Graham Oaks Care Center
Graham Oaks Care Center in Graham, TX — inspection on October 10, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an Interview with the Administrator on 10/10/25 at 8:00 AM stated she only had 1 hospitality aide left in the building as of 10/9/25.
She stated everyone else had completed training and skills checks and were ready to test.
She stated scheduling was in process with herself and the new DON monitoring compliance During an Interview with Resident #1 on 10/9/25 at 4:00 PM she stated she had not been transferred by staff other than CNAs, and LVN, and that no Hospitality Aides had transferred her since the incident.
She stated they always use 2 people to transfer.
She stated she was transferred by the Hoyer lift and that her family member was asked by the administrator to remove the sit to stand device from the building.
During an Interview with the current DON and the RNC on 10/9/25 at 4:10 PM both stated all Hospitality aides were checked off on transfer skills as of 9/19/25.
Interviews with 7 Nurses' Aides (B, D, E, F, G, H, I, J) and one Hospitality Aide K on 10/9/25 between 9:00 and 10:00 AM were able to state their job description and duties they were allowed to perform.
They stated they would go to the Kardex in the point of care to make sure what kind of care they needed.
Hospitality Aide K stated she was told by the administrator that she cannot work on the floor until she passes her Texas Nurse's Aide Training requirement online and supervised clinical with competency checks.
During Interviews with resident numbers 1,3,4,5,6,7 and 8 on 10/9/25 between 11:00 AM and 1:00 PM all stated that that they were transferred appropriately and had no transfer related incidents.
Residents #1, #7 and #4 stated that were transferred by a Hoyer lift by two people, and never just by one person.
Residents stated they could tell if a resident was a Hospitality Aide or CNA or a Nurse's Aide by looking at their employee's name badge.
They stated Hospitality aides were not allowed to transfer residents.
Record reviews of skills checklist and CNA online training revealed certificates of training and skills check lists for Nurses' Aides B, E, F, G, H, I, J and one Hospitality Aide K were in their employee files and dated before entrance.
During Interviews on 10/9/25 between 11:00 and 1:00 PM Nurses' Aides B, D, E, F, G, H, I, J and one Hospitality Aide K stated they signed a nurse's aide job description stating their duties and name tags were updated to reflect their current job duties.
Record review of Resident #1's care plan reflected that she was a Hoyer lift as of 9/3/25.
Record review of Resident #'s 1, 2, 3, 4, 5, 6, and 7's care plan and Kardex reflected accuracy.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/10/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Graham Oaks Care Center
1325 First St Graham, TX 76450
SUMMARY STATEMENT OF DEFICIENCIES
During an Interview with the current DON and the RNC on 10/9/25 at 4:10 PM both stated all Hospitality aides were checked off on transfer skills as of 9/19/25.
Interviews with 7 Nurses' Aides (B, D, E, F, G, H, I, J) and one Hospitality Aide K on 10/9/25 between 9:00 and 10:00 AM were able to state their job description and duties they were allowed to perform.
They stated they would go to the Kardex in the point of care to make sure what kind of care they needed.
Hospitality Aide K stated she was told by the administrator that she cannot work on the floor until she passes her Texas Nurse's Aide Training requirement online and supervised clinical with competency checks.
During Interviews with resident numbers 1,3,4,5,6,7 and 8 on 10/9/25 between 11:00 AM and 1:00 PM all stated that that they were transferred appropriately and had no transfer related incidents.
Residents #1, #7 and #4 stated that were transferred by a Hoyer lift by two people, and never just by one person.
Residents stated they could tell if a resident was a Hospitality Aide or CNA or a Nurse's Aide by looking at their employee's name badge.
They stated Hospitality aides were not allowed to transfer residents.
Record reviews of skills checklist and CNA online training revealed certificates of training and skills check lists for Nurses' Aides B, E, F, G, H, I, J and one Hospitality Aide K were in their employee files and dated before entrance.
During Interviews on 10/9/25 between 11:00 and 1:00 PM Nurses' Aides B, D, E, F, G, H, I, J and one Hospitality Aide K stated they signed a nurse's aide job description stating their duties and name tags were updated to reflect their current job duties.
Record review of Resident #1's care plan reflected that she was a Hoyer lift as of 9/3/25.
Record review of Resident #'s 1, 2, 3, 4, 5, 6, and 7's care plan and Kardex reflected accuracy.
Facility ID: