Arbor Grace Guest Care Center
Arbor Grace Guest Care Center is a 127-bed nursing home in Kilgore, Texas. CMS has certified it for Medicare and Medicaid since 1999-12-14. It averages 84.2 residents a day.
What harm was found in the violations cited at Arbor Grace Guest Care Center?
CMS lists 23 health-inspection deficiencies for Arbor Grace Guest Care Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-17.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-17 | F0605, F0812 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-06-17 | F0602, F0636, F0641, F0688, F0880, F0881 | Protect each resident from the wrongful use of the resident's belongings or money. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | D |
| 2026-04-29 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2025-04-02 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-04-02 | F0689, F0690, F0761 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. | D |
| 2024-03-20 | F0812, F0908 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely. | F |
| 2024-03-20 | F0609, F0677, F0695 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-02-29 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-02-23 | F0585 | 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. | D |
| 2023-11-20 | F0550, F0686, F0809 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D |
Why was Arbor Grace Guest Care Center fined?
| Date | Type | Amount |
|---|---|---|
| 2026-04-29 | Fine | $187,096 |
How is Arbor Grace Guest Care Center staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.58285 | 3.38539 |
| Total nursing staff turnover (%) | 75.3 | 55.3 |
| Average number of residents per day | 84.2 | 75.8 |
Who owns Arbor Grace Guest Care Center?
Arbor Grace Guest Care Center is registered with CMS as For profit - Corporation, operates under the legal business name HAMILTON COUNTY HOSPITAL DISTRICT.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER MORTGAGE INTEREST | MPD ACQUISITION OF KILGORE, LLC | since 06/01/2023 |
| CORPORATE OFFICER | HOOPER, GRADY | since 06/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | MPD TEXAS RESOURCES OF KILGORE LLC, GAMBLE, DENNY, KEGARISE, BRANDON, MACHEN, MATT, SHEN, HONG-I | since 02/27/2023 |
| ADP OF THE SNF | GAMVEST TEXAS LLC, K-J-K VENTURE, LLC, MACHEN HEALTH MANAGEMENT LLC, MPD ACQUISITION OF KILGORE, LLC, MPD TEXAS RESOURCES OF KILGORE LLC, KEGARISE, BRANDON, SHEN, HONG-I | since 02/27/2023 |
Were you or a family member harmed at Arbor Grace Guest Care Center?