Nursing homes across Cherokee County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Avir At Jacksonville runs on 3.40 nurse hours per resident day, about 12 percent under the national average of 3.86, and weekend coverage drops roughly 10 percent below its own weekday level, so the leanest shifts land when families tend to visit. The tradeoff is stability: 23.3 percent annual turnover is roughly half the national rate of 45.8 percent, meaning the aides and nurses your relative sees are more likely to still be there next year. Inspections in April 2025 produced a 5-star health inspection rating, though the current record lists 11 deficiencies, including one at the harm level and one abuse-related. This LLC-owned, 53-bed home scores well overall, but read the actual inspection reports before deciding.
The Arbors runs 110 certified beds in Rusk under corporate for-profit ownership, and its nurse staffing sits at 3.11 hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip even further, about 22% under the home's own weekday coverage, so the quietest days are also the thinnest. Inspections are a different story: a 4-out-of-5 health inspection rating and a clean record on harm-level deficiencies, though 23 total deficiencies and one abuse-related finding still sit on the current file. The last survey was January 14, 2026, so the picture is recent. Quality measures land mid-range at 3, and staffing earns just 1 star.
Cherokee Trails is owned by the local hospital district, and that public ownership hasn't translated into strong staffing. At 3.22 nurse hours per resident day, it sits roughly 16% under the national average, and weekends drop about 13% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover is 65.3%, well above the 45.8% national figure, and the inspection record shows 43 deficiencies, including six at harm or jeopardy level and four tied to abuse, with $85,329 in fines. The quality measure score looks good on paper, but that's largely self-reported data. The recent inspection date means the record is current, not old.
Legacy At Jacksonville runs a 101-bed for-profit operation that just got through a health inspection with no findings at the harm or jeopardy level, which is worth something, 11 deficiencies on the record and only one tied to abuse, none serious enough to endanger a resident. But the nursing side tells a different story: 3.17 nurse hours per resident per day against a national average of 3.86, a staffing rating of 1 out of 5, and weekends running about 13% thinner than weekdays. Quality measures land at 2 out of 5, with two fines totaling $27,345 on the books. Inspection day looked fine; the daily staffing math is the part I'd ask about.
Wells LTC Nursing & Rehabilitation has a staffing story that looks better than most, 4.82 nurse hours per resident day, roughly a quarter above the national average, but the rest of the record undercuts it. The home carries 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Staff turnover sits at 52%, higher than the 45.8% national figure, and weekend coverage runs about 7% thinner than weekdays. Three fines totaling $34,428 are on record, with the last inspection in December 2025.
Twin Oaks runs on thin staffing: 2.97 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 18% below what the home already provides on weekdays. The bigger red flag is turnover, 98% annually, more than double the national figure, meaning the aide or nurse who knows your mother this month is statistically unlikely to be there next year. Its current record carries 34 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, plus a $174,431 fine. A December 2025 inspection is recent, so the picture isn't stale. The corporate owner is for-profit, and the numbers suggest a building where care depends heavily on who happens to be on shift.