Starfile

Starfile / Texas

Graham Oaks Care Center

1325 First St, Graham, TX 76450 · CCN 455968

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
110
Avg residents/day
79.6
Phone
9405498787

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-01-2269.19.5-3.1 better
22023-12-0769.49.8-3.4 better
32022-10-2588.19.3-0.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care1
Resident assessment and care planning3
Administration1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)1.9974.5%
RN staffing (reported)0.35
Total nurse staffing (adjusted)2.40

Fines & penalties

Total fines
$34,690
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
CREATIVE SOLUTIONS IN HEALTHCARE
Facilities in chain
149
Chain avg overall
2.70 / 5

Inspection citations (20)2 immediate jeopardy1 actual harm

  1. CF0844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.2025-11-08 · Health · corrected 2025-11-09

    Potential for minimal harm

  2. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-10-10 · Health · corrected 2025-09-03

    Immediate jeopardy

  3. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-10 · Health · corrected 2025-09-03

    Immediate jeopardy

  4. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-23 · Health · corrected 2025-06-09

    Potential for more than minimal harm

  5. DF0641Ensure each resident receives an accurate assessment.2025-01-22 · Health · corrected 2025-01-23

    Potential for more than minimal harm

  6. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-22 · Health · corrected 2025-01-23

    Potential for more than minimal harm

  7. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-18 · Health · corrected 2024-10-25

    Potential for more than minimal harm

  8. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-12-07 · Health · corrected 2024-01-05

    Potential for more than minimal harm

  9. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-12-07 · Health · corrected 2024-01-05

    Potential for more than minimal harm

  10. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-12-07 · Health · corrected 2024-01-05

    Potential for more than minimal harm

  11. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-12-07 · Health · corrected 2023-12-08

    Actual harm

  12. DF0758Implement 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.2023-12-07 · Health · corrected 2024-01-05

    Potential for more than minimal harm

  13. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-09 · Health · corrected 2023-08-29

    Potential for more than minimal harm

  14. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-25 · Health · corrected 2022-11-15

    Potential for more than minimal harm

  15. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-10-25 · Health · corrected 2022-11-15

    Potential for more than minimal harm

  16. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-25 · Health · corrected 2022-11-15

    Potential for more than minimal harm

  17. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-10-25 · Health · corrected 2022-11-15

    Potential for more than minimal harm

  18. EF0758Implement 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.2022-10-25 · Health · corrected 2022-11-15

    Potential for more than minimal harm

  19. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-25 · Health · corrected 2022-11-15

    Potential for more than minimal harm

  20. DF0880Provide and implement an infection prevention and control program.2022-10-25 · Health · corrected 2022-11-15

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
COUNTY OF THROCKMORTONOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-07-01
GRAHAM I ENTERPRISES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-01-01
BLAKE, GARYIndividualOPERATIONAL/MANAGERIAL CONTROL2019-01-01
BLAKE, MALISAIndividualOPERATIONAL/MANAGERIAL CONTROL2019-01-01
HUGGINS, LINDAIndividualCORPORATE DIRECTOR2022-07-01
WILLIG, ZACHARYIndividualCORPORATE DIRECTOR2025-01-01
GOBER, KIRBYIndividualCORPORATE OFFICER2014-06-20

Other facilities in Graham

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.