Graham Oaks Care Center
Nursing Home · Graham, TX
CMS certification number455968
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1325 First StGraham, TX 76450
Young County
- Phone
- (940) 549-8787
- ZIP code
- 76450 – all care providers
Facility details
- Certified beds
- 110
- Residents per day
- 76.0 (69% occupied)
- Ownership
- For profit - Corporation
- Legal name
- County of Throckmorton
- Chain
- Creative Solutions in Healthcare (149 facilities, avg 2.1★)
- Medicare certified since
- October 28, 1991
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.99 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.37 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.82 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.80 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.57 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 94.4 (state 55.3 · U.S. 45.8)%
- RN turnover
- 100.0 (state 54.6 · U.S. 42.9)%
Inspections
- Last standard inspection
- April 9, 2026
- Health deficiencies (last cycle)
- 6.0 (state 9.3 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 16 health · 6 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-04-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2026-03-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-26 |
| 2025-11-08 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. F0844 · Administration Deficiencies · complaint inspection |
C No actual harm, potential for minimal harm |
Corrected 2025-11-09 |
| 2025-10-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-09-03 |
| 2025-10-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-09-03 |
| 2025-05-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-09 |
| 2025-01-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-23 |
| 2025-01-22 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-23 |
| 2024-10-18 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-25 |
| 2023-12-07 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2023-12-08 |
| 2023-12-07 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-07 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-07 | Implement 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-08-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $34,690 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-10-10 | Fine | $17,345 |
| 2025-10-10 | Fine | $17,345 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| County of Throckmorton (organization) | 5%+ Direct Ownership Interest · 100% | |
| Blake, Gary (individual) | Administrator · NOT APPLICABLE | |
| Cook, Roxy (individual) | Administrator · NOT APPLICABLE | |
| Graham I Enterprises, LLC (organization) | Administrator · NOT APPLICABLE | |
| Purdy, Aaron (individual) | Administrator · NOT APPLICABLE | |
| Huggins, Linda (individual) | Corporate Director · NOT APPLICABLE | |
| Willig, Zachary (individual) | Corporate Director · NOT APPLICABLE | |
| Gober, Kirby (individual) | Corporate Officer · NOT APPLICABLE | |
| Brockman, Gregory (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gober, Kirby (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Hibbitts, Kasey (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Hodges, Caleb (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Mitchell, Klayton (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Wells, Casey (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Blake, Gary (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Blake, Malisa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Graham I Enterprises, LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Graham Oaks Care Center?
Graham Oaks Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Graham Oaks Care Center have?
It has 110 certified beds and cares for about 76 residents per day.
Has Graham Oaks Care Center been fined?
Yes. CMS lists 2 penalties totaling $34,690 in the last three years.
Who owns Graham Oaks Care Center?
It is part of Creative Solutions in Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Graham Oaks Care Center?
(940) 549-8787. The facility is located at 1325 First St, Graham, TX 76450.
Other nursing homes in Graham
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Avir at Graham
Nursing Home · Graham, TX · 116 beds
★★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.