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Garland Nursing & Rehabilitation Center
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Garland, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of Garland Nursing & Rehabilitation Center Facility sign displaying name and address A private resident room with furniture and wooden flooring Rehabilitation room with equipment and a therapy area

Garland Nursing & Rehabilitation Center

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Garland, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
321 N Shiloh Rd, Garland, TX 75042 View map Calculator: See prices in your area
Garland Nursing & Rehabilitation Center accepts Medicare, Medicaid, and private pay.
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Garland Nursing & Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of 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.

Facility Direct Line (972) 276-9571
Facility Direct Line (972) 276-9571

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 64.2% Below TX avg. ▼ 64.2% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 63.8% Below TX avg. ▼ 63.8% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 52.9% Below TX avg. ▼ 52.9% Below TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 20.1% Below TX avg. ▼ 20.1% Below TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Texas state averages

Total nursing care / resident Info This home is ranked 209th out of 273 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 10m per day
Rank #209 / 273Nurse hours — State benchmarkedThis home is ranked 209th out of 273 homes in Texas for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 273 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Texas avg (3h 38m per day)
vs Texas avg
-13%

4 of 6 metrics below state avg

Standout metric Physical Therapist is +101% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 18m per day ▼ 29% State avg: 26m per day · National avg: 41m per day
LPN / LVN Info 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. 1h 2m per day ▲ 9% State avg: 57m per day · National avg: 52m per day
Nurse Aide Info 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. 1h 46m per day ▼ 12% State avg: 2h 1m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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. 2h 53m per day ▼ 3% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 8m per day ▲ 101% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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. 14m per day ▼ 32% State avg: 21m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
340 days
Bed community size
109-bed community Rank #309 / 976Bed count — State benchmarkedThis home is ranked 309th out of 976 homes in Texas for Bed Count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
54 years in operation Rank #1 / 584Years in operation — State benchmarkedThis home is ranked 1st out of 584 homes in Texas for Years In Operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 52 / 100 Rank #455 / 1389Walk Score — State benchmarkedThis home is ranked 455th out of 1389 homes in Texas for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
70%
Rank #103 / 200Occupancy rate — State benchmarkedThis home is ranked 103rd out of 200 homes in Texas for Occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 200. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Texas average: 63.5%
Occupied beds
76 / 109
Average occupied beds in Texas homes 75 beds

License Details

Facility TypeNursing
IssuanceJanuary 8, 2025
ExpirationJanuary 13, 2026 Expired
CountyDallas
License Number312681
Year Opened1/1/1972

Ownership & Operating Entity

Garland Nursing & Rehabilitation Center is administered by Todd C Bickle.

Management Company321 N SHILOH RD OPCO LLC
OwnerWinniestowell Hospital District
Ownership TypeLimited 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 Emailsurvey.garland@slpops.com

Additional Policies & Features

Pets not allowed

Contact Garland Nursing & Rehabilitation Center

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.

Since 2022 · 4 years of data 62 citations

Inspection Scorecard Info 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.

Since 2022 vs. Texas state average
Overall vs. TX average 2 Worse Metrics worse than Texas average:
• Total citations (933% above)
• Citations per year (933% above) 0 Better No metrics in this bucket.
Latest Inspection December 3, 2025 Annual Inspection

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 626 This facility has 933% more total citations than a typical Texas nursing home (62 vs. TX avg 6).↑ 933% worse
Citations per year Info Average citations per year since 2022. 15.51.5 This facility has 933% more citations per year than a typical Texas nursing home (15.5 vs. TX avg 1.5).↑ 933% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The December 3, 2025 annual inspection found 3 deficiencies related to dignity, call light accessibility, and respiratory care equipment storage.
  • The November 13, 2025 complaint investigation substantiated immediate jeopardy from a fall causing traumatic brain injury due to improper transfer technique by a CNA.
  • Multiple inspections in early 2025 documented recurring failures in call light accessibility, respiratory care, privacy during treatments, and incomplete care plans.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 14

Texas average 7.4

Last Health inspection on Nov 2025

Total health citations
42 Rank #237 / 274Health citations — State benchmarkedThis home is ranked 237th out of 274 homes in Texas for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 274 TX facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 25.9

Citations per inspection
3 Rank #112 / 274Citations per inspection — State benchmarkedThis home is ranked 112th out of 274 homes in Texas for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 274 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 4 years)
Critical health citations
7
250% worse than Texas average

Texas average: 2

Serious health citations
0
100% better than Texas average

Texas average: 0.4

7 critical citations Texas average: 2
0 serious citations Texas average: 0.4
35 moderate citations Texas average: 23
0 minor citations Texas average: 0.4
Citations history (last 4 years)
Quality of Care critical citation Nov 13, 2025
Infection Control moderate citation Mar 18, 2025
Corrected
Nutrition moderate citation Mar 18, 2025
Corrected
Pharmacy moderate citation 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 100
Employees 100
Contractors 0
Staff to resident ratio 1.52 : 1
0% compared with Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 37
Average shift 8.3 hours
0% compared with Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 28,155

