nursing home in Graham, TX
Graham Oaks Care Center
1325 First St, Graham, TX 76450 · (940) 549-8787
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Graham Oaks Care Center at a glance
Graham Oaks Care Center is a 110-bed for-profit nursing home in Graham, Texas (Young County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (April 9, 2026) found 6 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $34,690.
Nursing staff turnover is 94.4% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 110
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- October 28, 1991
- Resident/family council
- Resident
- County
- Young County
- CMS Certification Number
- 455968
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.99 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.80 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.57 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 94.4% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 100% | 54.6% | 42.9% | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 48 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $34,690 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 110 | 113 | 107 | |
| Average residents per day | 76 | 76 | 86 | |
| Occupancy | 69.1% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.6% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.5% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 13.1% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 28.9% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 9.4% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.1% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.9% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0.7% | 0% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.8% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 16.2% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 14, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected June 30, 2026 |
| April 9, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 30, 2026 |
| April 9, 2026 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected May 6, 2026 |
| April 9, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 30, 2026 |
| April 9, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected April 23, 2026 |
| April 9, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 30, 2026 |
| March 25, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 26, 2026 |
| November 8, 2025 Complaint | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Administration Deficiencies · Tag F0844 | C No harm, widespread | Corrected November 9, 2025 |
| October 10, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected September 3, 2025 |
| October 10, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected September 3, 2025 |
| May 23, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 9, 2025 |
| January 22, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected January 24, 2025 |
| January 22, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected January 23, 2025 |
| January 22, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 23, 2025 |
| October 18, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected October 25, 2024 |
| December 7, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected December 20, 2023 |
| December 7, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected December 8, 2023 |
| December 7, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected January 5, 2024 |
| December 7, 2023 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected January 5, 2024 |
| December 7, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 5, 2024 |
| December 7, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected January 5, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $17,345 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 10, 2025 | Fine | $17,345 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| COUNTY OF THROCKMORTON Organization | 5% or greater direct ownership interest | 100% | 07/01/2022 |
| BLAKE, GARY Individual | adp of the snf | NOT APPLICABLE | 01/01/2019 |
| COOK, ROXY Individual | adp of the snf | NOT APPLICABLE | 04/12/2025 |
| GRAHAM I ENTERPRISES, LLC Organization | adp of the snf | NOT APPLICABLE | 04/12/2025 |
| PURDY, AARON Individual | adp of the snf | NOT APPLICABLE | 04/12/2025 |
| HUGGINS, LINDA Individual | corporate director | NOT APPLICABLE | 07/01/2022 |
| WILLIG, ZACHARY Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| GOBER, KIRBY Individual | corporate officer | NOT APPLICABLE | 06/20/2014 |
| BROCKMAN, GREGORY Individual | managing control - governing body | NOT APPLICABLE | 01/01/2021 |
| GOBER, KIRBY Individual | managing control - governing body | NOT APPLICABLE | 06/20/2014 |
| HIBBITTS, KASEY Individual | managing control - governing body | NOT APPLICABLE | 06/18/2020 |
| HODGES, CALEB Individual | managing control - governing body | NOT APPLICABLE | 01/01/2023 |
| MITCHELL, KLAYTON Individual | managing control - governing body | NOT APPLICABLE | 01/31/2020 |
| WELLS, CASEY Individual | managing control - governing body | NOT APPLICABLE | 05/10/2004 |
| BLAKE, GARY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| BLAKE, MALISA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| GRAHAM I ENTERPRISES, LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2019 |
Other nursing homes near Graham Oaks Care Center
Avir at Graham
1224 Corvadura St, Graham, TX 76450 · 1 mi
Government · 116 beds · Part of Avir Health Group
★★★★★5Much above average- ★★★★★4Above average
Avir at Jacksboro
211 E Jasper St, Jacksboro, TX 76458 · 25.5 mi
For-profit · 104 beds · Part of Avir Health Group
★★★★★4Above averageVilla Haven Health and Rehabilitation Center
300 S Jackson St, Breckenridge, TX 76424 · 30 mi
Government · 92 beds · Part of Fundamental Healthcare
★★★★★5Much above averagePalo Pinto Nursing Center
200 Southwest 25th Ave, Mineral Wells, TX 76067 · 32.3 mi
For-profit · 106 beds · Part of Advanced Healthcare Solutions
★★★★★3AverageMineral Wells Nursing & Rehabilitation
316 Southwest 25th Avenue, Mineral Wells, TX 76067 · 32.4 mi
For-profit · 109 beds · Part of Creative Solutions in Healthcare
★★★★★4Above average
Frequently asked questions
What is Graham Oaks Care Center's rating?
Graham Oaks Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Graham Oaks Care Center receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Graham Oaks Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Graham Oaks Care Center?
It is for profit - corporation and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Graham Oaks Care Center and how do I contact it?
Graham Oaks Care Center is at 1325 First St, Graham, TX 76450. Phone: (940) 549-8787.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.