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Nursing HomeMedicaid Investigative

The Mildred & Shirley L Garrison Geriatric Education and Care Center

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

3710 4th St, Lubbock, TX 79415120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 543 Google reviews

5
4
3
2
1
The Mildred & Shirley L Garrison Geriatric Education and Care Center Nursing Home in Lubbock, TX — Street View
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8/ 10
critical Risk

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 (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (14 vs median 8.0)
  • High staff turnover (51%)
  • High RN turnover (67%)

Below average in Texas · Critically understaffed (RN) · Below chain average · $18,629 in fines · Abuse citation

Source: Medicare data

What this means for your family

The Garrison is an excellent choice for families seeking high-quality rehabilitation and compassionate memory care. However, if your loved one has complex wound care needs or strict dietary requirements, you should proactively verify the specific protocols in place for those specialized needs.

Google Reviews

Google Reviews

543 reviews analyzed
The Garrison is highly regarded by families for its compassionate, professional staff and its excellent rehabilitation and physical therapy programs. While many reviewers praise the recent facility remodel and clean environment, some families have raised serious concerns regarding wound care management and dietary accommodations for specific medical needs.

Quality Themes

Tap a score for details
Food7.0Staff9.0Clean9.0Activities8.0Meds3.0Memory9.0Comms7.0ValueN/A

Strengths

  • Compassionate and professional nursing staff
  • Excellent physical and occupational therapy
  • Clean and recently remodeled facility
  • Engaging resident activities and social programs

Concerns

  • Inconsistent wound care and bandage changes (mentioned by 2 reviewers)
  • Dietary limitations for diabetic or allergic residents (mentioned by 2 reviewers)
  • Understaffing on weekends (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.62024(15)4.82025(144)4.72026(54)

Distribution

5
180
4
11
3
0
2
1
1
8
38 reviews posted between Nov 4, 2025Nov 8, 2025 · 37 were 5-star
20 reviews posted between Mar 4, 2026Mar 6, 2026 · 20 were 5-star
18 reviews posted between Apr 7, 2025Apr 11, 2025 · 17 were 5-star

How They Respond to Reviews

100%response rate
Generic

The owner uses a small set of repetitive, templated phrases to respond to all reviews. There is no attempt to personalize responses to the specific details or staff members mentioned in the reviews.

Questions for Your Tour

  • 1It is wonderful to see how much care you put into responding to family feedback; how does the team ensure that specific resident needs, like dietary restrictions for diabetes or allergies, are communicated clearly to the kitchen staff?
  • 2We've heard great things about the social programs here, so could you tell us more about the types of engaging activities available for residents to participate in each week?
  • 3With the recent remodeling, how has the updated environment improved the overall daily experience for the residents?
  • 4Since medication management is such a critical part of care, what specific protocols do you have in place to ensure accuracy and safety for every dose?
  • 5How does the nursing team manage wound care and dressing changes to ensure consistency, especially during the weekend shifts?
  • 6In the event of a medical emergency during the night or over the weekend, what is the specific process for notifying the family and coordinating immediate care?

Personalized based on this facility's data


Key Review Excerpts

The nurses always call my mother in law to give updates on him. I love how they keep us in the loop. I also love how they still show him love even though he is a Grump to them.

Memory care family member · 2025★★★★

The Garrison Geriatric Education and Care Center provides outstanding care and attention to its residents. The staff is incredibly compassionate, professional, and attentive to the unique needs of each individual.

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

My grandma went here after surgery and she had a pick like that was supposed to be changed every week they never changed it, they were supposed to wear a mask and they never did. She had fluids leaking out of her wound and never changed her bandages.

Rehab patient's family · 2025☆☆☆☆
Source: 543 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.26hrs
35%
Registered nurses for medical care
Total Nursing
2.94hrs
72%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

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
5/ 5
Better Than Avg

12

measures

Worse Than Avg

1

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.0%
Better than Avg
Here
4.0%
US
15.4%
TX
9.4%
Lubbock
6.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
12.1%
TX
2.5%
Lubbock
2.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
15.3%
TX
14.9%
Lubbock
19.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility92.7%
Worse than Avg
Here
92.7%
US
95.5%
TX
98.0%
Lubbock
98.6%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
5.3%
TX
3.2%
Lubbock
1.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.8%
Mixed vs Avgs
Here
18.8%
US
19.4%
TX
14.2%
Lubbock
15.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.3%
Better than Avg
Here
94.3%
US
81.8%
TX
89.2%
Lubbock
92.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.2%
Mixed vs Avgs
Here
91.2%
US
79.7%
TX
88.0%
Lubbock
91.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TX
1.5%
Lubbock
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
3penalties
Well above state avg (9.1)
25 complaint-triggered
$18,629 in fines

Families have filed multiple complaints triggering 22 of the 51 deficiencies, including serious concerns about abuse protection and medication errors that appear to persist across surveys. The most recurring problem areas are food safety and nutrition, resident rights violations, and protection from abuse or neglect. While the facility reports correcting issues, the pattern of repeated violations in critical safety areas warrants careful consideration during any visit.

Mar 1, 2026Complaint
2
0678SevereCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0684SevereCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Feb 23, 2026Complaint
1
0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 22, 2025Complaint
3
0580SevereCorrected

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.

0600SevereCorrected

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.

0607SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Jun 3, 2025Complaint
1
0760ModerateCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

May 6, 2025Routine
10
0585ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0603ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0552MinorCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

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.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0656MinorCorrected

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.

0761MinorCorrected

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.

0804MinorCorrected

Nutrition and Dietary Deficiencies

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

Dec 18, 2024Complaint
3
0583ModerateCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0805MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Federal Penalties

Fine

Feb 23, 2026

$18,125

Fine

Aug 22, 2025

$15,167

Fine

Jul 27, 2023

$3,728

Ownership & Operations

Who Operates This Facility

Owner / Operator

Booker Hospital District

Organization Type

for profit

Management Company

HUB CITY HEALTHCARE LLC

Administrator

AUGUSTUS GRAY

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 70 of 84

Ownership & Management

Owners

Booker Hospital District

Owner · Organization

100%

Key personnel

Mcpherson, MichaelManaging Control - Governing BodyMewborn, MatthewManaging Control - Governing BodyBurnam, SoonOfficer / DirectorHoover, ShawnOfficer / DirectorKeetch, ChadOfficer / Director
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 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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