Prestonwood Rehabilitation & Nursing Center
2460 MARSH LN, Plano, TX, 75093
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Dallas County Hospital District
- Certified beds
- 132 · avg 66 residents/day
- Total nursing staff turnover
- 44.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 43.8% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $14,433 total
State licensing & capacity
- License number
- 147682
- Service type
- Medicare/medicaid
- Licensed capacity
- 264 beds
- Bed type breakdown
- 132 licensed-only · 62 Medicare-only · 70 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- October 29, 2007
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Prestonwood Rehabilitation & Nursing Center Inc
- Administrator
- Audrey Denman
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Dallas County Hospital District chain — 5 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (6 on record)
- Shannan Dawn Bradley
Corporate Director · since 2023
- Robert Foster
W-2 Managing Employee · since 2022
- Edmundo Castaneda
Corporate Officer · since 2022
- Dallas County Hospital District
Operational/managerial Control · since 2017
- Millennial Care Management, Inc.
Operational/managerial Control · since 2017
- Frederick p Cerise
Corporate Director · since 2014
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 16)
- D0880·Apr 17, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Apr 17, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0755·Apr 17, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0690·Apr 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0656·Apr 17, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0640·Apr 17, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- K0609·Apr 17, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- K0607·Apr 17, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Federal penalties
By year
- 20251 fine · $14K
Most recent events
- Apr 17, 2025Fine · $14K
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Feb 29, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Prestonwood Rehabilitation & Nursing Center is a 264-bed nursing home in Plano, Denton County, licensed under Dallas County Hospital District. CMS rates it 3 stars overall, with a 4-star staffing rating and a 5-star quality-measures rating — but a 2-star health inspection rating and a substantiated abuse or neglect finding in the past 36 months. The facility is currently operating at roughly 50% of its licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That finding drives the 2-star health inspection rating even as other scores are higher.
Staffing rates 4 stars — among the top 9% of Texas nursing homes on staffing. Each resident receives about 242 minutes of nursing care per day, just above the 241-minute threshold for a 4-star staffing rating in Texas.
CMS rates this facility 5 stars on quality measures — covering both long-stay residents and short-stay residents. That is the highest rating available.
The facility is operating at roughly 50% of its 132 Medicare- and Medicaid-certified beds, with about 66 residents on an average day. One fine of $14,433 has been issued; the state median for facilities that receive any fine is $20,699.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse finding and current safeguards
CMS recorded a substantiated abuse or neglect finding here within the past 36 months — ask what specifically happened, what changed afterward, and how incidents are reported today.
Low occupancy and staffing consistency
The facility is running at roughly 50% capacity; ask whether current staffing levels would be maintained if census rises significantly.
Health inspection deficiencies
The 2-star health inspection rating contrasts with 5-star quality measures — ask which deficiencies drove the lower inspection score and what corrective steps have been taken.
Resident and family council status
No resident or family council is listed in the CMS record — ask whether either exists and how residents and families formally raise concerns.
Hospital district governance
The licensee is Dallas County Hospital District, a government entity, while day-to-day management is handled by a separate company — ask how decisions about staffing and care standards are made between the two.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.