3306 W WALNUT ST STE 200, Garland, TX 75042
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Medicare-certifiedSkilled Nursing
Garland Nursing and Rehabilitation
Garland, TexasMedicare inspection record
About Garland Nursing and Rehabilitation
Garland Nursing and Rehabilitation provides skilled nursing and rehabilitation care in Garland, Texas, where experienced nurses and therapists work together to help residents regain strength and independence. Our clinical team focuses on personalized recovery plans tailored to each individual's goals.
Community at a glance
Capacity
109 residents
Location
Garland, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
321 N SHILOH RD, Garland, Texas 75042
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 21, 2026, state inspectors cited 10 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 23 minutes with each resident a day, about the same as the Texas average.
Medicare fined Garland Nursing and Rehabilitation 4 times in the last three years, $83,373 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 23 minutes |
| Registered nurse time per resident, per day | 26 minutes |
| Nursing staff who left in the past year | 51%Below the Texas average |
1 administrator has left the home in the past year.
Inspections
37 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 21, 2026 · Standard inspection · 3 citations
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected May 22, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 22, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 22, 2026
April 24, 2026 · Complaint investigation · 1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 26, 2026
March 12, 2026 · Complaint investigation · 1 citation+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Mar 13, 2026
January 17, 2026 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 19, 2026
December 3, 2025 · Complaint investigation · 3 citations+
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 4, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 4, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 4, 2025
November 13, 2025 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed before the inspection
March 18, 2025 · Standard inspection · 10 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 15, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 15, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Apr 15, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 15, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 15, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Apr 15, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 15, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 15, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 15, 2025Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 15, 2025
February 27, 2025 · Complaint investigation · 1 citation+
Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 28, 2025
November 26, 2024 · Complaint investigation · 4 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Nov 25, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Nov 27, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 27, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 27, 2024
August 12, 2024 · Complaint investigation · 5 citations+
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintCorrected Aug 13, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Aug 13, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 13, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 13, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 13, 2024
February 8, 2024 · Standard inspection · 5 citations+
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Feb 9, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Feb 9, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 9, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 9, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 9, 2024
December 27, 2023 · Complaint investigation · 1 citation+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 17, 2024
October 25, 2023 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Oct 26, 2023
Fines and payment denials
4 fines totaling $83,373 in the last three years.
- May 21, 2026Fine: $19,115
- November 13, 2025Fine: $17,643
- November 26, 2024Fine: $12,038
- August 12, 2024Fine: $34,577
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Winnie-Stowell Hospital District
- Medicare-certified beds
- 109
- Average residents per day
- 79
- Accepts
- Medicare and Medicaid
- First certified
- June 10, 1999
- Part of a chain
- Avir Health Group, 118 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675790
Location
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321 N SHILOH RDGarland, TX 75042
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Questions about Garland Nursing and Rehabilitation
How did Garland Nursing and Rehabilitation do on its last inspection?+
State inspectors visited on May 21, 2026 and cited 10 health deficiencies, 7 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Garland Nursing and Rehabilitation?+
Nurses and aides spend 3 hours 23 minutes with each resident per day, including 26 minutes from registered nurses. 51% of nursing staff left over the past year.
Has Garland Nursing and Rehabilitation been fined by Medicare?+
Yes. Medicare fined Garland Nursing and Rehabilitation 4 times in the last three years, totaling $83,373.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.