Graham Oaks Care Center

Penalties

• Oct 10, 2025 — Fine ($17,345)
• Oct 10, 2025 — Fine ($17,345)

Inspection findings

1. Jun 14, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jun 30, 2026 · CMS health inspection

2. Apr 9, 2026 Fire Safety · 5 findings
   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected May 6, 2026 · CMS fire safety

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 30, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 30, 2026 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Apr 23, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jun 30, 2026 · CMS fire safety

3. Mar 25, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 26, 2026 · CMS health inspection

4. Nov 8, 2025 Health · 1 finding
   • Not serious Scope/severity C Complaint

     F0844 Administration Deficiencies

     Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

     Corrected Nov 9, 2025 · CMS health inspection

5. Oct 10, 2025 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Sep 3, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 3, 2025 · CMS health inspection

6. May 23, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Jun 9, 2025 · CMS health inspection

7. Jan 22, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jan 23, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jan 23, 2025 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jan 24, 2025 · CMS fire safety

8. Oct 18, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Oct 25, 2024 · CMS health inspection

9. Dec 7, 2023 Health · 6 findings
   • Not serious Scope/severity D Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Jan 5, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Jan 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jan 5, 2024 · CMS health inspection

   • Serious Scope/severity G

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Dec 8, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Jan 5, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Dec 20, 2023 · CMS fire safety

10. Aug 9, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Aug 29, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BLAKE, GARY — adp of the snf, NOT APPLICABLE, since 01/01/2019
• BLAKE, GARY — operational/managerial control, NOT APPLICABLE, since 01/01/2019
• BLAKE, MALISA — operational/managerial control, NOT APPLICABLE, since 01/01/2019
• BROCKMAN, GREGORY — managing control - governing body, NOT APPLICABLE, since 01/01/2021
• COOK, ROXY — adp of the snf, NOT APPLICABLE, since 04/12/2025
• GOBER, KIRBY — corporate officer, NOT APPLICABLE, since 06/20/2014
• GOBER, KIRBY — managing control - governing body, NOT APPLICABLE, since 06/20/2014
• HIBBITTS, KASEY — managing control - governing body, NOT APPLICABLE, since 06/18/2020
• HODGES, CALEB — managing control - governing body, NOT APPLICABLE, since 01/01/2023
• HUGGINS, LINDA — corporate director, NOT APPLICABLE, since 07/01/2022
• MITCHELL, KLAYTON — managing control - governing body, NOT APPLICABLE, since 01/31/2020
• PURDY, AARON — adp of the snf, NOT APPLICABLE, since 04/12/2025
• WELLS, CASEY — managing control - governing body, NOT APPLICABLE, since 05/10/2004
• WILLIG, ZACHARY — corporate director, NOT APPLICABLE, since 01/01/2025
• COUNTY OF THROCKMORTON — 5% or greater direct ownership interest, 100%, since 07/01/2022
• GRAHAM I ENTERPRISES, LLC — adp of the snf, NOT APPLICABLE, since 04/12/2025
• GRAHAM I ENTERPRISES, LLC — operational/managerial control, NOT APPLICABLE, since 01/01/2019