Texas › Rusk County › Kilgore
Arbor Grace Guest Care Center
2700 S. Henderson Blvd., Kilgore, TX 75662
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Arbor Grace Guest Care Center is a For-profit, corporation nursing home in Kilgore, Texas, certified for 127 beds and caring for about 84 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 3.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (9, 4, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 18.1 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $187K.
Reported nurse staffing is 3.6 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 75.3%.
Compared with county, state and nation
| Measure | This facility | Rusk Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 41 | 25 | 28.7 |
| Citations per 100 beds | 18.1 | 33.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 75.3% | 58.3% | 52.1% | 45.8% |
| Fines listed | $187,096 | $187,096 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Jun 2026, 2 Apr 2025.
Severity mix: J ×1 D ×17 E ×3 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Jun 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 9 Jul 2026 |
| 17 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Jun 2026 |
| 17 Jun 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 18 Jun 2026 |
| 17 Jun 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 7 Jul 2026 |
| 17 Jun 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Jul 2026 |
| 17 Jun 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 9 Jul 2026 |
| 17 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Jul 2026 |
| 17 Jun 2026 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 9 Jul 2026 |
| 29 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 1 May 2026 |
| 2 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 Apr 2025 |
| 2 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Apr 2025 |
| 2 Apr 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 23 Apr 2025 |
| 2 Apr 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 23 Apr 2025 |
| 20 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Mar 2024 |
| 20 Mar 2024 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 21 Mar 2024 |
| 20 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Mar 2024 |
| 20 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Mar 2024 |
| 20 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Mar 2024 |
| 29 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 1 Mar 2024 |
| 23 Feb 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 24 Feb 2024 |
| 20 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Nov 2023 |
| 20 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 21 Nov 2023 |
| 20 Nov 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | Complaint investigation | 21 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Apr 2026 | Fine | $187,096 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 75.3%, RNs 69.2%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Hamilton County Hospital District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mpd Acquisition of Kilgore, LLC | 5% or greater mortgage interest | NOT APPLICABLE | 06/01/2023 |
| Mpd Texas Resources of Kilgore LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| Gamvest Texas LLC | Adp of the snf | NOT APPLICABLE | 06/01/2023 |
| K-J-K Venture, LLC | Adp of the snf | NOT APPLICABLE | 06/01/2023 |
| Machen Health Management LLC | Adp of the snf | NOT APPLICABLE | 06/01/2023 |
| Mpd Acquisition of Kilgore, LLC | Adp of the snf | NOT APPLICABLE | 06/01/2023 |
| Mpd Texas Resources of Kilgore LLC | Adp of the snf | NOT APPLICABLE | 04/29/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Rusk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Autumn Leaves Nursing and Rehab Inc | Henderson | 125 | 2 | 2 | 1 | 42 | 33.6 | $15K | 7 May 2026 |
| Avir At Overtonabuse iconSFF Candidate | Overton | 100 | 2 | 1 | 3 | 41 | 41.0 | $341K | 20 May 2026 |
| Henderson Health & Rehabilitation Centerabuse icon | Henderson | 173 | 2 | 2 | 3 | 30 | 17.3 | $11K | 17 Sep 2025 |
All 4 facilities in Rusk County
Questions and answers
How many deficiencies has Arbor Grace Guest Care Center been cited for?
23 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Arbor Grace Guest Care Center been fined?
Yes. CMS lists fines totalling $187K in the period covered.
How does staffing at Arbor Grace Guest Care Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Arbor Grace Guest Care Center?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Mpd Texas Resources of Kilgore LLC. Individual owners and managers are not listed on this site.
When was Arbor Grace Guest Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 17 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.