Graham Oaks Care Center
Inspection Findings
F-Tag F0844
F 0844 Level of Harm - Potential for minimal harm Residents Affected - Many
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Based on observation, interview, and record review the facility failed to provide written notice to the State Agency responsible for licensing the facility at the time of change, for a change in the facility's administrator for 1 of 1 facility. The facility failed to notify the State Agency of a change in the facilities administrator within 30 days. This failure could result in the lack of knowledge and inability to connect with the appropriate leadership of the facility. Findings included: In an observation on 11/07/2025 at 11:45 a.m., the investigator located the named administrator of the facility in TULIP during offsite preparation and documented the name for contact and accountability purposes. In an interview on 11/08/25 at 10:45 a.m., the facility Administrator introduced herself and indicated she started as the Administrator of the facility in May 2025.
She was not the individual named in TULIP. In an interview on 11/08/25 at 3:02 p.m., CNA A stated that she started working at the facility in June 2025 and the ADM is the only administrator she had seen since she had worked there. CNA A stated that the ADM was who she reported to with any report of abuse or neglect, because the ADM was the abuse coordinator. In a follow-up interview on 11/08/25 at 7:58 p.m., the ADM stated she started as the AIT at the facility in December 2024 with another administrator. She stated he left, and she became full time administrator in March 2025. The ADM stated she is responsible for the day-to-day responsibilities and was in charge of the facility. The ADM stated it was her responsibility to contact the state agency about the administrator change but thought the previous administrator would do it when he left. The ADM stated she can make the change in TULIP, and she was aware it was to be done within 30 days. No corporate personnel were present to interview. In an observation on 11/8/25 at 10:10am of the facility posting in Hall C near the nurse's station, it revealed the Administrator, Abuse coordinator, named as the current ADM, not the name in TULIP. Record review of Facility Business card provided by ADM named her as the facility administrator. No policy provided.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Graham Oaks Care Center in Graham, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Graham, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Graham Oaks Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.