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 Health & Rehab Center of Garland
Garland, TX · Medicare-certified · 139 beds
Needs attention
Government-runChain member
2 of 5 overall
Overall 2 out of 5 stars. This facility has a 1-star health inspection rating, 2-star staffing, and reported nurse staffing of 3.20 hours per resident per day versus the 4.1-hour federal benchmark; it also has a recent federal penalty and $237,224 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.1964 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 3.1964.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 0.92
- Nurse aides
- 1.95
- Weekend nursing
- 2.86
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.4%Improving
Residents with a fall causing major injury
2.5%Improving
Residents with pressure ulcers (bedsores)
2.8%Improving
Residents with a urinary tract infection
0.2%Steady
Residents who lost too much weight
1.3%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.7%Improving
Residents whose ability to walk got worse
6.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
10.7%Worsening
Short-stay residents newly given an antipsychotic
0.7%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
6.5%Worsening
Residents with depressive symptoms
1.9%Improving
Long-stay residents given the seasonal flu vaccine
93%Steady
Long-stay residents given the pneumonia vaccine
99.6%Improving
Short-stay residents given the seasonal flu vaccine
51.9%Steady
Short-stay residents given the pneumonia vaccine
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
- Ownership
- Government - Hospital district
- Chain
- Part of ADVANCED HEALTHCARE SOLUTIONS · 30 homes · 3 stars avg
- Occupancy
- 122 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.