Arbor Grace Guest Care Center
2700 S. HENDERSON BLVD., Kilgore, TX, 75662
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 - Corporation
- Certified beds
- 127 · avg 84 residents/day
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 311430
- Service type
- Medicare/medicaid
- Licensed capacity
- 127 beds
- Bed type breakdown
- 53 Medicare-only · 74 Medicaid/Medicare
- Current license effective
- June 1, 2023
- Current license expires
- June 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Mpd Texas Resources Of Kilgore, Llc
- Administrator
- Jonathan Gamble
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (11 on record)
- Mpd Texas Resources of Kilgore Llc
Adp of The Snf · since 2025
- Denny Gamble
Operational/managerial Control · since 2023
- Gamvest Texas Llc
Adp of The Snf · since 2023
- Grady Hooper
Corporate Officer · since 2023
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
- Hong-i Shen
Operational/managerial Control · since 2023
+ 5 additional owners on the federal record.
Recent change of ownership
June 2023 (2 years ago) · acquired from Arbor Grace Guest Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + 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 41)
- D0761·Apr 2, 2025Complaint
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.
- E0880·Apr 2, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0690·Apr 2, 2025
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.
- D0689·Apr 2, 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.
- D0609·Mar 20, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F0908·Mar 20, 2024
Environmental Deficiencies
Keep all essential equipment working safely.
- F0812·Mar 20, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0695·Mar 20, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Fire-safety citations
18 Life-Safety-Code citations on file. Most recent: Apr 2, 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
Arbor Grace Guest Care Center is a 127-bed nursing home in Kilgore, Texas, licensed since 1971 and currently operating at 66% occupancy — about 84 residents on a typical day. CMS rates it 4 stars overall, with a 4-star health inspection score and a 3-star quality-of-care rating. Staffing is rated 2 stars. The facility accepts both Medicare and Medicaid and holds an active license through June 2026.
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 226 minutes of nursing care per day, roughly 15 minutes less than at a 4-star-staffing facility in Texas. Of that total, only 22 minutes come from a registered nurse; a 4-star facility in Texas would provide about 37 RN minutes per resident daily.
One administrator has turned over in the past year — an elevated rate by CareWitness's state-relative measure. A single leadership change can disrupt care coordination and staff morale; the extent of that effect depends on how long the prior administrator was in place and how quickly the new one has settled in.
The facility is running at 66% of its 127 licensed beds, with about 84 residents on a typical day. That occupancy level, paired with a 2-star staffing rating, means the beds are less than two-thirds full yet staffing still rates below most Texas peers — which is an unusual combination worth exploring with the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With a 2-star staffing rating and 226 daily nursing minutes per resident, ask how many nurses and aides are on the floor during evenings, nights, and weekends specifically.
Current administrator's tenure
One administrator turned over in the past year; ask how long the current administrator has been in the role and what prompted the change.
Why occupancy sits at 66%
At roughly 84 residents in a 127-bed facility, ask whether the lower census reflects a recent referral pattern change, staffing limits on admissions, or another operational factor.
Short-stay quality-of-care outcomes
CMS rates short-stay quality measures at 2 stars; ask what the facility tracks for residents recovering from surgery or illness, and how it compares to prior years.
Resident Council activity
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets and how family members can raise concerns between visits.
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.