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On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 20 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare Special Focus status indicates a history of serious quality problems and heightened oversight. Review the latest inspection records, ask what corrective actions remain open, and visit in person before deciding.
Families seeking rehabilitation services may find success here, as several reviewers praise the effectiveness of the physical therapy and the kindness of the staff. However, there are serious allegations regarding facility maintenance, including plumbing issues, exposed wires, and cleanliness concerns that should be investigated personally.
Quality Themes
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Concerns
Rating Trends
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Distribution · 22 analyzed
The owner uses highly repetitive, templated responses that follow a nearly identical structure for every review. While they acknowledge the dissatisfaction, they fail to address any of the specific allegations regarding medical neglect, facility maintenance, or staff behavior.
Personalized based on this facility's data
Key Review Excerpts
“My mother recently underwent hip surgery and could barely walk. This facility accommodated my mother and provided her with the care and therapy necessary for her recovery.”
“I cannot say enough about the wonderful care I was given at this facility. Sweet caring kindness was shown to me. I was not able to walk when I came in. I am walking with the aid of a walker.”
“The center is very clean and has been nicely refurbished, creating a comfortable and welcoming environment for patients.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
1
measures
1
measures
Residents whose bladder or bowel control 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 vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
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
Detailed Medicare record · up to 3-year lookback
Families have filed multiple complaints triggering 11 deficiencies, including recent issues in September 2025 involving dementia care, medication management, and treatment quality. The facility shows recurring problems with care planning, safety hazards, and building maintenance across multiple surveys from 2022-2025. While all deficiencies appear corrected, the pattern of repeated violations and family complaints suggests ongoing care quality concerns that warrant careful consideration.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Federal Penalties
Fine
Sep 23, 2025
$32,006
West Wharton County Hospital District
for profit
GARLAND I ENTERPRISES, LLC
KRYSTAL HORN
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 110 of 148 (Lowest rating)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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Official Website
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EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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