Nursing homes across Henderson County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Chandler Nursing Center runs 90 beds under limited liability ownership, and its inspection record looks better than its day-to-day staffing. A February 2026 inspection with 21 deficiencies, none at harm or jeopardy level and none abuse-related, earned 4 out of 5 stars from CMS on health inspections and the same on quality measures. The staffing side tells a different story: 3.10 nurse hours per resident day, roughly a fifth below the national 3.86 average, with weekends about 13 percent thinner than weekdays. Annual turnover sits at 66.2 percent against a national 45.8. That gap is really what's holding the grade back.
Cedar Lake passed its most recent inspection in September 2025 with no deficiencies at the harm level and none tied to abuse, which matters, that's the part families worry about most, and it's clean. Where the home struggles is everyday care capacity. Both its staffing and quality measure ratings sit at the bottom of CMS's five-point scale, meaning resident care hours and clinical outcomes lag what's typical nationally, even though the building holds 90 beds. Eight deficiencies and four fines totaling $27,270 point to recurring paperwork and process problems rather than dangerous conditions. A for-profit limited liability company runs it. The inspection record looks better than the day-to-day staffing numbers, so ask specifically about nurse and aide coverage on evenings and weekends.
Advanced Rehabilitation and Healthcare of Athens carries 120 certified beds and is run by a hospital district, which you might expect to mean steadier oversight. The numbers say otherwise. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 8% below the home's own weekday levels. Staff turnover hits 58% against a national 45.8%. The inspection record shows 31 deficiencies, seven at harm or jeopardy level and seven abuse-related, with two fines totaling $210,588, and CMS has placed the home in its Special Focus Facility program. Its last inspection was March 2026. Quality measures score well; staffing and inspections do not.
Park Highlands is a hospital-district home in Athens, and its inspection record is genuinely strong, five stars, nine deficiencies with none at the harm level and no abuse findings, and a survey done as recently as May 2025. The trouble is what happens between inspections. Nurses give residents 3.05 hours of care per day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Nearly nine in ten employees turned over last year, roughly double the national rate, which means the people at the bedside keep changing. Stable hands matter most in a nursing home, and this one struggles to keep them.
Avir At Athens runs on 2.92 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 13% below what the home already provides during the week. That thin coverage shows up elsewhere: annual turnover is 57.5% against a national 45.8%, so the aides and nurses your family meets may not be there in six months. The inspection record carries 22 deficiencies, four serious enough to put residents in harm's way and four tied to abuse, with $243,325 in fines across four penalties. The most recent inspection was February 2026. A 112-bed for-profit partnership, it's licensed and it takes Medicare and Medicaid, but the staffing and inspection numbers are the ones to ask about directly.