Advanced Health & Rehab Center of Garland
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 72 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (21 vs median 8.0)
- High RN turnover (58%)
Below average in Texas · Critically understaffed (RN) · Above average staffing · Below chain average · $236,424 in fines
What this means for your family
This facility is an excellent choice for families seeking a high level of engagement and a warm, community-driven environment. The recent renovations and the dedicated activities programming are standout features, though you should verify if the specific level of medical care meets your loved one's clinical needs.
Google Reviews
Google Reviews
72 reviews on Google“Families considering this facility can expect a warm, community-oriented environment characterized by highly engaged activities and a caring, attentive staff. Reviewers frequently highlight the recent facility renovations and the seamless transition process for new residents, though the facility's primary strength lies in its personalized, family-like atmosphere.”
Quality Themes
Tap a score for detailsStrengths
- Engaging activities and programming
- Warm and attentive nursing and support staff
- Recently renovated and clean facilities
- Smooth transition and move-in process
- Welcoming and family-oriented atmosphere
Rating Trends
Tap a year to see what changed
Distribution · 30 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to community feedback; how does the facility use resident and family input to improve day-to-day care?
- 2With the recent health inspection updates, what specific steps has the facility taken to address previous deficiencies and improve clinical outcomes?
- 3How do you ensure there is enough specialized nursing support available during the night shifts to handle sudden medical changes?
- 4What kind of daily activities or social outings do you organize to keep the residents engaged and connected with one another?
- 5Can you tell me more about how the staff manages nutrition and hydration to ensure every resident's specific dietary needs are met?
- 6In the event of a medical emergency after hours, what is the exact protocol for contacting the family and coordinating with outside doctors?
Personalized based on this facility's data
Key Review Excerpts
“My Father-in-law has been a resident at Silver Creek five years now, and just celebrated his 100th birthday!!! ... When we were setting up, Bo (their Chef) walked in and asked if we needed anything.”
“The community just had a renovation and it looks AMAZING! Everything is brand new! I highly recommend you come take a look if you are searching for a community.”
“Dad stayed here for 2 weeks of respite care. He had a comfortable room, enjoyed his meals, and made friends with some of the other residents. Vivi made the whole process very easy from our initial visit to his discharge.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
2
measures
1
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern with 31 complaint-triggered deficiencies from families filing reports, indicating ongoing care problems. The most persistent issues involve care planning, medication management, and safety hazards, with multiple violations recurring across surveys. Recent complaints in 2026 about accident hazards and care planning remain uncorrected, suggesting serious unresolved problems that families should carefully consider before choosing this facility.
Feb 5, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jan 9, 2026Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jan 5, 2026Complaint3
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 26, 2025Complaint5
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nov 25, 2025Complaint3
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 12, 2025Complaint2
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Federal Penalties
Fine
Jan 5, 2026
$144,255
Fine
Sep 12, 2025
$14,020
Fine
Dec 2, 2024
$78,949
Ownership & Operations
Who Operates This Facility
Hamilton County Hospital District
for profit
GARLAND HC LLC
DONDREAE SCOTT
Chain Affiliation
Advanced Healthcare Solutions
30 facilities nationwide
Chain avg rating: 3.2/5 · Rank 22 of 30
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
72 reviews from families & visitors
Official Website
Visit silvercareliving.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Brookdale Club Hill
< 1 miAssisted Living · Garland, TX
Garland Serenity Home
3.2 miAssisted Living · Garland, TX
Iris Memory Care of Rowlett
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Golden Acres Living and Rehabilitation Center
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Brookdale Lake Highlands
5.2 miAssisted Living · Dallas, TX
The Parks at Garland Healthcare and Rehab
5.7 miNursing Home · Garland, TX