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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasGraham Oaks Care Center

Graham Oaks Care Center

1325 First St, Graham, TX 764509405498787
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
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

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 110 certified beds with an average of 79.6 residents per day (72% occupancy)

• Last health inspection found 6 deficiencies (inspected Jan 22, 2025)

• Has been fined a total of $34,690 across 2 fine(s)

• Total nursing staff: 1.99 hours per resident per day

• Staff turnover rate: 74.5% (high)

• Part of the Creative Solutions in Healthcare chain (149 facilities)

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. The facility scored below average compared to Texas facilities.

Beds
110
Avg Residents/Day
79.6
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
54.0
Infection Citations
0

Deficiency Citations (20)

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
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: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 22, 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
F0607Potential for Harm

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

Survey: Oct 18, 2024Corrected: 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
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
F0697Actual Harm

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

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
F0607Potential for Harm

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

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
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
F0695Potential for Harm

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

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
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
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 Aide0.84 hrs
National avg: 2.35 hrs
LPN0.80 hrs
National avg: 0.86 hrs
RN0.35 hrs
National avg: 0.68 hrs
Total Nursing1.99 hrs
National avg: 3.89 hrs
Weekend Total1.71 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
74.5%
RN Turnover
0.0%
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 (7)

NameRoleTypeOwnership %Since
COUNTY OF THROCKMORTON5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 1, 2022
GRAHAM I ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2019
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2019
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2019
HUGGINS, LINDACORPORATE DIRECTORIndividualN/AJul 1, 2022
WILLIG, ZACHARYCORPORATE DIRECTORIndividualN/AJan 1, 2025
GOBER, KIRBYCORPORATE OFFICERIndividualN/AJun 20, 2014

Nearby Nursing Homes

All Texas facilities

Avir at Graham

Graham, TX · 116 beds

Government
Health
Staffing
Quality
1.0 mi

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.
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 facility has been fined a total of $34,690 across 2 fine(s).
What are the staffing levels at Graham Oaks Care Center?▾
Graham Oaks Care Center provides 1.99 total nursing staff hours per resident per day, including 0.35 RN hours, 0.80 LPN hours, and 0.84 nurse aide hours. The total staff turnover rate is 74.5%.
How many beds does Graham Oaks Care Center have?▾
Graham Oaks Care Center has 110 certified beds with an average of 79.6 residents per day, resulting in approximately 72% 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, there are 1 other nursing home in Graham, Texas with an average rating of 3/5. You can compare all facilities on the Graham nursing homes page.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →