For profit - Corporation · 110 certified beds · CMS number 455968
Graham Oaks Care Center, Graham, TX
CMS records 15 health deficiencies at Graham Oaks Care Center in Graham, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 9, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $34,690 in the last three years.
- 15deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $34,690fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Graham Oaks Care Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Graham Oaks Care Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Apr 9, 2026. CMS counts 6 health deficiencies and 4 fire safety deficiencies in this cycle.
Jun 14, 2026 · Complaint inspection
1 deficiency, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 30, 2026
Apr 9, 2026 · Standard inspection
1 deficiency, highest D
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 Apr 30, 2026
Mar 25, 2026 · Complaint inspection
1 deficiency, highest D
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 Mar 26, 2026
Nov 8, 2025 · Complaint inspection
1 deficiency, highest C
F844 · Disclosing ownership and leadership changes
Requirement cited (CMS): Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Nov 9, 2025
Oct 10, 2025 · 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
- Past non-compliance (fixed before the inspection), Sep 3, 2025
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Sep 3, 2025
Previous cycle: 4 deficiencies (standard inspection Jan 22, 2025)
Standard inspection Jan 22, 2025. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.
May 23, 2025 · Complaint inspection
1 deficiency, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 9, 2025
Jan 22, 2025 · Standard + complaint inspection
2 deficiencies, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 23, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 23, 2025
Oct 18, 2024 · Complaint inspection
1 deficiency, highest D
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 25, 2024
Earlier cycle: 5 deficiencies (standard inspection Dec 7, 2023)
Standard inspection Dec 7, 2023. CMS counts 5 health deficiencies and 1 fire safety deficiency in this cycle.
Dec 7, 2023 · Standard + complaint inspection
5 deficiencies, highest G
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Dec 8, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Graham Oaks Care Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F607 Abuse prevention policies | 2 | Oct 18, 2024; Dec 7, 2023 |
| F656 Comprehensive person-centered care plan | 2 | Jun 14, 2026; Jan 22, 2025 |
| F689 Accident prevention and supervision | 2 | Apr 9, 2026; Oct 10, 2025 (PNC) |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Oct 10, 2025 | Fine | $17,345 |
| Oct 10, 2025 | Fine | $17,345 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.99 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.37 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.57 h
- Nursing staff turnover
- 94.4% (Texas median 52.1%)
- Administrators who left
- not reported
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Graham Oaks Care Center, copied as published; Texas medians are ours.
Facility details
- Address
- 1325 First St, Graham, TX 76450
- Phone
- (940) 549-8787
- County
- Young
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 110
- Average residents per day
- 76
- In Medicare/Medicaid since
- Oct 28, 1991
- 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.
- Can families get a summary of the home's abuse prevention and reporting policy? (F607, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 1 time)
Other nursing homes in Graham and the same chain
- Avir at Graham
Graham · 14 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.