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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-22 | 6 | 9.1 | 9.5 | -3.1 better |
| 2 | 2023-12-07 | 6 | 9.4 | 9.8 | -3.4 better |
| 3 | 2022-10-25 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 1.99 | 74.5% |
| 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2025-01-22 · Health · corrected 2025-01-23
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-12-07 · Health · corrected 2023-12-08
Actual harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2022-10-25 · Health · corrected 2022-11-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| COUNTY OF THROCKMORTON | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-07-01 |
| GRAHAM I ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2022-07-01 |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| GOBER, KIRBY | Individual | CORPORATE OFFICER | — | 2014-06-20 |
Other facilities in Graham
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.