Hamilton, TX · Hamilton County
★★★★★CMS 5/578 bedsFor-profitMedicaid
- Nurse hours
- 2.77 /day
- Staff turnover
- 41%
- Serious cites
- 0
Focused Care At Hamilton runs on a thin nursing staff: 2.77 hours per resident per day, roughly 28 percent below the national average, and weekends drop about 20 percent below what the home itself staffs on weekdays. That's the number that matters most, and it's why the federal staffing rating comes in at 1 out of 5. What keeps the place from looking worse is its record elsewhere, a 5/5 inspection rating with the most recent survey in September 2025, only 8 deficiencies on file and none involving harm, jeopardy, or abuse. Annual turnover of 41.4 percent actually sits below the national rate, so the problem isn't churn so much as how few hours each resident gets.
Hico, TX · Hamilton County
★★☆☆☆CMS 2/580 bedsFor-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Hico Nursing and Rehabilitation is a for-profit LLC home with 80 certified beds, and its numbers tell a split story. The quality measures look strong at 5 out of 5, but staffing sits at the bottom of the national range, 1 out of 5, and that shortfall shows up in the inspection record: 23 deficiencies, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $31,552 is on file. The last inspection was recent, December 3, 2025, so this isn't stale history. A family weighing this home should ask directly how direct-care hours are covered on evenings and weekends, and how the abuse-related findings were resolved.
Hamilton, TX · Hamilton County
★★★★☆CMS 4/576 bedsFor-profitMedicaid
- Nurse hours
- 3.79 /day
- Staff turnover
- 52%
- Serious cites
- 0
Pecan Creek passed its most recent inspection in April 2025 with six deficiencies on record, none of them causing harm or involving abuse, that's a genuinely clean inspection sheet, and the health inspection rating reflects it. The staffing numbers tell a different story. At 3.79 nurse hours per resident day, it runs slightly under the national average, and weekends drop about 11% below its own weekday coverage. Annual turnover sits at 52.3%, well above the 45.8% national figure, which matters when aides are the people who notice a resident's change in condition first. Quality measures land at 2 out of 5. A for-profit corporation operates the 76-bed home.