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Nursing homeFAID #14553

Garrison Nursing Home & Rehabilitation Center

333 NORTH FM 95, GARRISON, TX, 75946
(936) 347-2234
93 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
93
CMS facility ID
676177
Care type
Nursing home
County
Nacogdoches
Facility name
Garrison Nursing Home & Rehabilitation Center
Street address
333 NORTH FM 95
City / state / ZIP
Garrison, TX 75946
Phone
(936) 347-2234

About this facility — Garrison Nursing Home & Rehabilitation Center

Garrison Nursing Home & Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Garrison, Texas. It is licensed for 93 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Garrison and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Garrison Nursing Home & Rehabilitation Center 17 times across 7 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $52,951 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Caring Healthcare Group
Ownership type
For profit - Individual

Registered owners & officers

Havins, Joshua
Managing employee — since 2020
Murrell, Edward
Officer — since 2012
Shapiro, Menachem
Operational control — since 2014
Winnie-stowell Hospital District
Operational control — since 2004

Regulatory standing

Licensed / certified since
2008-01-01
CMS overall rating
3 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
$52,951 total
Last standard inspection
2025-07-30
Nurse staffing
4.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$300 per day (≈ $9,120/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
59% Medicaid · 12% Medicare · 29% private/other
Occupancy
85% (fiscal year 2023)
Vs. state median
8% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
93
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-07-30Health inspection3 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-07-31
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-31
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-31
2024-06-26Health inspection3 citations
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-06-27
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2024-06-27
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-06-27
4 earlier / fire-safety inspections (11 citations)
2024-02-08Health inspectionComplaint-triggered4 citations
F-0607
J · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-10-12
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-09
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-09
F-0840
D · No harm foundFrom a complaint
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected 2024-02-09
2023-05-10Health inspection3 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-12
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-12
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-05-12
2025-07-30Fire-safety inspection1 citation
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-30
2024-06-26Fire-safety inspection3 citations
K-0343
E · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2024-07-31
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-31
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-07-31

Federal penalties

2024-08-22Fine$28,129
2024-02-08Fine$8,021
2024-02-08Fine$16,801
Total fines$52,951
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676177.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 17 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered