Garnet Hill Rehabilitation and Skilled Care
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 134 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)
- Above-median deficiencies (12 vs median 8.0)
Below average in Texas · Below recommended RN staffing · Above average staffing · Low staff turnover (stable workforce) · Below chain average · $40,290 in fines
What this means for your family
This facility offers an excellent physical therapy program and a clean environment that many families find comforting. However, you must be extremely vigilant regarding medication administration and hygiene care, as multiple families have reported serious lapses in these areas, especially during weekends.
Google Reviews
Google Reviews
134 reviews on Google“Garnet Hill Rehabilitation and Skilled Care is highly regarded by many for its exceptional physical therapy department and a clean, pleasant-looking facility. However, families should be extremely cautious regarding serious allegations of medication errors, neglectful hygiene care, and significant understaffing, particularly on weekends.”
Quality Themes
Tap a score for detailsStrengths
- Top-notch physical therapy and rehab programs
- Clean and well-maintained facility
- Friendly and professional administrative and social work staff
- Welcoming and pleasant atmosphere
Concerns
- Medication errors and mismanagement (mentioned by 4 reviewers)
- Neglect regarding hygiene and incontinence care (mentioned by 5 reviewers)
- Understaffing and slow response to call lights (mentioned by 4 reviewers)
- Poor communication from nursing and admissions (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 135 analyzed
How They Respond to Reviews
The owner provides highly personalized and warm responses to 5-star reviews, often mentioning specific staff members or family members named in the text. For negative reviews, they use a professional, standardized approach focused on directing the reviewer to administrative or compliance channels for resolution.
Questions for Your Tour
- 1I noticed your administrative and social work teams are highly regarded; how do you ensure that communication remains just as strong between the nursing staff and our family members?
- 2Since your physical therapy and rehab programs are a known strength, could you walk us through how a personalized therapy plan is developed for a new resident?
- 3What specific protocols do you have in place to ensure medication administration is consistently accurate and double-checked by the nursing team?
- 4How does the care team manage daily hygiene and incontinence needs to ensure every resident feels clean and comfortable throughout the day?
- 5In the event of a medical emergency during the night, what is the process for notifying the family and coordinating with outside doctors?
- 6What kind of daily activities or social events are planned to help residents engage with one another and enjoy the facility's atmosphere?
Personalized based on this facility's data
Key Review Excerpts
“The Physical Therapy program is one of the best ones we have used. On a scale of 1 to 10 Garnet Hill Rehabilitation and skilled Care is a10++.”
“The leadership and staff loved on my mother (AND our family) and were true advocates for her. She required the highest level of care in her advanced state.”
“The nurses lost my step father's hospital discharge paperwork and the nursing home refuses to make doctors appointments.”
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
6
measures
8
measures
3
measures
Residents vaccinated for pneumonia
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 needing more daily help over time
Residents on antipsychotic medication
Residents whose walking got worse
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
Garnet Hill has a concerning pattern of serious care deficiencies, with over half triggered by family complaints including a severe abuse incident in December 2024. Recurring problems span medication management, basic personal care assistance, and safety hazards, with issues persisting across multiple years despite reported corrections. The facility struggles with fundamental care standards including protecting residents from abuse and ensuring proper daily care assistance.
Jul 16, 2025Complaint4
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
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 19, 2025Complaint3
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
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.
Jan 24, 2025Complaint5
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Dec 6, 2024Complaint4
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.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 8, 2023Routine11
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 Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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 medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
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.
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.
Dec 8, 2023Complaint5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
Provide care and assistance to perform activities of daily living for any resident who is unable.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Federal Penalties
Fine
Dec 6, 2024
$18,179
Fine
Dec 8, 2023
$13,780
Fine
Jun 12, 2023
$8,331
Ownership & Operations
Who Operates This Facility
South Limestone Hospital District
for profit
PF GH SNF OPS, LLC
SYLVIA ANENE
Chain Affiliation
Stonegate Senior Living
24 facilities nationwide
Chain avg rating: 2.9/5 · Rank 11 of 13
Ownership & Management
Owners
South Limestone Hospital District
Owner · Organization
Campbell, Scott
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Chance, James
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
134 reviews from families & visitors
Official Website
Visit garnethillrehab.com
Medicare data downloads
Original nursing home datasets
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