741
Net Patient Revenue	$3,253,315	$3,485,546	$2,675,757	$5,950,864	$3,347,229	$4,005,664	$4,408,824	$4,496,132	$3,865,361	$3,208,844	$2,733,495	$4,239,773	$4,451,123
Payroll Costs	$1,788,850	$1,843,333	$1,637,705	$1,932,990	$1,936,587	$2,256,086	$2,287,517	$2,386,744	$2,390,161	$2,193,764	$1,738,815	$2,264,603	$2,819,985
Operating Margin %	-9.7%	-7.9%	-30.9%	30.2%	-32.0%	-21.3%	-4.2%	-2.3%	-19.9%	-37.8%	-53.7%	-19.5%	-24.6%
Medicare %	13.5%	15.3%	12.4%	14.3%	12.3%	15.2%	11.2%	11.5%	9.8%	15.4%	9.6%	18.6%	5.6%
Medicaid %	72.9%	69.1%	70.8%	73.8%	69.6%	74.3%	77.9%	75.9%	77.0%	72.1%	73.0%	72.6%	79.1%
Private %	13.6%	15.5%	16.7%	11.8%	18.1%	10.5%	10.8%	12.6%	13.2%	12.6%	17.4%	8.8%	15.4%
Net Patient Revenue/Day	$182	$178	$155	$310	$171	$213	$209	$208	$205	$239	$230	$256	$217
Cost/Day	$199	$192	$203	$216	$225	$259	$218	$212	$245	$329	$354	$306	$270
Avg Length of Stay	210.6 days	198.1 days	218.8 days	134.4 days	134.4 days	141.1 days	171.4 days	150.3 days	126.0 days	125.7 days	107.9 days	94.1 days	129.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.5M

Net patient income

-$1.1M

Nonprofit Nonprofit Corporation

Net patient revenue

$4.5M

Net patient income

-$1.1M

Other income

$54.8K

Payroll costs

$2.8M 63.4% of net patient revenue

Other operating costs

$2.7M

Total costs

$5.5M

What does this home offer?

Room Sizes: 304 / 321 / 336 / 375 / 384 - 391 sq. ft

Housing Options: 1 Bed / 2 Bed

Building Type: Single-story

Beauty Services

Transportation Services

Housekeeping Services

Social and Recreational Activities

Exercise Programs

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 24%

Private pay 51%

Medicaid 25%

Coverage residents most often leave under.

Medicare 14%

Private pay 47%

Medicaid 38%

Living Spaces & Floor Plans for Grand Brook Memory Care of Allen at Twin Creeks

Suite

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1.3 miles from city center Estimated distance in miles from Allen's city center to Grand Brook Memory Care of Allen at Twin Creeks's address, calculated via Google Maps. — 5.31 miles to nearest hospital (Baylor Scott & White Medical Center - Centennial)

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Who is the owner of Grand Brook Memory Care of Allen at Twin Creeks?

Grand Brook Memory Care of Allen at Twin Creeks is legally operated by Allen Memory Care Llc, and administered by Joanna Razowski.

Is Grand Brook Memory Care of Allen at Twin Creeks in a walkable area?

Grand Brook Memory Care of Allen at Twin Creeks has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Grand Brook Memory Care of Allen at Twin Creeks?

According to TX state health department records, Grand Brook Memory Care of Allen at Twin Creeks's license number is 148236.

When does Grand Brook Memory Care of Allen at Twin Creeks's license expire?

According to TX state health department records, Grand Brook Memory Care of Allen at Twin Creeks's license expires on June 10, 2027.

What is the occupancy rate at Grand Brook Memory Care of Allen at Twin Creeks?

Grand Brook Memory Care of Allen at Twin Creeks's occupancy is 61%.

Does Grand Brook Memory Care of Allen at Twin Creeks have different floorplan options?

Yes — see the floorplan options available at Grand Brook Memory Care of Allen at Twin Creeks on this page.

Does Grand Brook Memory Care of Allen at Twin Creeks operate as a for-profit or non-profit?

Grand Brook Memory Care of Allen at Twin Creeks is registered as a non-profit in TX.

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Grand Brook Memory Care of Allen at Twin Creeks

Overview of Grand Brook Memory Care of Allen at Twin Creeks

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Safety & Compliance

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Amenities & Lifestyle

Contact Grand Brook Memory Care of Allen at Twin Creeks

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

29 Certified Nursing Assistant

8 Licensed Practical Nurse

6 Registered Nurse

2 RN Director of Nursing

3 Physical Therapy Aide

1 Nurse Practitioner

1 Medication Aide/Technician

2 Administrator

1 Dietitian

1 Qualified Social Worker

2 Speech Language Pathologist

1 Mental Health Service Worker

1 Respiratory Therapy Technician

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

2 Clinical Nurse Specialist

1 Medical Director

2 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Living Spaces & Floor Plans for Grand Brook Memory Care of Allen at Twin Creeks

Suite

Suite