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Nursing homeFAID #14359

The Mildred & Shirley L. Garrison Geriatric Educat

3710 4TH ST, LUBBOCK, TX, 79415
(806) 763-4455
ensignservices.net
120 licensed beds

CMS rates The Mildred & Shirley L. Garrison Geriatric Educat 1 out of 5 overall. Federal inspectors issued 44 citations across 16 inspections in the last three years, with $26,949 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
675925
Care type
Nursing home
County
Lubbock
Facility name
The Mildred & Shirley L. Garrison Geriatric Educat
Street address
3710 4TH ST
City / state / ZIP
Lubbock, TX 79415
Phone
(806) 763-4455
Website
ensignservices.net

About this facility — The Mildred & Shirley L. Garrison Geriatric Educat

The Mildred & Shirley L. Garrison Geriatric Educat is a Medicare/Medicaid-certified skilled nursing facility in Lubbock, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 46 senior care facilities in Lubbock and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Ensign Group, a group of 347 facilities on this site.

Federal inspectors have cited The Mildred & Shirley L. Garrison Geriatric Educat 44 times across 16 inspections in the last three years, including 10 food-safety citations, and CMS has imposed $26,949 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 November 6, 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
The Ensign Group
Ownership type
Government - Hospital district

Registered owners & officers

Booker Hospital District
Direct owner — 100% stake — since 2015
Burnam, Soon
Officer — since 2017
Ensign Services Inc
Additional disclosable party — since 2014
Hoover, Shawn
Officer — since 2017
Hub City Healthcare Inc
Operational control · Additional disclosable party — since 2017
Keetch, Chad
Officer — since 2011
Knight Health Holdings Llc
Additional disclosable party — since 2017
Mcpherson, Michael
Governing body · Operational control · Additional disclosable party — since 2018
Mewborn, Matthew
Governing body · Operational control · Additional disclosable party — since 2017
Standard Bearer Healthcare Op, Lp
Additional disclosable party — since 2017
The Ensign Group Inc
Additional disclosable party — since 2017

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2002-08-09
CMS overall rating
1 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
$26,949 total
Last standard inspection
2026-06-04
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$413 per day (≈ $12,560/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
62% Medicaid · 8% Medicare · 30% private/other
Occupancy
88% (fiscal year 2023)
Vs. state median
49% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
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 2026-11-06. 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 10 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-16Health inspectionComplaint-triggered3 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-17
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-06-17
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-17
2026-06-04Health inspection6 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-17
F-0578
D · No harm found
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.
Corrected 2026-06-17
F-0761
D · No harm found
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.
Corrected 2026-06-17
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-06-17
F-0812
E · 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 2026-06-17
F-0814
E · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2026-06-17
12 earlier / fire-safety inspections (35 citations)
2026-03-01Health inspectionComplaint-triggered2 citations
F-0678
J · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2026-03-02
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-02
2026-02-23Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-02-24
2025-08-22Health inspectionComplaint-triggered3 citations
F-0580
J · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-23
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-23
F-0607
J · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-08-23
2025-06-03Health inspectionComplaint-triggered1 citation
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-06-16
2025-05-06Health inspection10 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-06-06
F-0578
D · No harm found
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.
Corrected 2025-06-06
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2025-06-06
F-0585
E · No harm found
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.
Corrected 2025-06-06
F-0603
E · No harm found
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2025-06-06
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-06
F-0761
D · No harm found
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.
Corrected 2025-06-06
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-06
F-0812
E · 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 2025-06-06
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-06
2024-12-18Health inspectionComplaint-triggered3 citations
F-0583
E · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-01-31
F-0805
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-01-31
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-31
2024-09-12Health inspectionComplaint-triggered1 citation
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-09-30
2024-08-29Health inspectionComplaint-triggered2 citations
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2024-09-30
F-0925
D · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-09-30
2024-06-14Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-26
2024-05-03Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-31
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-31
2024-03-28Health inspection7 citations
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-28
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 2024-04-28
F-0761
E · No harm found
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.
Corrected 2024-04-28
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-04-28
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-04-28
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 2024-04-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-28
2026-06-04Fire-safety inspection2 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-06-17
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-06-17

Federal penalties

2026-02-23Fine$11,782
2025-08-22Fine$15,167
Total fines$26,949
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 675925.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
44
More than 72% of nursing homes in the state
State median: 33
Federal fines, 3 years
$26,949
More than 62% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.1
Higher than 28% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
60%
Higher than 75% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 11 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased28.4%15.8%13.5%Worse than state
Lose too much weight0.6%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.6%0.8%1.5%Better than state
Have depressive symptoms1.1%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.0%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine95.7%96.4%93.7%Near state average
Ability to walk independently worsened12.9%12.9%12.7%Near state average
Received an antianxiety or hypnotic medication17.5%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine94.5%97.0%95.3%Near state average
With pressure ulcers3.5%3.7%4.5%Near state average
With new or worsened bowel or bladder incontinence17.4%12.5%18.3%Worse than state
Received an antipsychotic medication0.9%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days2.602.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days1.241.971.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine92.8%88.7%82.3%Near state average
Newly received an antipsychotic medication0.4%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine79.4%85.4%80.1%Near state average
Were rehospitalized after a nursing home admission22.3%25.5%23.4%Better than state
Had an outpatient emergency department visit4.4%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0880 4 inspections. Provide and implement an infection prevention and control program.
  • F-0812 4 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0761 3 inspections. 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.
  • F-0804 3 inspections. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  • F-0583 3 inspections. Keep residents' personal and medical records private and confidential.
  • F-0550 2 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

What its owners also hold

  • Booker Hospital District has an ownership stake on file at 7 nursing homes, averaging 2.3 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • University Medical Center, about 0.7 miles. CMS rating 2 of 5.
  • Lubbock Heart Hospital Lp, about 1.1 miles. CMS rating 2 of 5.
  • Covenant Medical Center, about 1.1 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

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 44 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
Unlock the full file
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 2026-11-06
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