GANADO NURSING AND REHABILITATION CENTER in Ganado, TX has a 2 out of 5 star overall rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (2.79 vs 4.1 hours per resident per day). It also has $8,422 in fines in the last 24 months and a recent federal penalty; health inspections are 3 stars and quality measures are 4 stars.
Last inspection: February 25, 2026Penalties, last 24 months: $8,422recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7937.
Staffing detail
Registered nurses
0.42
Licensed practical nurses
0.85
Nurse aides
1.52
Weekend nursing
2.41
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.3%Worsening
Residents with a fall causing major injury
8.4%Worsening
Residents with pressure ulcers (bedsores)
2.5%Steady
Residents with a urinary tract infection
0.6%Worsening
Residents who lost too much weight
0.7%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.4%Worsening
Residents whose ability to walk got worse
8.7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
17.3%Worsening
Short-stay residents newly given an antipsychotic
3.6%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
4.9%Worsening
Residents with depressive symptoms
1.3%Improving
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
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — 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 food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide activities that met all residents’ needs. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — 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 February 2026 — 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 8 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $8,422 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $8,422 in total fines.
Federal fine
May 15, 2025
$8,422
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
50.3 residents on an average day (55% of 91 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 16 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.