CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 6762422026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Ganado Nursing And Rehabilitation Center

107 E Rogers · Ganado, TX 77962 · Jackson County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds91CMS provider file
Recent citation rows28current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-02-2582026-02-255
Cycle 22024-11-1582024-11-151
Cycle 32023-09-2942023-09-292
02 / CITATION DETAIL

28 rows in the current release

1 rows carry G–L scope/severity codes; 1 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-02-25 · FIREE0025Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

Correction field: Deficient, Provider has date of correction · 2026-02-26
2026-02-25 · HEALTHF0679Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Correction field: Deficient, Provider has date of correction · 2026-02-26 · complaint
2026-02-25 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-26
2026-02-25 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-26 · complaint
2026-02-25 · HEALTHF0757Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction field: Deficient, Provider has date of correction · 2026-02-26 · complaint
2026-02-25 · HEALTHF0803Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2026-02-26 · complaint
2026-02-25 · HEALTHF0804Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-26 · complaint
2026-02-25 · HEALTHF0812Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-26 · complaint
2026-02-25 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-02-26 · complaint
2026-02-25 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2026-02-26
2026-02-25 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-02-26
2026-02-25 · FIREK0741Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2026-02-26
2026-02-25 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-26
2025-05-15 · HEALTHF0689Severity J · isolated immediate jeopardy

Quality of Life and Care Deficiencies

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

Correction field: Past Non-Compliance · 2025-04-28 · complaint
2024-11-15 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-11-16 · complaint
2024-11-15 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2024-11-16 · complaint
2024-11-15 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-11-16 · complaint
2024-11-15 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-11-16 · complaint
2024-11-15 · HEALTHF0921Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-11-16 · complaint
2024-11-15 · FIREK0341Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Correction field: Deficient, Provider has date of correction · 2024-12-10
2024-10-21 · HEALTHF0732Severity C · widespread; potential for minimal harm

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Correction field: Deficient, Provider has date of correction · 2024-10-22 · complaint
2024-10-21 · HEALTHF0812Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-22 · complaint
2023-09-29 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2023-10-27 · complaint
2023-09-29 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2023-10-27 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-05-15Fine$8,4220
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 09/01/2022
  • BOWERS, SEANIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2024
  • CISNEROS, ALFREDIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 02/18/2008
  • COBB, TRAVISIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 10/05/2022
  • COOPER, STEPHENIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/11/2022
  • HARDIN, SHERRIEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 09/04/2024
  • KERZEE, RICHARDIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 09/24/2007
  • KORENEK, PATRICIAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/05/2018
  • SOECHTING, PAULIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/22/2024
  • STRACK, JOEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 02/11/2022
  • HUGGINS, LINDAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/01/2022
  • WILLIG, ZACHARYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2025
  • THOMPSON, JOHNNYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2024
  • GANADO I ENTERPRISES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2022
  • BLAKE, GARYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2022
  • BLAKE, MALISAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2022
  • GANADO I ENTERPRISES LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 09/01/2022
  • BAIN, JAMESIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/09/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.03per resident day
RN hours0.43per resident day
Weekend nurse hours2.43per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Texas ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.