Ganado Nursing And Rehabilitation Center
107 EAST ROGERS STREET, Ganado, TX, 77962-8420
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 91 · avg 49 residents/day
- Total nursing staff turnover
- 53.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,422 total
State licensing & capacity
- License number
- 308749
- Service type
- Medicare/medicaid
- Licensed capacity
- 91 beds
- Bed type breakdown
- 9 Medicare-only · 82 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Ganado I Enterprises, Llc
- Administrator
- James Bain
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Parent entity
West Wharton County Hospital District
Disclosed owners (18 on record)
- James Bain
Adp of The Snf · since 2025
- Molly Breanne Quinn-frankel
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
- Sean Bowers
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
September 2022 (3 years ago) · acquired from Ganado Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 18)
- J0689·May 15, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0921·Nov 15, 2024Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0880·Nov 15, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·Nov 15, 2024Complaint
Pharmacy Service Deficiencies
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.
- D0755·Nov 15, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0578·Nov 15, 2024Complaint
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D0812·Oct 21, 2024Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- C0732·Oct 21, 2024Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Federal penalties
By year
- 20251 fine · $8,422
Most recent events
- May 15, 2025Fine · $8,422
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Nov 15, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Ganado Nursing And Rehabilitation Center is a 91-bed Medicare/Medicaid nursing home in Ganado, TX, licensed since 1971 and managed by Ganado I Enterprises under the West Wharton County Hospital District. CMS rates it 4 stars overall, with a 4-star health inspection score. Staffing rates 2 stars, and the facility is currently operating at about 54% of licensed capacity — roughly 49 residents per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — the bottom third of Texas nursing homes on this measure. Each resident receives about 167 minutes of nursing care per day, which is 74 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 167 minutes stretch thinner than they might appear. RN coverage specifically runs about 31 minutes per resident per day, below the 37-minute threshold Texas 4-star facilities meet.
RN turnover is low — about 3 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff and better than roughly three-quarters of nursing homes in Texas. That said, two or more administrators have left in the past year — organizational instability that residents can feel, even when frontline nursing staff stays put.
The facility is operating at about 54% of its 91 licensed beds, with roughly 49 residents on an average day. That low occupancy, alongside the high administrator turnover, gives a concrete picture of the facility's current state.
CMS recorded one fine totaling $8,422 in the period covered. The state median fine total for Texas nursing homes that receive any fine is $20,699, so this single fine sits below that midpoint.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Administrator turnover this year
Two or more administrators have left in the past year — ask who is currently in charge and how long they have been in the role.
Daily nursing coverage per resident
Staffing rates 2 stars and residents here require more hands-on care than average — ask how many nursing hours each resident receives on a typical weekday versus weekend.
Why occupancy is at 54%
Only about 49 of 91 licensed beds are filled; ask what accounts for the low census and whether any beds or wings are temporarily closed.
Management company's role day to day
The facility is licensed to a hospital district but managed by Ganado I Enterprises — ask which entity makes staffing and care decisions on the ground.
How the resident and family councils work
Both a Resident Council and Family Council are on record — ask how often they meet, who facilitates them, and how concerns raised there get resolved.
Weekend staffing levels
CMS data shows weekend nursing hours average about 2.4 hours per resident per day, lower than the weekday figure — ask how weekend coverage is structured.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.