All states › Texas › Kilgore › Arbor Grace Guest Care Center
2700 S. Henderson Blvd. Kilgore, TX 75662 · Rusk County
All 2 nursing homes in Kilgore, TX (2 take Medicaid)
CMS certification number 675814 · See this home on Medicare Care Compare
Is Arbor Grace Guest 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 Arbor Grace Guest Care Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
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.
Staffing
Nursing staff spend about 3.65 hours per resident per day at Arbor Grace Guest Care Center, above the Texas median of 3.30 (US median: 3.72). About 0.44 of those hours are from registered nurses. On weekends it falls to 3.13 hours, 14% below its all-week average. 65.5% 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.
About this nursing home
Paying for care at Arbor Grace Guest Care Center: Medicare and Medicaid
Arbor Grace Guest 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 June 17, 2026 and found 7 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 23 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 23 citations at Arbor Grace Guest Care Center across 7 inspection dates, 9 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 29, 2026 (complaint inspection). The most common areas cited were quality of life and care (7) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, April 29, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
June 17, 2026 · 8 citations · includes complaint inspection
EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProtect each resident from the wrongful use of the resident's belongings or money.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure each resident receives an accurate assessment.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide and implement an infection prevention and control program.
DImplement a program that monitors antibiotic use.
April 29, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
April 2, 2025 · 4 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
March 20, 2024 · 5 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FKeep all essential equipment working safely.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide safe and appropriate respiratory care for a resident when needed.
February 29, 2024 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
February 23, 2024 · 1 citation · includes complaint inspection
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
November 20, 2023 · 3 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Questions to ask on a tour of Arbor Grace Guest Care Center
- Inspectors cited the home at the immediate-jeopardy level on April 29, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 17, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 65.5% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
1 penalty in the last three years, including $121,612 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 29, 2026 | Fine | $121,612 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
Add this rating badge to your websiteFree. Shows Arbor Grace Guest Care Center's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Arbor Grace Guest 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.
-
14.2 mi
Longview Regional Medical Center LongviewEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 15m for patients treated and sent home
- 14.3 mi
-
14.7 mi
Etmc Henderson HendersonEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 13m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Arbor Grace Guest Care Center › All nursing homes in Kilgore ›
Compare Arbor Grace Guest Care Center with the 3 closest homes side by side ›
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.