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HomeTexasGraham Oaks Care Center

Graham Oaks Care Center

1325 First St, Graham, TX 764509405498787WebsiteGoogle Maps
4.6on Google(69 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
3/5
Beds
110
certified
This facility has been flagged for abuse.
2 fine(s) totaling $34,690

How Graham Oaks Care Center Compares in Texas

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.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
2.99 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.37 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
94.4%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 2.99 hours per resident per day, below the state average of 3.39.
Staff turnover is 94.4%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
8
deficiency citations
Inspected Dec 7, 2023
Most recent cycle
6
deficiency citations
Inspected Jan 22, 2025
The most recent cycle recorded 2 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Young County 65+
3,733
20.9% of county
County Population
17,903
Young County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Graham Oaks Care Center is a 1-star Medicare and Medicaid certified nursing home in Graham, Texas with 110 certified beds. It has been operating since 1991. Its overall CMS rating is 1 out of 5.

Beds
110
Avg Residents/Day
76
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 28, 1991
Sprinklers
Yes
Council
Resident
County
Young
Last Inspection
Jan 22, 2025
Deficiencies (Cycle 1)
6
Weighted Score
55.0
Infection Citations
0

Deficiency Citations (21)

F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0844Minimal Harm

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Survey: Nov 8, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Oct 10, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 10, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 22, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 22, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: May 23, 2025Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0697Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Dec 7, 2023Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Dec 7, 2023Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Dec 7, 2023Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Dec 7, 2023Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Dec 7, 2023Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Aug 9, 2023Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Oct 25, 2022Corrected: NoCycle: 3
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Oct 25, 2022Corrected: NoCycle: 3
F0758Potential for Harm

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.

Survey: Oct 25, 2022Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 25, 2022Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 25, 2022Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 25, 2022Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 25, 2022Corrected: NoCycle: 3
Total Fines
$34,690
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineOct 10, 2025
$17,345
FineOct 10, 2025
$17,345

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.80 hrs
National avg: 2.32 hrs
LPN0.82 hrs
National avg: 0.86 hrs
RN0.37 hrs
National avg: 0.69 hrs
Total Nursing2.99 hrs
National avg: 3.86 hrs
Weekend Total2.57 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
94.4%
RN Turnover
100.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (17)

NameRoleTypeOwnership %Since
COUNTY OF THROCKMORTON5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 1, 2022
BROCKMAN, GREGORYMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2021
GOBER, KIRBYMANAGING CONTROL - GOVERNING BODYIndividualN/AJun 20, 2014
HIBBITTS, KASEYMANAGING CONTROL - GOVERNING BODYIndividualN/AJun 18, 2020
HODGES, CALEBMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2023
MITCHELL, KLAYTONMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 31, 2020
WELLS, CASEYMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 10, 2004
HUGGINS, LINDACORPORATE DIRECTORIndividualN/AJul 1, 2022
WILLIG, ZACHARYCORPORATE DIRECTORIndividualN/AJan 1, 2025
GOBER, KIRBYCORPORATE OFFICERIndividualN/AJun 20, 2014
GRAHAM I ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2019
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2019
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2019
GRAHAM I ENTERPRISES, LLCADP OF THE SNFOrganizationN/AApr 12, 2025
BLAKE, GARYADP OF THE SNFIndividualN/AJan 1, 2019
COOK, ROXYADP OF THE SNFIndividualN/AApr 12, 2025
PURDY, AARONADP OF THE SNFIndividualN/AApr 12, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Graham Oaks Care Center and nearby alternatives.

All Texas facilities
Graham Oaks Care Center
Graham, TXCurrent facilityAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $34,690
Avir at Graham
Graham, TX1.0 mi
CMS
5/5
Health
5/5
Staffing
2/5
Recorded fines: None
Olney Rehabilitation and Care Center
Olney, TX21.9 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: None
Avir at Jacksboro
Jacksboro, TX25.5 mi
CMS
5/5
Health
4/5
Staffing
2/5
Recorded fines: $23,813
Villa Haven Health and Rehabilitation Center
Breckenridge, TX30.0 mi
CMS
5/5
Health
5/5
Staffing
1/5
Recorded fines: None
Palo Pinto Nursing Center
Mineral Wells, TX32.3 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $41,036
Mineral Wells Nursing & Rehabilitation
Mineral Wells, TX32.4 mi
CMS
4/5
Health
5/5
Staffing
1/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Graham Oaks Care Center
Graham, TX · Current facility
—1/52/51/5$34,690
Avir at Graham
Graham, TX
1.0 mi5/55/52/5None recorded
Olney Rehabilitation and Care Center
Olney, TX
21.9 mi4/54/52/5None recorded
Avir at Jacksboro
Jacksboro, TX
25.5 mi5/54/52/5$23,813
Villa Haven Health and Rehabilitation Center
Breckenridge, TX
30.0 mi5/55/51/5None recorded
Palo Pinto Nursing Center
Mineral Wells, TX
32.3 mi3/53/53/5$41,036
Mineral Wells Nursing & Rehabilitation
Mineral Wells, TX
32.4 mi4/55/51/5None recorded

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.

Frequently Asked Questions

What is the CMS rating for Graham Oaks Care Center?▾
Graham Oaks Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Graham Oaks Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Graham Oaks Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Graham Oaks Care Center had any health inspection violations?▾
Graham Oaks Care Center had 6 deficiency citations in its most recent health inspection (Jan 22, 2025). The current CMS dataset records 2 fine(s) totaling $34,690.
What are the staffing levels at Graham Oaks Care Center?▾
Graham Oaks Care Center provides 2.99 total nursing staff hours per resident per day, including 0.37 RN hours, 0.82 LPN hours, and 1.80 nurse aide hours. The total staff turnover rate is 94.4%.
How many beds does Graham Oaks Care Center have?▾
Graham Oaks Care Center has 110 certified beds with an average of 76 residents per day, resulting in approximately 69% occupancy. The facility is For profit - Limited Liability company owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Graham Oaks Care Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 1 in Graham. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Graham Oaks Care Center?▾
On Google Maps, Graham Oaks Care Center has a rating of 4.6 out of 5 based on 69 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →