Government - Hospital district · 139 certified beds · CMS number 455731
Advanced Health & Rehab Center of Garland, Garland, TX
CMS records 41 health deficiencies at Advanced Health & Rehab Center of Garland in Garland, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 10, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level. CMS lists 3 fines totaling $181,828 in the last three years.
- 41deficiencies, 3 cycles (TX median 25)
- 22in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $181,828fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Advanced Health & Rehab Center of Garland as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Advanced Health & Rehab Center of Garland may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (22 deficiencies)
Standard inspection Apr 10, 2025. CMS counts 22 health deficiencies and 4 fire safety deficiencies in this cycle.
Feb 5, 2026 · Complaint inspection
1 deficiency, highest D
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2026
Jan 9, 2026 · Complaint inspection
2 deficiencies, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 10, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 10, 2026
Jan 5, 2026 · Complaint inspection
3 deficiencies, highest K
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 6, 2026
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jan 6, 2026
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 6, 2026
Nov 26, 2025 · Complaint inspection
5 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 27, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 27, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 27, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 27, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 27, 2025
Nov 25, 2025 · Complaint inspection
3 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 26, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 26, 2025
F604 · Limits on physical restraints
Requirement cited (CMS): Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 26, 2025
Sep 12, 2025 · Complaint inspection
2 deficiencies, highest J
F627 · Permitted transfers, discharge planning, and return rights
Requirement cited (CMS): Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Sep 13, 2025
F620 · Admissions policy rules
Requirement cited (CMS): Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2025
Apr 10, 2025 · Standard inspection
6 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 11, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 11, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 11, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 11, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 11, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 11, 2025
Previous cycle: 13 deficiencies (standard inspection Mar 14, 2024)
Standard inspection Mar 14, 2024. CMS counts 13 health deficiencies and 1 fire safety deficiency in this cycle.
Mar 16, 2025 · Complaint inspection
1 deficiency, highest D
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 16, 2025
Dec 2, 2024 · Complaint inspection
1 deficiency, highest K
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 3, 2024
Sep 3, 2024 · Complaint inspection
6 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 3, 2024
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 3, 2024
F770 · Timely laboratory services
Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 3, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 3, 2024
F661 · Discharge summary
Requirement cited (CMS): Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 3, 2024
F567 · Managing personal money
Requirement cited (CMS): Honor the resident's right to manage his or her financial affairs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 3, 2024
Mar 14, 2024 · Standard + complaint inspection
5 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 27, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 27, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 27, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 27, 2024
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 27, 2024
Earlier cycle: 6 deficiencies (standard inspection Jan 27, 2023)
Standard inspection Jan 27, 2023. CMS counts 6 health deficiencies and 9 fire safety deficiencies in this cycle.
Sep 21, 2023 · Complaint inspection
3 deficiencies, highest F
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Past non-compliance (fixed before the inspection), Aug 24, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 21, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 21, 2023
Jan 27, 2023 · Standard inspection
3 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 23, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 23, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 23, 2023
Tags cited in more than one inspection
8 tags cited on more than one inspection date at Advanced Health & Rehab Center of Garland; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 5 | Jan 9, 2026; Nov 26, 2025; Apr 10, 2025; Sep 21, 2023; Jan 27, 2023 |
| F689 Accident prevention and supervision | 4 | Jan 9, 2026; Nov 26, 2025; Sep 21, 2023 (PNC); Jan 27, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 4 | Jan 5, 2026; Nov 25, 2025; Apr 10, 2025; Sep 3, 2024 |
| F880 Infection prevention and control program | 4 | Nov 26, 2025; Apr 10, 2025; Sep 3, 2024; Mar 14, 2024 |
| F584 Safe, clean, homelike surroundings | 2 | Apr 10, 2025; Mar 14, 2024 |
| F695 Respiratory and oxygen care | 2 | Nov 26, 2025; Dec 2, 2024 |
| F812 Food safety and sanitation | 2 | Apr 10, 2025; Jan 27, 2023 |
| F919 Working call system | 2 | Nov 25, 2025; Mar 14, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jan 5, 2026 | Fine | $93,766 |
| Sep 12, 2025 | Fine | $9,113 |
| Dec 2, 2024 | Fine | $78,949 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.97 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.33 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.68 h
- Nursing staff turnover
- 43.5% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Advanced Health & Rehab Center of Garland, copied as published; Texas medians are ours.
Facility details
- Address
- 1201 Colonel Dr., Garland, TX 75043
- Phone
- (972) 278-3566
- County
- Dallas
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Advanced Healthcare Solutions
- Certified beds
- 139
- Average residents per day
- 122.9
- In Medicare/Medicaid since
- Jan 27, 1988
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 5 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 4 times)
- How do staff track and report infections among residents? (F880, cited 4 times)
Other nursing homes in Garland and the same chain
- Avir at Garland
Garland · 38 deficiencies - Legend Oaks Healthcare and Rehabilitation -Garland
Garland · 29 deficiencies - Pleasant Valley Healthcare and Rehabilitation Cent
Garland · 22 deficiencies - Beltline Healthcare Center
Garland · 21 deficiencies - The Parks at Garland Healthcare and Rehab
Garland · 15 deficiencies - Greenville Health & Rehabilitation Center
Greenville · 90 deficiencies - El Paso Health & Rehabilitation Center
El Paso · 55 deficiencies - Sulphur Springs Health and Rehabilitation
Sulphur Springs · 52 deficiencies - Winfield Rehab & Nursing
Crockett · 48 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.