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Nursing home report

ARBOR GRACE GUEST CARE CENTER

KILGORE, TX · Medicare-certified · 127 beds

In good standing
For-profit
3 of 5 overall

ARBOR GRACE GUEST CARE CENTER in Kilgore, TX has a 3-star overall rating, with a strong 4-star health inspection score but a very low 1-star staffing rating. Reported nursing hours are 3.68 per resident day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.6845 hrs/resident/day

Quality measures

Last inspection: April 2, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6845.

Staffing detail

Registered nurses
0.39
Licensed practical nurses
0.91
Nurse aides
2.39
Weekend nursing
3.22

Hours per resident per day.

Total staff turnover: 97%
Registered nurse turnover: 100%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

0%Steady

Residents with a fall causing major injury

3.2%Improving

Residents with pressure ulcers (bedsores)

5.7%Improving

Residents with a urinary tract infection

0.4%Improving

Residents who lost too much weight

0.6%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

25.5%Worsening

Residents whose ability to walk got worse

10.9%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

22.5%Steady

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

15.1%Worsening

Residents with depressive symptoms

0.4%Steady

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

96%Steady

Short-stay residents given the pneumonia vaccine

99.8%Steady

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: K

The nursing home failed to protect residents from abuse and neglect by others. Cited February 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: K

The home failed to provide enough food and fluids to keep residents healthy. Cited February 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: K

The home failed to provide timely, quality lab services and tests needed by residents. Cited February 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 770 — 42 CFR §483.50 — S/S: K

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Operator & ownership

Ownership
For profit - Corporation
Occupancy
81.9 residents on an average day (64% of 127 beds)
Resident voice
Resident council
Medicare history
Certified for 26 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.