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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.
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.
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 179th out of 240 homes in Texas.| Staff type | Hours / day | vs state avg |
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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.
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20m per day | ▼ 23% State avg: 26m per day · National avg: 41m per day |
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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.
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1h 8m per day | ▲ 19% State avg: 57m per day · National avg: 52m per day |
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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.
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1h 48m per day | ▼ 11% State avg: 2h 1m per day · National avg: 2h 21m per day |
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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.
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2h 52m per day | ▼ 4% State avg: 2h 59m per day · National avg: 3h 26m per day |
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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.
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10m per day | ▲ 150% State avg: 4m per day · National avg: 4m per day |
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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.
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13m per day | ▼ 38% State avg: 21m per day · National avg: 29m per day |
Occupancy lower than 85% suggests more openings may be available.
Most residents stay for extended periods and receive ongoing daily care.
17% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
50% 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 #190 / 252Payroll — state benchmarkedThis home is ranked 190th 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.
Garland Nursing & Rehabilitation Center is administrated by Todd C Bickle.
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 |
|---|---|---|---|
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Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
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62 | 6 | This facility has 933% more total citations than a typical Texas nursing home (62 vs. TX avg 6).↑ 933% worse |
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Citations per year
Average citations per year since 2022.
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15.5 | 1.5 | This facility has 933% more citations per year than a typical Texas nursing home (15.5 vs. TX avg 1.5).↑ 933% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 3, 2025, identified deficiencies related to resident dignity, call light accessibility, and respiratory care equipment storage. Earlier inspections showed a pattern of issues with resident care practices, privacy, infection control, environmental maintenance, and supervision, including substantiated complaints involving falls, neglect, elopement, and delayed reporting. Main themes across reports included inadequate supervision during transfers, failure to maintain privacy and dignity, improper respiratory and wound care, and environmental hazards. Several complaint investigations found substantiated deficiencies, some involving immediate jeopardy that was later resolved, but no fines or license actions were listed in the available reports. The facility’s inspection history shows ongoing challenges with care and safety protocols, with some corrective actions taken but recurring issues persisting 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 Nov 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.
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).
250% worse than Texas average
Texas average: 2
0
100% better than Texas average
Texas average: 0.4
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 13, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 18, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 18, 2025
Corrected
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.
Garland Nursing & Rehabilitation Center is located in Garland, Texas.
Here are the financial assistance programs available to residents in Texas.
2.0 miles from city center
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)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
17% worse than Texas average
Texas average ratio: 1.51:1
0% compared with Texas average
Texas 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.
9.8 hours
No 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.
9.8 hours
No 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.
7.5 hours
No contractors work on this role.
Total hours from contractors
51 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
66
Residents 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.
9.1
5% worse than Texas average
Texas average: 8.6
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
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
18.5%
14% worse than Texas average
Texas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
16.7%
In line with Texas average
Texas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
21% worse than Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.8%
9% worse than Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.8%
In line with Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
1.4%
60% better than Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
1.8%
39% better than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
7.1%
9% better than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas average
Texas average: 97.9%
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
100.0%
11% better than Texas average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas average
Texas average: 88.0%
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%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.9%
24% worse than Texas average
Texas average: 12.0%
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.
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)
32% lower than Texas average
Texas average: $80K
21% more fines than Texas average
Texas 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 average
Texas average: 0.2
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.
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.
Aug 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 11, 2023
Last updated: Jan 2026
The information below is reported by the Texas Health and Human Services Commission.
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| 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 Garland Nursing & Rehabilitation Center based on CMS SNF Cost Reports.
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The legal owner and operator of Garland Nursing & Rehabilitation Center is Winniestowell Hospital District.
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.
According to TX state health department records, Garland Nursing & Rehabilitation Center's license number is 312681.
According to TX state health department records, Garland Nursing & Rehabilitation Center's license expires on January 13, 2026.
Todd C Bickle is the administrator of Garland Nursing & Rehabilitation Center.
Garland Nursing & Rehabilitation Center has 109 beds.
(972) 276-9571 will put you in contact with the team at Garland Nursing & Rehabilitation Center.
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