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.
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.
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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.
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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.
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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.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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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.