Nursing homes across Bosque County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Sunset Home is run by the local hospital district, and its 128 beds are staffed at 2.65 nurse hours per resident day, roughly 31% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so if your family visits on a Saturday, expect less coverage than a Tuesday. Turnover sits at 37.2%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Inspectors were last in on May 29, 2025, and found 13 deficiencies, one serious enough to put a resident in harm's way, no abuse citations, and fines total $14,020.
Willow Park runs 3.31 nursing hours per resident per day, roughly 14 percent under the national average, and weekends dip another 10 percent below its own weekday levels. The inspection record is the bigger concern: 27 deficiencies, three of them serious enough to put residents in harm's way, and three tied to abuse. Three fines totaling $59,972 have been levied, and the most recent inspection was December 2025, recent enough that the findings aren't stale. One bright spot: staff turnover at 36.9 percent beats the 45.8 percent national figure, which suggests people stay. Corporate-owned, 110 beds, and a one-star health inspection rating. Ask about the abuse citations and who supervises residents on weekends.
The Hilltop On Main runs lean on nursing staff, 2.83 hours per resident day against a national average of 3.86, with weekends about 15% thinner than weekdays. Half the staff turned over in the past year, and the most recent inspection, in March 2026, left 15 deficiencies on the record, three of them serious enough to involve harm or jeopardy, plus one fine of $29,243. This is a for-profit limited liability company operating 94 certified beds, and its federal ratings sit at 2 for health inspections, 2 for quality measures, and 1 for staffing. If you're weighing this one, ask what specifically was cited at those harm-level deficiencies and how the home plans to hold onto direct-care staff.