F

GARLAND NURSING AND REHABILITATION

321 N SHILOH RD, GARLAND, TX 75042
Score: 3 / 100

Garland Nursing And Rehabilitation has received an F grade based on CMS data, with a score of 3/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Garland facility should carefully review its inspection history and quality metrics.

With 3.25 total nurse hours per resident per day, Garland Nursing And Rehabilitation 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 46 deficiencies at Garland Nursing And Rehabilitation, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.25 3.8 Below Average
Registered Nurses (RN) 0.33 0.7 Below Average
Licensed Practical Nurses (LPN) 1.13 0.7 Above Average
Certified Nursing Assistants (CNA) 1.79 2.4 Below Average
Weekend Total Nursing 2.91 3.8 Below Average
Weekend RN Hours 0.22 0.7 Below Average

🔍 Inspection & Deficiency History

46
Total Deficiencies
Jan 16, 2026
Most Recent Inspection
🟠 39 Moderate 🔴 7 Serious
View recent deficiencies (5 shown)
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jan 16, 2026 · Infection Control Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Dec 2, 2025 · Resident Rights Deficiencies
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    Dec 2, 2025 · Resident Rights Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Dec 2, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 12, 2025 · Quality of Life and Care 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 4.3% 4.5% Average
Falls with major injury 4.3% 3.0% Worse
On antipsychotic medication 8.9% 14.5% Better
Urinary tract infections 1.6% 2.5% Better
ADL decline (daily activities) 16.3% 14.0% Worse
Excessive weight loss 0.9% 7.5% Better
New/worsened incontinence 11.9% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $81,568

How This Grade Was Calculated

This facility's grade of F is based on a score of 3 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -8 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
109
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 17, 2025
Deficiencies (Cycle 1)
15