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 10 RN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 16 LPN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 39 CNA Staff are full-time employees. No contractors work on this role. 39
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3903910,18892100%7.7
Licensed Practical Nurse160165,91792100%10
Medication Aide/Technician5052,20992100%7.9
Registered Nurse100101,6668795%10.5
Speech Language Pathologist3031,4067177%7.6
RN Director of Nursing2021,3337379%10.2
Physical Therapy Assistant6061,0987784%6.3
Physical Therapy Aide4041,0037784%7.4
Respiratory Therapy Technician5059378491%7.3
Qualified Social Worker3035547076%5.5
Administrator1015046368%8
Nurse Practitioner3034645863%8
Dietitian1014385964%7.4
Mental Health Service Worker1014105560%7.5
Clinical Nurse Specialist1012833%9.5
39 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
5 Medication Aide/Technician
% of Days 100%
10 Registered Nurse
% of Days 95%
3 Speech Language Pathologist
% of Days 77%
2 RN Director of Nursing
% of Days 79%
6 Physical Therapy Assistant
% of Days 84%
4 Physical Therapy Aide
% of Days 84%
5 Respiratory Therapy Technician
% of Days 91%
3 Qualified Social Worker
% of Days 76%
1 Administrator
% of Days 68%
3 Nurse Practitioner
% of Days 63%
1 Dietitian
% of Days 64%
1 Mental Health Service Worker
% of Days 60%
1 Clinical Nurse Specialist
% of Days 3%
View All Staffing Data in Garland

Penalties and fines

Includes penalties issued in 2023-2024

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 Rank #224 / 278Federal fines — State benchmarkedThis home is ranked 224th out of 278 homes in Texas for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 278 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
32% lower than Texas average

Texas average: $80K

Number of fines 3
21% more fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas 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.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 26, 2024
$12K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 12, 2024
$35K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 11, 2023
$8K

Last updated: Jan 2026

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 Info 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 average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.3
In line with Texas average

Texas average: 16.0

Long-stay resident measures
Average Texas avg: 4.1 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 18.5%
14% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.7%
In line with Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 10.6%
32% better than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.9%
21% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.8%
9% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
In line with Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.4%
60% better than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.8%
39% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.1%
9% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Short-stay resident measures
Below average Texas avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
14% better than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 30.8%
19% worse than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 14.9%
24% worse than Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Texas average

Texas average: 0.8%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 66
Medicare
1
1.5% of residents
Medicaid
40
60.6% of residents
Private pay or other
25
37.9% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$204.7K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.4M Rank #231 / 280Revenue — State benchmarkedThis home is ranked 231st out of 280 homes in Texas for Revenue. Shows this facility's annual revenue compared to the Texas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$204.7K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$745.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #240 / 280Payroll — State benchmarkedThis home is ranked 240th out of 280 homes in Texas for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.4M 62.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #154 / 280Payroll % — State benchmarkedThis home is ranked 154th out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.6M
How we calculate these figures

This home is administered by Todd C Bickle.

This home is owned by Slp Garland, LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 675790

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (50% of admissions), and a typical Medicaid stay runs around 1 - 2 years.

Admissions
60 total

Coverage residents most often arrive under.

Medicare 17%
Private pay 33%
Medicaid 50%
Discharges
66 total

Coverage residents most often leave under.

Medicare 15%
Private pay 21%
Medicaid 64%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Garland Nursing & Rehabilitation Center

Address 2.0 miles from city center Info Estimated distance in miles from Garland's city center to Garland Nursing & Rehabilitation Center's address, calculated via Google Maps. — 5.95 miles to nearest hospital (Texas Health Presbyterian Hospital Dallas)

Calculate Travel Distance to Garland Nursing & Rehabilitation Center

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Address

Compare Nursing Homes around Garland

The information below is reported by the Texas Health and Human Services Commission.

