Graham Oaks Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 78 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.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (74%)
Bottom 25% in Texas · Critically understaffed (RN) · Significantly below average staffing · Very high staff turnover · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $34,690 in fines · Abuse citation
What this means for your family
This facility is an excellent choice for residents needing specialized respiratory therapy or memory care, as the staff is frequently described as exceptionally caring. However, because of isolated but severe reports regarding communication and hygiene, you should personally verify the facility's current protocols for resident updates and cleanliness during your visit.
Google Reviews
Google Reviews
78 reviews analyzed“Graham Oaks Care Center is highly regarded by many families for its compassionate staff and specialized services, including a dedicated memory care unit and 24/7 respiratory therapy. While most reviewers praise the facility's cleanliness and recent renovations, a small number of highly critical reviews have raised serious concerns regarding communication and hygiene.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and caring nursing staff
- Specialized memory care and ventilator units
- Clean and recently renovated facilities
- Effective physical and respiratory therapy teams
Concerns
- Communication issues regarding resident location/status
- Allegations of poor hygiene and theft
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly templated responses that rely on directing users to a single corporate hotline. While they address reviewers by name, they rarely engage with the specific details of the complaints, instead providing a standardized redirection to a phone number.
Questions for Your Tour
- 1I noticed some great feedback about your recent renovations; could you show us the updated common areas where residents spend their time?
- 2With your specialized ventilator and memory care units, how do you ensure the nursing staff is specifically trained for those high-needs medical requirements?
- 3How does the communication process work between the nursing team and families to ensure we are always updated on a resident's status or location within the building?
- 4What specific protocols do you have in place to ensure the highest standards of hygiene and personal care are maintained for every resident?
- 5Could you tell us more about the daily activities and social engagement programs available for residents in the memory care unit?
- 6In the event of a medical emergency during the night, what is the immediate procedure for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“I had to move my mother here because she became exit seeking and needed to be in a memory care unit. I have no idea why anyone would give this place anything less than 5 stars. From day one I was greeted with kindness. Nurses are eager to help and answer any questions or concerns you may have.”
“The staff is amazing and always friendly! It’s a very clean place and takes amazing are of the people living their!!!”
“Looking at this facility from an EMS point of view I feel as though they are on track with their care. I have seen a lot of improvement on the vent wing over the years especially.”
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
12
measures
4
measures
1
measures
Residents with depression symptoms
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents who fell and were seriously hurt
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Graham Oaks Care Center shows concerning patterns with families filing 9 complaints that triggered federal inspections, resulting in deficiencies for resident protection from abuse and neglect, care planning, and medication management. The facility has repeated issues with heating/ventilation systems across multiple surveys and has faced problems with preventing abuse policies appearing in both 2023 and 2024. While all deficiencies show correction dates, the frequency of family complaints and recurring safety issues warrant careful consideration during any visit.
Mar 25, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 8, 2025Complaint1
Administration Deficiencies
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Oct 10, 2025Complaint2
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 23, 2025Complaint1
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 22, 2025Complaint2
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Jan 22, 2025Routine1
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Oct 10, 2025
$17,345
Fine
Oct 10, 2025
$17,345
Ownership & Operations
Who Operates This Facility
County of Throckmorton
government
GRAHAM I ENTERPRISES, LLC
ROXY COOK
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 136 of 148 (Worst)
Ownership & Management
Owners
County of Throckmorton
Owner · Organization
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
78 reviews from families & visitors
Official Website
Visit grahamoakscare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.