Graham Oaks Care Center has received an F grade based on CMS data, with a score of 18/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Graham facility should carefully review its inspection history and quality metrics.
With 1.99 total nurse hours per resident per day, Graham Oaks Care Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 20 deficiencies at Graham Oaks Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 1.99 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.35 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.80 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 0.84 | 2.4 | Below Average |
| Weekend Total Nursing | 1.71 | 3.8 | Below Average |
| Weekend RN Hours | 0.16 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Oct 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Oct 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarMay 22, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jan 21, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Jan 21, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.6% | 4.5% | Worse |
| Falls with major injury | 7.3% | 3.0% | Worse |
| On antipsychotic medication | 13.9% | 14.5% | Average |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 14.7% | 14.0% | Average |
| Excessive weight loss | 0.5% | 7.5% | Better |
| New/worsened incontinence | 14.8% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $34,690
How This Grade Was Calculated
This facility's grade of F is based on a score of 18 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Texas
- FAvir at BeaumontBEAUMONT
- FAvir at New BraunfelsNew Braunfels
- A
- BKNOPP HEALTHCARE AND REHAB CENTER INCFREDERICKSBURG
- B