CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Arbor Grace Guest Care Center is a 2-star Medicare and Medicaid certified nursing home in Kilgore, Texas with 127 certified beds. It has been operating since 1999. Its overall CMS rating is 2 out of 5.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure 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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Ensure 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.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
+ 12 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MPD ACQUISITION OF KILGORE, LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jun 1, 2023 |
| HOOPER, GRADY | CORPORATE OFFICER | Individual | N/A | Jun 1, 2023 |
| MPD TEXAS RESOURCES OF KILGORE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jun 1, 2023 |
| GAMBLE, DENNY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2023 |
| KEGARISE, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 27, 2023 |
| MACHEN, MATT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2023 |
| SHEN, HONG-I | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 1, 2023 |
| GAMVEST TEXAS LLC | ADP OF THE SNF | Organization | N/A | Jun 1, 2023 |
| K-J-K VENTURE, LLC | ADP OF THE SNF | Organization | N/A | Jun 1, 2023 |
| MACHEN HEALTH MANAGEMENT LLC | ADP OF THE SNF | Organization | N/A | Jun 1, 2023 |
| MPD ACQUISITION OF KILGORE, LLC | ADP OF THE SNF | Organization | N/A | Jun 1, 2023 |
| MPD TEXAS RESOURCES OF KILGORE LLC | ADP OF THE SNF | Organization | N/A | Apr 29, 2025 |
| KEGARISE, BRANDON | ADP OF THE SNF | Individual | N/A | Feb 27, 2023 |
| SHEN, HONG-I | ADP OF THE SNF | Individual | N/A | Jun 1, 2023 |
Compare CMS ratings and recorded fines for Arbor Grace Guest Care Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.