16
Citations
11
Health Code
5
Life Safety
1
Citation Dates
1
Enforcement Actions
The most recent comprehensive inspection of BAYBROOKE VILLAGE CARE AND REHAB CENTER occurred on July 15, 2026, 16 violations of state standards were cited.
Findings may include citations from previous inspections. A citation is a rule violation noted by a state surveyor; the tables below show each one and whether the facility has recorded a correction date.
Provider Information
Status
Licensed
Service Type
SNF/NF
County
Collin
Owner
South Limestone Hospital District
Administrator
Samuel Major
Phone
(972) 548-9339
Accepts Medicare
Yes
Accepts Medicaid
Yes
Alzheimer Certification
No
Licensed Since
April 20, 2006
License Expires
February 27, 2028
Findings
16 citations across 1 dateHealth Code
11 citations| Date | Corrected | State Violation Cited |
|---|---|---|
| 4/9/2026 | 5/3/2026 | The facility did not provide drugs and related services needed by each resident. |
| 4/9/2026 | 5/3/2026 | The facility failed to provide residents with care and services related to activities of daily living. |
| 4/9/2026 | 5/3/2026 | The facility did not develop a baseline care plan, or comprehensive care plan. with necessary information within 48 hours of the resident's admission. |
| 4/9/2026 | 5/3/2026 | The facility did not develop a complete care plan that meets all of a resident's needs, with timeframes and actions that can be measured. |
| 4/9/2026 | 5/3/2026 | The facility did not make sure that residents receive adequate dialysis care. |
| 4/9/2026 | 5/3/2026 | The facility did not make sure that each resident's nutritional needs were met. |
| 4/9/2026 | 5/3/2026 | The facility did not make sure that residents receive adequate respiratory care (including tracheostomy care and tracheal suctioning). |
| 4/9/2026 | 5/3/2026 | The facility did not make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
| 4/9/2026 | 5/3/2026 | The facility did not give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
| 4/9/2026 | 5/3/2026 | The facility did not keep accurate and appropriate records. |
| 4/9/2026 | 5/7/2026 | The facility failed to coordinate assessments with the PASRR process, or the facility failed to incorporate the recommendations from the PASRR level II determination and the PASRR evaluation report into a resident's assessment, care planning, and transitions of care, or the facility failed to refer a level II resident and a resident suspected of having mental illness, an intellectual disability, or a developmental disability for level II resident review upon a significant change in status assessment |
Life Safety Code
5 citations| Date | Corrected | State Violation Cited |
|---|---|---|
| 4/9/2026 | 4/30/2026 | The facility failed to make sure smoke compartmentation met the requirements of NFPA 101. |
| 4/9/2026 | 4/30/2026 | The facility failed to make sure air conditioners shutoff to prevent the spread of smoke when the fire alarm goes off. |
| 4/9/2026 | 4/30/2026 | The facility failed to provide enough light in rooms based on how the room is used. |
| 4/9/2026 | 4/30/2026 | The facility failed to make sure generator components are inspected, tested and maintain according to NFPA standards. |
| 4/9/2026 | 4/30/2026 | The facility failed to maintain the sprinkler system components in compliance with the requirements of the NFPA code. |
Enforcement Actions
1 record6/18/2025Administrative Penalty$5000.00
Related Violations
| TAC | State Violation Cited |
|---|---|
| 554.1601(a) | The facility failed to establish and maintain an infection control program. |