Graham Oaks Care Center: Staffing, Turnover, and Inspection Record
Graham Oaks Care Center is a 110-bed for-profit nursing home in Graham, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.80 nurse aide hours per resident per day, 10% below the Texas average of 2.00, and 94.4% nursing staff turnover (Texas average 55.3%).
Graham Oaks Care Center
1325 First StGraham, TX 76450
Young County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Graham Oaks Care Center, nurse aides logged 1.80 hours per resident per day, 10% below the Texas average. With about 76 residents a day, that works out to roughly 137 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.80 | 2.00 | 2.32 |
| Licensed practical nurses | 0.82 | 0.95 | 0.86 |
| Registered nurses | 0.37 | 0.43 | 0.69 |
| All nursing staff | 2.99 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.57 | 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
94.4% of nursing staff at Graham Oaks Care Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 100.0%.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 9, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $34,690 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 10, 2025 | Fine | $17,345 |
| Oct 10, 2025 | Fine | $17,345 |
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. Graham Oaks Care Center holds 1 of 5 overall; the Texas average is 2.6.
About Graham Oaks Care Center
- Ownership: For profit - Corporation
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: County of Throckmorton
- Medicare and Medicaid certified since: Oct 28, 1991
- Councils: resident council
- Area: rural
Nursing homes near Graham Oaks Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Graham Graham | 1.0 | 116 | 1.71 | 3.11 | 38.9% | 5 | None |
| Olney Rehabilitation and Care Center Olney | 21.9 | 99 | 1.61 | 3.16 | 46.4% | 4 | None |
| Avir at Jacksboro Jacksboro | 25.5 | 104 | 2.22 | 3.53 | 57.1% | 4 | $23,813 |
| Villa Haven Health and Rehabilitation Center Breckenridge | 30.0 | 92 | 1.98 | 3.45 | 60.0% | 5 | None |
| Palo Pinto Nursing Center Mineral Wells | 32.3 | 106 | 1.60 | 3.04 | 45.6% | 3 | $41,036 |
| Mineral Wells Nursing & Rehabilitation Mineral Wells | 32.4 | 109 | 1.82 | 3.05 | 95.6% | 4 | None |
| Premier Health Care Center Ranger · many days without an RN | 44.0 | 50 | 1.24 | 2.21 | 59.1% | 1 | $14,069 |
| Bridgeport Medical Lodge Bridgeport · abuse citation | 48.2 | 152 | 1.76 | 3.35 | 57.3% | 1 | $24,704 |
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.