Garland Nursing and Rehabilitation
321 N Shiloh Rd · Garland, TX · 75042 · 9722769571
109 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $73,300 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation 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.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$73,300 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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 4 · $81,568 |
Inspection citations (46 in the current record)
-
Potential for harm · D April 24, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 12, 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 March 13, 2026 · Pharmacy Service
-
Potential for harm · D January 17, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 19, 2026 · Infection Control
-
Potential for harm · D December 3, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 4, 2025 · Resident Rights
-
Potential for harm · D December 3, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 4, 2025 · Resident Rights
-
Potential for harm · D December 3, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 4, 2025 · Quality of Life and Care
-
Immediate jeopardy · J November 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · E March 18, 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 April 15, 2025 · Resident Rights
-
Potential for harm · E March 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 15, 2025 · Quality of Life and Care
-
Potential for harm · E March 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 15, 2025 · Nutrition and Dietary
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Potential for harm · E March 18, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected April 15, 2025 · Resident Rights
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Potential for harm · D March 18, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 15, 2025 · Resident Rights
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Potential for harm · D March 18, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected April 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 18, 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 April 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 18, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 15, 2025 · Quality of Life and Care
-
Potential for harm · D March 18, 2025 · found via complaint
Ensure 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.
Corrected April 15, 2025 · Pharmacy Service
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Potential for harm · E March 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 15, 2025 · Infection Control
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Potential for harm · D February 27, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected February 28, 2025 · Resident Rights
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Immediate jeopardy · J November 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 25, 2024 · Quality of Life and Care
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Potential for harm · D November 26, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 26, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 26, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 27, 2024 · Nutrition and Dietary
-
Immediate jeopardy · J August 12, 2024 · 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 August 13, 2024 · Resident Rights
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Immediate jeopardy · J August 12, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J August 12, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 13, 2025 | Fine | $26,685 |
| November 26, 2024 | Fine | $12,038 |
| August 12, 2024 | Fine | $34,577 |
| October 11, 2023 | Fine | $8,268 |
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675790 · certified since June 10, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.