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 HHS 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 HHS licensing registry · as of April 16, 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 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.