Texas › Young County › Graham
Graham Oaks Care Center
1325 First St, Graham, TX 76450
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.
Graham Oaks Care Center is a For-profit, corporation nursing home in Graham, Texas, certified for 110 beds and caring for about 76 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 16 health deficiencies across the three most recent survey cycles (6, 4, 6 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 14.5 per 100 beds, fewer than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $35K.
Reported nurse staffing is 3.0 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 94.4%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Young Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 16 | 25 | 28.7 |
| Citations per 100 beds | 14.5 | 14.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 94.4% | 46.4% | 52.1% | 45.8% |
| Fines listed | $34,690 | $0 | $16,801 | — |
County and state figures are medians across facilities (3 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: 9 Apr 2026, 22 Jan 2025.
Severity mix: J ×2 G ×1 D ×9 E ×3 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 |
|---|---|---|---|---|---|
| 14 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 30 Jun 2026 |
| 9 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Apr 2026 |
| 25 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Mar 2026 |
| 8 Nov 2025 | F0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | C | Complaint investigation | 9 Nov 2025 |
| 10 Oct 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 3 Sep 2025 |
| 10 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 3 Sep 2025 |
| 23 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 9 Jun 2025 |
| 22 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 23 Jan 2025 |
| 22 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 23 Jan 2025 |
| 18 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 25 Oct 2024 |
| 7 Dec 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 8 Dec 2023 |
| 7 Dec 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 5 Jan 2024 |
| 7 Dec 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 5 Jan 2024 |
| 7 Dec 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 5 Jan 2024 |
| 7 Dec 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 5 Jan 2024 |
| 9 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 29 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Oct 2025 | Fine | $17,345 | |
| 10 Oct 2025 | Fine | $17,345 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 94.4%, RNs 100.0%; — 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 | 28.9% | 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 | 0.7% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.6% | 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 | 9.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.1% | 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: County Of Throckmorton. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| County of Throckmorton | 5% or greater direct ownership interest | 100% | 07/01/2022 |
| Graham I Enterprises, LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| Graham I Enterprises, LLC | Adp of the snf | NOT APPLICABLE | 04/12/2025 |
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 Young County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Graham | Graham | 116 | 5 | 5 | 2 | 15 | 12.9 | — | 14 Aug 2025 |
| Olney Rehabilitation and Care Center | Olney | 99 | 4 | 4 | 2 | 20 | 20.2 | — | 11 Dec 2025 |
All 3 facilities in Young County
Questions and answers
How many deficiencies has Graham Oaks Care Center been cited for?
16 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Graham Oaks Care Center been fined?
Yes. CMS lists fines totalling $35K in the period covered.
How does staffing at Graham Oaks Care 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 Graham Oaks Care Center?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include County of Throckmorton and Graham I Enterprises, LLC. Individual owners and managers are not listed on this site.
When was Graham Oaks Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 14 Jun 2026; the most recent standard health survey was 9 Apr 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.