11855 Lebanon Road, Frisco, TX 75035 · Collin County · (469) 269-1000
136 certified beds, about 95 residents a day · For profit - Corporation · Medicare and Medicaid since 2014
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676352 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 11, 2026, inspectors cited 7 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 22 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.33 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
33.8% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Paramount Healthcare, an affiliated group of 8 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 22 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 (Medication Cart 3) of 3 carts and 1 of six residents (Resident #30) reviewed for pharmacy services. 1. The facility failed to ensure LVN D responsible for Medication Cart 3, counted controlled drugs every shift change on 06/01/2026, 06/04/2026, 06/05/2026, and 06/08/2026. 2. The facility failed to ensure LVN D documented administering prn cough medication to Resident #30 on 06/09/26. This failure could place residents at risk of not having the medication available due to possible drug diversion and residents may receive the wrong dose Findings Included: 1. [...]
Inspectors wroteBased on observations, interviews and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety for the facility's only kitchen, in that: Dietary [NAME] G and the Dietary Manager failed to wear effective hair restraints during lunch meal preparation on 06/10/26. This failure could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness and food contamination.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 1 (Resident #36) of 8 residents reviewed for ADLs. The facility failed to ensure Resident #36 had her fingernails cleaned on 6/9/26. This failure could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for one (Resident #88) of two residents reviewed for incontinence care. The facility failed to ensure CNA A provided appropriate perineal care for Resident # 88 when she failed to clean the resident's labia on 6/9/26. This failure could place residents at risk for the development and/or worsening of urinary tract infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that a resident who needed respiratory care, including tracheostomy care, was provided such care, consistent with professional standards of practice for one (Resident #2) of one resident reviewed for tracheostomy (a surgical opening in the neck providing a direct airway through the trachea) care. The facility failed to ensure LVN E followed the procedure for tracheostomy care for Resident #2 on 06/10/26 by using sterile technique. This failure could place residents at risk for respiratory infections.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for 1 resident (Resident #10) of 3 observed for infection control. The facility failed to ensure CNA B changed gloves and completed hand hygiene during incontinent care for Resident #10 on 6/9/26. These failures could place residents at risk for infection and cross contamination of pathogens and illness.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the residents' right to review survey results had a posted notice of the availability of the survey results in a prominent, readily accessible to residents, family members and legal representatives of residents for 1 of 1 facility reviewed for postings. The facility failed to ensure a notice of survey results availability was prominent and accessible to residents. This failure could affect residents who reside in the facility and could result in a lack of awareness for visitors, family, and residents regarding the survey results and the plan of correction submitted by the facility.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that medications were secure and inaccessible to unauthorized staff and residents for one (Hall 200) of five medications carts reviewed for medication storage. The facility failed to ensure medication supplies were secured or attended by authorized staff when the medication cart on hall 200 was left unlocked by RN A. This failure could place residents at risk of having access to medications and/or lead to possible harm or drug diversions.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of five (Resident #1) observed for infection control. 1. The facility failed to ensure RN A sanitized the glucometer and surfaces with a recommended germicidal wipe by placing the clean, sanitized glucometer on top of an unsantized medication cart, on top of RN A's handwritten notes and then carried the glucometer into Resident #1's room, placed the glucometer on the unsantized overbed table and then back out to the medication cart. 2. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of three residents (Resident #1) reviewed for infection control. 1. The facility failed to place Enhanced Barrier Precautions signage near Resident #1's room.2. CNA A and CNA B failed to implement Enhanced Barrier Precautions while providing incontinent care to Resident #1. 3. CNA A failed to perform hand hygiene while providing incontinent care to Resident #1. These failures could place residents at risk for healthcare associated cross contamination and infections.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Pre-admission Screening and Resident Review (PASRR) Level I assessment accurately reflected the resident's status for two (Resident #15 and Resident #34) of five residents reviewed for PASRR Screenings. 1. The facility failed to ensure the accuracy of the PASRR Level 1 screen for Resident #15. The resident did not receive a PASRR Level II assessment Evaluation. 2. The facility failed to ensure the accuracy of the PASRR Level 1 screen for Resident #34. The resident did not receive a PASRR Level II assessment Evaluation. This failure could place residents who had a mental illness at risk of not receiving individualized specialized service to meet their needs.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen safety. 1. The facility failed to ensure food in the facility's dry storage, and refrigerator areas were labeled and dated according to guidelines. 2. The facility failed to seal open items in plastic bags in the dry storage pantry, and refrigerator areas. 3. The facility failed to ensure that expired items in the dry storage pantry were removed. These deficient practices could affect residents who received meals and/or snacks from the main kitchen and place them at risk for cross contamination and other food-borne illnesses. Findings Included: Observation of the kitchen during the brief initial tour of the kitchen on 04/08/2025 at 9:10 AM, revealed the following: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure assessments accurately reflected the resident status for 3 of 5 of residents (Resident #11, Resident #14, and Resident #50) reviewed for MDS assessment accuracy. 1. The facility failed to accurately document Resident #11's Vision status on the Quarterly MDS dated [DATE]. 2. The facility failed to accurately document Resident #50's Vision status on the Quarterly MDS dated [DATE] 3. The facility failed to accurately document Resident #14's Tracheostomy care on the Quarterly MDS dated [DATE]. These failures placed residents at risk of not receiving care and services to meet their needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two of 3 residents (Residents #72 and #344) reviewed for infection control. CNA A failed to complete hand hygiene or change gloves when providing incontinent care to Resident #72. CNA B failed to complete hand hygiene or change gloves when providing incontinent care to Resident #344. This failure could place residents at risk for spread of infection and cross contamination.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 24 hours if the events that caused the allegation did not involve abuse and did not result in serious bodily injury, to the administrator of the facility and to other officials including to the State Survey Agency in accordance with State law through established procedures for 1 of 6 residents (Resident #1) reviewed for abuse and neglect. The facility failed to report to the State agency when Resident #1 died in the facility after a choking episode in the facility's dining room. This failure could place residents at risk of neglect.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents in 10 of (108, 117, 118, 120, 121, 218, 224, 227, 231, 238) of 62 resident bathrooms reviewed for environment. The facility failed to ensure 10 (108, 117, 118, 120, 121, 218, 224, 227, 231, 238) rubber shower [NAME] were properly glued down to ensure a safe environment. This deficient practice could place residents at risk of a diminished quality of life due to an unsafe and unmaintained environment.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents were free from physical or chemical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms for 1 of 8 residents (Resident #5) reviewed for freedom from physical restraints. - The facility failed to obtain consent, physician's order, and care plan for Resident #5's full bed rails in which the resident movements were restricted and there was no documentation the restraints were required to treat his medical symptoms. This failure could put residents at risk of unnecessary restriction of their freedom of movement (any change in place or position for the body or any part of the body that the person is physically able to control).
