Advanced Health & Rehab Center Of Garland
1201 COLONEL DR., Garland, TX, 75043
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
- Government - Hospital district · Chain: Advanced Healthcare Solutions
- Certified beds
- 139 · avg 124 residents/day
- Total nursing staff turnover
- 43.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 58.3% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $236,424 total
State licensing & capacity
- License number
- 311246
- Service type
- Medicare/medicaid
- Licensed capacity
- 139 beds
- Bed type breakdown
- 139 Medicaid/Medicare
- Current license effective
- March 1, 2026
- Current license expires
- March 1, 2029
- Initial license date
- April 12, 2010
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Garland Hc Llc
- Administrator
- Dondreae Scott
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Advanced Healthcare Solutions chain — 30 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (5 on record)
- Ari y. Levi
W-2 Managing Employee · since 2023
- Eliezer Scheiner
Operational/managerial Control · since 2023
- Garland hc Llc
Operational/managerial Control · 100% · since 2023
- Grady Hooper
Corporate Director · since 2023
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
Recent change of ownership
March 2023 (3 years ago) · acquired from Advanced Health & Rehab Center of Garland
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 40)
- J0689·Jan 9, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0656·Jan 9, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0755·Jan 5, 2026Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- K0697·Jan 5, 2026Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- D0655·Jan 5, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E0880·Nov 26, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0695·Nov 26, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0689·Nov 26, 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.
Federal penalties
By year
- 20261 fine · $143K
- 20251 fine · $14K
- 20241 fine · $79K
Most recent events
- Jan 5, 2026Fine · $143K
- Sep 12, 2025Fine · $14K
- Dec 2, 2024Fine · $79K
Largest single fine on record: $143K.
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Apr 10, 2025. 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
Advanced Health & Rehab Center of Garland is a 139-bed Medicare/Medicaid nursing home in Garland, Dallas County, licensed through March 2029. CMS rates it 2 stars overall, with a 1-star health inspection rating. Three CMS fines totaling $236,424 have been assessed, and three administrators have left in the past year. Quality-of-care measures rate 5 stars — the highest tier — on both long-stay and short-stay metrics.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars on staffing. Each resident receives about 203 minutes of nursing care per day — roughly 38 minutes less than at a 4-star-staffing facility in Texas. That 2-star staffing rating places the facility among about 32% of Texas nursing homes at this tier. Registered nurse coverage is 19 minutes per resident per day, against a 37-minute threshold for 4-star RN staffing in Texas.
Three administrators have left in the past year. That level of leadership turnover is felt at the unit level — staff supervision, care-plan consistency, and vendor relationships all depend on stable administration.
Three CMS fines totaling $236,424 have been assessed. The Texas median for nursing homes that receive any fine at all is about $20,699; this facility's total is roughly 11 times that figure. About 30% of Texas nursing homes have received zero fines.
Quality-of-care measures rate 5 stars — the highest tier CMS assigns — on both long-stay and short-stay metrics. That rating reflects clinical outcomes: things like how often residents develop pressure sores, experience falls with injury, or are hospitalized. The 5-star outcome score alongside a 1-star inspection rating and 2-star staffing rating is an unusual combination in this record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator and tenure
With three administrators departing in the past year, ask how long the current administrator has been in place and who oversees day-to-day operations if that role is vacant.
What the three CMS fines covered
Three fines totaling $236,424 were assessed by CMS — ask what specific deficiencies each citation addressed and what corrective steps followed.
How the 1-star inspection rating is being addressed
CMS rates health inspections here at 1 star; ask which deficiencies drove that rating and what the facility's current plan of correction looks like.
Staffing on evenings and weekends
Reported weekend nursing hours run at 3.05 minutes per resident per day, below the already-low weekday figure; ask how many nurses and aides are on the floor during nights and weekends.
What sustains the 5-star outcomes score
Quality-of-care measures rate 5 stars despite lower staffing and inspection ratings — ask what specific practices or monitoring systems the facility credits for those results.
Resident Council access and activity
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets and how families are informed of issues raised in those meetings.
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.