Nursing home report
Kilgore, TX · Medicare-certified · 127 beds
Arbor Grace Guest Care Center in Kilgore, TX has a 2 out of 5 overall rating. The most important concerns are its 1 out of 5 staffing rating, reported nurse staffing below the federal benchmark (3.58 vs. 4.1 hours per resident per day), a recent federal penalty, and $187,096 in fines over the last 24 months.
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 proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2023 — limited pattern, immediate jeopardy to residents.
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.
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.
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.
F-Tag 770 — 42 CFR §483.50 — S/S: K
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
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 · $187,096 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.
