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Nursing HomeMedicaid Investigative

Ganado Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

107 East Rogers Street, Ganado, TX 7796291 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 16 Google reviews

5
4
3
2
1

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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)
  • High staff turnover (54%)

Top 25% in Texas · Below recommended RN staffing · Chain outperformer · $8,422 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice if you prioritize cleanliness and a warm, home-like atmosphere for your loved one. The staff is consistently noted for being caring and welcoming, though you may want to inquire about specific dining options as they are not mentioned in recent feedback.

Google Reviews

Google Reviews

16 reviews analyzed
Families can expect a very clean and bright environment that many reviewers describe as feeling like a home rather than a clinical institution. The facility is consistently praised for its friendly, caring staff and its high standard of cleanliness and maintenance.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean10.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Exceptionally clean and fresh facility
  • Friendly and caring nursing staff
  • Welcoming atmosphere for visitors
  • High-quality rehabilitation services

Rating Trends

Tap a year to see what changed

2344.02017(1)2.32019(3)5.02021(1)5.02022(7)5.02023(1)5.02024(3)5.02025(2)

Distribution

5
14
4
1
3
0
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about how clean and fresh the facility feels; what are your protocols for maintaining that high standard of cleanliness?
  • 2The nursing staff has such a great reputation for being friendly and caring; how do you ensure that level of warmth is maintained across all shifts?
  • 3We are looking for great rehab support; could you tell us more about the specific rehabilitation services available for residents here?
  • 4What steps are being taken to increase the number of staff members available to assist residents during busy hours?
  • 5How do you handle medical emergencies or urgent care needs during the overnight hours?
  • 6What kind of daily activities or social events do you have planned to keep residents engaged and part of the community?

Personalized based on this facility's data


Key Review Excerpts

What a sweet home so clean and fresh. Friendly staff. A great place to live with staff that care. So nice!

Long-term resident's family · 2024★★★★★

Staff welcomes you when you arrive; or for a visit with your love one or taking a tour of the facilities. It is a very clean and bright atmosphere for your love ones.

Visitor · 2022★★★★★

Beautiful facility that has it all, focuses on quality care. This is where I recommend all my loved ones to even if they are ever in need of rehabilitation or long term care.

Rehab patient's family · 2021★★★★★
Source: 16 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.42hrs
57%
Registered nurses for medical care
Total Nursing
2.79hrs
68%
All nurses + aides combined

Both 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

Medicare Rating
4/ 5
Better Than Avg

15

measures

Worse Than Avg

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
12.1%
TX
2.5%
Jackson
17.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
19.4%
TX
14.2%
Jackson
20.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.3%
Better than Avg
Here
8.3%
US
15.4%
TX
9.4%
Jackson
19.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Jackson
90.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
15.3%
TX
14.9%
Jackson
16.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.3%
Better than Avg
Here
17.3%
US
19.5%
TX
18.4%
Jackson
24.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Jackson
78.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Jackson
79.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.6%
Worse than Avg
Here
3.6%
US
1.6%
TX
1.5%
Jackson
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Near state avg (9.1)
27 complaint-triggered
$8,422 in fines

Families have filed multiple complaint reports triggering over half of this facility's 22 deficiencies across recent inspections, indicating ongoing concerns about care quality. The most recurring problems involve medication management and pharmacy services, infection control, and food safety issues. While the facility has addressed each deficiency with correction dates, the pattern of repeated issues in infection control and medication errors across multiple surveys suggests persistent operational challenges that families should carefully consider.

Feb 25, 2026Routine
6
0025ModerateCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0211ModerateCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Feb 25, 2026Complaint
7
0679ModerateCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0803ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0690MinorCorrected

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.

0757MinorCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0804MinorCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

May 15, 2025Complaint
1
0689Severe

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nov 15, 2024Routine
2
0341ModerateCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0341ModerateCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Nov 15, 2024Complaint
10
0761ModerateCorrected

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.

0921ModerateCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0761ModerateCorrected

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.

0921ModerateCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0578MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 21, 2024Complaint
2
0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0732MinorCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Federal Penalties

Fine

May 15, 2025

$8,422

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

GANADO I ENTERPRISES, LLC

Administrator

JAMES BAIN

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 48 of 148

Ownership & Management

Owners

West Wharton County Hospital District

Owner · Organization

Key personnel

Bowers, SeanManaging Control - Governing BodyCisneros, AlfredManaging Control - Governing BodyCobb, TravisManaging Control - Governing BodyCooper, StephenManaging Control - Governing BodyHardin, SherrieManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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