Inspectors wroteBased upon observation, interview and record review the facility failed to ensure drugs and biologicals used in the facility must be labeled in accordance with currently accepted professional principles, and under proper temperature controls for 4 (Resident #1, Resident #8, Resident #13, and Resident #57) of 38 and 1 of 3 medication carts (200 Hall Nursing Cart) reviewed for drug labeling and storage. - The facility failed to ensure the 200 Hall Nursing Cart Nursing Cart did not contain an in-use insulin pen for Resident #1, Resident #8, Resident #13, and Resident #57 with no open date. This failure could place residents at risk of adverse medication reactions and drug diversions.
Inspectors wroteBased on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. The facility failed to ensure food items in the walk-in cooler and dry-storage areas were stored away from soiled surfaces and airborne contaminants. The facility failed to ensure kitchen equipment (Ice Machine, Coffee Maker, free standing Fans) were free of airborne contaminants. These failures could place residents, who received food from the kitchen, at risk for food contamination and food-borne illness.
Inspectors wroteBased on Observation, interview, and record review, the facility failed to dispose of garbage and refuse properly for one of one trash bin and trash corral reviewed garbage disposal. The facility failed to ensure trash, in the dumpster coral, was contained and maintained in a sanitary condition. This failure could place residents at risk of unsanitary conditions.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents do not receive psychotropic drugs pursuant to a PRN order unless that medication is necessary to treat a diagnosed specific condition that is documented in the clinical record and PRN orders for psychotropic drugs are limited to 14 days. Except if the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days, he or she should document their rationale in the resident's medical record and indicate the duration for the PRN order for 2 (Resident #15 and #75) of 8 residents reviewed for PRN orders for psychotropic drugs. Resident #15 had one active PRN orders for anti-anxiety medication (Lorazepam) with order start dates of 11/16/23 and did not have an end date. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for one (room [ROOM NUMBER]) of twenty-nine rooms reviewed for resindet call systems. The facility failed to ensure room [ROOM NUMBER] had a working call light. This failure could place residents at risk of not being able to have their needs met and call for staff assistance when they needed it.
5 fire safety citations on file: 3 on June 11, 2026, 2 on March 7, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.33 | 3.39 | 3.86 |
| Registered nurses | 0.31 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.98 | 2.98 | 3.42 |
| Nurse aides | 1.71 | ||
| Licensed practical nurses | 1.31 | ||
| Nursing staff turnover (share who left in a year) | 33.8% | 55.3% | 45.8% |
| Registered nurse turnover | 37.5% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.93 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.47 on weekdays and 2.98 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.33 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.33 | 0.31 | 3.47 | 2.98 | 0.1% | 0 of 90 | 95 |
| Oct to Dec 2025 | 3.37 | 0.33 | 3.49 | 3.05 | 0.0% | 0 of 92 | 94 |
| Jul to Sep 2025 | 3.58 | 0.40 | 3.73 | 3.18 | 0.0% | 0 of 92 | 90 |
| Apr to Jun 2025 | 3.51 | 0.43 | 3.63 | 3.22 | 0.1% | 0 of 91 | 89 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 26.5 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.2 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.0 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.6 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.5 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Stonemere Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (59.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
59.0% this home
Better than the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 361 eligible stays.
11.7% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 371 eligible stays.
7.2% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 228 eligible stays.
49.4% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 164 residents counted.
0.9% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 217 residents counted.
0.3% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 217 residents counted.
96.0% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 149 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: HAMILTON COUNTY HOSPITAL DISTRICT. CMS links this home to Paramount Healthcare, a group of 8 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lebanon Road Real Estates, LLC | 5% or greater mortgage interest | Organization | 05/01/2023 | |
| Hooper, Grady | Corporate officer | Individual | 05/01/2023 | |
| Dkp Investments, LLC | Operational/managerial control | Organization | 05/01/2023 | |
| Stonemere Rehabilitation Center LLC | Operational/managerial control | Organization | 05/01/2023 | |
| Hodge, Christopher | Operational/managerial control | Individual | 05/01/2023 | |
| Prince, Danny | Operational/managerial control | Individual | 05/01/2023 | |
| Lebanon Road Real Estates, LLC | Adp of the SNF | Organization | 05/01/2023 | |
| Stonemere Rehabilitation Center LLC | Adp of the SNF | Organization | 04/22/2025 | |
| Hodge, Christopher | Adp of the SNF | Individual | 05/01/2023 | |
| Prince, Danny | Adp of the SNF | Individual | 05/01/2023 | |
| Prince, Lenn | Adp of the SNF | Individual | 05/01/2023 | |
| Yazdani, Rehan | Adp of the SNF | Individual | 05/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.