Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Parks At Garland Healthcare And Rehab during CMS and state inspections, most recent first.
Staff failed to promptly deliver meal trays to residents, resulting in food being served at improper temperatures. Multiple residents and staff reported that meals were often cold, especially for those eating in their rooms. Observations confirmed that food lost its appropriate temperature during the delay between cart delivery and tray distribution, contrary to facility policy requiring prompt service.
A resident with severe cognitive impairment and multiple chronic conditions was found to have 11 missing Soma tablets from her prescribed medication supply. Staff discovered discrepancies and alterations in the medication count sheets, and the missing medication could not be accounted for after thorough checks. One agency nurse who had access during the relevant period could not be reached for clarification, and the resident was unable to provide information due to confusion.
A resident with multiple complex diagnoses and severe cognitive impairment continued to receive habilitation services, but the facility failed to submit required PASRR NFSS documentation in the LTC online portal within the mandated timeframe following IDT meetings. This lapse occurred during a change of ownership when staff lost portal access and did not seek timely resolution, resulting in noncompliance with regulatory requirements for PASRR service coordination and documentation.
The facility failed to ensure food safety standards were met as the Dietary Manager and Environmental Director did not wear beard coverings while handling food, risking contamination. Despite having beard coverings available, they were not used, violating both the facility's sanitation policy and the Federal Food Code.
Failure to Serve Meals at Safe and Appetizing Temperatures
Penalty
Summary
The facility failed to ensure that residents received food that was palatable, attractive, and served at a safe and appetizing temperature during a lunch meal. Multiple staff members, including CNAs, reported receiving complaints from residents about cold food, particularly for those eating in their rooms. Observations revealed that food temperatures were initially within safe ranges when checked in the kitchen, but by the time trays were delivered to residents, the food was no longer at an appetizing temperature. A test tray provided to the state surveyor showed that the barbeque meat was only lukewarm in the center, the okra was cold, and the potato salad was no longer cold, indicating a loss of appropriate temperature during tray delivery. Interviews with residents confirmed that food was often not hot when received, with trays sometimes sitting on the hall for several minutes before being distributed. Dietary staff delivered food carts to the halls on time and notified nursing staff, but there were delays in passing out trays, sometimes up to 13 minutes after arrival. Facility policy required prompt delivery of room service trays upon reaching the floor, but this procedure was not consistently followed, leading to dissatisfaction among residents regarding meal temperature and palatability.
Failure to Prevent Misappropriation of Controlled Medication
Penalty
Summary
The facility failed to ensure the right to be free from misappropriation of property for a resident who was prescribed Soma, a muscle relaxant. The resident, a severely cognitively impaired female with multiple diagnoses including congestive heart failure, schizoaffective disorder, panic disorder, dementia, diabetes, and chronic pain, was unable to make decisions and required assistance from two staff members for activities of daily living. Despite having a physician's order for Soma 325mg to be administered three times daily and at bedtime, it was discovered that 11 Soma tablets were missing from her blister pack. The medication administration record indicated that no doses were missed during the relevant period, and the pharmacy manifest confirmed delivery of the correct quantity of medication. The deficiency was identified when staff noticed discrepancies in the medication count sheets, including numbers that had been written over and skipped, as well as signatures at times when the nurse was not assigned to the resident. Interviews with staff revealed that the count was correct at one point, but later counts did not match the actual number of pills present. The count sheet for the Soma had been altered from one date to another, and the missing medication could not be located after checking medication carts, rooms, and other areas. One agency nurse who had access to the medication during the relevant period could not be reached for an interview despite multiple attempts by facility staff, the agency, and the police. The resident was unable to provide information due to confusion and forgetfulness. The facility's abuse prevention policy states that residents have the right to be free from misappropriation of property. The investigation involved notifying the police, the family, the pharmacy consultant, and the medical director, but the facility was unable to confirm who was responsible for the missing medication.
Failure to Timely Submit PASRR NFSS Documentation
Penalty
Summary
The facility failed to incorporate recommendations from a PASRR (Preadmission Screening and Resident Review) evaluation report into a resident's assessment, care planning, and transition of care for one resident reviewed for PASRR services. Specifically, the facility did not submit a complete and accurate request for Nursing Facility Specialized Services (NFSS) in the LTC online portal within 20 days after the Interdisciplinary Team (IDT) meeting, as required by policy. This lapse was identified through interviews and record reviews, which showed that although the resident continued to receive habilitation services such as speech, occupational, and physical therapy, the necessary documentation and portal submissions were not completed in a timely manner. The resident involved was a male with multiple diagnoses, including intellectual disabilities, schizophrenia, Parkinson's disease, and severe cognitive impairment, requiring significant assistance with activities of daily living. The care plan indicated that the resident was PASRR positive and required ongoing coordination of PASRR services, including quarterly care plan meetings and individualized service plans. Despite these documented needs and ongoing therapy services, the facility did not ensure that the NFSS forms were submitted within the required timeframe following IDT meetings, particularly during a period of change of ownership when access to the portal was disrupted. Interviews with facility staff, including the Director of Rehabilitation (DOR), MDS nurse, and Administrator, confirmed that while habilitation services were continuously provided, there was a breakdown in the administrative process for submitting required documentation. The MDS nurse and Administrator both acknowledged issues with portal access during the change of ownership and admitted that no one contacted the appropriate parties to resolve the issue at the time. As a result, the facility did not meet the regulatory requirement to submit the NFSS form within 20 business days of the IDT meeting, as outlined in their own policy.
Failure to Use Hair Restraints in Food Service
Penalty
Summary
The facility failed to ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. During an observation of the kitchen, it was noted that the Dietary Manager (DM) had facial hair on his chin and was not wearing a beard covering while checking the temperatures of the food prepared for the lunch meal service. Additionally, the Environmental Director was observed taking food off the tray stand and delivering it to residents without wearing a beard covering. This lack of proper hair restraint could lead to food contamination and foodborne illness. The facility's Employee Sanitation policy, dated October 1, 2018, requires that hairnets, headbands, caps, beard coverings, or other effective hair restraints be worn to prevent hair from coming into contact with food and food-contact surfaces. The Federal Food Code 2022 also mandates the use of effective hair restraints. Despite having beard coverings available in the kitchen, the DM acknowledged the importance of wearing them to prevent hair from contaminating the food, yet failed to comply with this requirement.
What surveyors are citing around you — mapped
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Garland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Legend Oaks Healthcare And Rehabilitation Garland | 1 mi | ★★★★★ | 4 | 0 |
| Beltline Healthcare Center | 1.7 mi | ★★★★★ | 9 | 4 |
| Garland Nursing And Rehabilitation | 2.6 mi | ★★★★★ | 7 | 1 |
| Pleasant Valley Healthcare And Rehabilitation Cent | 2.8 mi | ★★★★★ | 1 | 0 |
| Lindan Park Care Center Lp | 3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.