The home failed to provide safe, appropriate pain management for a resident who needed it. Cited January 2026 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: K
Nursing home report
Advanced Rehabilitation and Healthcare of Garland
Registered name: Advanced Health & Rehab Center of Garland
Garland, TX · Medicare-certified · 139 beds
Needs attention
Government-runChain member
Data as of July 1, 2026
1 of 5 overall
Overall rating: 1 out of 5 stars. This facility has a 1-star health inspection rating, 2-star staffing rating, and 4-star quality measures rating, with reported nurse staffing at 2.97 hours per resident per day versus the 4.1-hour federal benchmark. It also has $237,224 in fines over the last 24 months and a recent federal penalty, with recent inspection concerns about pain management, respiratory care, and accident hazards/supervision.
Facility ratings
Health inspections
Staffing
2.9694 hrs/resident/day
Quality measures
Last inspection: February 5, 2026Penalties, last 24 months: $237,224recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9694.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 0.87
- Nurse aides
- 1.77
- Weekend nursing
- 2.68
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 54%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.6%4.2%Improving
Residents with a fall causing major injury
2.5%3.4%Worsening
Residents with pressure ulcers (bedsores)
3%5.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2%1.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.5%13.6%Worsening
Residents whose ability to walk got worse
3%11.3%Worsening
Long-stay residents on antianxiety or sleep medication
11.9%6.2%Improving
Short-stay residents newly given an antipsychotic
0%2.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9.5%4.8%Improving
Residents with depressive symptoms
0.9%0.9%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93%—
Long-stay residents given the pneumonia vaccine
99.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—51.9%—
Short-stay residents given the pneumonia vaccine
95.1%97.1%Improving
What the inspectors found
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited December 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 627 — 42 CFR §483.15(c) — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $144,255 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $14,020 was recorded.
- PENALTY
A federal fine of $78,949 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $237,224 in total fines.
- $144,255
Federal fine
Jan 5, 2026
- $14,020
Federal fine
Sep 12, 2025
- $78,949
Federal fine
Dec 2, 2024
Operator & ownership
Recent ownership change · Mar 1, 2023
Now operated by Hamilton County Hospital District, previously Garland Snf LLC.
- Ownership
- Government - Hospital district
- Chain
- Part of ADVANCED HEALTHCARE SOLUTIONS · 29 homes · 2.9 stars avg
- Occupancy
- 122.9 residents on an average day (88% of 139 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.