28/100
Poor
1325 First St, Graham, TX 76450
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$34,690 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 94%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: January 22, 2025 (1 year ago).
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
No actual harm, minimal potential
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
No actual harm, potential for more than minimal harm
Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| BROCKMAN, GREGORY | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| GOBER, KIRBY | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| HIBBITTS, KASEY | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| HODGES, CALEB | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| MITCHELL, KLAYTON | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| WELLS, CASEY | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — |
| GOBER, KIRBY | Individual | CORPORATE OFFICER | — |
| GRAHAM I ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Graham Oaks Care Center holds an ElderGrade of F (28 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 2.99 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 21 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Graham Oaks Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.