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D
Poor

Advanced Health & Rehab Center of Garland

1201 Colonel Drive · Garland, TX 75043

9722783566 · Government - Hospital district

139 beds124.1 residents114 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Advanced Health & Rehab Center of Garland receives an overall staffing grade of D (Poor). With 3.3817 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3117 HPRD, below the recommended 0.75. It is 0.51 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.17% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3817 HPRD — needs 0.10 more hours per resident per day.
⚠️RN staffing (0.3117 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.3817hrs/resident/day▼ 0.51
CMS benchmark: 3.48
RN HPRD
0.3117hrs/resident/day▼ 0.37
Recommended: 0.75
Weekend Drop-off
13.17%
3.5124 weekday → 3.0498 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7862hrs/resident/day
Direct care aides
LPN HPRD
0.9019hrs/resident/day
Licensed practical nurses
Consistency
0.2408std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Dallas County Average+0.03 HPRD
3.35
03.38 HPRD
vs. Texas State Average-0.02 HPRD
3.40
03.38 HPRD
vs. National Average-0.51 HPRD
3.90
03.38 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Advanced Health & Rehab Center of Garland ★
Garland · This facility
—
D
3.38170.3117★★★☆☆
Christian Care Communities and Services Mesquite
Mesquite
2.8 mi
B
3.53560.5664★★★★☆
ROWLETT HEALTH AND REHABILITATION CENTER
ROWLETT
6.6 mi
F
3.18930.2074★★★☆☆
Five Points at Lake Highlands Nursing and Rehab
Dallas
6.7 mi
D
3.1010.3399★☆☆☆☆
THE MEADOWS HEALTH AND REHABILITATION CENTER
DALLAS
8.4 mi
D
3.03260.2678★☆☆☆☆
Treemont Healthcare and Rehabilitation Center
Dallas
12.1 mi
C
3.24130.6594★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
35
Total Deficiencies
$222,404
Fines Assessed
Nov 26, 2025Health
5 deficiencies cited
▼
Nov 25, 2025Health
3 deficiencies cited
▼
Sep 12, 2025Health
2 deficiencies cited· Includes actual harm
▼
Apr 10, 2025Health
6 deficiencies cited
▼
Mar 16, 2025Health
1 deficiency cited
▼
Dec 2, 2024Health
1 deficiency cited· Includes actual harm
▼
Sep 3, 2024Health
6 deficiencies cited
▼
Mar 14, 2024Health
5 deficiencies cited
▼
Sep 21, 2023Health
3 deficiencies cited
▼
Jan 27, 2023Health
3 deficiencies cited
▼

Penalty History

Jan 5, 2026Fine
$143,455
Dec 2, 2024Fine
$78,949
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.