Garnet Hill Rehabilitation and Skilled Care

    1420 McCreary Rd, Wylie, TX 75098
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.04·(46)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.2
    • Meals

      3.2
    • Amenities

      4.0
    • Value

      3.0

    Pros

    • Strong physical and occupational therapy program
    • Compassionate and attentive direct-care staff
    • Welcoming, home-like environment
    • Well-maintained, attractive grounds and exterior
    • Spacious rooms and multiple family-friendly common areas
    • Restaurant-style dining and planned meals
    • Abundant daily activities and monthly event programming
    • Engaging music and volunteer programs (piano)
    • Newly added women-only memory-care unit
    • Responsive administration and leadership
    • Prompt assistance from specific staff members
    • Consistent housekeeping and laundry support
    • FaceTime and remote-visit availability
    • One-floor layout aiding accessibility
    • Hospice support and end-of-life care availability
    • Helpful maintenance and facilities team
    • Clean, organized interior in many areas

    Cons

    • Inconsistent nursing responsiveness and long call-response times
    • Understaffing that affects routine care delivery
    • Medication-management inconsistencies and delays
    • Gaps in clinical escalation and adherence to physician orders
    • Incontinence-care delays and inconsistent bathing schedules
    • Cleaning and sanitation inconsistencies in some bathrooms and common areas
    • Inadequate night-shift symptom management and noise control
    • Inconsistent meal accommodations and seasoning control
    • Care discontinuity during shift changes
    • Administrative coordination gaps including discharge paperwork handling
    • Staff communication tone and conduct
    • Limited availability of private rooms
    • Complex facility layout that can confuse families

    Summary of reviews

    Garnet Hill Rehabilitation and Skilled Care elicits a strongly mixed but thematically consistent set of impressions. Its rehabilitation and therapy services receive frequent praise: families and patients commonly highlight a strong physical/occupational therapy program, an outstanding PT crew, and therapists who treat residents with dignity and respect. The facility’s appearance and amenities are also recurrent strengths — reviewers describe attractive grounds and exterior, spacious rooms, multiple common and family areas, a piano/volunteer music program, and a recently added memory-care unit that some families find helpful.

    Direct-care staff and frontline culture produce polarized feedback. Many reviewers emphasize compassionate, attentive aides and nurses, prompt help from named staff members, good housekeeping, and an overall welcoming, home-like atmosphere. At the same time, recurring operational issues undermine parts of clinical care: inconsistent nursing responsiveness and long call-response times, understaffing-driven delays in routine assistance, and variable night-shift symptom management were noted. Several comments point to medication delays and inconsistent medication knowledge among staff, and there are broader concerns about gaps in clinical escalation and adherence to physician orders.

    Daily life at Garnet Hill combines strengths and variability. Dining is generally restaurant-style with planned meals and many families appreciate the food service model and communal dining spaces, though some reviewers describe inconsistent meal accommodations (seasoning and lack of bland options). Activities programming is a clear positive: daily events, monthly activities, and volunteer-led music contribute to engagement. Facility maintenance and housekeeping are often described positively, but there are also localized sanitation concerns in some bathrooms and common areas and inconsistent incontinence-care and bathing schedules for certain residents.

    Management and administrative performance show both responsiveness and room for improvement. Multiple reviewers praised responsive leadership, quick administrative replies, and supportive holiday or hospice coordination; others reported administrative coordination failures such as lost discharge paperwork or missed follow-up, indicating variability in administrative processes. Families also raised concerns about care continuity at shift changes and communication tone from some staff members.

    Notable patterns for prospective residents and families: Garnet Hill appears to offer high-quality rehabilitation services, attractive facilities, and strong activity programming, with many staff who are praised for compassion and helpfulness. However, operational weaknesses — principally inconsistent nursing responsiveness, staffing shortfalls affecting routine care, medication- and escalation-related gaps, and occasional sanitation and administrative inconsistencies — recur across reviews. Families considering placement should probe staffing levels (especially overnight), medication-safety and escalation protocols, private-room availability, and the facility’s processes for bathing and incontinence care, and should ask how management monitors and addresses the specific operational issues noted above.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Garnet Hill Rehabilitation and Skilled Care is located at 1420 McCreary Rd, Wylie, TX, 75098.

    About Garnet Hill Rehabilitation and Skilled Care

    Garnet Hill Rehabilitation And Skilled Care is a government-hospital district facility affiliated with Stonegate Senior Living and owned by Pf Gh Snf Ops, LLC and South Limestone Hospital District. The facility has 128 certified beds and usually cares for about 104 residents each day. Staff includes certified nursing assistants and nurses on-site 24 hours a day, and the team works to provide both long-term care and short-term rehabilitation with skilled nursing support. Garnet Hill offers physical, occupational, and speech therapies alongside a wide range of restorative and outpatient rehabilitation services. The facility also provides care designed to meet each resident's individual needs, with amenities and programs that promote comfort and socialization for senior residents, including memory care and assisted living options.

    The facility has a nurse turnover rate of 27.2%, and nurses deliver about 3.45 hours of care per resident per day, which matches the state's standards. Residents have access to a variety of amenities like air conditioning, wheelchair access, meal services, a library, and a gallery, along with a dining area meant for gathering and social activities. There are wellness activities for seniors and programs aimed at rehabilitation to home, plus respite care services available for families that need them. The facility focuses on family involvement and community-building, with specialized community and social programs to help each resident maintain their quality of life.

    Garnet Hill has had 39 deficiencies noted during inspections. These include issues with proper resident assessments, food sourcing and storage standards, and keeping personal and medical records confidential. There are also three deficiencies related to infection control, as well as other findings about resident rights, nutrition, and care planning. The overall rating for Garnet Hill stands at 2.0 stars, which is considered "Good" according to state measures, though areas for improvement have been identified in official reports. The facility does not have published pricing available.

    People often ask...

    Garnet Hill Rehabilitation and Skilled Care offers skilled nursing.

    There are 12 photos of Garnet Hill Rehabilitation and Skilled Care on Mirador.

    The full address for this community is 1420 McCreary Rd, Wylie, TX 75098.

    No, Garnet Hill Rehabilitation and Skilled Care does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000Rs8SLAAZ
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity128 residents
    LicenseeSouth Limestone Hospital District
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    3

    Reports

    14

    Citations

    0

    Complaints

    0

    Years

    29 Sept 2026Inspection
    Identified a safety deficiency related to hazards in the nursing home area. The area was not free of dangers that could cause accidents.
    • —Health Visit
    23 Apr 2026Inspection
    Found deficiencies in medication oversight, catheter use, foot care, parenteral fluid care, and bladder care. The violations included poor pharmacist communication, improper tapering of psychotropic drugs, unnecessary catheterization, inadequate foot care, improper administration of parenteral fluids, and insufficient bladder infection prevention.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    22 Apr 2026Life Safety
    Identified multiple fire and life safety deficiencies, including documentation gaps and inadequate smoking policies. Found failures related to cooking equipment, sprinkler systems, smoke compartmentation, and exhaust design.
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Garnet Hill Rehabilitation and Skilled Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Garnet Hill Rehabilitation and Skilled Care directly. There is no cost for this service. We are compensated by the community you select.

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