Graham Oaks Care Center

1325 First St, Graham, TX 76450 · CCN 455968 · 110 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2025-10-10 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2025-10-10 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2023-12-07 — ACTUAL HARM (tag F0697, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

1.89

state median 2.67

Weekend staffing gap

−2%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.11

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

94%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $17,345 in fines.

Date	Type	Amount
2025-10-10	Fine	$17,345

Ownership

Ownership type: For profit - Limited Liability company. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Buena Vida Nursing and Rehab-San Antonio (SAN ANTONIO, TX) — CMS overall1 of 5
MESA VISTA INN HEALTH CENTER (SAN ANTONIO, TX) — CMS overall1 of 5
Mountain View Health & Rehabilitation (El Paso, TX) — CMS overall1 of 5
Vista Hills Health Care Center (El Paso, TX) — CMS overall1 of 5
Pleasant Springs Healthcare Center (Mount Pleasant, TX) — CMS overall1 of 5
AMISTAD NURSING AND REHABILITATION CENTER (UVALDE, TX) — CMS overall3 of 5
HERITAGE AT LONGVIEW HEALTHCARE CENTER (LONGVIEW, TX) — CMS overall2 of 5
MINERAL WELLS NURSING & REHABILITATION (MINERAL WELLS, TX) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 1 · Potential for more than minimal harm: 17 · Immediate jeopardy: 2

Survey date	Tag	Category	Severity	Corrected
2026-03-25	F0880	Infection Control Deficiencies	D	not recorded
2025-11-08	F0844	Administration Deficiencies	C	not recorded
2025-10-10	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2025-10-10	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-05-23	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-01-22	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-01-22	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-10-18	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-07	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-07	F0655	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-12-07	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-07	F0697	Quality of Life and Care Deficiencies	G	not recorded
2023-12-07	F0758	Pharmacy Service Deficiencies	D	not recorded
2023-08-09	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2022-10-25	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-10-25	F0695	Quality of Life and Care Deficiencies	E	not recorded
2022-10-25	F0755	Pharmacy Service Deficiencies	D	not recorded
2022-10-25	F0756	Pharmacy Service Deficiencies	E	not recorded
2022-10-25	F0758	Pharmacy Service Deficiencies	E	not recorded
2022-10-25	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2022-10-25	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Graham Oaks Care Center, Graham” at medicare.gov/care-compare.