Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Belterra Health & Rehab during CMS and state inspections, most recent first.
The facility failed to ensure expired medication administration supplies were removed from the east side medication room, potentially placing residents at risk. Expired supplies, including syringes, were found during an observation. Staff interviews revealed confusion about responsibility for checking expiration dates, with LVN A unsure due to being in training and Central Supply indicating ADONs were responsible, though one was sick with COVID. The facility's policy stated nursing staff should maintain medication storage areas.
A resident with anxiety and seizure disorders received an incorrect dosage of Clonazepam for 155 days due to a transcription error. The resident was supposed to receive 0.25 mg three times a day, but was given 0.5 mg instead. This error was perpetuated by multiple staff members who followed incorrect instructions on the MAR and medication card. The error was discovered during a review by a medication aide and the ADON.
The facility failed to label and secure medications properly, with eye drops on the 500-hall cart lacking open dates and the 200-hall cart left unlocked and unattended. Staff acknowledged the need for open dates to track medication usability, and the DON confirmed that carts should be locked when not in view. Facility policies require dating multi-dose containers and securing medication carts, which were not followed.
The facility's kitchen failed to meet professional standards for food safety and hygiene. Observations revealed improperly labeled and stored food items, including those past their 'best by' dates, and inadequate hand hygiene practices among staff. These deficiencies could lead to foodborne illness and cross-contamination risks for residents.
A facility failed to maintain proper infection control practices when a nurse entered a COVID-positive resident's room wearing only an N95 mask, without a gown, gloves, or face shield, contrary to facility policy. The resident was on strict contact isolation, and the nurse's actions, including placing a tray from the resident's room in the hallway, were against infection control protocols. Interviews with the ADON and DON confirmed the requirement for full PPE in such situations.
Expired Medication Supplies Found in Medication Room
Penalty
Summary
The facility failed to provide adequate pharmaceutical services to meet the needs of each resident, specifically in the east side medication room. During an observation, expired medication administration supplies, including boxes of syringes with and without needles, were found stored on the shelves. LVN A, who was present during the observation, indicated that she believed central supply was responsible for checking expiration dates but was unsure due to being in training. The Director of Nursing (DON) stated that Assistant Directors of Nursing (ADONs) were responsible for monitoring medication rooms for expired supplies, with checks scheduled on Mondays and Thursdays. Additionally, a pharmacy consultant was reported to check the medication room monthly, and central supply was supposed to check on Wednesdays. Interviews with staff revealed a lack of clarity and accountability regarding the responsibility for checking expiration dates on supplies. ADON B mentioned that everyone should check expiration dates before using supplies and acknowledged that expired supplies could affect their integrity. Central Supply stated that the ADONs were responsible for checking expiration dates, but one was currently sick with COVID. Central Supply also mentioned that the pharmacy consultant checked some items, but he only checked the dates on over-the-counter medications, not the supplies. The facility's policy indicated that nursing staff were responsible for maintaining medication storage areas and ensuring outdated drugs or biologicals were returned or destroyed.
Medication Error in Clonazepam Administration
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically regarding the administration of Clonazepam. The resident, a male with anxiety and seizure disorders, was supposed to receive 0.25 mg of Clonazepam three times a day. However, due to a transcription error, the medication was administered as 0.5 mg three times a day for 155 days. This error was perpetuated by 15 different staff members who followed the incorrect dosage instructions on the medication administration record (MAR) and the medication card. The error was discovered when a medication aide (MA) and the Assistant Director of Nursing (ADON) reviewed the medication instructions and realized the discrepancy between the MAR and the physician's order. The Director of Nursing (DON) acknowledged the transcription error and noted that the pharmacy consultant was responsible for monitoring medications monthly. Despite the error, the nurse practitioner (NP) stated that the resident received the intended dose, and there were no concerns with the facility following orders. The facility's policy on administering medications requires adherence to prescriber orders, which was not followed in this case.
Medication Labeling and Security Deficiencies
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were labeled and stored according to professional standards. Specifically, on the 500-hall medication cart, several bottles of eye drops, including timolol, dorzolamide, brimonidine, and latanoprost, were found open without any open dates. This oversight was acknowledged by multiple staff members, including Medication Aides (MAs) and the Assistant Director of Nursing (ADON), who confirmed that open dates are necessary to track the usability of the medications. The Director of Nursing (DON) and the pharmacy consultant provided conflicting information regarding the necessity of open dates, with the DON eventually stating that the manufacturer's expiration date would be used, except for latanoprost, which has a specific post-opening usage period. Additionally, the facility failed to secure medications properly on the 200-hall medication cart. An RN left the cart unlocked and unattended in the hallway with a pill in a medicine cup on top of the cart while attending to a resident in their room. This lapse in protocol was recognized by the RN, who admitted the cart should have been locked or positioned closer to the resident's door. The DON reiterated that medication carts should always be locked when not in direct view of the administering staff to prevent unauthorized access or potential medication misappropriation. The facility's policies on administering and storing medications, revised in April 2019, require that multi-dose containers be dated upon opening and that medication carts remain locked when out of sight. These policies were not adhered to, as evidenced by the observations and interviews conducted during the survey. The lack of adherence to these protocols poses a risk of medication errors and unauthorized access to medications, although no specific incidents of harm were reported in the findings.
Food Safety and Hygiene Deficiencies in Facility Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed in their main kitchen. Several food items in both the refrigerator and dry storage room were not labeled or stored according to professional standards. Items such as prune juice, coleslaw salad mix, and various meats and cheeses were either missing discard dates or were past their 'best by' dates. Additionally, some food items were improperly labeled, such as a bag containing a tomato and onion, which lacked clear labeling and discard dates, potentially leading to foodborne illness. The facility also failed to ensure proper hand hygiene among dietary staff. Observations revealed that staff members did not wash their hands or change gloves after touching other surfaces or upon re-entering the kitchen. This included instances where staff handled food and kitchen equipment without washing their hands or changing gloves, increasing the risk of cross-contamination and foodborne illness among residents. Furthermore, the handwashing sink's trash receptacle was not functioning properly, which could hinder proper hand hygiene practices. The facility's Nutrition Services Policy and the U.S. FDA Food Code were not followed, as evidenced by the improper storage, labeling, and handling of food items, as well as inadequate hand hygiene practices. These deficiencies could place residents at risk for foodborne illness and cross-contamination.
Inadequate Infection Control Practices for COVID-Positive Resident
Penalty
Summary
The facility failed to maintain an effective Infection Control Program, as evidenced by improper infection control precautions taken by RN D when entering the room of a resident on droplet precautions due to a positive COVID test. The resident, a [AGE] year-old female with diagnoses including diabetes, morbid obesity, and gangrene, was on strict contact isolation. Despite the presence of a droplet isolation sign and available isolation supplies, RN D entered the resident's room wearing only an N95 mask, without a gown, gloves, or face shield, contrary to the facility's policy and the instructions provided by the ADON and DON. Additionally, RN D exited the resident's room and placed a medicine cup on the medication cart before reentering the room, and later placed a tray from the resident's room on a table in the hallway, actions that were against the facility's infection control protocols. Interviews with the ADON and DON confirmed that all staff should wear full PPE, including an N95 mask, gown, gloves, and face shield, when entering a room with a COVID-positive resident, and that trays should not be removed from isolation rooms. The facility's policy also required all PPE to be discarded and reapplied each time a COVID room was entered.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mckinney
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Park Manor Of Mckinney | 3 mi | — | 0 | 0 |
| North Park Health And Rehabilitation Center | 3.9 mi | — | 0 | 0 |
| Mckinney Healthcare And Rehabilitation Center | 4.4 mi | — | 1 | 0 |
| Baybrooke Village Care And Rehab Center | 5.4 mi | — | 20 | 0 |
| The Belmont At Twin Creeks | 6.7 mi | — | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.