Elder Care Record

Texas › Jackson County › Ganado

Ganado Nursing and Rehabilitation Center

107 E Rogers, Ganado, TX 77962

CCN 676242 · For-profit, corporation · 91 certified beds · chain Creative Solutions In Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 91 beds, Ganado Nursing and Rehabilitation Center serves Ganado in Jackson County, Texas and has taken Medicare and Medicaid residents since 2010.

CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 2.

Inspectors recorded 20 health deficiencies across the three most recent survey cycles (8, 8, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 22.0 per 100 beds, about the same as the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $8K.

Reported nurse staffing is 3.0 hours per resident per day (0.4 RN), close to the Texas median of 3.3.

20health deficiencies, 3 survey cycles1 at actual harm or worse
$8Kfines listed by CMS1 penalty in period
3.0nurse hours per resident per daystate median 3.3
56%occupancy (residents ÷ beds)51 residents a day

Compared with county, state and nation

MeasureThis facilityJackson Co. medianTexas medianUS average
Overall star rating2433.0
Health citations, 3 cycles20202528.7
Citations per 100 beds22.022.022.526.8
Total nurse hours per resident day3.03.13.33.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover—40.6%52.1%45.8%
Fines listed$8,422$8,422$16,801—

County and state figures are medians across facilities (2 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)8
Cycle 28
Cycle 34

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Feb 2026, 15 Nov 2024.

Severity mix: J ×1 D ×12 E ×5 F ×1 C ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
25 Feb 2026F0679Provide activities to meet all resident's needs.EComplaint investigation26 Feb 2026
25 Feb 2026F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint investigation26 Feb 2026
25 Feb 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation26 Feb 2026
25 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey26 Feb 2026
25 Feb 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation26 Feb 2026
25 Feb 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation26 Feb 2026
25 Feb 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation26 Feb 2026
25 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigation26 Feb 2026
15 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation28 Apr 2025
15 Nov 2024F0761Ensure 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.EComplaint investigation16 Nov 2024
15 Nov 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation16 Nov 2024
15 Nov 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint investigation16 Nov 2024
15 Nov 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation16 Nov 2024
15 Nov 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation16 Nov 2024
21 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigation22 Oct 2024
21 Oct 2024F0732Post nurse staffing information every day.CComplaint investigation22 Oct 2024
29 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation27 Oct 2023
29 Sep 2023F0641Ensure each resident receives an accurate assessment.DComplaint investigation27 Oct 2023
29 Sep 2023F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation27 Oct 2023
31 Aug 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation28 Sep 2023

Penalties

DateTypeAmountDetail
15 May 2025Fine$8,422

Staffing

Total nursing3.03 h
Nurse aides1.56 h
LPN1.04 h
RN0.43 h
Weekend total2.43 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay19.9%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay8.2%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.6%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.6%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.5%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.1%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: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).

OrganisationRole in the CMS recordInterestSince
West Wharton County Hospital DistrictDirect ownership interestNOT APPLICABLE09/01/2022
Ganado I Enterprises LLCOperational/managerial controlNOT APPLICABLE09/01/2022
Ganado I Enterprises LLCAdp of the snfNOT APPLICABLE09/01/2022

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 Jackson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Southbrooke Manor Nursing and Rehabilitation CenteEdna1204421613.3—20 Feb 2026

All 2 facilities in Jackson County

Questions and answers

How many deficiencies has Ganado Nursing and Rehabilitation Center been cited for?

20 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 Ganado Nursing and Rehabilitation Center been fined?

Yes. CMS lists fines totalling $8K in the period covered.

How does staffing at Ganado Nursing and Rehabilitation Center compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Ganado Nursing and Rehabilitation Center?

It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include West Wharton County Hospital District and Ganado I Enterprises LLC. Individual owners and managers are not listed on this site.

When was Ganado Nursing and Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 25 Feb 2026; the most recent standard health survey was 25 Feb 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.