Advanced Health & Rehab Center of Garland
1201 Colonel Drive · Garland, TX · 75043 · 9722783566
139 certified beds Government - Hospital district Chain: Advanced Healthcare Solutions
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $237,224 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$237,224 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 3 · $237,224 |
Inspection citations (41 in the current record)
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Potential for harm · D February 5, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J January 9, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 10, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 10, 2026 · Resident Assessment and Care Planning
-
Immediate jeopardy · K January 5, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 6, 2026 · Quality of Life and Care
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Potential for harm · D January 5, 2026 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 5, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 6, 2026 · Pharmacy Service
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Potential for harm · D November 26, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 26, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 27, 2025 · Quality of Life and Care
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Potential for harm · D November 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 27, 2025 · Quality of Life and Care
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Potential for harm · D November 26, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 27, 2025 · Quality of Life and Care
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Potential for harm · E November 26, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 27, 2025 · Infection Control
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Potential for harm · D November 25, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected November 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 26, 2025 · Pharmacy Service
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Potential for harm · E November 25, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected November 26, 2025 · Environmental
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Immediate jeopardy · J September 12, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 13, 2025 · Resident Rights
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Potential for harm · D September 12, 2025 · found via complaint
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Corrected September 13, 2025 · Resident Rights
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Potential for harm · E April 10, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 11, 2025 · Resident Rights
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Potential for harm · E April 10, 2025
Honor 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.
Corrected May 11, 2025 · Resident Rights
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Potential for harm · D April 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 11, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 11, 2025 · Pharmacy Service
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Potential for harm · E April 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 11, 2025 · Nutrition and Dietary
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Potential for harm · E April 10, 2025
Provide and implement an infection prevention and control program.
Corrected May 11, 2025 · Infection Control
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Potential for harm · D March 16, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 16, 2025 · Resident Rights
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Immediate jeopardy · K December 2, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 3, 2024 · Quality of Life and Care
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Potential for harm · E September 3, 2024 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected October 3, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 5, 2026 | Fine | $144,255 |
| September 12, 2025 | Fine | $14,020 |
| December 2, 2024 | Fine | $78,949 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455731 · certified since January 27, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.