Nursing home report
Kilgore, TX · Medicare-certified · 127 beds
Arbor Grace Guest Care Center in Kilgore, TX has an overall rating of 1 out of 5 stars, with 1 star for staffing and 2 stars for health inspections. Reported nurse staffing is 3.58 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $121,612 in fines in the last 24 months, including a recent federal penalty.
Health inspections
Staffing
3.5829 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5829.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
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.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited March 2024 — widespread issue, potential for harm.
F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited June 2026 — limited pattern, potential for harm.
F-Tag 605 — 42 CFR §483.12 — S/S: E
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 April 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 8 health deficiencies.
A federal fine of $121,612 was recorded.
A federal fine of $187,096 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $186,256 was recorded.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 5 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $121,612 in total fines.
Federal fine
Apr 29, 2026
Now operated by Hamilton County Hospital District, previously Mpd Texas Resources of Kilgore LLC.
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.
