The Mildred & Shirley L Garrison Geriatric Education And Care Center
3710 4TH ST, Lubbock, TX, 79415
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: The Ensign Group
- Certified beds
- 120 · avg 111 residents/day
- Total nursing staff turnover
- 50.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher 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)
- 2 fines · $18,629 total
State licensing & capacity
- License number
- 147560
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 20 Medicare-only · 100 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- May 31, 2002
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Booker Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Hub City Healthcare Llc
- Administrator
- Augustus Gray
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (12 on record)
- Hub City Healthcare Inc
Adp of The Snf · since 2025
- Michael g Mcpherson
Operational/managerial Control · since 2018
- Knight Health Holdings Llc
Adp of The Snf · since 2017
- Matthew Mewborn
Managing Control - Governing Body · since 2017
- Shawn Hoover
Corporate Officer · since 2017
- Soon Burnam
Corporate Officer · since 2017
+ 6 additional owners on the federal record.
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 48)
- J0607·Aug 22, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- J0600·Aug 22, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- J0580·Aug 22, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E0760·Jun 3, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0880·May 6, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·May 6, 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.
- D0804·May 6, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0761·May 6, 2025
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.
Federal penalties
By year
- 20251 fine · $15K
- 20231 fine · $3,728
Most recent events
- Aug 22, 2025Fine · $15K
- Jul 27, 2023Fine · $3,728
Largest single fine on record: $15K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Feb 17, 2023. 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
A 120-bed Medicare/Medicaid nursing home in Lubbock, managed by Hub City Healthcare LLC under Booker Hospital District and affiliated with The Ensign Group. CMS rates it 2 stars overall — a 1-star health inspection rating and a 1-star staffing rating sit alongside a 5-star quality-measures rating. CMS has substantiated findings of resident abuse or neglect here within the past 36 months. Two fines totaling $18,629 are on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 179 minutes of nursing care per day, about 62 minutes less than at a 4-star-staffing facility in Texas. Registered nurses account for only 12 of those 179 minutes. Residents here also require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those nursing minutes stretch thinner than the raw number suggests.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That finding appears directly on the CMS Care Compare record.
Two CMS fines totaling $18,629 are on record. The state median fine total among Texas nursing homes that have been fined is about $20,699, and roughly 30% of Texas facilities have no fines at all.
Despite the staffing and safety flags, CMS rates the quality measures — tracked health outcomes for both long-stay and short-stay residents — at 5 stars, the top rating, for both groups.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse finding and current safeguards
CMS has a substantiated abuse or neglect finding on record here within the past 36 months — ask what specific policy or staffing changes were made in response.
Registered nurse coverage each day
Reported data shows only about 12 minutes of registered-nurse time per resident per day — ask how many RNs are on the floor during each shift.
Staffing levels on weekends
Weekend nursing hours per resident are reported at roughly 2.6 hours, lower than the already-low weekday figure — ask how weekend coverage is structured and whether it differs from weekday staffing.
How outcomes stay high with low staffing
Quality measures rate 5 stars while staffing rates 1 star — ask how care plans are reviewed and who is accountable for tracking resident health outcomes day to day.
Resident Council access and meeting schedule
The facility has a Resident Council but no Family Council — ask how families raise concerns between visits and who receives those concerns formally.
Waitlist and current availability
With 111 of 120 licensed beds occupied on an average day, the facility is running near capacity — ask whether there is a waitlist and what the typical wait time has been.
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.