Mckinney Healthcare And Rehabilitation Center
253 ENTERPRISE DRIVE, Mckinney, TX, 75069
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: The Ensign Group
- Certified beds
- 125 · avg 80 residents/day
- Total nursing staff turnover
- 50.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 311759
- Service type
- Medicare/medicaid
- Licensed capacity
- 125 beds
- Bed type breakdown
- 23 Medicare-only · 102 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- September 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Moonflower Healthcare, Inc
- Administrator
- Jacob Mckay
Texas HHS licensing registry · as of April 16, 2026
About this community
McKinney Healthcare and Rehabilitation Center is a 125-bed nursing home in McKinney, TX (Collin County), managed by Moonflower Healthcare, Inc. under a hospital district license. CMS rates it 4 stars overall, with a 5-star rating on long-stay quality measures and a 4-star health inspection score. Staffing is rated 2 stars, and the facility is currently operating at about 64% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — a level shared by roughly 32% of Texas nursing homes. Each resident receives about 185 minutes of nursing care per day, approximately 56 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than the typical facility — more dependent or medically complex on average — so those 185 minutes stretch thinner in practice than the number alone suggests.
One administrator has turned over in the past year, which is above the baseline of zero changes that most stable facilities show. It is not the two-or-more threshold of high instability, but a single leadership change mid-cycle is worth understanding: who left, who replaced them, and how long the current administrator has been in the role.
The facility is operating at roughly 64% of its 125 licensed beds — about 80 residents on an average day. At that occupancy level, bed availability is not a concern, but a sustained gap between licensed and filled beds can affect staffing patterns and the breadth of programming a facility sustains.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator's tenure
One administrator changed in the past year — ask how long the current administrator, Jacob McKay, has been in the role and what prompted the transition.
Staffing levels on evenings and weekends
Reported weekend nursing hours run 2.72 minutes per resident per day below the already-low weekday figure — ask how many nurses and aides are on the floor during a typical weekend shift.
Why occupancy is at 64 percent
The facility averages about 80 residents against 125 licensed beds — ask whether that reflects a recent census drop, discharge patterns, or a deliberate hold on admissions.
Care planning for complex residents
CMS quality measures rate 5 stars for long-stay residents but 3 stars for short-stay — ask how care plans are handed off when a short-stay rehabilitation patient transitions to a longer stay.
Family council availability
State records show a Resident Council but no Family Council — ask whether families have a formal channel to raise concerns collectively, and how staff communicate with family members between visits.
Management company's operational role
The licensee is a hospital district, but day-to-day management is handled by Moonflower Healthcare, Inc. — ask which entity sets staffing budgets and how disputes between licensee and manager are resolved.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.