Garland Nursing and Rehabilitation in Garland, TX has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It reports 3.11 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $73,300 in fines in the last 24 months plus a recent federal penalty.
Last inspection: March 12, 2026Penalties, last 24 months: $73,300recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1141.
Staffing detail
Registered nurses
0.31
Licensed practical nurses
1.04
Nurse aides
1.77
Weekend nursing
2.88
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 70%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.8%Steady
Residents with a fall causing major injury
4.5%Worsening
Residents with pressure ulcers (bedsores)
4.3%Improving
Residents with a urinary tract infection
1.3%Steady
Residents who lost too much weight
1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.9%Improving
Residents whose ability to walk got worse
17.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
28.9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
10.9%Steady
Residents with depressive symptoms
1.3%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.2%Worsening
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
92.8%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 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 promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
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PENALTY
A federal fine of $26,685 was recorded.
PENALTY
A federal fine of $12,038 was recorded.
PENALTY
A federal fine of $34,577 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $81,568 in total fines.
Federal fine
Nov 13, 2025
$26,685
Federal fine
Nov 26, 2024
$12,038
Federal fine
Aug 12, 2024
$34,577
Federal fine
Oct 11, 2023
$8,268
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
76.1 residents on an average day (70% of 109 beds)
Resident voice
Resident council
Medicare history
Certified for 27 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.