Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Baybrooke Village Care and Rehab Center

McKinney, TX · 128 certified beds · Last Life Safety survey April 9, 2026

CMS Certification Number 676096 · first certified April 2006

Ownership

Operated by STONEGATE SENIOR LIVING · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within TX

9 citations — more than 59% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 8 months from now. This facility’s last Life Safety survey was April 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility9TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-1232025-0132026-04
Citations at each Life Safety survey
Survey dateCitations
December 7, 20233
January 30, 20253
April 9, 20263

Most-cited tags

Most-cited tags at this facility
K-03722K-05211K-09181K-03741K-09161K-03531K-03451K-09291
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22026-04-09
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12025-01-30
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-04-09
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12023-12-07
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12023-12-07
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-04-09
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-12-07
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.12025-01-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 9, 2026 — 3 citations

Citations issued on April 9, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 30, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 30, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 30, 2026)

January 30, 2025 — 3 citations

Citations issued on January 30, 2025
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 5, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (March 5, 2025)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (March 5, 2025)

December 7, 2023 — 3 citations

Citations issued on December 7, 2023
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 2, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (January 2, 2024)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (January 2, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.