Nursing home
Garland Nursing and Rehabilitation
321 N Shiloh Rd, Garland, TX 75042 · Map
For profit - Limited Liability company · Part of Slp Operations (22 facilities) · 109 certified beds
Garland Nursing and Rehabilitation is a Medicare-certified nursing home in Garland, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.25 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Mar 18, 2025 cited 15 deficiencies.
- 4 fines totaling $81,568In CMS records: 4 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Garland Nursing and Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.25 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.33 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.79 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 53.2% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 15.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 4 fines totaling $81,568, 4 total penalties.
What inspectors found at Garland Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 17, 2026 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Dec 3, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 13, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 18, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Mar 18, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 321 N Shiloh Rd
Garland, TX 75042 - CMS certification #
- 675790
- Ownership
- For profit - Limited Liability company
- Certified beds
- 109
- Avg residents/day
- 65.6
- Provider type
- Medicare and Medicaid
- First certified
- 1999-06-10
- Chain
- Slp Operations (22 facilities)
- Setting
- Urban
Part of Slp Operations
Slp Operations operates 22 nursing facilities across the United States. View all Slp Operations facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Garland Nursing and Rehabilitation using Google Maps.
Other public records
- Website says A memory care unit, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Garland Nursing and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
We’re also proud to offer a co-ed secured memory care unit, along with a dedicated all-female secured wing, so residents with memory-related conditions have a safe, dignified place to call home.
(page, checked Oct 12, 2026) - Provides transportation.
Beyond our on-site salon and life enrichment activities, residents at Avir at Garland also enjoy on-demand meal services, regular religious services for spiritual support, scheduled transportation for appointments and outings, and a dedicated Express Recovery Unit for a faster path back home.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Jan 3, 2022.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Methodist Richardson Medical Center, Richardson. 5.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Legend Oaks Healthcare and Rehabilitation Garland, Garland. 2.1 miles away, straight line.
- Nearest home health agency office
- Lakeshore Healthcare Services Inc, Garland. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75042 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care North Garland, Garland, 0.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Garland Shiloh Dialysis, Garland, 0.6 miles away, straight line (CMS rating 5 of 5 stars)
Usrc Premier Garland, Garland, 3.2 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 73 Medicare hospices tell CMS they serve ZIP code 75042.
Hope Health Care, office in Garland, 0.2 miles away, straight line
Saint Catherine Hospice Inc, office in Garland, 1.8 miles away, straight line
Mission Hearts Hospice, office in Garland, 2.5 miles away, straight line - Nearest geriatric medicine practice
- Vmd Primary Providers North Texas PLLC, Garland. 0.3 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado very high, heat wave very high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Garland Nursing and Rehabilitation a good nursing home?
CMS gives Garland Nursing and Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Garland Nursing and Rehabilitation staffed?
Garland Nursing and Rehabilitation reports 3.25 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Garland Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 15 deficiencies.
How many beds does Garland Nursing and Rehabilitation have?
Garland Nursing and Rehabilitation is certified for 109 beds.