Garrison Nursing Home & Rehabilitation Center
333 NORTH FM 95, Garrison, TX, 75946
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 - Individual · Chain: Caring Healthcare Group
- Certified beds
- 93 · avg 81 residents/day
- Total nursing staff turnover
- 49% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 37.5% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $52,951 total
State licensing & capacity
- License number
- 150293
- Service type
- Medicare/medicaid
- Licensed capacity
- 93 beds
- Bed type breakdown
- 93 Medicaid/Medicare
- Current license effective
- August 31, 2024
- Current license expires
- August 31, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Chp Garrison Opco, Llc
- Administrator
- Julie Johnson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Caring Healthcare Group chain — 14 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (4 on record)
- Joshua Havins
W-2 Managing Employee · since 2020
- Menachem Mendy Shapiro
Operational/managerial Control · since 2014
- Edward r Murrell
Corporate Officer · since 2012
- Winnie-stowell Hospital District
Operational/managerial Control · 100% · since 2004
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 13)
- F0812·Jul 30, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0689·Jul 30, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0641·Jul 30, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- E0880·Jun 26, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0690·Jun 26, 2024
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- C0732·Jun 26, 2024
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0840·Feb 8, 2024Complaint
Administration Deficiencies
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
- K0689·Feb 8, 2024Complaint
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
- 20243 fines · $53K
Most recent events
- Aug 22, 2024Fine · $28K
- Feb 8, 2024Fine · $17K
- Feb 8, 2024Fine · $8,021
Largest single fine on record: $28K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Jul 30, 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
Garrison Nursing Home & Rehabilitation Center is a 93-bed Medicare/Medicaid facility in Garrison, Nacogdoches County, operated under Winniestowell Hospital District and managed by Chp Garrison Opco, Llc. CMS rates it 3 stars overall, with a 4-star quality-measures rating for long-stay residents. Three CMS fines totaling $52,951 have been issued; the facility has no abuse findings and passed its most recent inspection within the past two years.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — a level held by about 19% of Texas nursing homes. Each resident receives roughly 262 minutes of nursing care per day, which clears the 4-star staffing threshold of 241 minutes in Texas. Staff hours per resident exceed what a typical resident mix would require, meaning the raw minutes likely represent more real capacity than the number alone suggests.
Three CMS fines totaling $52,951 have been levied against this facility. The state median fine total for fined facilities is $20,699, and about 30% of Texas nursing homes have no fines at all. These fines sit above the state midpoint for facilities that have been fined.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What triggered the three fines
CMS issued three fines totaling $52,951 — ask what deficiencies prompted each and what specific changes followed.
Weekend staffing on the floor
Reported weekend nursing hours run at 3.58 hours per resident per day, below the weekday figure — ask how many nurses and aides are scheduled on a typical Saturday.
RN presence on each shift
Reported RN hours average about 17 minutes per resident per day; ask whether a registered nurse is on-site or on-call during overnight and weekend hours.
Management company's day-to-day role
The facility is licensed to a hospital district but managed by Chp Garrison Opco, Llc — ask which entity makes staffing and care decisions and who oversees the administrator directly.
Resident Council meeting access
The facility has a Resident Council but no Family Council — ask whether families can attend resident meetings or how they receive council feedback.
Current bed availability
With 81 residents in 93 licensed beds, the facility is running at about 87% occupancy — ask whether the specific unit or room type you need has an opening now.
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.