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.
based on 543 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 (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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“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.”
“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.”
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
1
measures
4
measures
Residents on antipsychotic medication
Residents with depression symptoms
Residents whose walking got worse
Residents vaccinated for the flu
Residents who lost too much weight
Residents whose bladder or bowel control 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
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, 2026Complaint2
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 23, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 22, 2025Complaint3
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.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Jun 3, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
May 6, 2025Routine10
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Dec 18, 2024Complaint3
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.
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
Booker Hospital District
for profit
HUB CITY HEALTHCARE LLC
AUGUSTUS GRAY
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 70 of 84
Ownership & Management
Owners
Booker Hospital District
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
543 reviews from families & visitors
Official Website
Visit garrisongecc.com
Medicare data downloads
Original nursing home datasets
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