Nursing homeActive
Garrison Nursing Home & Rehabilitation Center
333 North Fm 95, Garrison, TX 75946936347223493 certified beds · 80 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
13
● 1● 10● 2
Penalties · 3 yrs
$52,951
3 fines
Last survey
2025-07-30
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-07-30 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-06-26 | Standard | 120 | CMS-2567 (Care Compare) | — |
| 2024-02-08 | Complaint | 022 | CMS-2567 (Care Compare) | — |
| 2023-05-10 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-31Record 676177-20250730-F641
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-31Record 676177-20250730-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-07-31Record 676177-20250730-F812
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 676177-20240626-F690
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 676177-20240626-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2024-06-27Record 676177-20240626-F732
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-12Record 676177-20240208-F607
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-02-09Record 676177-20240208-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 676177-20240208-F609
F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 676177-20240208-F840
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-12Record 676177-20230510-F550
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-12Record 676177-20230510-F812
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-12Record 676177-20230510-F925
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-08-22 | Civil money penalty | $28,129 | CMS · Penalties |
| 2024-02-08 | Civil money penalty | $16,801 | CMS · Penalties |
| 2024-02-08 | Civil money penalty | $8,021 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.27
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day4.43
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.55
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover46%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover44%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.0% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.1% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.5% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.4% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.7% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 11.2% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Shapiro, Menachem Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Winnie-Stowell Hospital District Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Havins, Joshua Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Murrell, Edward Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Caring Healthcare Group — 14 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Nacogdoches.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Stallings Court Nursing and Rehabilitation Nacogdoches | 15.0 mi | 2026-05-28 | 0240 |
| Willowbrook Nursing Center Nacogdoches | 15.1 mi | 2025-07-09 | 1161 |
| Westward Trails Nursing and Rehabilitation Nacogdoches | 16.5 mi | 2025-11-20 | 0162 |
| Focused Care Of Center Center | 18.5 mi | 2025-11-18 | 1264 |
| Avir at Center Center | 20.1 mi | 2025-07-23 | 281 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |