At a glance
Official CMS profileCMS overall rating
1 / 5
Certified beds
120
Residents / day
105.8
Ownership
Government - Hospital district
Facility information
- Certification
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- County
- Lubbock
- Certified beds
- 120
- Average residents per day
- 105.8
- First certified
- August 9, 2002
CMS quality ratings
- Overall
- 1 / 5
- Health inspections
- 1 / 5
- Staffing
- 1 / 5
- Quality measures
- 4 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Lubbock, Texas. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 1.00 | 2.57 (n=14) | 2.76 |
| Nurse hours / resident / day | 3.10 | 3.43 (n=14) | 3.42 (n=1151) |
| Weekend nurse hours / resident / day | 2.74 | 3.03 (n=14) | 2.99 (n=1151) |
| Nursing staff turnover (%) | 60.00 | 61.69 (n=14) | 50.79 (n=1095) |
CMS overall rating / 5
- This home
- 1.00
- County peers
- 2.57
- n=14
- State peers
- 2.76
Nurse hours / resident / day
- This home
- 3.10
- County peers
- 3.43
- n=14
- State peers
- 3.42
- n=1151
Weekend nurse hours / resident / day
- This home
- 2.74
- County peers
- 3.03
- n=14
- State peers
- 2.99
- n=1151
Nursing staff turnover (%)
- This home
- 60.00
- County peers
- 61.69
- n=14
- State peers
- 50.79
- n=1095
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 11.8% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- CMS reports 60.0% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 2
- Health citations
- 42
- Resident measures
- 17
- Ownership records
- 16
- Penalties
- 2
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.10300
- Reported RN Staffing Hours per Resident per Day
- 0.26475
- Reported LPN Staffing Hours per Resident per Day
- 1.10075
- Reported Nurse Aide Staffing Hours per Resident per Day
- 1.73750
- Total number of nurse staff hours per resident per day on the weekend
- 2.73587
- Registered Nurse hours per resident per day on the weekend
- 0.17880
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.09404
- Total nursing staff turnover
- 60.0
- Registered Nurse turnover
- 75.0
- Number of administrators who have left the nursing home
- 0
- Chain Name
- THE ENSIGN GROUP
- Number of Facilities in Chain
- 347
- Chain Average Overall 5-star Rating
- 3.3
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Resident
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- TX
- Urban
- Y
- Chain ID
- 507
- Latitude
- 33.5923
- Location
- 3710 4th St,Lubbock,TX,79415
- ZIP Code
- 79415
- City/Town
- Lubbock
- Longitude
- -101.9
- QM Rating
- 4
- Abuse Icon
- N
- Chain Name
- THE ENSIGN GROUP
- County/Parish
- Lubbock
- Provider Name
- The Mildred & Shirley L. Garrison Geriatric Educat
- Provider Type
- Medicare and Medicaid
- Overall Rating
- 1
- Ownership Type
- Government - Hospital district
- Number of Fines
- 2
- Processing Date
- 2026-10-01
- Staffing Rating
- 1
- Provider Address
- 3710 4th St
- Telephone Number
- 8067634455
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- BOOKER HOSPITAL DISTRICT
- Long-Stay QM Rating
- 4
- High Performing Icon
- N
- Short-Stay QM Rating
- 5
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.46241
- Chain Average QM Rating
- 4.4
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 1
- Number of Certified Beds
- 120
- Provider SSA County Code
- 770
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- 75.0
- Total Number of Penalties
- 2
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 1.03699
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 60.0
- Chain Average Staffing Rating
- 2.8
- Number of Facilities in Chain
- 347
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 675925
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 26949.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 202
- Registered Nurse turnover footnote
- Not reported
- Total Weighted Health Survey Score
- 229.500
- With a Resident and Family Council
- Resident
- Average Number of Residents per Day
- 105.8
- Chain Average Overall 5-star Rating
- 3.3
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 312
- Continuing Care Retirement Community
- N
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 2.8
- Rating Cycle 1 Health Deficiency Score
- 202
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 1
- Rating Cycle 2/3 Health Deficiency Score
- 312
- Rating Cycle 1 Standard Survey Health Date
- 2026-06-04
- Rating Cycle 2 Standard Health Survey Date
- 2025-05-06
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 0.25330
- Case-Mix RN Staffing Hours per Resident per Day
- 0.71722
- Reported RN Staffing Hours per Resident per Day
- 0.26475
- Adjusted LPN Staffing Hours per Resident per Day
- 1.05316
- Case-Mix LPN Staffing Hours per Resident per Day
- 0.89374
- Reported LPN Staffing Hours per Resident per Day
- 1.10075
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 11
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 23
- Rating Cycle 1 Number of Standard Health Deficiencies
- 6
- Rating Cycle 2 Number of Standard Health Deficiencies
- 10
- Reported Licensed Staffing Hours per Resident per Day
- 1.36550
- Number of Citations from Infection Control Inspections
- Not reported
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 6
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 1.66238
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.43417
- Number of administrators who have left the nursing home
- 0
- Reported Nurse Aide Staffing Hours per Resident per Day
- 1.73750
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 2.96884
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 4.04513
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 13
- Reported Total Nurse Staffing Hours per Resident per Day
- 3.10300
- Registered Nurse hours per resident per day on the weekend
- 0.17880
- Date First Approved to Provide Medicare and Medicaid Services
- 2002-08-09
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.09404
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 2.61759
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 3.56000
- Total number of nurse staff hours per resident per day on the weekend
- 2.73587
COMMUNITY EXPERIENCE
Reviews of The Mildred & Shirley L. Garrison Geriatric Educat
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No published community reviews yet.
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Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026