Starfile

Starfile / Texas

The Mildred & Shirley L. Garrison Geriatric Educat

3710 4Th St, Lubbock, TX 79415 · CCN 675925

Abuse icon

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
120
Avg residents/day
111.1
Phone
8067634455

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
12025-05-06149.19.5+4.9 worse
22024-03-28169.49.8+6.6 worse
32023-02-17188.19.3+9.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Resident assessment and care planning1
Resident rights5
Nutrition and dietary2
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.9850.6%
RN staffing (reported)0.2166.7%
Total nurse staffing (adjusted)3.03

Fines & penalties

Total fines
$18,629
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (48)3 immediate jeopardy

  1. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-22 · Health · corrected 2025-08-23

    Immediate jeopardy

  2. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-22 · Health · corrected 2025-08-23

    Immediate jeopardy

  3. JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-22 · Health · corrected 2025-08-23

    Immediate jeopardy

  4. EF0760Ensure that residents are free from significant medication errors.2025-06-03 · Health · corrected 2025-06-16

    Potential for more than minimal harm

  5. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-06 · Health · corrected 2025-06-06

    Potential for more than minimal harm

  6. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-05-06 · Health · corrected 2025-06-06

    Potential for more than minimal harm

  7. DF0583Keep residents' personal and medical records private and confidential.2025-05-06 · Health · corrected 2025-06-06

    Potential for more than minimal harm

  8. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-05-06 · Health · corrected 2025-06-06

    Potential for more than minimal harm

  9. EF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2025-05-06 · Health · corrected 2025-06-06

    Potential for more than minimal harm

  10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-06 · Health · corrected 2025-06-06

    Potential for more than minimal harm

  11. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-05-06 · Health · corrected 2025-06-06

    Potential for more than minimal harm

  12. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-06 · Health · corrected 2025-06-06

    Potential for more than minimal harm

  13. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-06 · Health · corrected 2025-06-06

    Potential for more than minimal harm

  14. EF0880Provide and implement an infection prevention and control program.2025-05-06 · Health · corrected 2025-06-06

    Potential for more than minimal harm

  15. EF0583Keep residents' personal and medical records private and confidential.2024-12-18 · Health · corrected 2025-01-31

    Potential for more than minimal harm

  16. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-12-18 · Health · corrected 2025-01-31

    Potential for more than minimal harm

  17. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-18 · Health · corrected 2025-01-31

    Potential for more than minimal harm

  18. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-09-12 · Health · corrected 2024-09-30

    Potential for more than minimal harm

  19. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-08-29 · Health · corrected 2024-09-30

    Potential for more than minimal harm

  20. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-08-29 · Health · corrected 2024-09-30

    Potential for more than minimal harm

  21. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-14 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-03 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  23. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-05-03 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  24. DF0583Keep residents' personal and medical records private and confidential.2024-03-28 · Health · corrected 2024-04-28

    Potential for more than minimal harm

  25. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-28 · Health · corrected 2024-04-28

    Potential for more than minimal harm

  26. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-03-28 · Health · corrected 2024-04-28

    Potential for more than minimal harm

  27. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-28 · Health · corrected 2024-04-28

    Potential for more than minimal harm

  28. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-03-28 · Health · corrected 2024-04-28

    Potential for more than minimal harm

  29. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-28 · Health · corrected 2024-04-28

    Potential for more than minimal harm

  30. EF0880Provide and implement an infection prevention and control program.2024-03-28 · Health · corrected 2024-04-28

    Potential for more than minimal harm

  31. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-26 · Health · corrected 2023-11-10

    Potential for more than minimal harm

  32. DF0760Ensure that residents are free from significant medication errors.2023-09-26 · Health · corrected 2023-11-10

    Potential for more than minimal harm

  33. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-07-27 · Health · corrected 2023-08-15

    Potential for more than minimal harm

  34. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-05-18 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  35. EF0679Provide activities to meet all resident's needs.2023-05-18 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  36. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-18 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  37. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-05-05 · Health · corrected 2023-06-09

    Potential for more than minimal harm

  38. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-05 · Health · corrected 2023-06-09

    Potential for more than minimal harm

  39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-05 · Health · corrected 2023-06-09

    Potential for more than minimal harm

  40. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-17 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  41. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-17 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  42. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-02-17 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  43. 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.2023-02-17 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  44. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-02-17 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  45. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-02-17 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  46. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-17 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  47. EF0880Provide and implement an infection prevention and control program.2023-02-17 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  48. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-02-17 · Health · corrected 2023-03-17

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
BOOKER HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2015-01-01
HUB CITY HEALTHCARE INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-04-01
MCPHERSON, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL2018-01-29
MEWBORN, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL2017-04-01
BURNAM, SOONIndividualCORPORATE OFFICER2017-04-01
HOOVER, SHAWNIndividualCORPORATE OFFICER2017-04-01
KEETCH, CHADIndividualCORPORATE OFFICER2011-03-01

Other facilities in Lubbock

NameOverallBeds
Heritage Oaks Nursing and Rehabilitation Center★★★★☆159
Lubbock Health Care Center★★★☆☆120
Avir at Lubbock★☆☆☆☆117
Whisperwood Nursing & Rehabilitation Center★☆☆☆☆114
Southern Specialty Rehab & Nursing★☆☆☆☆144

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