Hughes Springs, TX · Cass County
★★★★☆CMS 4/569 bedsFor-profitMedicaid
- Nurse hours
- 4.16 /day
- Staff turnover
- 47%
- Serious cites
- 0
Capstone Healthcare of Hughes Springs runs on 4.16 nurse hours per resident day, about 8% above the national average, that's the strongest thing in its file. But weekends drop roughly 21% below its own weekday staffing, so the coverage your family sees on a Saturday won't match a Tuesday. Turnover sits at 47.1%, slightly worse than the national 45.8%, and the current record carries 30 deficiencies, including one tied to abuse, though none reached harm or jeopardy level. The last inspection was April 2025, and all three CMS star ratings land at 3 out of 5. Limited liability ownership, for-profit. Solid weekday staffing, real weekend gaps, and a deficiency history worth asking about directly.
Atlanta, TX · Cass County
★★★★☆CMS 4/5108 bedsFor-profitMedicaid
- Nurse hours
- 4.53 /day
- Staff turnover
- 62%
- Serious cites
- 0
Rose Haven Retreat carries a government-hospital-district ownership, and its 108 certified beds get more nursing time than most: 4.53 hours per resident day, roughly 17 percent above the national average of 3.86. That staffing edge is real, but weekends run about 16 percent leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Turnover sits at 62.3 percent against a national 45.8 percent, meaning the people at the bedside change often. The current record lists 33 deficiencies, including one at the harm level and two tied to abuse, with $8,281 in fines. The last inspection was May 7, 2025.
Atlanta, TX · Cass County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 4.79 /day
- Staff turnover
- 54%
- Serious cites
- 0
Nurse staffing at Golden Villa runs about 24% above the national average, which sounds like the headline until you notice weekends drop roughly 29% below the home's own weekday level, coverage you can count on Monday may not be there Saturday. Staff turnover sits at 54.3% against a national 45.8%, and the inspection record shows 42 deficiencies, five of them at harm or jeopardy level, plus one abuse-related finding and $122,216 in fines. The quality measure score looks good, but that reflects resident care metrics, not whether the building is run safely. A for-profit individual owner, a recent June 2025 inspection, and a two-star health inspection rating round out the picture.
Linden, TX · Cass County
★☆☆☆☆CMS 1/5131 bedsFor-profitMedicaid
- Nurse hours
- 2.61 /day
- Staff turnover
- 54%
- Serious cites
- 0
Sixty-one deficiencies sit on Focused Care At Linden's record, seven of them serious enough to involve harm or jeopardy, and four tied to abuse. Federal inspectors wrote four fines totaling $391,545. The company runs this 131-bed home for profit, and the health inspection rating is one out of five stars.
Staffing is the other trouble spot: 2.61 nurse hours per resident day, well under the national average of 3.86, with weekends about 12% thinner than weekdays. Turnover runs 53.6% a year against a 45.8% national figure, so caregivers keep cycling out. The quality measure score of four stars reflects charted clinical care, but that's measured on paper, the inspection record and thin staffing describe what happens on the floor.