Ellery Care
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Arbor Grace Guest Care Center

2700 S. Henderson Blvd., Kilgore, TX 75662 · Rusk County

For-profit · 127 certified beds · 66% occupancy · (903) 984-3511

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Arbor Grace Guest Care Center reviews: what the government record shows

The U.S. government (CMS) rates Arbor Grace Guest Care Center 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
1 of 5 stars
Nurse staffing
3.58 hrs/resident/day (+10% vs TX median)
Antipsychotic drug use
0% of long-stay residents (TX median 8.3%)
Falls with major injury
1.9% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$187,096
Inspection findings
23 cited, 1 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Strengths

  • ✓Nurse staffing of 3.58 hrs/resident/day is at or above the Texas median of 3.27.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
  • !Has paid $187,096 in federal fines in roughly the last three years.

Questions to ask on your visit

  • ·Can we see the most recent inspection report and the plan of correction?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Arbor Grace Guest Care Center

Is Arbor Grace Guest Care Center a good nursing home?

Arbor Grace Guest Care Center in Kilgore, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Arbor Grace Guest Care Center staffed?

Arbor Grace Guest Care Center reports 3.58 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.

Has Arbor Grace Guest Care Center been fined or flagged for abuse?

Arbor Grace Guest Care Center has paid approximately $187,096 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.58 nurse hours per resident per day. 10% above the Texas median of 3.27.

Total nurse
3.58 hrs
RN
0.41 hrs
LPN
0.78 hrs
Aide
2.39 hrs

Nursing staff turnover: 75.3% · RN turnover: 69.2%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

23
total findings
1
immediate jeopardy
0
caused actual harm
9
from complaints
  • Immediate jeopardyTag F0684 · Apr 29, 2026ComplaintCorrected May 1, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0605 · Jun 17, 2026Corrected Jul 9, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0812 · Jun 17, 2026Corrected Jun 18, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0602 · Jun 17, 2026ComplaintCorrected Jun 18, 2026

    Protect each resident from the wrongful use of the resident's belongings or money.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0636 · Jun 17, 2026Corrected Jul 7, 2026

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0641 · Jun 17, 2026Corrected Jul 9, 2026

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0688 · Jun 17, 2026Corrected Jul 9, 2026

    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.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0880 · Jun 17, 2026Corrected Jul 9, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0881 · Jun 17, 2026Corrected Jul 9, 2026

    Implement a program that monitors antibiotic use.

    Infection Control Deficiencies

  • Potential for harmTag F0880 · Apr 2, 2025Corrected Apr 23, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

Showing the 10 most recent and serious of 23 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

0%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
1.9%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
5.8%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$187,096
Number of fines
1
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - corporation). It is independently operated, not part of a multi-facility chain.