Advanced Health & Rehab Center of Garland: Staffing, Turnover, and Inspection Record
Advanced Health & Rehab Center of Garland is a 139-bed government-run nursing home in Garland, Texas, part of Advanced Healthcare Solutions. In the CMS August 2026 release it reported 1.77 nurse aide hours per resident per day, 11% below the Texas average of 2.00, and 43.5% nursing staff turnover (Texas average 55.3%).
Advanced Health & Rehab Center of Garland
1201 Colonel DriveGarland, TX 75043
Dallas County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Advanced Health & Rehab Center of Garland, nurse aides logged 1.77 hours per resident per day, 11% below the Texas average. With about 123 residents a day, that works out to roughly 218 aide hours a day, or about 27 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.77 | 2.00 | 2.32 |
| Licensed practical nurses | 0.87 | 0.95 | 0.86 |
| Registered nurses | 0.33 | 0.43 | 0.69 |
| All nursing staff | 2.97 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.68 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
43.5% of nursing staff at Advanced Health & Rehab Center of Garland left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 53.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 10, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 22 health deficiencies (Texas average 9.3). CMS lists 3 fines totaling $181,828 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 5, 2026 | Fine | $93,766 |
| Sep 12, 2025 | Fine | $9,113 |
| Dec 2, 2024 | Fine | $78,949 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Advanced Health & Rehab Center of Garland holds 1 of 5 overall; the Texas average is 2.6.
About Advanced Health & Rehab Center of Garland
- Ownership: Government - Hospital district
- Chain: Advanced Healthcare Solutions, 28 homes
- Legal name: Hamilton County Hospital District
- Medicare and Medicaid certified since: Jan 27, 1988
- Councils: resident council
- Area: urban
Nursing homes near Advanced Health & Rehab Center of Garland
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Christian Care Communities and Services Mesquite Mesquite | 2.8 | 180 | 2.17 | 3.99 | 52.0% | 4 | $28,941 |
| Golden Acres Living and Rehabilitation Center Dallas | 3.9 | 264 | 2.24 | 3.76 | 46.6% | 3 | None |
| Avir at Garland Garland · abuse citation | 4.0 | 109 | 1.89 | 3.38 | 50.9% | 1 | $91,343 |
| Pleasant Valley Healthcare and Rehabilitation Cent Garland | 4.1 | 124 | 1.87 | 3.36 | 33.3% | 2 | $53,393 |
| Beltline Healthcare Center Garland · SFF candidate | 4.1 | 120 | 1.55 | 3.07 | 93.9% | 1 | $32,006 |
| Town East Rehabilitation and Healthcare Center Mesquite · abuse citation | 4.3 | 130 | 2.18 | 3.40 | 70.8% | 1 | $25,673 |
| Palomino Place Mesquite · abuse citation | 4.9 | 120 | 2.04 | 3.64 | 52.7% | 2 | $165,086 |
| Villages of Lake Highlands Dallas | 5.3 | 126 | 2.20 | 4.48 | 35.4% | 2 | $29,022 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.