Graham Oaks Care Center, Graham, Texas
- 15
- Citations from health inspectionsTexas average: 28 a home
- 3
- Residents harmed or put in dangerTexas average: 2.3 a home
- $34,690
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Nine inspection visits produced 15 citations. Residents were in immediate danger in two findings. Residents were found hurt in one case. Federal fines came to $34,690 (two fines).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
Are you worried about the way someone was treated at this home?
Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.Quick Look at the Record
- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 2 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 2.99 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.37 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 94.4%against the Texas average of 55.3%
- Beds that are certified
- 110
- Ownership
- Corporation (for profit)
- Chain
- Creative Solutions in Healthcare, with 149 homes
- Street address
- 1325 First St, Graham, Texas 76450
- County
- Young
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated June 14, 2026
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated April 9, 2026
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
One citation dated March 25, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 8, 2025
- F844 Disclose Ownership and Leadership Changes: minimal risk to residents, widespread, found on a complaint visit.
Two citations dated Oct. 10, 2025
One citation dated May 23, 2025
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Jan. 22, 2025
One citation dated Oct. 18, 2024
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated Dec. 7, 2023
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
- F697 Pain Management: residents were harmed, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, a pattern, several residents.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Oct. 10, 2025 | Fine | $17,345 |
| Oct. 10, 2025 | Fine | $17,345 |
Ownership and Management of the Home
- The home is run by Graham I Enterprises, LLC (operational or managerial control).
- The direct 100% owner is County of Throckmorton.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 455968. Other homes in Texas.