nursing home in Garrison, TX
Garrison Nursing Home & Rehabilitation Center
333 North Fm 95, Garrison, TX 75946 · (936) 347-2234
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Garrison Nursing Home & Rehabilitation Center at a glance
Garrison Nursing Home & Rehabilitation Center is a 93-bed for-profit nursing home in Garrison, Texas (Nacogdoches County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 4.4 hours of nursing care per day (0.3 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (July 30, 2025) found 3 health citations. The Texas average is 9.4.
Federal regulators fined it 3 times in the past three years, totaling $52,951.
Nursing staff turnover is 45.7% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 93
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Caring Healthcare Group
- Medicare-certified since
- January 1, 2008
- Resident/family council
- Resident
- County
- Nacogdoches County
- CMS Certification Number
- 676177
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.43 hrs | 3.39 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.27 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.83 hrs | 2.01 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.55 hrs | 2.98 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 45.7% | 55.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 54.6% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 63.3 | 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) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $52,951 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 93 | 113 | 107 | |
| Average residents per day | 80 | 76 | 86 | |
| Occupancy | 86.3% | 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) | 2.1% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 10.5% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 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) | 13.4% | 15.8% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 2.8% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 11.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 3.9% | 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) | 0.8% | 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 13 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 30, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected July 30, 2025 |
| July 30, 2025 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 July 31, 2025 |
| July 30, 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 | E Potential harm, pattern | Corrected July 31, 2025 |
| July 30, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 31, 2025 |
| June 26, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 31, 2024 |
| June 26, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 31, 2024 |
| June 26, 2024 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | E Potential harm, pattern | Corrected July 31, 2024 |
| June 26, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 27, 2024 |
| June 26, 2024 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 June 27, 2024 |
| June 26, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected June 27, 2024 |
| February 8, 2024 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 | K Immediate jeopardy, pattern | Corrected February 9, 2024 |
| February 8, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected October 12, 2023 |
| February 8, 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 | E Potential harm, pattern | Corrected February 9, 2024 |
| February 8, 2024 Complaint | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Tag F0840 | D Potential harm, isolated | Corrected February 9, 2024 |
| May 10, 2023 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected May 12, 2023 |
| May 10, 2023 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 | D Potential harm, isolated | Corrected May 12, 2023 |
| May 10, 2023 Standard | 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 May 12, 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 3 federal penalties in the past three years, including $52,951 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 22, 2024 | Fine | $28,129 |
| February 8, 2024 | Fine | $16,801 |
| February 8, 2024 | Fine | $8,021 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MURRELL, EDWARD Individual | corporate officer | NOT APPLICABLE | 11/30/2012 |
| SHAPIRO, MENACHEM Individual | operational/managerial control | NOT APPLICABLE | 08/31/2014 |
| WINNIE-STOWELL HOSPITAL DISTRICT Organization | operational/managerial control | NOT APPLICABLE | 05/01/2004 |
| HAVINS, JOSHUA Individual | w-2 managing employee | NOT APPLICABLE | 03/16/2020 |
Other nursing homes near Garrison Nursing Home & Rehabilitation Center
Stallings Court Nursing and Rehabilitation
4616 NE Stallings Dr, Nacogdoches, TX 75965 · 15 mi
For-profit · 120 beds · Part of Hmg Healthcare
- CMS high performer
★★★★★5Much above averageWillowbrook Nursing Center
227 Russell Blvd, Nacogdoches, TX 75965 · 15.1 mi
For-profit · 166 beds · Part of Hmg Healthcare
★★★★★3AverageWestward Trails Nursing and Rehabilitation
3001 Westward Drive, Nacogdoches, TX 75964 · 16.5 mi
For-profit · 108 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageFocused Care of Center
501 Timpson, Center, TX 75935 · 18.5 mi
For-profit · 92 beds · Part of Focused Post Acute Care Partners
- Abuse citation
★★★★★3AveragePine Grove Nursing Center
246 Haley Dr, Center, TX 75935 · 20.1 mi
For-profit · 120 beds · Part of Stonegate Senior Living
★★★★★5Much above averageAvir at Center
280 Moffitt Dr, Center, TX 75935 · 20.1 mi
For-profit · 137 beds · Part of Avir Health Group
★★★★★4Above average
Frequently asked questions
What is Garrison Nursing Home & Rehabilitation Center's rating?
Garrison Nursing Home & Rehabilitation Center has 3 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 Garrison Nursing Home & Rehabilitation Center receive?
Its most recent standard health inspection found 3 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Garrison Nursing Home & Rehabilitation 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 Garrison Nursing Home & Rehabilitation Center?
It is for profit - individual and part of Caring Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Garrison Nursing Home & Rehabilitation Center and how do I contact it?
Garrison Nursing Home & Rehabilitation Center is at 333 North Fm 95, Garrison, TX 75946. Phone: (936) 347-2234.
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.