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Millbrook Healthcare and Rehabilitation Center

Item: Millbrook Healthcare and Rehabilitation Center
Author: Richard Saunders

Date Updated: May 01, 2024
Address: 1850 W PLEASANT RUN RD, LANCASTER
TX 75146
Phone: 972-275-1900
Website: ) Click Here
Medicare Provider Number: 676188
Participating in Medicare Since: July 25, 2008
No. of Certified Beds: 124
No. of Residents: 68
Occupancy: 54.84% ( as of 05/12/2024 )
Amount Fined: $80,358.33
Complaints Filed: 10

Click here to Get Monthly Updates for this Facility

About Millbrook Healthcare and Rehabilitation Center

Millbrook Healthcare And Rehabilitation Center, located in LANCASTER, TX, is a for-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is located not in a hospital. Millbrook Healthcare And Rehabilitation Center offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.

Millbrook Healthcare and Rehabilitation Center is ranked #15 out of 18 facilities within a 10 mile radius and #99 out of 117 facilities within a 25 mile radius. See Ranking Report
CMS 5-Star Overall Rating is (1 out of 5):
Current Trend: Improving
Total Nursing Hours Spent Per Resident Per Day: 3.05
(The national average is 3.78 )
The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 32.16% .
There is no indication of abuse occuring at Millbrook Healthcare and Rehabilitation Center. (CMS flags facilities where abuse has either happened or is very likely.)

Millbrook Healthcare and Rehabilitation Center Owner & Operator Information

Business Entity Name:

HAMILTON COUNTY HOSPITAL DISTRICT

Owners:

HAMILTON COUNTY HOSPITAL DISTRICT (DIRECT- 100%)

Managers and Directors:

BLUEBONNET HEALTHCARE INC. (OPERATIONAL/MANAGERIAL CONTROL)
SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL)
GRADY HOOPER (OFFICER)
KRISTEN MADISON (OPERATIONAL/MANAGERIAL CONTROL)
KRISTEN MADISON (MANAGING EMPLOYEE)

Millbrook Healthcare and Rehabilitation Center Ratings and Inspection Scores

Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.

Ratings

Overall Rating	1:
Health Inspection Rating	1:
Quality Rating	4:
Staffing Rating	1:

Inspection Scores

Cycle 1 Score (as of October 19, 2022)	124
Cycle 2 Score (as of September 01, 2021)	281
Cycle 3 Score (as of June 21, 2019)	76
Weighted All Cycles Score	168

Millbrook Healthcare and Rehabilitation Center Ratings History

Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Millbrook Healthcare and Rehabilitation Center spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.

Type	Facility	State / National Avg
Registered Nurse (RN)
Hours	0.23	0.38 / 0.65
Case Mix	0.48	0.41 / 0.38
Adjusted	0.18	NA / NA
Licensed Practical Nurse (LPN)
Hours	1.23	0.99 / 0.87
Case Mix	0.92	NA / NA
Adjusted	0.98	NA / NA
Certified Nursing Assistants (CNA)
Hours	1.60	1.92 / 2.26
Case Mix	2.29	NA / NA
Adjusted	1.42	NA / NA
Total Licensed Staff
Hours	1.45	1.37 / 1.53
Physical Therapist (PT)
Hours	0.32	0.06 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours	3.05	3.29 / 3.78
Case Mix	3.68	3.22 / 3.15
Adjusted	2.61	NA / NA

Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc.	Perc./ State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) This measure is considered when computing the 5-Star Overall Rating	32.2% / 24.7% Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522) This measure is considered when computing the 5-Star Overall Rating	15.2% / 12.8% Worse
Number of hospitalizations per 1000 long-stay resident days (qm551) This measure is considered when computing the 5-Star Overall Rating	Not Available
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) This measure is considered when computing the 5-Star Overall Rating	Not Available
Percentage of long-stay residents whose need for help with daily activities has increased (qm401)	24.4% / 16.7% Worse
Percentage of long-stay residents who lose too much weight (qm404)	5.7% / 4.6% Worse
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405)	100.0% / 53.4% Worse
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406)	0.0% / 1.0% Better
Percentage of long-stay residents with a urinary tract infection (qm407)	0.0% / 1.2% Better
Percentage of long-stay residents who have depressive symptoms (qm408)	8.8% / 5.2% Worse
Percentage of long-stay residents who were physically restrained (qm409)	0.0% / 0.0% Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410)	0.0% / 3.4% Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415)	100.0% / 96.5% Better
Percentage of long-stay residents who received an antipsychotic medication (qm419)	0.0% / 9.1% Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430)	96.2% / 87.4% Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434)	0.0% / 1.6% Better
Percentage of long-stay residents whose ability to move independently worsened (qm451)	6.0% / 12.8% Better
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452)	10.8% / 22.5% Better
Percentage of high risk long-stay residents with pressure ulcers (qm453)	1.9% / 6.7% Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454)	100.0% / 97.4% Better
Percentage of short-stay residents who made improvements in function (qm471)	85.9% / 70.0% Better
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472)	92.3% / 82.0% Better

Hospitals Near Millbrook Healthcare and Rehabilitation Center

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Millbrook Healthcare and Rehabilitation Center.

This information is based on the most recent Hospital data. Historical data is not available.

Hospital	5-Star Overall Rating
BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK 9440 POPPY DR DALLAS, TX 75218	1
TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL 800 W RANDOL MILL RD ARLINGTON, TX 76012	2
MEDICAL CITY ARLINGTON 3301 MATLOCK ROAD ARLINGTON, TX 76015	2
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE 231 SOUTH COLLINS ROAD SUNNYVALE, TX 75182	2
BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE 6800 SCENIC DR ROWLETT, TX 75088	2
DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEALTHCARE SYSTEM) 4500 S. LANCASTER ROAD DALLAS, TX 75216	2
MEDICAL CITY NORTH HILLS 4401 BOOTH CALLOWAY ROAD NORTH RICHLAND HILLS, TX 76180	2
DALLAS REGIONAL MEDICAL CENTER 1011 NORTH GALLOWAY AVENUE MESQUITE, TX 75149	3
METHODIST CHARLTON MEDICAL CENTER 3500 W WHEATLAND ROAD DALLAS, TX 75237	3
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS 8200 WALNUT HILL LANE DALLAS, TX 75231	3
MEDICAL CITY LAS COLINAS 6800 N MACARTHUR BLVD IRVING, TX 75039	3
PARKLAND HEALTH & HOSPITAL SYSTEM 5200 HARRY HINES BLVD DALLAS, TX 75235	3
METHODIST MANSFIELD MEDICAL CENTER 2700 E BROAD STREET MANSFIELD, TX 76063	3
U S M D HOSPITAL AT ARLINGTON L P 801 W INTERSTATE 20 ARLINGTON, TX 76017	3
METHODIST DALLAS MEDICAL CENTER 1441 NORTH BECKLEY AVENUE DALLAS, TX 75203	4
DALLAS MEDICAL CENTER 7 MEDICAL PARKWAY DALLAS, TX 75234	4
TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL 3150 HORIZON ROAD ROCKWALL, TX 75032	4
TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD 1600 HOSPITAL PARKWAY BEDFORD, TX 76022	4
MEDICAL CITY DALLAS HOSPITAL 7777 FOREST LANE DALLAS, TX 75230	4
BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE 2400 N INTERSTATE HIGHWAY 35E WAXAHACHIE, TX 75165	5

Medical Professionals Associated with Millbrook Healthcare and Rehabilitation Center

These are the doctors who are affiliated with Millbrook Healthcare and Rehabilitation Center. The data is from the most recent period. Historical data is not available.

