How to file a complaint about care →

1 fine totaling $8,422.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.03, RN 0.43, weekend 2.43.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.03 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

All 20 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Creative Solutions in Healthcare — 149 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Georgia Manor Nursing Home — Amarillo, TX · overall 2/5
• Gilmer Nursing & Rehabilitation — Gilmer, TX · overall 1/5
• Grace Pointe Wellness Center — El Paso, TX · overall 1/5
• Graham Oaks Care Center — Graham, TX · overall 1/5abuse
• Granbury Care Center — Granbury, TX · overall 1/5
• Granbury Rehab & Nursing — Granbury, TX · overall 2/5
• Great Plains Nursing and Rehabilitation — Dumas, TX · overall 5/5
• Greenbrier Nursing & Rehabilitation Center of Pale — Palestine, TX · overall 4/5

Listed by state, then facility name — not a ranking. Showing 8 of the 148 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
• "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
• "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
• "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
• "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
• "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
• "Could I join residents for a meal to see the food quality and temperature for myself?"
• "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Ganado →