The Mildred & Shirley L. Garrison Geriatric Educat
The Mildred & Shirley L. Garrison Geriatric Educat in Lubbock, TX — inspection on August 22, 2025.
Found 3 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
jeopardy to resident health or safety
depending on the situation. 7.
Record review of facility document titled QAPI Year 8 sign in sheet dated 8/21/2025, revealed signatures by MD, DON, SWK, Admissions, Marketing, DOR, MDS A, MDS B, HR, DM, HSK, CR and RN U.
Document revealed Problem Areas: Abuse and Neglect, Failure to follow Abuse Policy, Failure to notify were reviewed during this QAPI. 8.
Record review of Untitled Document, undated, revealed Competencies will be completed via written quiz with all nursing staff once a week times 4 weeks.
Trainings will be available on Tuesdays and Thursdays Signed by the DON.9.
Record review of Untitled Document, undated, revealed Following completion of safe survey on all resident on 8/21/2025, no new complaints [of] pain or injury were discovered signed by the DON. 10.
Record review of Untitled Document, undated, revealed scheduled QAPI meetings for 9/10/2025, 10/8/2025, 11/12/2025 and 12/10/2025. On 8/22/2025 at 2:51pm the Administrator was notified the IJ was removed.
However, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Mildred & Shirley L.
Garrison Geriatric Educat
3710 4th St Lubbock, TX 79415
SUMMARY STATEMENT OF DEFICIENCIES
During interview on 8/22/2025 between 9:30AM-11:26 AM with CNA D, K, L, M, N, P, Q, R, S, T, GVN F, CMA G, LVN E, I, J, O, and RN H revealed all staff members had been trained on reporting abuse and neglect.
All staff members stated they would report abuse and neglect to their ADM immediately.
All staff members stated they would report any falls, injuries or incidents to the charge nurse, physician, and DON.
They all stated they had been in-serviced prior to their shift on 8/22/2025.
All staff members stated the potential negative outcome of not reporting abuse or neglect could be decrease in quality of life for the residents, decrease in care, and emotional anguish. 8.
Record review of facility document titled QAPI Year 8 sign in sheet dated 8/21/2025, revealed signatures by MD, DON, SWK, Admissions, Marketing, DOR, MDS A, MDS B, HR, DM, HSK, CR and RN U.
Document revealed Problem Areas: Abuse and Neglect, Failure to follow Abuse Policy, Failure to notify were reviewed during this QAPI. 9.
Record review of Untitled Document, undated, revealed Competencies will be completed via written quiz with all nursing staff once a week times 4 weeks.
Trainings will be available on Tuesdays and Thursdays Signed by the DON.10.
Record review of Untitled Document, undated, revealed Following completion of safe survey on all resident on 8/21/2025, no new complaints [of] pain or injury were discovered signed by the DON. 11.
Record review of Untitled Document, undated, revealed scheduled QAPI meetings for 9/10/2025, 10/8/2025, 11/12/2025 and 12/10/2025.On 8/22/2025 at 2:51pm the Administrator was notified the IJ was removed.
However, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/22/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Mildred & Shirley L.
Garrison Geriatric Educat
3710 4th St Lubbock, TX 79415
SUMMARY STATEMENT OF DEFICIENCIES
During interview on 8/22/2025 between 9:30AM-11:26 AM with CNA D, K, L ,M ,N ,P, Q, R, S ,T, GVN F, CMA G, LVN E, I,J, O, and RN H revealed all staff members had been trained on reporting abuse and neglect.
All staff members stated they would report abuse and neglect to their ADM immediately.
All staff members stated they would report any falls, injuries or incidents to the charge nurse, physician, and DON.
They all stated they had been in-serviced prior to their shift on 8/22/2025.
All staff members stated the potential negative outcome of not reporting abuse or neglect could be decrease in quality of life for the residents, decrease in care, and emotional anguish. 8.
Record Review of facility document titled QAPI Year 8 sign in sheet dated 8/21/2025, revealed signatures by MD, DON, SWK, Admissions, Marketing, DOR, MDS A, MDS B, HR, DM, HSK, CR and RN U.
Document revealed Problem Areas: Abuse and Neglect, Failure to follow Abuse Policy, Failure to notify were reviewed during this QAPI.
- Record Review of Untitled Document, undated, revealed Competencies will be completed via written quiz
with all nursing staff once a week times 4 weeks.
Trainings will be available on Tuesdays and Thursdays Signed by the DON.10.
Record Review of Untitled Document, undated, revealed Following completion of safe survey on all resident on 8/21/2025, no new complaints [of] pain or injury were discovered signed by the DON. 11.
Record Review of Untitled Document, undated, revealed scheduled QAPI meetings for 9/10/2025, 10/8/2025, 11/12/2025 and 12/10/2025.On 8/22/2025 at 2:51pm the Administrator was notified the IJ was removed.
However, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm with potential for more than minimal harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems.
Facility ID:
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.