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The Mildred & Shirley L. Garrison Geriatric Educat

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The Mildred & Shirley L. Garrison Geriatric Educat is a for profit - limited liability company facility in Lubbock, TX with 120 certified beds and a 2-star overall CMS rating. The facility has 48 deficiency records on file. Total penalties: $19K.

3710 4Th St, Lubbock, TX 79415

Phone: 8067634455

Overall Rating

2/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675925
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
111
In Hospital
No
County
Lubbock
Last Inspection
May 6, 2025
Abuse citation on record

Staffing Data

RN Hours
0.21 (nat'l avg: 0.68)
LPN Hours
1.06
CNA Hours
1.71
Total Nursing Hours
2.98 (nat'l avg: 3.89)
PT Hours
0.13
Nursing Turnover
50.6%
RN Turnover
66.7%

What the CMS Record Reveals About The Mildred & Shirley L. Garrison Geriatric Educat

The Mildred & Shirley L. Garrison Geriatric Educat operates 120 certified beds in Lubbock, TX with approximately 111 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 48 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $19K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.98 total nursing hours per resident day (national average 3.89), with RN coverage at 0.21 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, The Mildred & Shirley L. Garrison Geriatric Educat falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 50.6%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (48 most recent)

J — Isolated - Jeopardy Aug 22, 2025 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 23, 2025

J — Isolated - Jeopardy Aug 22, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 23, 2025

J — Isolated - Jeopardy Aug 22, 2025 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Aug 23, 2025

E — Pattern - Minimal harm Jun 3, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jun 16, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 6, 2025 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 6, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 6, 2025 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0603

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 6, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 6, 2025 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 6, 2025 Tag: 0552

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

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm Dec 18, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Dec 18, 2024 Tag: 0805

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 31, 2025

E — Pattern - Minimal harm Dec 18, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Sep 12, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 30, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Sep 30, 2024

D — Isolated - Minimal harm Aug 29, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Sep 30, 2024

D — Isolated - Minimal harm Jun 14, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 26, 2024

E — Pattern - Minimal harm May 3, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 31, 2024

D — Isolated - Minimal harm May 3, 2024 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: May 31, 2024

E — Pattern - Minimal harm Mar 28, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 28, 2024

F — Widespread - Minimal harm Mar 28, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 28, 2024

D — Isolated - Minimal harm Mar 28, 2024 Tag: 0805

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 28, 2024

E — Pattern - Minimal harm Mar 28, 2024 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 28, 2024

E — Pattern - Minimal harm Mar 28, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 28, 2024

D — Isolated - Minimal harm Mar 28, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2024

D — Isolated - Minimal harm Mar 28, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Apr 28, 2024

D — Isolated - Minimal harm Sep 26, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Nov 10, 2023

D — Isolated - Minimal harm Sep 26, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 10, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Aug 15, 2023

E — Pattern - Minimal harm May 18, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 30, 2023

E — Pattern - Minimal harm May 18, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 30, 2023

E — Pattern - Minimal harm May 18, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jun 30, 2023

D — Isolated - Minimal harm May 5, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2023

D — Isolated - Minimal harm May 5, 2023 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 9, 2023

D — Isolated - Minimal harm May 5, 2023 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Jun 9, 2023

D — Isolated - Minimal harm Feb 17, 2023 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Mar 17, 2023

E — Pattern - Minimal harm Feb 17, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 17, 2023

F — Widespread - Minimal harm Feb 17, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 17, 2023

E — Pattern - Minimal harm Feb 17, 2023 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 17, 2023

D — Isolated - Minimal harm Feb 17, 2023 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 17, 2023

E — Pattern - Minimal harm Feb 17, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 17, 2023

D — Isolated - Minimal harm Feb 17, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 17, 2023

E — Pattern - Minimal harm Feb 17, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 17, 2023

D — Isolated - Minimal harm Feb 17, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 17, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 92.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 91.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 7.1% Yes

Penalty History 2 penalties totaling $19K

Date Type Amount
Aug 22, 2025 Fine $15K
Jul 27, 2023 Fine $4K

Frequently Asked Questions

What is the overall CMS rating for The Mildred & Shirley L. Garrison Geriatric Educat?
The Mildred & Shirley L. Garrison Geriatric Educat has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at The Mildred & Shirley L. Garrison Geriatric Educat?
The Mildred & Shirley L. Garrison Geriatric Educat reports 2.98 total nursing hours per resident day (national average: 3.89). RN hours are 0.21 per resident day (national average: 0.68). Nursing staff turnover is 50.6%.
How many beds does The Mildred & Shirley L. Garrison Geriatric Educat have?
The Mildred & Shirley L. Garrison Geriatric Educat has 120 certified beds with approximately 111 residents. The facility is located at 3710 4Th St, Lubbock, TX 79415.
Does The Mildred & Shirley L. Garrison Geriatric Educat have any deficiencies on record?
Yes, The Mildred & Shirley L. Garrison Geriatric Educat has 48 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has The Mildred & Shirley L. Garrison Geriatric Educat received any fines or penalties?
Yes, The Mildred & Shirley L. Garrison Geriatric Educat has received 2 penalties totaling $19K.
Who owns The Mildred & Shirley L. Garrison Geriatric Educat?
The Mildred & Shirley L. Garrison Geriatric Educat is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was The Mildred & Shirley L. Garrison Geriatric Educat last inspected?
The most recent health inspection for The Mildred & Shirley L. Garrison Geriatric Educat was on May 6, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for The Mildred & Shirley L. Garrison Geriatric Educat?
The Mildred & Shirley L. Garrison Geriatric Educat is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial