Texas·Denton County·Carrollton

Brookhaven Nursing And Rehabilitation Center in Carrollton, Denton County, Texas

Carrollton, Denton County, Texas 75010

Status Medicare and Medicaid certifiedMedicare CCN 455412
HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Location and contact

Address
1855 Cheyenne Dr.
Carrollton, TX 75010
Open map (OpenStreetMap)
Phone
(972) 394-7141
HHSC facility ID
005202
License number
308151

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Flags in the CMS file

This home has an abuse icon in the CMS file. That is a CMS designation, not a finding we added. Read the explainer and the official complaint channels in the footer.

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
MeasureThis facilityTexas average (this site)
Total nurse staffing—3.42 hours n=1,152
Registered nurse—0.44 hours
LPN—0.95 hours
Nurse aide—2.03 hours
Weekend nurse staffing—2.99 hours

Total nursing staff turnover
69.8% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover
77.8%
Average residents per day
109.9
Certified beds (CMS)
180

Penalties in the CMS Provider Information file: 3 finestotaling $24,739; 3 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
DateTypeFine amountPayment denial
August 27, 2025Fine · Fine ID 135684$9,272—
December 18, 2024Fine · Fine ID 113474$8,021—
December 29, 2023Fine · Fine ID 112060$7,446—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
MeasureStayFour-quarter averageUsed in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased
Quarterly scores

Q1 31.0% · Q2 28.6% · Q3 12.9% · Q4 8.0% · Period 2025Q3-2026Q2 · Measure code 401

Long Stay19.1%Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder
Quarterly scores

Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406

Long Stay0.4%Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection
Quarterly scores

Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 1.9% · Period 2025Q3-2026Q2 · Measure code 407

Long Stay0.7%Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury
Quarterly scores

Q1 2.2% · Q2 1.0% · Q3 0.9% · Q4 0.9% · Period 2025Q3-2026Q2 · Measure code 410

Long Stay1.2%Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened
Quarterly scores

Q1 20.7% · Q2 27.0% · Q3 13.7% · Q4 10.0% · Period 2025Q3-2026Q2 · Measure code 451

Long Stay17.7%Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers
Quarterly scores

Q1 4.6% · Q2 4.4% · Q3 3.7% · Q4 3.1% · Period 2025Q3-2026Q2 · Measure code 479

Long Stay3.9%Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication
Quarterly scores

Q1 6.8% · Q2 9.4% · Q3 15.4% · Q4 14.8% · Period 2025Q3-2026Q2 · Measure code 481

Long Stay12.1%Yes, as published by CMS
Percentage of long-stay residents who lose too much weight
Quarterly scores

Q1 2.4% · Q2 2.3% · Q3 3.0% · Q4 4.0% · Period 2025Q3-2026Q2 · Measure code 404

Long Stay3.0%No, as published by CMS
Percentage of long-stay residents who have depressive symptoms
Quarterly scores

Q1 2.6% · Q2 2.4% · Q3 4.0% · Q4 11.0% · Period 2025Q3-2026Q2 · Measure code 408

Long Stay5.0%No, as published by CMS
Percentage of long-stay residents who were physically restrained
Quarterly scores

Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409

Long Stay0.2%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 100.0% · Q2 92.8% · Q3 98.3% · Q4 99.1% · Period 2025Q3-2026Q2 · Measure code 415

Long Stay97.6%No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Quarterly scores

Q1 21.7% · Q2 21.3% · Q3 20.0% · Q4 23.8% · Period 2025Q3-2026Q2 · Measure code 452

Long Stay21.7%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454

Long Stay92.7%No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence
Quarterly scores

Q1 21.4% · Q2 21.4% · Q3 6.3% · Q4 6.3% · Period 2025Q3-2026Q2 · Measure code 480

Long Stay13.1%No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication
Quarterly scores

Q1 0.0% · Q2 4.2% · Q3 — (CMS footnote 9) · Q4 4.8% · Period 2025Q3-2026Q2 · Measure code 434

Short Stay3.2%Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 94.4% · Q2 87.7% · Q3 85.7% · Q4 97.3% · Period 2025Q3-2026Q2 · Measure code 430

Short Stay91.1%No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472

Short Stay68.6%No, as published by CMS

Inspection citations

47 health citations in the CMS file (31 from complaint surveys). Highest scope/severity letter in the file: K — Pattern, immediate jeopardy.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
SeverityIsolatedPatternWidespread
Potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harmGHI
Immediate jeopardyJKL
2026 — 1 citation

Tag 0880D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: May 27, 2026

CMS records a correction date (June 3, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 12 citations

Tag 0644D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: December 3, 2025

CMS records a correction date (January 16, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0628D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 4, 2025

CMS records a correction date (November 17, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0600K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: October 3, 2025

CMS records a correction date (October 6, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0600G

