Arbor Grace Guest Care Center
2700 S Henderson Blvd · Kilgore, TX · 75662 · 9039843511
127 certified beds For profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$186,256 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
97% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 97% | median 45% |
| Fines (3-yr window) | 1 · $186,256 |
Inspection citations (42 in the current record)
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Immediate jeopardy · J April 29, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D April 2, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D April 2, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · E April 2, 2025
Provide and implement an infection prevention and control program.
Corrected April 23, 2025 · Infection Control
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Potential for harm · D April 2, 2025 · found via complaint
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.
Corrected April 23, 2025 · Pharmacy Service
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Potential for harm · D March 20, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 21, 2024 · Quality of Life and Care
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Potential for harm · D March 20, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 21, 2024 · Quality of Life and Care
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Potential for harm · F March 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 21, 2024 · Nutrition and Dietary
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Potential for harm · F March 20, 2024
Keep all essential equipment working safely.
Corrected March 21, 2024 · Environmental
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Potential for harm · D March 20, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 29, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 23, 2024 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected February 24, 2024 · Resident Rights
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Potential for harm · D November 20, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 21, 2023 · Resident Rights
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Potential for harm · D November 20, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 21, 2023 · Quality of Life and Care
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Potential for harm · D November 20, 2023 · found via complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected November 21, 2023 · Nutrition and Dietary
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Immediate jeopardy · K February 8, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K February 8, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 3, 2023 · Quality of Life and Care
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Immediate jeopardy · K February 8, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected March 3, 2023 · Quality of Life and Care
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Immediate jeopardy · K February 8, 2023
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected March 3, 2023 · Administration
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Potential for harm · D February 8, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 3, 2023 · Resident Rights
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Potential for harm · E February 8, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected March 3, 2023 · Resident Rights
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Potential for harm · D February 8, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 3, 2023 · Resident Rights
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Potential for harm · D February 8, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 3, 2023 · Resident Rights
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Potential for harm · D February 8, 2023
Keep residents' personal and medical records private and confidential.
Corrected March 3, 2023 · Resident Rights
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Potential for harm · D February 8, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 3, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 29, 2026 | Fine | $186,256 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675814 · certified since December 14, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.