Nursing homes › Texas › Graham Oaks Care Center
1325 First St, Graham, TX 76450 · (940) 549-8787 · 110 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 state. Group record: average rating 2.1/5, 22 abuse citation icons, 6 facilities on the Special Focus list, $8,191,964 in federal fines. This facility rates below its group average (2.1/5).
Total nurse staffing: 2.99 (Texas median: 3.27). RN hours: 0.37. Weekend total: 2.57. Nursing staff turnover: 94%.
In the downloaded CMS dataset: 16 deficiency citations, including 2 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | 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. | E | complaint | 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. | D | Health | corrected 2026-04-30 |
| 2026-03-25 | Provide and implement an infection prevention and control program. | D | complaint | 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. | C | complaint | 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. | J | complaint | 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. | J | complaint | 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. | D | complaint | 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. | E | complaint | corrected 2025-01-23 |
| 2025-01-22 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-01-23 |
| 2024-10-18 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-10-25 |
| 2023-12-07 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | 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 | E | Health | corrected 2024-01-05 |
| 2023-12-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | 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. | D | Health | 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. | D | Health | corrected 2024-01-05 |
| 2023-08-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-08-29 |
| Date | Type | Amount |
|---|---|---|
| 2025-10-10 | Fine | $17,345 |
| 2025-10-10 | Fine | $17,345 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| COUNTY OF THROCKMORTON | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/01/2022 |
| BROCKMAN, GREGORY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2021 |
| GOBER, KIRBY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/20/2014 |
| HIBBITTS, KASEY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/18/2020 |
| HODGES, CALEB | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| MITCHELL, KLAYTON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/31/2020 |
| WELLS, CASEY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/10/2004 |
| HUGGINS, LINDA | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2022 |
| WILLIG, ZACHARY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| GOBER, KIRBY | Corporate Officer | Individual | NOT APPLICABLE | since 06/20/2014 |
| GRAHAM I ENTERPRISES, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2019 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2019 |
How to cite this page: CareRecords, “Graham Oaks Care Center — compliance, penalty and ownership record” (CCN 455968), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/graham-oaks-care-center-graham-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455968. Corrections: data@carerecords.org.