Arbor Grace Guest Care Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 52 Google reviews
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What this means for your family
This facility is an excellent choice for rehabilitation and short-term recovery due to its modern, clean environment and successful track record in rehab transitions. However, because of highly specific and severe allegations regarding staff conduct and medication theft, families should perform rigorous due diligence and maintain frequent, unannounced visits to monitor care quality.
Google Reviews
Google Reviews
52 reviews analyzed“Arbor Grace Guest Care Center is frequently praised for its clean, renovated facility and a highly caring, professional staff, particularly for rehabilitation needs. However, there are extremely serious allegations regarding staff misconduct and patient neglect that families must investigate thoroughly. While many visitors report a warm, family-like atmosphere, a subset of reviews highlights severe issues with nursing attitude and professional ethics.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained renovated facility
- Caring and attentive nursing and rehab staff
- Engaging resident activities and social environment
- Strong reputation for successful rehabilitation outcomes
Concerns
- Serious allegations of staff misconduct and theft
- Unprofessional or bullying behavior by nursing staff (mentioned by 2 reviewers)
- High employee turnover affecting consistency
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses a standardized template for all negative or low-star reviews, directing users to a specific phone number and administrator. Positive reviews receive a separate, brief generic thank you.
Questions for Your Tour
- 1Since the facility has been recently renovated, could you show us some of the updated common areas where residents gather?
- 2We've heard great things about the rehabilitation success here; could you explain how the rehab team works with residents to meet their specific recovery goals?
- 3With the recent changes in staffing, what steps are being taken to ensure that the same familiar faces are providing care to our loved one every day?
- 4What kind of daily social activities or group outings are available to keep residents engaged and connected with each other?
- 5How does the nursing team communicate important medical updates or changes in health status to family members after hours?
- 6What protocols are in place to ensure the security of residents' personal belongings and to maintain a high standard of professional conduct among all staff members?
Personalized based on this facility's data
Key Review Excerpts
“I want to thank the staff at Arbor Grace for the 11 rehab to home success stories just in the month of May. The leadership and team at Arbor Grace are first class.”
“One nurse’s aid ripped off my Dad’s fentanyl patch and put it on herself. Another nurse’s aid called my dad an idiot because he was struggling to sit up in a wheelchair.”
“The facility always smells nice and is always clean. Often the residents are engaged in some form of activity with staff when I visit.”
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
13
measures
2
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has serious recurring issues with 59 deficiencies across 6 surveys, including 7 complaint-triggered violations where families reported problems. The most persistent concerns involve fire safety and building systems, medication management, and quality of care including wound care and daily living assistance. While all deficiencies show correction dates, the same problems repeatedly resurface across multiple years, particularly fire safety violations and medication errors, indicating ongoing systemic challenges with maintaining consistent standards.
Apr 2, 2025Routine7
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Apr 2, 2025Complaint1
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Mar 20, 2024Routine7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Keep all essential equipment working safely.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Mar 20, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 29, 2024Complaint1
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.
Feb 23, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Ownership & Operations
Who Operates This Facility
Hamilton County Hospital District
for profit
MPD TEXAS RESOURCES OF KILGORE, LLC
JONATHAN GAMBLE
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
52 reviews from families & visitors
Official Website
Visit arborgraceguestcare.com
Medicare data downloads
Original nursing home datasets
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