Garland Road Nursing & Rehab Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 69 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.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (16 vs median 6.0)
- High staff turnover (54%)
Bottom 25% in OK · Critically understaffed (RN) · Worst in STONEGATE SENIOR LIVING chain · No penalties on record · Special Focus Facility (CMS)
What this means for your family
This facility has a history of severe reports regarding neglect, hygiene, and medication errors that should be taken very seriously. If you choose this facility, you must be prepared to visit daily to monitor your loved one's care, as multiple families noted that residents without active advocates are at higher risk.
Google Reviews
Google Reviews
69 reviews on Google“Garland Road Nursing & Rehab Center receives highly polarized feedback, with families reporting severe concerns regarding neglect, hygiene, and medication management. While some reviewers praise the facility's appearance and individual staff members, a consistent pattern of complaints highlights chronic understaffing, poor communication, and inadequate care for vulnerable residents.”
Quality Themes
Tap a score for detailsStrengths
- Attractive, clean facility appearance
- Warm and welcoming front-desk staff
- Engaging holiday events and activities
- Outdoor spaces for resident use
Concerns
- Chronic understaffing leading to neglect (mentioned by 12 reviewers)
- Poor medication management and errors (mentioned by 7 reviewers)
- Unsanitary conditions and persistent odors (mentioned by 6 reviewers)
- Inadequate food quality and meal service delays (mentioned by 6 reviewers)
- Unprofessional or rude administrative/nursing staff (mentioned by 8 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 108 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed the facility hosts some wonderful holiday events; how do you keep residents engaged in these activities on a daily basis?
- 2Given the current staffing levels, what specific protocols are in place to ensure residents receive timely assistance with daily needs and meal service?
- 3Could you walk me through your current process for medication administration to ensure accuracy and prevent errors?
- 4I understand maintaining a clean environment is a priority; how often are resident rooms and common areas deep-cleaned to ensure they remain fresh and sanitary?
- 5How does your nursing team coordinate with families when there is a change in a resident's health status or a medical emergency?
- 6What steps is the leadership team taking to improve communication and ensure that families feel supported and heard when they have concerns?
Personalized based on this facility's data
Key Review Excerpts
“My loved one was left on bloody poop diapers for 7-16+ hours at a time. Her medicine was not regulated and not available.”
“During her “care” here she was left unchanged (sometimes for more than 12+ hours) she was dehydrated, unable to provide herself a drink, one was seldom offered to her, and she was developing bed sores.”
“Like all places - it is understaffed- so family members need to be there to support and care for their loved ones.”
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
11
measures
3
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents with pressure sores (bedsores)
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 shows a concerning pattern with 15 complaint-triggered deficiencies, indicating families have filed reports about care issues. The most recurring problems involve care planning and assessments, safety hazards and accident prevention, and medication management. While all deficiencies appear to be corrected, recent complaints in January 2026 about incomplete care plans and ongoing safety hazards suggest persistent challenges that families should investigate thoroughly during visits.
Jan 8, 2026Complaint2
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 21, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Aug 22, 2025Complaint6
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 6, 2025Routine10
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Meet other general requirements that are deficient.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
May 6, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 22, 2023Routine5
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Ownership & Operations
Who Operates This Facility
Garland Road Nursing & Rehab Center
for profit
Chain Affiliation
Stonegate Senior Living
24 facilities nationwide
Chain avg rating: 2.4/5 · Rank 21 of 24 (Worst)
Ownership & Management
Owners
Pf Garland Snf Ops, LLC
Owner · Organization
Sanctuary Ltc, LLC
Owner · Organization
Preservation Freehold Company
Owner (parent company) · Organization
Campbell, Scott
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Fisher, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Langdon, Thomas
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mcgehee, William
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Taylor, John
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
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
69 reviews from families & visitors
Official Website
Visit garlandroad.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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