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F
Critical

Graham Oaks Care Center

1325 First St · Graham, TX 76450

9405498787 · For profit - Limited Liability company

110 beds79.6 residents75 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
D
Poor
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Graham Oaks Care Center receives an overall staffing grade of F (Critical). With 1.992 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3526 HPRD, below the recommended 0.75. It is 1.90 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.71% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 1.992 HPRD — needs 1.49 more hours per resident per day.
⚠️RN staffing (0.3526 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
1.992hrs/resident/day▼ 1.90
CMS benchmark: 3.48
RN HPRD
0.3526hrs/resident/day▼ 0.33
Recommended: 0.75
Weekend Drop-off
18.71%
2.1032 weekday → 1.7096 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
0.7508hrs/resident/day
Direct care aides
LPN HPRD
0.8013hrs/resident/day
Licensed practical nurses
Consistency
0.3377std 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. Young County Average-0.90 HPRD
2.89
01.99 HPRD
vs. Texas State Average-1.41 HPRD
3.40
01.99 HPRD
vs. National Average-1.90 HPRD
3.90
01.99 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
Graham Oaks Care Center ★
Graham · This facility
—
F
1.9920.3526★☆☆☆☆
Avir at Graham
GRAHAM
1 mi
C
3.30860.594★★★★★
GRACE CARE CENTER OF OLNEY
OLNEY
21.9 mi
C
3.37880.4334★★★★☆
AVIR AT JACKSBORO
JACKSBORO
25.5 mi
F
3.66580.1585★★★☆☆
MINERAL WELLS NURSING & REHABILITATION
MINERAL WELLS
32.4 mi
F
3.28040.2432★★★★★
Avir at Weatherford
WEATHERFORD
49.7 mi
D
3.23860.3431★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
20
Total Deficiencies
$17,345
Fines Assessed
Nov 8, 2025Health
1 deficiency cited
▼
Oct 10, 2025Health
2 deficiencies cited· Includes actual harm
▼
May 23, 2025Health
1 deficiency cited
▼
Jan 22, 2025Health
2 deficiencies cited
▼
Oct 18, 2024Health
1 deficiency cited
▼
Dec 7, 2023Health
5 deficiencies cited· Includes actual harm
▼
Aug 9, 2023Health
1 deficiency cited
▼
Oct 25, 2022Health
7 deficiencies cited
▼

Penalty History

Oct 10, 2025Fine
$17,345
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.