Nursing HomeInspections

Advanced Health & Rehab Center of Garland

Nursing home in Garland, TX

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

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Public-record details

Address
1201 Colonel Dr., Garland, TX 75043
Phone
(972) 278-3566
Listed under
Government-owned
Medicare CCN
455731
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
139
Average residents per day
122
Ownership
Government, hospital district
Legal business name
Hamilton County Hospital District
Chain
Advanced Healthcare Solutions (28 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 27, 1988
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455731. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jun 4, 2026. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 14, 2024 to Jun 4, 2026): 29 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Jun 4, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 4, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jun 4, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jun 4, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 4, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 4, 2026Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 4, 2026Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 4, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 4, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 4, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jun 4, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
D
Potential for more than minimal harm, isolated
Jun 4, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 50. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $183,231 in the last three years.

Jan 5, 2026Fine: $95,169
Sep 12, 2025Fine: $9,113
Dec 2, 2024Fine: $78,949

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.10 hours
Registered nurse (RN) time per resident per day
0.32 hours
Nurse aide time per resident per day
1.92 hours
Total nurse staffing on weekends
2.81 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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