G — Isolated, actual harm

Complaint survey

Survey date: August 27, 2025

Past non-compliance, as recorded by CMS

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 23, 2025

CMS records a correction date (August 30, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0761E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 23, 2025

CMS records a correction date (August 30, 2025)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0677E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 23, 2025

CMS records a correction date (August 23, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0655D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 23, 2025

CMS records a correction date (August 23, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0638E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 23, 2025

CMS records a correction date (August 30, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0636D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: July 23, 2025

CMS records a correction date (August 30, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0551D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 4, 2025

CMS records a correction date (March 27, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0726D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: February 12, 2025

CMS records a correction date (March 12, 2025)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2024 — 22 citations

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: December 18, 2024

Past non-compliance, as recorded by CMS (November 13, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0791D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 30, 2024

CMS records a correction date (September 5, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0755D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 30, 2024

CMS records a correction date (September 5, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0689E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: August 30, 2024

CMS records a correction date (September 5, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0687D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 30, 2024

CMS records a correction date (September 5, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0656D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 30, 2024

CMS records a correction date (September 5, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0645D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 30, 2024

CMS records a correction date (September 5, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0641D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 30, 2024

CMS records a correction date (September 5, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0585D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 30, 2024

CMS records a correction date (September 5, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0558D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 30, 2024

CMS records a correction date (September 5, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0880E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 6, 2024

CMS records a correction date (July 19, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 6, 2024

CMS records a correction date (July 19, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0755E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 6, 2024

CMS records a correction date (July 19, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0693D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 6, 2024

CMS records a correction date (July 19, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0690E

E — Pattern, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 6, 2024

CMS records a correction date (July 19, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 6, 2024

CMS records a correction date (July 19, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0684D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 6, 2024

CMS records a correction date (July 19, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0677D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: June 6, 2024

CMS records a correction date (July 19, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0558D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: June 6, 2024

CMS records a correction date (July 19, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0761D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: January 30, 2024

CMS records a correction date (March 1, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

2 more 2024 citations

Tag 0755E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: January 30, 2024

CMS records a correction date (March 1, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0689E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: January 30, 2024

CMS records a correction date (March 1, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

2023 — 12 citations

Tag 0919D

D — Isolated, potential for more than minimal harm

Complaint survey, Infection-control inspection

Survey date: December 29, 2023

CMS records a correction date (January 26, 2024)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: December 29, 2023

Past non-compliance, as recorded by CMS (November 30, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 25, 2023

CMS records a correction date (June 2, 2023)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: April 25, 2023

CMS records a correction date (June 2, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0761E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: April 25, 2023

CMS records a correction date (May 6, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0755D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 25, 2023

CMS records a correction date (May 6, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0732C

C — Widespread, potential for minimal harm

Standard survey

Survey date: April 25, 2023

CMS records a correction date (May 6, 2023)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0695D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 25, 2023

CMS records a correction date (May 6, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0693D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 25, 2023

CMS records a correction date (May 6, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0690D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 25, 2023

CMS records a correction date (May 6, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0687D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 25, 2023

CMS records a correction date (May 6, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0584D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 25, 2023

CMS records a correction date (May 6, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective
April 1, 2024
License expires
April 1, 2027
Initial license date
February 12, 1986
Facility licensed
Yes
Facility certified (HHSC)
Yes
Service type
MEDICARE/MEDICAID
Total licensed capacity
180 beds
Bed mix (HHSC)
Licensed only 0; Medicaid only 0; Medicare only 39; Medicare/Medicaid 141; ICF/IID 0
Alzheimer capacity
0
Administrator
Esther Ikonne
Management company
Dhc Opco Carrollton LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: For profit - Corporation

CMS ownership records
NameRoleTypeShareAssociated
OLNEY-HAMILTON HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 04/01/2021
HUFF, MICHAELCORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/01/2021
PMG OPCO - CARROLLTON, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2025
BAUDER, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2025
COIL, RYANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2025
DVORAK, KENNETHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2025
BAUDER, KELLYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/25/2026
BAUDER, MADISONINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/25/2026
BAUDER, PARKERINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/25/2026
BOULWARE, STEVENINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/25/2026
BOULWARE, THOMASINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/25/2026
WALKER, KATIEINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/25/2026
4 more CMS ownership records
Additional CMS ownership records
NameRoleTypeShareAssociated
PMG OPCO - CARROLLTON, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/25/2026
PRIORITY MANAGEMENT GROUP, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2025
COIL, RYANADP OF THE SNFIndividualNOT APPLICABLEsince 11/01/2025
DVORAK, KENNETHADP OF THE SNFIndividualNOT APPLICABLEsince 11/01/2025
HHSC owner fields
Owner (HHSC)
Olneyhamilton Hospital District
Type of entity (HHSC)
HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.