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Garrison Nursing Home & Rehabilitation Center

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333 North Fm 95, Garrison, TX 75946 (opens Google Maps) · Nacogdoches County · (936) 347-2234· 93 certified beds · avg 80 residents/day · certified since Jan 1, 2008 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CARING HEALTHCARE GROUP (14 facilities, chain avg rating 3.0★)

3/5
Health inspection rating (on-site)
inspected Jul 30, 2025
2
Serious findings on record
most recent Feb 8, 2024
$52,951
Fines, last 3 years
3.87
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, pattern · Feb 8, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Feb 9, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Feb 8, 2024 · F-0607 · triggered by a complaint

The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 12, 2023 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

  2. E · Potential for more than minimal harm, pattern

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689

  3. D · Potential for more than minimal harm, isolated

    The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641

View all 13 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jul 30, 2025F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jul 30, 2025E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jul 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jun 26, 2024E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Jun 26, 2024C · Potential for minimal harm, widespreadThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Feb 8, 2024▲ K · Immediate jeopardy, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Feb 8, 2024▲ J · Immediate jeopardy, isolatedThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Feb 8, 2024E · Potential for more than minimal harm, patternThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Feb 8, 2024D · Potential for more than minimal harm, isolatedThe facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff. · from a complaint · F-0840
May 10, 2023E · Potential for more than minimal harm, patternThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
May 10, 2023D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
May 10, 2023D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 3
Serious citations (G–L): 0
2024
All citations: 7
Serious citations (G–L): 2
2025
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202330E
202472K ▲
202530F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

3 fines totaling $52,951.

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.

DateTypeAmount / length
Aug 22, 2024Fine$28,129
Feb 8, 2024Fine$8,021
Feb 8, 2024Fine$16,801

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.87
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.24
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.10
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.873.463.95top 18% in Texas; top 45% in the U.S.
Registered Nurse hours0.240.440.69bottom 15% in Texas; bottom 4% in the U.S.
Weekend total nurse staffing3.103.043.50top 34% in Texas; bottom 37% in the U.S.
Weekend RN hours (not acuity-adjusted)0.310.340.48top 44% in Texas; bottom 35% in the U.S.
Total nursing staff turnover (%)45.755.345.8top 35% in Texas; bottom 48% in the U.S.
RN turnover (%)44.454.642.9top 37% in Texas; bottom 45% in the U.S.

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 4.43, RN 0.27, weekend 3.55.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.43 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Garrison Nursing Home & Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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 - Individual

Owner / managerTypeRoleStakeSince
Havins, JoshuaIndividualW-2 Managing EmployeeNOT APPLICABLE03/16/2020
Murrell, EdwardIndividualCorporate OfficerNOT APPLICABLE11/30/2012
Shapiro, MenachemIndividualOperational/Managerial ControlNOT APPLICABLE08/31/2014
Winnie-Stowell Hospital DistrictOrganizationOperational/Managerial ControlNOT APPLICABLE05/01/2004

All 4 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 Caring Healthcare Group — 14 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.

Listed by state, then facility name — not a ranking. Showing 8 of the 13 others, continuing from this facility's own place in that list.

Questions to ask on your visit

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?"
  • "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "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?"
  • "Where do you post your daily staffing numbers, and can I see today's?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 46% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Stallings Court Nursing and Rehabilitation15.0 miNacogdoches, TX★★★★★4/5
Willowbrook Nursing Center15.1 miNacogdoches, TX★★★☆☆3/5
Westward Trails Nursing and Rehabilitation16.6 miNacogdoches, TX★★★☆☆4/5
Focused Care of Center18.5 miCenter, TX★★★☆☆2/5abuse

Compare this facility with the 3 closest →

All facilities in Garrison →

Facility data as of CMS processing date 2026-08-01. CCN 676177.

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