Facility type
Nursing
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home
Garland Nursing & Rehabilitation Center
Located in Garland, Texas, the Garland Road Nursing & Rehabilitation Center is a distinguished facility renowned for its premium rehabilitative healthcare and skilled nursing services. Boasting glowing reviews and a stellar reputation in the local community, this center offers a luxurious atmosphere and a highly commendable staff. The center provides a holistic experience, ensuring residents feel truly comfortable. With a focus on inpatient and outpatient care, as well as long-term care, the facility stands out for its success in reducing rehospitalizations.
The facility is dedicated to providing a comprehensive and comfortable experience, emphasizing inpatient and outpatient care, along with long-term care options. A standout in reducing rehospitalizations, the center is celebrated for its commitment to exceptional customer service. Seniors residing here can partake in a variety of activities, benefit from pharmacy services, access social services, and enjoy the professionally landscaped grounds, along with dietary counseling and numerous other amenities.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
109
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
56.4%
Residents per day (avg)
65
Occupancy rate
56.4%
Residents per day (avg)
65
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
17% of new residents, usually for short-term rehab.
Typical stay
3 months
Private pay
33% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
50% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$7.5M
Surplus of revenue
$540.5K
Governmental community
Operated by state authorities.
Home revenue
$7,516,419.00
Surplus of revenue
$540,508.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.0M
109-bed community
A larger shared setting that may offer more common spaces and organized community services.
54 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 52 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Services
About this community
License details
Issuance
January 8, 2025
Expiration
January 13, 2026
County:
DALLAS
Additional licensing details
License number:
312681
Year opened:
1/1/1972
Ownership & operating entity
Garland Nursing & Rehabilitation Center is administrated by TODD C BICKLE.
Management company:
321 N SHILOH RD OPCO LLC
Owner:
WINNIESTOWELL HOSPITAL DISTRICT
Ownership type:
Limited Liability Company (LLC)
Type Of Units
Medicare
29 units
Medicaid and Medicare
80 units
Total beds
109 units
Staffing
Key information about the people who lead and staff this community.
Leadership
Administrator email:
[email protected]
Types of Care at Garland Nursing & Rehabilitation Center
Skilled Nursing
Inspection History
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.
18 visits/inspections
8 visits/inspections triggered by complaints
6 routine inspections
Results
15 with issues
3 without issues
Show Inspection Reports
Latest inspection
Date:December 3, 2025
Type:Annual Inspection
62 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
14
Texas average 7.4
Last Health inspection on Nov 2025
Total health citations
42
Texas average 25.9
Citations per inspection
3
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 42 citations resulted from standard inspections; 23 of 42 resulted from complaint investigations; and 14 of 42 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
7
7
250% worse than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
7 critical citations
0 serious citations
35 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 13, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 13, 2025
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 18, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 18, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 18, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 18, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 18, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Mar 18, 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.
Compare Nursing Homes around Garland 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
+6%
2
19
4
75
-
49
Zaid, Musaab
$9,5M
$3,8M
39.9%
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
-4%
1
30
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
-1%
4
24
3
78
-
44
Primrose Healthcare, Inc.
$11,9M
$4,6M
38.9%
675305
Advanced Health and Rehabilitation Center of Garland
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.
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
139
86.4%
+36%
3.90
+7%
1
27
2
125
A+
51
Garland Hc Llc
$15,3M
$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
-13%
3
42
7
65
-
52
Slp Garland, Llc
$6,8M
$3,1M
45.1%
675790
Places of interest near Garland Nursing & Rehabilitation Center
2.0 miles from city center — 5.95 miles to nearest hospital (Texas Health Presbyterian Hospital Dallas)
321 N Shiloh Rd, Garland, TX 75042
Calculate Travel Distance to Garland Nursing & Rehabilitation Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
82
Employees
79
Contractors
3
Staff to resident ratio
1.24:1
17% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
34
Average shift
8.2 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
25,415
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.2%
51 contractor hours this quarter
Occupational Therapy Aide: 2
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 27 | 0 | 27 | 8,938 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 14 | 0 | 14 | 5,008 | 91 | 100% | 9.8 |
| Registered Nurse | 10 | 0 | 10 | 2,371 | 91 | 100% | 9.8 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,488 | 89 | 98% | 8.7 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,448 | 65 | 71% | 7.7 |
| Qualified Social Worker | 5 | 0 | 5 | 1,215 | 77 | 85% | 6.6 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,102 | 78 | 86% | 7.6 |
| Physical Therapy Assistant | 4 | 0 | 4 | 999 | 76 | 84% | 6.8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 996 | 77 | 85% | 7.6 |
| RN Director of Nursing | 1 | 0 | 1 | 491 | 58 | 64% | 8.5 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 382 | 51 | 56% | 7.5 |
| Occupational Therapy Aide | 0 | 2 | 2 | 36 | 6 | 7% | 6 |
| Medical Director | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
27 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
100%
4 Medication Aide/Technician
% of Days
98%
3 Speech Language Pathologist
% of Days
71%
5 Qualified Social Worker
% of Days
85%
4 Physical Therapy Aide
% of Days
86%
4 Physical Therapy Assistant
% of Days
84%
4 Respiratory Therapy Technician
% of Days
85%
1 RN Director of Nursing
% of Days
64%
1 Administrator
% of Days
65%
1 Nurse Practitioner
% of Days
63%
1 Mental Health Service Worker
% of Days
56%
2 Occupational Therapy Aide
% of Days
7%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
66 residents
Residents by payment source
Medicare
1 resident (1.5%)
Medicaid
40 residents (60.6%)
Private pay or other
25 residents (37.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.1
5% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.3
In line with Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
14% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.7%
Percent of long-stay residents whose ability to move independently worsened
16.7%
In line with Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.6%
32% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
21% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.8%
Percent of long-stay high risk residents with pressure ulcers
4.8%
9% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
In line with Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.4%
Percent of long-stay residents who lose too much weight
1.4%
60% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.8%
Percent of long-stay residents who have depressive symptoms
1.8%
39% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.1%
Percent of long-stay residents who received an antipsychotic medication
7.1%
9% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.8%
19% worse than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
24% worse than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$55K
32% lower than Texas averageTexas average: $80K
Number of fines
3
21% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$55K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 26, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 26, 2024
$12K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 12, 2024
$35K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 11, 2023
$8K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Garland Nursing & Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
56.4%
↓ 16.9pp vs 2022
Net Income
$540,508
↓ ~$327K vs 2022
Total Payroll
$3,407,283
↑ ~$527K vs 2022
Profit Margin
8.0%
↓ 5.1pp vs 2022
Loading trend charts...
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