NEERAJ SHARMA ( INTERNAL MEDICINE - LIGHTFLOWER, LTD. )
SUMANA KETHA ( INTERNAL MEDICINE - DFW MEDICAL HOME PLLC )

Local Nursing Homes

Below is a list of nursing homes in near Millbrook Healthcare and Rehabilitation Center (including this home). This list is ranked based on the nursing home's health inspection scores (alse referred to as the "weighted all cycles score"). We also show the home's 5-star overall rating in the list. (If a nursing home has been flaged by CMS for abuse, we will added an icon ( ) to the home to indicate this.)

The data is based on the dataset as of May 01, 2024.

Name	Health Inspection Score / Overall Rating
Highland Meadows Health and Rehab (ROCKWALL, TX)	2 / 4:
Pure Health Transitional Care at Thr Arlington (ARLINGTON, TX)	5.333 / 5:
The Plaza at Edgemere (DALLAS, TX)	8 / 5:
Windsor Gardens (LANCASTER, TX)	9.333 / 5:
Villages of Lake Highlands (DALLAS, TX)	9.333 / 5:
Christian Care Center (MESQUITE, TX)	11.333 / 5:
The Legacy Midtown Park (DALLAS, TX)	12.667 / 5:
C C Young Memorial Home (DALLAS, TX)	13.333 / 5:
Pure Health Transitional Care at Texas Health Pres (DALLAS, TX)	14.667 / 5:
Grapevine Medical Lodge (GRAPEVINE, TX)	15.333 / 5:
Ventana By Buckner (DALLAS, TX)	17.333 / 5:
Le Reve Rehabilitation and Memory Care (DALLAS, TX)	17.333 / 4:
Beltline Healthcare Center (GARLAND, TX)	18 / 4:
Palomino Place (MESQUITE, TX)	19.333 / 5:
The Lennwood Nursing and Rehabilitation (DALLAS, TX)	22.667 / 3:
Arbrook Plaza (ARLINGTON, TX)	22.667 / 5:
Irving Nursing and Rehabilitation (IRVING, TX)	22.667 / 3:
Desoto Ltc Partners, Inc (DESOTO, TX)	23.333 / 3:
Keller Oaks Healthcare Center (KELLER, TX)	24 / 4:
Discovery Village at Southlake (SOUTHLAKE, TX)	24 / 3:
Caraday Mesquite (MESQUITE, TX)	25.333 / 3:
The Rehabilitation and Wellness Centre of Dallas LLC (DALLAS, TX)	25.333 / 3:
La Dora Nursing and Rehabilitation Center (BEDFORD, TX)	25.333 / 4:
Walnut Place (DALLAS, TX)	25.333 / 4:
Ashford Hall (IRVING, TX)	27.333 / 4:
Grandview Nursing and Rehabilitation Center (GRANDVIEW, TX)	30 / 5:
Matlock Place Health and Rehabilitation Center (ARLINGTON, TX)	30 / 3:
Balch Springs Nursing Home (BALCH SPRINGS, TX)	32 / 3:
Heritage at Turner Park Health and Rehab (GRAND PRAIRIE, TX)	32 / 3:
Town East Rehabilitation and Healthcare Center (MESQUITE, TX)	34 / 4:
Forum Parkway Health and Rehabilitation (BEDFORD, TX)	35.333 / 5:
Presbyterian Village North Special Care Ctr (DALLAS, TX)	35.333 / 5:
Edgewood Rehabilitation and Care Center (MESQUITE, TX)	36.667 / 4:
Legend Oaks Healthcare and Rehabilitation - Ennis (ENNIS, TX)	37.333 / 3:
Signature Pointe (DALLAS, TX)	38 / 4:
Ridgecrest Healthcare and Rehabilitation Center (FORNEY, TX)	39 / 4:
Rowlett Health and Rehabilitation Center (ROWLETT, TX)	39.333 / 3:
