Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Garrison Nursing Home & Rehabilitation Center during CMS and state inspections, most recent first.
A long-term care facility failed to maintain an effective infection prevention and control program, as staff did not consistently follow hand hygiene protocols and enhanced barrier precautions. Two CNAs did not sanitize their hands between glove changes during incontinent care, and a COTA neglected to wear PPE while assisting a resident with a surgical wound. These lapses occurred despite the facility's established protocols and staff training, placing residents at risk for cross-contamination and infection.
A resident with an indwelling catheter was found without a securement device, leading to discomfort and potential risk of complications. Despite training, staff failed to adhere to the facility's policy requiring securement devices for catheters, as confirmed by interviews with a CNA, LVN, DON, and the Administrator.
The facility failed to post accurate and accessible nurse staffing information for five consecutive days. Observations revealed that the postings were outdated, incomplete, and not easily visible. Interviews indicated that the restorative aide was responsible for the postings, but there was no clear policy in place, leading to a lack of oversight and accountability.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple instances of improper hand hygiene and failure to follow enhanced barrier precautions. Specifically, two CNAs did not sanitize or wash their hands between glove changes while providing incontinent care to residents. This lapse in protocol was observed during care provided to a resident with cognitive and physical impairments, who required extensive assistance with activities of daily living. The CNAs acknowledged their failure to adhere to hand hygiene practices, despite having received training on infection control. Additionally, a COTA did not follow enhanced barrier precautions while providing care to another resident with a surgical wound. The COTA failed to don the required personal protective equipment, such as a gown and gloves, before assisting the resident. This oversight occurred despite the presence of signage and PPE outside the resident's room, indicating the need for enhanced precautions. The COTA admitted to forgetting the protocol due to nervousness, even though she had been trained on the facility's procedures. Interviews with facility staff, including the ADON, IP nurse, and DON, confirmed that the facility had established protocols for infection control and enhanced barrier precautions. However, the staff's failure to consistently implement these protocols during care placed residents at risk for cross-contamination and infection. The facility's policies required hand hygiene before and after glove changes and the use of PPE for residents with specific conditions, such as chronic wounds or MDROs, but these were not consistently followed during the observed incidents.
Failure to Secure Indwelling Catheter
Penalty
Summary
The facility failed to provide appropriate treatment and services to prevent urinary tract infections for a resident who was incontinent of bladder and had an indwelling catheter. The resident, a female with a history of heart disease and urinary retention, was observed without a securement device for her catheter, which is necessary to prevent discomfort and potential dislodgment. The resident reported experiencing a pulling sensation in her private area, indicating discomfort due to the unsecured catheter. Interviews with facility staff, including a CNA, LVN, DON, and the Administrator, revealed that there was a lack of adherence to the facility's policy requiring securement devices for catheters. The CNA did not check for securement devices, assuming it was the nurses' responsibility, while the LVN and DON acknowledged the importance of securement devices and confirmed that training had been provided. Despite this, the resident's catheter was not secured, which could lead to complications such as pain, infections, and skin issues.
Failure to Post Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing data was posted and readily accessible to residents and visitors with all required information for five consecutive days. During an observation, it was noted that the daily staffing posting was not in a central location and was dated several days prior, with the form being blank for reporting the daily census. The form was also not easily legible due to misprinting. Interviews with the Assistant Regional Nurse, the Director of Nursing (DON), and the Administrator revealed that the responsibility for posting the staffing information was assigned to the restorative aide, but the postings were not being maintained as required. The lack of a clear policy for nurse staffing information contributed to the deficiency, as the facility did not have a structured approach to ensure compliance with the regulation. The DON acknowledged the absence of a policy and the need to store the information for 18 months as per the regulation. The Administrator was unaware of when the last posting occurred, indicating a lack of oversight and accountability in maintaining the required staffing information postings.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Garrison
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stallings Court Nursing And Rehabilitation | 15 mi | — | 3 | 0 |
| Willowbrook Nursing Center | 15.1 mi | — | 0 | 0 |
| Westward Trails Nursing And Rehabilitation | 16.5 mi | — | 1 | 0 |
| Focused Care Of Center | 18.5 mi | — | 1 | 0 |
| Avir At Center | 20.1 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.