nursing home in Kilgore, TX
Arbor Grace Guest Care Center
2700 S. Henderson Blvd., Kilgore, TX 75662 · (903) 984-3511
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Arbor Grace Guest Care Center at a glance
Arbor Grace Guest Care Center is a 127-bed for-profit nursing home in Kilgore, Texas (Rusk 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 3.6 hours of nursing care per day (0.4 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (June 17, 2026) found 9 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $121,612.
Nursing staff turnover is 75.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 127
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 14, 1999
- Resident/family council
- Resident
- County
- Rusk County
- CMS Certification Number
- 675814
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) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.58 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.41 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.39 hrs | 2.01 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.13 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 75.3% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 69.2% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 97.3 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $121,612 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 127 | 113 | 107 | |
| Average residents per day | 84 | 76 | 86 | |
| Occupancy | 66.3% | 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) | 1.9% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.8% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 0% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 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) | 26.1% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 7.7% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.6% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.8% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 21.8% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 16.3% | 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) | 96% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 17, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected June 17, 2026 |
| June 17, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected June 17, 2026 |
| June 17, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 17, 2026 |
| June 17, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | B No harm, pattern | No revisit needed |
| June 17, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | E Potential harm, pattern | Corrected July 9, 2026 |
| June 17, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 18, 2026 |
| June 17, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 9, 2026 |
| June 17, 2026 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected July 9, 2026 |
| June 17, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 9, 2026 |
| June 17, 2026 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected June 18, 2026 |
| June 17, 2026 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected July 7, 2026 |
| June 17, 2026 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected July 9, 2026 |
| April 29, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected May 1, 2026 |
| April 2, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 23, 2025 |
| April 2, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected April 23, 2025 |
| April 2, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected April 23, 2025 |
| April 2, 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 | Waiver has been granted |
| April 2, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 23, 2025 |
| April 2, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 23, 2025 |
| April 2, 2025 Complaint | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 23, 2025 |
| April 2, 2025 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 23, 2025 |
| March 20, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 10, 2024 |
| March 20, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | B No harm, pattern | Corrected April 10, 2024 |
| March 20, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | B No harm, pattern | Waiver has been granted |
| March 20, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected March 21, 2024 |
| March 20, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 21, 2024 |
| March 20, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 21, 2024 |
| March 20, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 21, 2024 |
| March 20, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 21, 2024 |
| February 29, 2024 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 | D Potential harm, isolated | Corrected March 1, 2024 |
| February 23, 2024 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected February 24, 2024 |
| November 20, 2023 Complaint | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | D Potential harm, isolated | Corrected November 21, 2023 |
| November 20, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 21, 2023 |
| November 20, 2023 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 21, 2023 |
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 $121,612 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 29, 2026 | Fine | $121,612 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MPD ACQUISITION OF KILGORE, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 06/01/2023 |
| GAMVEST TEXAS LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2023 |
| KEGARISE, BRANDON Individual | adp of the snf | NOT APPLICABLE | 02/27/2023 |
| K-J-K VENTURE, LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2023 |
| MACHEN HEALTH MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2023 |
| MPD ACQUISITION OF KILGORE, LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2023 |
| MPD TEXAS RESOURCES OF KILGORE LLC Organization | adp of the snf | NOT APPLICABLE | 04/29/2025 |
| SHEN, HONG-I Individual | adp of the snf | NOT APPLICABLE | 06/01/2023 |
| HOOPER, GRADY Individual | corporate officer | NOT APPLICABLE | 06/01/2023 |
| GAMBLE, DENNY Individual | operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| KEGARISE, BRANDON Individual | operational/managerial control | NOT APPLICABLE | 02/27/2023 |
| MACHEN, MATT Individual | operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| MPD TEXAS RESOURCES OF KILGORE LLC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| SHEN, HONG-I Individual | operational/managerial control | NOT APPLICABLE | 06/01/2023 |
Other nursing homes near Arbor Grace Guest Care Center
Willow Rehab & Nursing
1901 Whippoorwill, Kilgore, TX 75662 · under 1 mi
For-profit · 118 beds · Part of Advanced Healthcare Solutions
★★★★★3AverageAvir at Overton
1110 Hwy 135 S, Overton, TX 75684 · 8.2 mi
For-profit · 100 beds · Part of Avir Health Group
- Abuse citation
★★★★★2Below averagePine Tree Lodge Nursing Center
2711 Pine Tree Rd, Longview, TX 75604 · 12.4 mi
Government · 92 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below averageHighland Pines Nursing Home
1100 N 4th Street, Longview, TX 75601 · 12.8 mi
Government · 171 beds · Part of Opco Skilled Management
★★★★★2Below averageTruman W Smith Children's Care Center
2200 W Upshur Ave, Gladewater, TX 75647 · 13.6 mi
For-profit · 120 beds
★★★★★5Much above averageHeritage at Longview Healthcare Center
112 Ruthlynn Dr, Longview, TX 75605 · 13.6 mi
For-profit · 140 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average
Frequently asked questions
What is Arbor Grace Guest Care Center's rating?
Arbor Grace Guest 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 Arbor Grace Guest Care Center receive?
Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Arbor Grace Guest 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 Arbor Grace Guest Care Center?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Arbor Grace Guest Care Center and how do I contact it?
Arbor Grace Guest Care Center is at 2700 S. Henderson Blvd., Kilgore, TX 75662. Phone: (903) 984-3511.
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.