GARLAND NURSING AND REHABILITATION

321 N SHILOH RD, GARLAND, TX 75042 · CCN 675790 · 109 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 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 6 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

2025-11-13 — 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.

2024-11-26 — 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.

2024-08-12 — IMMEDIATE JEOPARDY (tag F0580, severity J)

Resident Rights Deficiencies · correction not recorded in CMS data

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-08-12 — 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.

2024-08-12 — IMMEDIATE JEOPARDY (tag F0607, severity J)

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

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

2024-08-12 — IMMEDIATE JEOPARDY (tag F0684, severity J)

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

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-10-25 — 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.

Staffing, from payroll records

Nursing hours / resident / day

2.79

state median 2.67

Weekend staffing gap

−9%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.29

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

51%

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

5 enforcement action(s), totaling $91,343 in fines.

Date	Type	Amount
2026-05-21	Fine	$19,115
2025-11-13	Fine	$17,345
2024-11-26	Fine	$12,038
2024-08-12	Fine	$34,577
2023-10-11	Fine	$8,268

Ownership

Ownership type: For profit - Limited Liability company. Part of the AVIR HEALTH GROUP chain.

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

Avir at Beaumont (BEAUMONT, TX) — CMS overall1 of 5
Avir at New Braunfels (New Braunfels, TX) — CMS overall1 of 5
Avir at Rose Trail (TYLER, TX) — CMS overall1 of 5
Avir at Petal Hill (Tyler, TX) — CMS overall2 of 5
Avir at Jeffrey Place (Waco, TX) — CMS overall3 of 5
Avir at Temple West (TEMPLE, TX) — CMS overall3 of 5
Avir at Center (CENTER, TX) — CMS overall4 of 5
Avir at Graham (GRAHAM, TX) — CMS overall5 of 5

Full citation history

By severity: Potential for more than minimal harm: 36 · Immediate jeopardy: 7

Survey date	Tag	Category	Severity	Corrected
2026-04-24	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-12	F0755	Pharmacy Service Deficiencies	E	not recorded
2026-01-17	F0880	Infection Control Deficiencies	D	not recorded
2025-12-03	F0550	Resident Rights Deficiencies	D	not recorded
2025-12-03	F0558	Resident Rights Deficiencies	D	not recorded
2025-12-03	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-11-13	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-03-18	F0558	Resident Rights Deficiencies	E	not recorded
2025-03-18	F0583	Resident Rights Deficiencies	D	not recorded
2025-03-18	F0584	Resident Rights Deficiencies	E	not recorded
2025-03-18	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-18	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-18	F0689	Quality of Life and Care Deficiencies	E	not recorded
2025-03-18	F0695	Quality of Life and Care Deficiencies	E	not recorded
2025-03-18	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-03-18	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-03-18	F0880	Infection Control Deficiencies	E	not recorded
2025-02-27	F0583	Resident Rights Deficiencies	D	not recorded
2024-11-26	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-11-26	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-11-26	F0689	Quality of Life and Care Deficiencies	J	not recorded
2024-11-26	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-08-12	F0580	Resident Rights Deficiencies	J	not recorded
2024-08-12	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-08-12	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-08-12	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-08-12	F0684	Quality of Life and Care Deficiencies	J	not recorded
2024-02-08	F0686	Quality of Life and Care Deficiencies	D	not recorded
2024-02-08	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-02-08	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2024-02-08	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-02-08	F0880	Infection Control Deficiencies	E	not recorded
2023-12-27	F0686	Quality of Life and Care Deficiencies	D	not recorded
2023-10-25	F0689	Quality of Life and Care Deficiencies	J	not recorded
2023-10-11	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-08-24	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-08-24	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-08-03	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-08-03	F0761	Pharmacy Service Deficiencies	E	not recorded
2022-12-07	F0584	Resident Rights Deficiencies	E	not recorded
2022-12-07	F0677	Quality of Life and Care Deficiencies	D	not recorded
2022-12-07	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2022-12-07	F0921	Environmental Deficiencies	E	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 “GARLAND NURSING AND REHABILITATION, GARLAND” at medicare.gov/care-compare.