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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Advanced Health and Rehabilitation Center of Garland, situated in Garland, Texas, is dedicated to providing exceptional Nursing Homes and Assisted Living services. The community’s vision centers around prioritizing patient care as the primary focus, embodying a commitment to comprehensive inpatient care. The mission is to build a premier skilled nursing and rehabilitation care center that upholds high moral and ethical standards. The values of Advanced Health & Rehab Center include excellence in nursing, therapy, activities, dietary services, and housekeeping, ensuring a holistic approach to resident well-being.
The community offers a warm and welcoming environment with a capacity of 139 beds, emphasizing both short-term rehab and long-term care. Advanced Health & Rehab Center of Garland is distinguished by its outstanding team, genuine care, commitment to patient well-being, and exceptional customer service. Residents can enjoy quality dinners, engaging church services, and a phenomenal cleaning crew. The positive testimonial underscores the satisfaction of residents and their families, recommending the community for its impressive facilities and dedicated staff.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 72nd out of 240 homes in Texas.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 19m per day | ▼ 27% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 54m per day | ▼ 5% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 10m per day | ▲ 7% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 1m per day | ■ Avg State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 25% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 12m per day | ▼ 43% State avg: 21m per day · National avg: 29m per day |
Most residents stay for extended periods and receive ongoing daily care.
24% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
28% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #231 / 252Payroll — state benchmarkedThis home is ranked 231st out of 252 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Texas average: 63.5%Advanced Health and Rehabilitation Center of Garland is administrated by Ari Levy.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations are formal regulatory issues recorded during state inspections.
| Metric | This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 47 | 6 | This facility has 683% more total citations than a typical Texas nursing home (47 vs. TX avg 6).↑ 683% worse |
|
Citations per year
Average citations per year since 2023.
| 15.7 | 2 | This facility has 685% more citations per year than a typical Texas nursing home (15.7 vs. TX avg 2).↑ 685% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 26, 2025, found deficiencies related to care planning, pressure ulcer management, supervision during transfers, respiratory care, and infection control. Earlier inspections also identified issues with medication documentation, restraint use, call light accessibility, communication barriers, and infection prevention, with some complaint investigations substantiating failures in admission procedures and respiratory care, including one that involved a resident’s death. Inspectors cited recurring themes in care planning, resident safety during transfers, infection control practices, and communication with residents and families. Complaint investigations were both substantiated and unsubstantiated, with notable findings involving unsafe resident transfers and missed notifications for critical care events. The pattern of deficiencies suggests ongoing challenges, with some areas such as call light accessibility and infection control repeatedly noted over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Sep 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 27 citations resulted from standard inspections; 13 of 27 resulted from complaint investigations; and 7 of 27 came from combined inspections (standard and complaint).
In line with Texas averageTexas average: 2
0
100% better than Texas averageTexas average: 0.4
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 12, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 12, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 10, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 10, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Advanced Health and Rehabilitation Center of Garland is located in Garland, Texas.
Here are the financial assistance programs available to residents in Texas.
4.0 miles from city center
Estimated distance in miles from Garland's city center to Advanced Health and Rehabilitation Center of Garland's address, calculated via Google Maps.
— 8.56 miles to nearest hospital (Texas Health Presbyterian Hospital Dallas)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
36% worse than Texas averageTexas average ratio: 1.51:1
0% compared with Texas averageTexas average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
| Certified Nursing Assistant | 54 | 0 | 54 | 20,499 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 19 | 0 | 19 | 7,747 | 91 | 100% | 8.7 |
| Medication Aide/Technician | 11 | 0 | 11 | 4,463 | 91 | 100% | 9.2 |
| Registered Nurse | 7 | 0 | 7 | 3,188 | 91 | 100% | 7.9 |
| RN Director of Nursing | 6 | 0 | 6 | 1,738 | 80 | 88% | 7.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 856 | 70 | 77% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 553 | 64 | 70% | 8.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 548 | 70 | 77% | 7.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Qualified Social Worker | 4 | 0 | 4 | 511 | 66 | 73% | 6.5 |
| Physical Therapy Aide | 4 | 0 | 4 | 484 | 60 | 66% | 6.7 |
| Speech Language Pathologist | 2 | 0 | 2 | 475 | 61 | 67% | 7.2 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 433 | 58 | 64% | 7.5 |
| Nurse Practitioner | 2 | 0 | 2 | 406 | 52 | 57% | 7.8 |
| Dietitian | 1 | 0 | 1 | 72 | 9 | 10% | 8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
122Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.5
48% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
5.7
64% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.4%
48% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
5.8%
64% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.0%
81% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
31% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
3.2%
28% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
0.8%
78% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
2.9%
In line with Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
3.6%
54% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
5% worse than Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.28
7% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.90
8% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
8% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
51% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
51.9%
41% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.5%
29% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.7%
53% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
5.4%
603% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
72.7%
35% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.2%
In line with Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
In line with Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Dec 2, 2024 · $79K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 2, 2024Last updated: Jan 2026
The information below is reported by the Texas Health and Human Services Commission.
| Winters Park Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Garland | 132 | 55.1% | -13% | 3.83 | -36% | +6% | 2 | 19 | 2.1 | 4 | 75 | - | 49 | Musaab Zaid | $9.8M | $3.8M | 38.4% | 676039 | ||||
| Legend Oaks Healthcare & Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Garland | 132 | 60.3% | -5% | 3.50 | -9% | -4% | 1 | 30 | 3.3 | 2 | 97 | - | 54 | Duck Creek Healthcare, Inc. | $13.1M | $4.7M | 36.1% | 676413 | ||||
| Pleasant Valley Healthcare Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Garland | 124 | 52.0% | -18% | 3.58 | -16% | -1% | 4 | 24 | 2.7 | 3 | 78 | - | 44 | Primrose Healthcare, Inc. | $11.9M | $4.6M | 38.9% | 675305 | ||||
| Advanced Health and Rehabilitation Center of Garland |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Garland | 139 | 86.4% | +36% | 3.90 | -21% | +7% | 1 | 27 | 3.4 | 2 | 125 | A+ | 51 | Garland Hc LLC | $16.0M | $0.0M | 0% | 455731 | ||||
| Garland Nursing & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Garland | 109 | 56.4% | -11% | 3.17 | +63% | -13% | 3 | 42 | 3.0 | 7 | 65 | - | 52 | Slp Garland, LLC | $7.5M | $3.1M | 40.6% | 675790 |
Historical financial and operational data for Advanced Health and Rehabilitation Center of Garland based on CMS SNF Cost Reports.
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The legal owner and operator of Advanced Health and Rehabilitation Center of Garland is Hamilton County Hospital District.
Advanced Health and Rehabilitation Center of Garland has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TX state health department records, Advanced Health and Rehabilitation Center of Garland's license number is 311246.
According to TX state health department records, Advanced Health and Rehabilitation Center of Garland's license expires on January 3, 2026.
Advanced Health and Rehabilitation Center of Garland's occupancy is 27%.
Ari Levy is the administrator of Advanced Health and Rehabilitation Center of Garland.
Advanced Health and Rehabilitation Center of Garland has 139 beds.
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