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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.