The Manor at Seagoville (SEAGOVILLE, TX)	40.667 / 3:
The Pavilion at Creekwood (MANSFIELD, TX)	41.333 / 3:
Arden Place of Richland Hills (RICHLAND HILLS, TX)	41.333 / 3:
Parkwood Healthcare Community (BEDFORD, TX)	42.667 / 4:
Simpson Place (DALLAS, TX)	43.333 / 2:
City of Ennis Dba Broadmoor Medical Lodge (ROCKWALL, TX)	44 / 2:
Town Hall Estates Arlington Inc (ARLINGTON, TX)	44.667 / 3:
Bedford Wellness and Rehabilitation (BEDFORD, TX)	44.667 / 3:
The Villages On Macarthur (IRVING, TX)	46 / 2:
The Highlands Guest Care Center LLC (DALLAS, TX)	46 / 2:
Lakewest Rehabilitation and Skilled Care (DALLAS, TX)	47.333 / 2:
Emerald Hills Rehabilitation and Healthcare Center (NORTH RICHLAND HILLS, TX)	48.667 / 3:
Brentwood Place Four (DALLAS, TX)	48.667 / 2:
Bear Creek Nursing and Rehabilitation (GRAPEVINE, TX)	50 / 3:
Brentwood Place Three (DALLAS, TX)	50.667 / 3:
Golden Acres Living and Rehabilitation Center (DALLAS, TX)	54 / 2:
Traymore Nursing Center (DALLAS, TX)	54 / 3:
Alvarado Ltc Partners Inc (ALVARADO, TX)	55 / 2:
Cottonwood Creek Healthcare Community (RICHARDSON, TX)	55.333 / 4:
Hurst Plaza Nursing and Rehab (HURST, TX)	58.667 / 2:
Autumn Leaves (DALLAS, TX)	59.333 / 3:
Methodist Transitional Care Center-Desoto LLC (DESOTO, TX)	59.833 / 4:
Beacon Harbor Healthcare and Rehabilitation (ROCKWALL, TX)	60 / 2:
Lancaster Ltc Partners Inc (LANCASTER, TX)	62 / 1:
Mesquite Tree Nursing Center (MESQUITE, TX)	62 / 2:
Crestview Court (CEDAR HILL, TX)	63 / 3:
The Villa at Mountain View (DALLAS, TX)	67.5 / 2:
Greenbrier Health Care Center (ARLINGTON, TX)	69.667 / 2:
Cedar Hill Healthcare Center (CEDAR HILL, TX)	73 / 1:
The Villages of Dallas (DALLAS, TX)	73 / 2:
Pecan Manor Nursing and Rehabilitation (KENNEDALE, TX)	73.333 / 1:
Westridge Nursing and Rehabilitation (LANCASTER, TX)	76.667 / 2:
The Carlyle at Stonebridge Park (SOUTHLAKE, TX)	76.833 / 1:
Birchwood of Grapevine (GRAPEVINE, TX)	77 / 1:
The Laurenwood Nursing and Rehabilitation (DUNCANVILLE, TX)	78 / 2:
Arapaho Rehabilitation and Care Center (RICHARDSON, TX)	78 / 2:
Five Points at Lake Highlands Nursing and Rehab (DALLAS, TX)	80 / 1:
Carrollton Health and Rehabilitation Center (CARROLLTON, TX)	80.667 / 1:
Interlochen Health and Rehabilitation Center (ARLINGTON, TX)	84.833 / 1:
Cheyenne Medical Lodge (MESQUITE, TX)	88 / 1:
The Renaissance at Kessler Park (DALLAS, TX)	89 / 2:
Bluebonnet Rehab at Ennis (ENNIS, TX)	91.833 / 2:
Green Oaks Nursing and Rehabilitation (ARLINGTON, TX)	98.5 / 2:
Northgate Plaza (IRVING, TX)	101.333 / 2:
Pleasant Manor Healthcare Rehabilitation (WAXAHACHIE, TX)	108.333 / 2:
Brentwood Place Two (DALLAS, TX)	109.833 / 2:
Five Points Nursing and Rehabilitation (DESOTO, TX)	114.2 / 1:
Mansfield Medical Lodge (MANSFIELD, TX)	116.333 / 1:
Brentwood Place One (DALLAS, TX)	118.5 / 2:
