★★★☆☆CMS 3/5128 bedsGovernmentMedicaid
- Nurse hours
- 3.38 /day
- Staff turnover
- 45%
- Serious cites
- 0
Sulphur Springs Health and Rehabilitation runs on a hospital-district ownership, which is a little unusual for a Texas nursing home, and its 128 beds are staffed at about 3.38 nurse hours per resident day, roughly 12% under the national average, with weekends thinner still. The inspection record is where you'll want to slow down: 50 deficiencies on file, one of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $44,044 fine. Turnover sits near the national norm at 44.9%, and the last survey was March 2026, so the picture is recent. Resident care measures score well; the staffing and inspection side is doing the dragging.
★★★★☆CMS 4/5144 bedsFor-profitMedicaid
- Nurse hours
- 4.29 /day
- Staff turnover
- 47%
- Serious cites
- 0
Carriage House Manor runs 144 certified beds in Sulphur Springs under individual for-profit ownership. Its 4.29 nurse staffing hours per resident day sit about 11% above the national average of 3.86, and weekends dip roughly 13% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 46.9%, essentially tracking the national 45.8%. The inspection record shows 26 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. CMS gives it 4 stars for health inspections and 4 for staffing, 3 for quality measures.
★★☆☆☆CMS 2/595 bedsGovernmentMedicaid
- Nurse hours
- 3.36 /day
- Staff turnover
- 45%
- Serious cites
- 0
Sunny Springs is run by the hospital district, which is worth knowing since government-owned homes often operate differently than chains. The staffing numbers are the real story here: 3.36 nurse hours per resident day puts it about 13% under the national average, and weekends drop roughly 8% below its own weekday levels. That shows up in the staffing rating. The inspection record is heavy, 57 deficiencies, including two at harm or jeopardy level and seven tied to abuse. Turnover at 44.9% is basically the national norm, so that's not the problem. The 4/5 quality measure score suggests some clinical metrics look fine, but staffing and inspections tell a different story.
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 2.84 /day
- Staff turnover
- 90%
- Serious cites
- 0
Rock Creek runs on 2.84 nursing hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 15% below its own weekday staffing. That thin coverage shows up in turnover: 90.3% of staff left over the past year, double the national rate of 45.8%. The current record carries 36 deficiencies, two serious enough to involve harm or jeopardy, plus $82,579 in fines across two events. Inspectors last visited in August 2025. Corporate-owned and Medicare-certified for 120 beds, the home scores 1 out of 5 on CMS staffing and 2 on health inspections, while its quality measure rating sits at 3.