The nursing home failed to protect residents from abuse and neglect by others. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Graham Oaks Care Center
Graham, TX · Medicare-certified · 110 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
1 of 5 stars overall. Graham Oaks Care Center has a 1-star staffing rating with reported nurse staffing of 2.14 hours per resident per day versus the 4.1 federal benchmark, 2-star health inspection and 3-star quality ratings, $34,690 in fines in the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.1409 hrs/resident/day
Quality measures
Last inspection: March 25, 2026Penalties, last 24 months: $34,690recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.1409.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.79
- Nurse aides
- 1.00
- Weekend nursing
- 1.60
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.6%12.8%Worsening
Residents with a fall causing major injury
6.8%12.3%Worsening
Residents with pressure ulcers (bedsores)
6.3%3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%2.3%Worsening
Residents who were physically restrained
1.4%0%Improving
Residents needing more help with daily activities
6.2%34.8%Worsening
Residents whose ability to walk got worse
4.6%13.5%Worsening
Long-stay residents on antianxiety or sleep medication
10.2%13%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
8.8%17%Worsening
Residents with depressive symptoms
0%1.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 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 provide safe, appropriate pain management for a resident who needed it. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $17,345 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $34,690 in total fines.
- $17,345
Federal fine
Oct 10, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 78.2 residents on an average day (71% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.