Las Brisas Rehabilitation and Wellness Suites (IRVING, TX)	119.167 / 2:
Midlothian Healthcare Center (MIDLOTHIAN, TX)	119.667 / 1:
South Dallas Nursing and Rehabilitation (DALLAS, TX)	120.333 / 1:
Pleasant Valley Healthcare and Rehabilitation Cent (GARLAND, TX)	122.333 / 1:
Garland Nursing and Rehabilitation (GARLAND, TX)	132.833 / 1:
Winters Park Nursing and Rehabilitation Center (GARLAND, TX)	139.5 / 1:
Fair Park Health and Rehabilitation Center (DALLAS, TX)	150.333 / 2:
Red Oak Health and Rehabilitation Center (RED OAK, TX)	162.667 / 1:
Williamsburg Village Healthcare Campus (DESOTO, TX)	164.333 / 2:
Focused Care of Waxahachie (WAXAHACHIE, TX)	165.5 / 1:
Legend Oaks Healthcare and Rehabilitation - Waxaha (WAXAHACHIE, TX)	166.5 / 1:
Legend Oaks Healthcare and Rehabilitation Garland (GARLAND, TX)	166.667 / 1:
Millbrook Healthcare and Rehabilitation Center (LANCASTER, TX)	168.333 / 1:
Advanced Health and Rehab Center of Garland (GARLAND, TX)	171 / 2:
Park Village Healthcare and Rehabilitation (DESOTO, TX)	179 / 2:
Avante Rehabilitation Center (IRVING, TX)	197.833 / 1:
Glenview Wellness and Rehabilitation (NORTH RICHLAND HILLS, TX)	200.5 / 2:
Ennis Care Center (ENNIS, TX)	207.5 / 1:
Arlington Residence and Rehabilitation Center (ARLINGTON, TX)	211.5 / 2:
Rockwall Nursing Care Center (ROCKWALL, TX)	212.5 / 1:
Willowbend Nursing and Rehabilitation Center (MESQUITE, TX)	215.833 / 2:
The Meadows Health and Rehabilitation Center (DALLAS, TX)	220.833 / 1:
Treemont Healthcare and Rehabilitation Center (DALLAS, TX)	250.5 / 1:
Forest Park Nursing and Rehabilitation (DALLAS, TX)	263.167 / 1:
Coral Rehabilitation and Nursing of Arlington (ARLINGTON, TX)	268 / 1:
Oakmont Guest Care Center (HURST, TX)	307.5 / 1:
Mansfield Nursing and Rehabilitation Center (MANSFIELD, TX)	330.333 / 1:
Duncanville Healthcare and Rehabilitation Center (DUNCANVILLE, TX)	373.333 / 1:
Westpark Rehabilitation and Living (EULESS, TX)	427.5 / 1:
Skyline Nursing Center (DALLAS, TX)	516.167 / 1:
Midtowne Meadows Health and Rehab (MIDLOTHIAN, TX)	/ :

Our Analysis

Best and Worst Nursing Homes in LANCASTER, TX

Here is our analysis of the Best Nursing Homes in LANCASTER and Worst Nursing Homes in LANCASTER so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.

Ownership Details for Millbrook Healthcare and Rehabilitation Center

A list of all of the registered owners for Millbrook Healthcare and Rehabilitation Center. This includes direct and indirect owners and managers.

Noted Deficiencies for Millbrook Healthcare and Rehabilitation Center

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Nursing Hours Analysis for Millbrook Healthcare and Rehabilitation Center

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

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