Garnet Hill Rehabilitation And Skilled Care
1420 MCCREARY RD, Wylie, TX, 75098-8776
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 Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Stonegate Senior Living
- Certified beds
- 128 · avg 101 residents/day
- Total nursing staff turnover
- 27.4% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 13.3% — 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)
- 3 fines · $40,290 total
State licensing & capacity
- License number
- 144779
- Service type
- Medicare/medicaid
- Licensed capacity
- 128 beds
- Bed type breakdown
- 21 Medicare-only · 107 Medicaid/Medicare
- Current license effective
- February 27, 2025
- Current license expires
- February 27, 2028
- Initial license date
- August 28, 2008
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- South Limestone Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Pf Gh Snf Ops, Llc
- Administrator
- Sylvia Anene
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Stonegate Senior Living chain — 24 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (14 on record)
- pf gh Snf Ops, Llc
Adp of The Snf · since 2025
- Stonegate Senior Living, lp
Adp of The Snf · since 2025
- Sylvia Maria Anene
Adp of The Snf · since 2025
- Martus Financial Services, Inc.
Adp of The Snf · since 2023
- Lifetime Wellness, Ltd.
Adp of The Snf · since 2021
- Preservation Freehold Company
Adp of The Snf · since 2021
+ 8 additional owners on the federal record.
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 43)
- D0755·Jul 16, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Jul 16, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0689·Jul 16, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0677·Jul 16, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0842·Mar 19, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0755·Mar 19, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0551·Mar 19, 2025Complaint
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
- E0812·Jan 24, 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.
Federal penalties
By year
- 20241 fine · $18K
- 20232 fines · $22K
Most recent events
- Dec 6, 2024Fine · $18K
- Dec 8, 2023Fine · $14K
- Jun 12, 2023Fine · $8,331
Largest single fine on record: $18K.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Oct 6, 2022. 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
Garnet Hill Rehabilitation And Skilled Care is a 128-bed nursing and rehabilitation facility in Wylie, Texas, operated under a hospital district license and managed by Stonegate Senior Living. CMS rates it 2 stars overall, with a 2-star health inspection rating and a 2-star long-stay quality rating. On the positive side, staffing earns 4 stars and nursing staff turnover is among the lowest in the state. Three CMS fines totaling $40,290 have been issued in recent years.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 4 stars — placing this facility in roughly the top 9% of Texas nursing homes on this measure. Each resident receives about 207 minutes of nursing care per day. That figure falls below the 241-minute threshold for a 4-star staffing facility in Texas, but the rating still reflects a comparatively strong staffing position.
About 3 in 10 nursing staff left in the past year — exceptionally low by Texas standards, below the state's 25th-percentile cutoff of 42%, meaning turnover is better than roughly three-quarters of nursing homes in the state. RN turnover follows the same pattern: roughly 1 in 10 registered nurses left in the past year, also in the exceptionally low tier. A long-stay resident here is less likely to cycle through multiple primary caregivers than at most Texas facilities.
CMS has issued 3 fines totaling $40,290 against this facility. For context, about 30% of Texas nursing homes have received no fines at all, and the state median fine total is $20,699 — this facility's total is roughly double that median.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Overall vs staffing rating gap
The facility rates 2 stars overall but 4 stars on staffing — ask administrators what specific health inspection deficiencies are driving the gap between those two ratings.
Long-stay quality outcomes
Long-stay quality rates 2 stars while short-stay rates 4 stars — ask which specific quality measures are underperforming for residents living here long-term.
Details on the three fines
Three CMS fines totaling $40,290 have been assessed — ask what violations each fine was tied to and what corrective steps were taken afterward.
Management company's care responsibilities
Day-to-day operations are run by Pf Gh Snf Ops, Llc under a hospital district license — ask how clinical decisions and care standards are divided between the licensee and the management company.
Resident Council access and influence
The facility has a Resident Council but no Family Council — ask how families without a relative on the council can formally raise concerns with administration.
Current bed availability
With about 101 residents in 128 licensed beds, capacity is at roughly 79% — ask whether specific bed types, such as Medicare or Medicaid, have waitlists.
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.