Garnet Hill Rehabilitation and Skilled Care

A nursing home in Wylie, Texas 75098

1420 Mccreary Rd, Wylie, Texas 75098. (972) 442-6776.

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The short answer

Record last released by CMS on Oct 28, 2026.

3of 5 CMS’s overall rating
6 health citations at the latest inspection cycle Texas average: 9.6
3.90 nurse hours per resident per day Texas average: 3.42
2 fines in the last three years (needs attention)

The last 24 months 38 citations in 7 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8

Star ratings: CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey): A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation: What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L): CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours: The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials: A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy: CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity: The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

6 health citations at the latest inspection cycle

The Texas average is 9.6.

Last standard inspection Apr 23, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Dec 6, 2024

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

38 citations in 7 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

38 citations by month over the last 3 years. Each cell is one month.
	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2023												Dec
2024	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2025	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2026	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most

Hearth Record drew this from the dates and levels in the source’s own records.

All 38 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 22 came from complaint inspections.

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 11, 2026: complaint inspection1 citation

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 12, 2026.

Apr 23, 2026: standard inspection5 citations

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.
Provide appropriate foot care.

Rule F0687. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Rule F0694. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Rule F0756. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

Jul 16, 2025: complaint inspection4 citations

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2025.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2025.
Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2025.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 18, 2025.

Mar 19, 2025: complaint inspection3 citations

Give the resident’s representative the ability to exercise the resident’s rights.

Rule F0551. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 16, 2025.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 16, 2025.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 16, 2025.

Jan 24, 2025: standard and complaint inspection5 citations

Keep residents’ personal and medical records private and confidential.

Rule F0583. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 21, 2025.
Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 21, 2025.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 21, 2025.
Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 21, 2025.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 21, 2025.

Dec 6, 2024: complaint inspection4 citations

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Dec 7, 2024.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 7, 2024.
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.

Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 7, 2024.
Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 7, 2024.

Dec 8, 2023: standard inspection11 citations

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. G: actual harm. Correction date, as CMS recorded it: Jan 5, 2024.
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2024.
Reasonably accommodate the needs and preferences of each resident.

Rule F0558. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2024.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Rule F0604. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2024.
Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2024.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2024.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2024.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2024.
Ensure medication error rates are not 5 percent or greater.

Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2024.
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.

Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2024.
Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2024.

Dec 8, 2023: standard and complaint inspection5 citations

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.

Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2024.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2024.
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2024.
Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2024.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2024.

Is it certified, and in good standing?

Certified for Medicare and Medicaid since Aug 28, 2008.
Not on CMS’s special focus list.
No abuse icon from CMS.
No change of ownership in the last 12 months.
CMS lists its ownership as for profit, corporation.
128 certified beds.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

2 fines in the last three years, $31,959 in all.
No Medicare payment denials in the last three years.
22 citations in the last three years came from complaint inspections.

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
Date	Kind	Amount
Dec 6, 2024	Fine	$18,179
Dec 8, 2023	Fine	$13,780

Who does the caring?

3.90 nurse hours per resident per day

The Texas average is 3.42.

CMS publishes staffing about four months after the fact.

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
Measure	This home	Texas average
Nurse hours per resident per day	3.90	3.42
Of which registered nurses	0.57	0.44
At weekends	3.40	2.99
Nursing staff turnover	30.2%	50.8%
Registered nurse turnover	44.4%	49.8%
Administrators who left	1	Not given

Who owns it?

South Limestone Hospital District owns 100% directly since Feb 27, 2015.
Pf Gh SNF Ops, LLC and Stonegate Senior Living, LP run it.
5 owners or officers are people: Larry N Price (corporate officer, 0%); Neeraj R Sharma (additional disclosable party (controls, leases property to, or provides services to the home)); Sylvia Maria Anene (runs it (operational or managerial control)); Sylvia Maria Anene (additional disclosable party (controls, leases property to, or provides services to the home)); Jennifer Lynn Allison (additional disclosable party (controls, leases property to, or provides services to the home)).
Part of Stonegate Senior Living (24 homes in CMS’s data).
No private-equity firm among the owners CMS lists.
No real-estate investment trust among the owners CMS lists.

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
Organisation	Role	Share	Since
Umb Bank National Association	Holds 5% or more of the mortgage	100%	Sep 23, 2021
South Limestone Hospital District	Owns 5% or more directly	100%	Feb 27, 2015
Lifetime Wellness, Ltd.	Additional disclosable party (controls, leases property to, or provides services to the home)		Sep 23, 2021
Martus Financial Services, Inc.	Additional disclosable party (controls, leases property to, or provides services to the home)		Dec 31, 2023
Rehab Pro LP	Additional disclosable party (controls, leases property to, or provides services to the home)		Sep 23, 2021
Sanctuary LTC, LLC	Additional disclosable party (controls, leases property to, or provides services to the home)		Sep 23, 2021
Pf Gh SNF Ops, LLC	Runs it (operational or managerial control)	0%	Sep 23, 2021
Pf Gh SNF Ops, LLC	Additional disclosable party (controls, leases property to, or provides services to the home)		Dec 2, 2025
Stonegate Senior Living, LP	Runs it (operational or managerial control)		Jun 22, 2022
Stonegate Senior Living, LP	Additional disclosable party (controls, leases property to, or provides services to the home)		Dec 2, 2025
Pharmerica Drug Systems LLC	Additional disclosable party (controls, leases property to, or provides services to the home)		Aug 27, 2017
Preservation Freehold Company	Additional disclosable party (controls, leases property to, or provides services to the home)		Sep 23, 2021

How do residents fare?

CMS rates its quality measures 4 of 5 (Texas average 3.8).

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
Measure	Rating
Overall rating	3 of 5
Health inspections	3 of 5
Staffing	4 of 5
Quality measures	4 of 5

How does it compare nearby?

Among the 12 nearest homes, within 7.4 miles, this one had the 8th most health citations at the latest inspection cycle (6; the middle value was 7.5).

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
Place	Miles away	Citations, latest cycle
Garnet Hill Rehabilitation and Skilled Care This nursing home		6
Wylie Oaks Healthcare and Rehabilitation	4.1	13
Collinwood Nursing and Rehabilitation	4.8	6
San Remo	4.8	21
Victoria Gardens of Allen	5.7	8
The Parks at Garland Healthcare and Rehab	6.6	7
The Park in Plano	6.7	4
Pleasant Valley Healthcare and Rehabilitation Cent	6.9	8
Remington Transitional Care of Richardson	7.0	4
The Belmont at Twin Creeks	7.2	11
Beltline Healthcare Center	7.2	3
Legend Oaks Healthcare and Rehabilitation -Garland	7.4	10

What the record doesn’t say

Complaints that didn’t lead to a citation aren’t published.
Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

Garnet Hill Rehabilitation and Skilled Care

The short answer

What did inspectors find?

When those citations happened

All 38 citations in the last three years

Is it certified, and in good standing?

Has it been fined or penalized?

Who does the caring?

Who owns it?

How do residents fare?

How does it compare nearby?

What the record doesn’t say

Sources

From the home

Replies

Paid listing

How to read a record

Every fact names its source.

A number never stands alone.

What needs attention is marked.

The public record comes first.