Texas › Nacogdoches County › Garrison
Garrison Nursing Home & Rehabilitation Center
333 North Fm 95, Garrison, TX 75946
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.
Garrison Nursing Home & Rehabilitation Center is a For-profit, individual nursing home in Garrison, Texas, certified for 93 beds and caring for about 80 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 2 and quality measures 4.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (3, 3, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 14.0 per 100 beds, fewer than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $53K.
Reported nurse staffing is 4.4 hours per resident per day (0.3 RN), above the Texas median of 3.3; nursing staff turnover is 45.7%.
Compared with county, state and nation
| Measure | This facility | Nacogdoches Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 24 | 25 | 28.7 |
| Citations per 100 beds | 14.0 | 20.8 | 22.5 | 26.8 |
| Total nurse hours per resident day | 4.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 45.7% | 45.7% | 52.1% | 45.8% |
| Fines listed | $52,951 | $52,951 | $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: 30 Jul 2025, 26 Jun 2024.
Severity mix: J ×1 K ×1 D ×5 E ×4 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 Jul 2025 |
| 30 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 31 Jul 2025 |
| 30 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 31 Jul 2025 |
| 26 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Jun 2024 |
| 26 Jun 2024 | 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 | 27 Jun 2024 |
| 26 Jun 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 27 Jun 2024 |
| 8 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 9 Feb 2024 |
| 8 Feb 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 12 Oct 2023 |
| 8 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 9 Feb 2024 |
| 8 Feb 2024 | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Complaint investigation | 9 Feb 2024 |
| 10 May 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 12 May 2023 |
| 10 May 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 12 May 2023 |
| 10 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 12 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 22 Aug 2024 | Fine | $28,129 | |
| 8 Feb 2024 | Fine | $16,801 | |
| 8 Feb 2024 | Fine | $8,021 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 45.7%, RNs 44.4%; 0 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 | 13.4% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.5% | 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, individual. Chain: Caring Healthcare Group (14 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Winnie-Stowell Hospital District | Operational/managerial control | NOT APPLICABLE | 05/01/2004 |
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 Nacogdoches County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Stallings Court Nursing and Rehabilitation | Nacogdoches | 120 | 5 | 4 | 3 | 25 | 20.8 | — | 28 May 2026 |
| Westward Trails Nursing and Rehabilitation | Nacogdoches | 108 | 3 | 4 | 1 | 24 | 22.2 | $25K | 20 Nov 2025 |
| Willowbrook Nursing Center | Nacogdoches | 166 | 3 | 3 | 1 | 23 | 13.9 | $153K | 9 Jul 2025 |
All 4 facilities in Nacogdoches County
Questions and answers
How many deficiencies has Garrison Nursing Home & Rehabilitation Center been cited for?
13 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Garrison Nursing Home & Rehabilitation Center been fined?
Yes. CMS lists fines totalling $53K in the period covered.
How does staffing at Garrison Nursing Home & Rehabilitation Center compare?
Reported total nurse staffing is 4.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Garrison Nursing Home & Rehabilitation Center?
It is part of the Caring Healthcare Group chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Winnie-Stowell Hospital District. Individual owners and managers are not listed on this site.
When was Garrison Nursing Home & Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 30 Jul 2025; the most recent standard health survey was 30 Jul 2025.
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.