CMS & TX Dept. of Health data

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NH
HOS
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SNF
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TX AVG 80
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3.58
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 -12%-1%
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Facility $53.4k
TX AVG $81.8k
Rank #196 / 278
24
Facility 24
TX AVG 25.9
Rank #161 / 274
2.7
Facility 2.7
TX AVG 3.7
Rank #77 / 274
376-
44
Facility 44
TX AVG 41
Rank #645 / 1389
Primrose Healthcare, Inc
$8.5MFiscal year ending 06/2024
Facility $8.5MFiscal year ending 06/2024
TX AVG $8.4M
Rank #116 / 280
$5.3MFiscal year ending 06/2024
Facility $5.3MFiscal year ending 06/2024
TX AVG $3.5M
Rank #131 / 280
62.4%Fiscal year ending 06/2024
Facility 62.4%Fiscal year ending 06/2024
TX AVG 47%
Rank #165 / 280
675305
Legend Oaks Healthcare & Rehabilitation
NH
SNF
Garland
132
Facility 132
TX AVG 80
Rank #119 / 976
53.8%
Facility 53.8%
TX AVG 67.5
Rank #162 / 200
-20%
3.50
Facility 3.50
TX AVG 3.63
Rank #137 / 273
 -10%-4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
30
Facility 30
TX AVG 25.9
Rank #200 / 274
3.3
Facility 3.3
TX AVG 3.7
Rank #143 / 274
271-
54
Facility 54
TX AVG 41
Rank #407 / 1389
Duck Creek Healthcare, Inc
$9.7MFiscal year ending 06/2024
Facility $9.7MFiscal year ending 06/2024
TX AVG $8.4M
Rank #97 / 280
$5.3MFiscal year ending 06/2024
Facility $5.3MFiscal year ending 06/2024
TX AVG $3.5M
Rank #121 / 280
54.6%Fiscal year ending 06/2024
Facility 54.6%Fiscal year ending 06/2024
TX AVG 47%
Rank #185 / 280
676413
Winters Park Nursing and Rehabilitation Center
NH
HOS
MC
PC
RC
SNF
Garland
132
Facility 132
TX AVG 80
Rank #119 / 976
68.5%
Facility 68.5%
TX AVG 67.5
Rank #109 / 200
+1%
3.83
Facility 3.83
TX AVG 3.63
Rank #87 / 273
 -19%+6%
$40.1k
Facility $40.1k
TX AVG $81.8k
Rank #186 / 278
19
Facility 19
TX AVG 25.9
Rank #116 / 274
2.1
Facility 2.1
TX AVG 3.7
Rank #33 / 274
490-
49
Facility 49
TX AVG 41
Rank #541 / 1389
Musaab Zaid
$4.8MFiscal year ending 12/2023
Facility $4.8MFiscal year ending 12/2023
TX AVG $8.4M
Rank #178 / 280
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
TX AVG $3.5M
Rank #177 / 280
86.8%Fiscal year ending 12/2023
Facility 86.8%Fiscal year ending 12/2023
TX AVG 47%
Rank #146 / 280
676039
Garland Nursing & Rehabilitation Center
NH
HOS
MC
PC
RC
SNF
Garland
109
Facility 109
TX AVG 80
Rank #309 / 976
69.8%
Facility 69.8%
TX AVG 67.5
Rank #103 / 200
+3%
3.17
Facility 3.17
TX AVG 3.63
Rank #209 / 273
 +31%-13%
$81.6k
Facility $81.6k
TX AVG $81.8k
Rank #224 / 278
42
Facility 42
TX AVG 25.9
Rank #237 / 274
3.0
Facility 3.0
TX AVG 3.7
Rank #112 / 274
776-
52
Facility 52
TX AVG 41
Rank #455 / 1389
Slp Garland, LLC
$5.4MFiscal year ending 12/2023
Facility $5.4MFiscal year ending 12/2023
TX AVG $8.4M
Rank #231 / 280
$3.4MFiscal year ending 12/2023
Facility $3.4MFiscal year ending 12/2023
TX AVG $3.5M
Rank #240 / 280
62.3%Fiscal year ending 12/2023
Facility 62.3%Fiscal year ending 12/2023
TX AVG 47%
Rank #154 / 280
675790
Nursing Home Explorer

Financial Assistance for
Nursing Home in Texas

Garland Nursing & Rehabilitation Center is located in Garland, Texas.
Here are the financial assistance programs available to residents in Texas.

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Frequently Asked Questions about Garland Nursing & Rehabilitation Center

Who is the owner of Garland Nursing & Rehabilitation Center?

Garland Nursing & Rehabilitation Center is legally operated by Winniestowell Hospital District, and administered by Todd C Bickle.

Is Garland Nursing & Rehabilitation Center in a walkable area?

Garland Nursing & Rehabilitation Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Garland Nursing & Rehabilitation Center?

According to TX state health department records, Garland Nursing & Rehabilitation Center's license number is 312681.

When does Garland Nursing & Rehabilitation Center's license expire?

According to TX state health department records, Garland Nursing & Rehabilitation Center's license expires on January 13, 2026.

What is the occupancy rate at Garland Nursing & Rehabilitation Center?

Garland Nursing & Rehabilitation Center's occupancy is 70%.

Are pets allowed at Garland Nursing & Rehabilitation Center?

No, Garland Nursing & Rehabilitation Center has a no-pet policy.

Does Garland Nursing & Rehabilitation Center operate as a for-profit or non-profit?

Garland Nursing & Rehabilitation Center is registered as a for-profit in TX.

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