The Mildred & Shirley L. Garrison Geriatric Educat

3710 4th St · Lubbock, TX · 79415 · 8067634455

120 certified beds For profit - Limited Liability company Chain: The Ensign Group

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (5 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $33,292 in fines in the last 24 months.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

5 immediate-jeopardy citations 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.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.94 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 13
Serious harm & abuse 20% 0
Staffing 20% 46
Federal penalties 15% 45
Trend 10% 20
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.943.48 min · 4.1 strong
RN hours / resident-day0.260.55–0.75
Weekend hours / resident-day2.62≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)3 · $37,020

Inspection citations (45 in the current record)

  • Immediate jeopardy · J March 1, 2026 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected March 2, 2026 · Quality of Life and Care

  • Immediate jeopardy · J March 1, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 2, 2026 · Quality of Life and Care

  • Potential for harm · D February 23, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 24, 2026 · Infection Control

  • Immediate jeopardy · J August 22, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 23, 2025 · Resident Rights

  • Immediate jeopardy · J August 22, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 23, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J August 22, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected August 23, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 3, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected June 16, 2025 · Pharmacy Service

  • Potential for harm · D May 6, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected June 6, 2025 · Resident Rights

  • Potential for harm · D May 6, 2025

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected June 6, 2025 · Resident Rights

  • Potential for harm · D May 6, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected June 6, 2025 · Resident Rights

  • Potential for harm · E May 6, 2025

    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 June 6, 2025 · Resident Rights

  • Potential for harm · E May 6, 2025

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Corrected June 6, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 6, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 6, 2025

    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 June 6, 2025 · Pharmacy Service

  • Potential for harm · D May 6, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected June 6, 2025 · Nutrition and Dietary

  • Potential for harm · E May 6, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 6, 2025 · Nutrition and Dietary

  • Potential for harm · E May 6, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 6, 2025 · Infection Control

  • Potential for harm · E December 18, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected January 31, 2025 · Resident Rights

  • Potential for harm · D December 18, 2024 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected January 31, 2025 · Nutrition and Dietary

  • Potential for harm · E December 18, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 31, 2025 · Nutrition and Dietary

  • Potential for harm · D September 12, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 29, 2024 · found via complaint

    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 September 30, 2024 · Resident Rights

  • Potential for harm · D August 29, 2024 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected September 30, 2024 · Environmental

  • Potential for harm · D June 14, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 26, 2024 · Quality of Life and Care

  • Potential for harm · D May 3, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 31, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 23, 2026Fine$18,125
August 22, 2025Fine$15,167
July 27, 2023Fine$3,728

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675925 · certified since August 9, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.