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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-06 | 14 | 9.1 | 9.5 | +4.9 worse |
| 2 | 2024-03-28 | 16 | 9.4 | 9.8 | +6.6 worse |
| 3 | 2023-02-17 | 18 | 8.1 | 9.3 | +9.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Resident assessment and care planning | 1 |
| Resident rights | 5 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.98 | 50.6% |
| RN staffing (reported) | 0.21 | 66.7% |
| 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
- 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
- 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
- JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-22 · Health · corrected 2025-08-23
Immediate jeopardy
- EF0760Ensure that residents are free from significant medication errors.2025-06-03 · Health · corrected 2025-06-16
Potential for more than minimal harm
- 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
- 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
- DF0583Keep residents' personal and medical records private and confidential.2025-05-06 · Health · corrected 2025-06-06
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-05-06 · Health · corrected 2025-06-06
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2024-12-18 · Health · corrected 2025-01-31
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0583Keep residents' personal and medical records private and confidential.2024-03-28 · Health · corrected 2024-04-28
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-03-28 · Health · corrected 2024-04-28
Potential for more than minimal harm
- 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
- DF0760Ensure that residents are free from significant medication errors.2023-09-26 · Health · corrected 2023-11-10
Potential for more than minimal harm
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2023-05-18 · Health · corrected 2023-06-30
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2023-02-17 · Health · corrected 2023-03-17
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BOOKER HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-01-01 |
| HUB CITY HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| MCPHERSON, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-01-29 |
| MEWBORN, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2017-04-01 |
| HOOVER, SHAWN | Individual | CORPORATE OFFICER | — | 2017-04-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
Other facilities in Lubbock
| Name | Overall | Beds |
|---|---|---|
| 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.