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Graham Oaks Care Center

All states › Texas › Graham › Graham Oaks Care Center

1325 First St Graham, TX 76450 · Young County

(940) 549-8787

All 2 nursing homes in Graham, TX (2 take Medicaid)

Cited for abuse Accepts Medicare Accepts Medicaid 110 certified beds For profit

CMS certification number 455968 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Graham Oaks Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Graham Oaks Care Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 15 citations in the last three years. CMS imposed 2 penalties, including $34,690 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 2 out of 5. CMS currently shows its abuse icon for this home (see above).

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 3.35 hours per resident per day at Graham Oaks Care Center, about the same as the Texas median of 3.30 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 2.81 hours, 16% below its all-week average. Ask how weekends are staffed. 66.7% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.35 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.39 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.81 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 66.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 57.1% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds110
Residents per day 81 About 74% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1991
Part of a chainCreative Solutions In Healthcare
Legal business nameCOUNTY OF THROCKMORTON

Paying for care at Graham Oaks Care Center: Medicare and Medicaid

Graham Oaks Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on April 9, 2026 and found 1 deficiency, plus 5 from complaint inspections in the same period. In total, inspectors issued 15 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 15 citations at Graham Oaks Care Center across 9 inspection dates, 10 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 10, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (6) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, October 10, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.

June 14, 2026 · 1 citation · includes complaint inspection

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jun 30, 2026)

April 9, 2026 · 1 citation

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 30, 2026)

March 25, 2026 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Mar 26, 2026)

November 8, 2025 · 1 citation · includes complaint inspection

CFollow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Potential for minimal harm · Administration Deficiencies · Tag F0844 · Complaint inspection · Deficient, Provider has date of correction (Nov 9, 2025)

October 10, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection

JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Sep 3, 2025)

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Sep 3, 2025)

May 23, 2025 · 1 citation · includes complaint inspection

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Jun 9, 2025)

January 22, 2025 · 2 citations · includes complaint inspection

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jan 23, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Jan 23, 2025)

October 18, 2024 · 1 citation · includes complaint inspection

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Oct 25, 2024)

December 7, 2023 · 5 citations, includes actual harm · includes complaint inspection

GProvide safe, appropriate pain management for a resident who requires such services.

Actual harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Dec 8, 2023)

ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jan 5, 2024)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Jan 5, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jan 5, 2024)

DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Jan 5, 2024)

Questions to ask on a tour of Graham Oaks Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on October 10, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on October 10, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  5. Nursing staff turnover was 66.7% a year. How many of the staff come from agencies?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $34,690 in fines.

DateTypeAmount or length
Oct 10, 2025 Fine $17,345
Oct 10, 2025 Fine $17,345

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 1/5 3/5
August 2026 1/5 2/5 1/5 3/5
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Location

Hospitals near Graham Oaks Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Avir at Graham Graham · 1.0 mi away ★★★★☆ Inspection 5/5 · Staffing 1/5 116 beds · Medicaid
Olney Rehabilitation and Care Center Olney · 21.9 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 99 beds · Medicaid
Avir at Jacksboro Jacksboro · 25.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 1/5 104 beds · Medicaid
Villa Haven Health and Rehabilitation Center Breckenridge · 30.0 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 92 beds · Medicaid
Palo Pinto Nursing Center Mineral Wells · 32.3 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 106 beds · Medicaid

More nursing homes near Graham Oaks Care Center ›   All nursing homes in Graham ›

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Other Creative Solutions In Healthcare nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/graham/graham-oaks-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.