Arbor Grace Guest Care Center

Nursing Home · Kilgore, TX

CMS overall rating 1/5 For profit - Corporation

CMS certification number675814

Contact & location

2700 S. Henderson Blvd.
Kilgore, TX 75662
Rusk County
Phone
(903) 984-3511
ZIP code
75662 – all care providers

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Facility details

Certified beds
127
Residents per day
84.2 (66% occupied)
Ownership
For profit - Corporation
Legal name
Hamilton County Hospital District
Medicare certified since
December 14, 1999
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.58 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.41 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.78 (state 0.95 · U.S. 0.86)
Nurse aides
2.39 (state 2.00 · U.S. 2.32)
Weekend total
3.13 (state 2.98 · U.S. 3.42)
Nursing staff turnover
75.3 (state 55.3 · U.S. 45.8)%
RN turnover
69.2 (state 54.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
June 17, 2026
Health deficiencies (last cycle)
9.0 (state 9.3 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
23 health · 11 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-17 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-09
2026-06-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-18
2026-06-17 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-18
2026-06-17 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-07
2026-06-17 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-09
2026-06-17 Provide 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-09
2026-06-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-09
2026-06-17 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-09
2026-04-29 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2026-05-01
2025-04-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-23
2025-04-02 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 2025-04-23
2025-04-02 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-23
2025-04-02 Ensure 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-23
2024-03-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-03-20 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-03-20 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 2024-03-21
2024-03-20 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-03-20 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-02-29 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-01
2024-02-23 Honor 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.
F0585 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-24
2023-11-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-21
2023-11-20 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-21
2023-11-20 Ensure 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.
F0809 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-21

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

1 penalty in the last three years, including $187,096 in fines.

DateTypeAmount
2026-04-29Fine$187,096

Ownership & management

NameRoleSince
MPD Acquisition of Kilgore, LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Gamvest Texas LLC (organization)Administrator · NOT APPLICABLE
K-J-K Venture, LLC (organization)Administrator · NOT APPLICABLE
Kegarise, Brandon (individual)Administrator · NOT APPLICABLE
Machen Health Management LLC (organization)Administrator · NOT APPLICABLE
MPD Acquisition of Kilgore, LLC (organization)Administrator · NOT APPLICABLE
MPD Texas Resources of Kilgore LLC (organization)Administrator · NOT APPLICABLE
Shen, Hong-I (individual)Administrator · NOT APPLICABLE
Hooper, Grady (individual)Corporate Officer · NOT APPLICABLE
Gamble, Denny (individual)Operational/managerial Control · NOT APPLICABLE
Kegarise, Brandon (individual)Operational/managerial Control · NOT APPLICABLE
Machen, Matt (individual)Operational/managerial Control · NOT APPLICABLE
MPD Texas Resources of Kilgore LLC (organization)Operational/managerial Control · NOT APPLICABLE
Shen, Hong-I (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Arbor Grace Guest Care Center?

Arbor Grace Guest 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 Arbor Grace Guest Care Center have?

It has 127 certified beds and cares for about 84 residents per day.

Has Arbor Grace Guest Care Center been fined?

Yes. CMS lists 1 penalty totaling $187,096 in the last three years.

What is the phone number of Arbor Grace Guest Care Center?

(903) 984-3511. The facility is located at 2700 S. Henderson Blvd., Kilgore, TX 75662.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.