★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.30 /day
- Staff turnover
- 36%
- Serious cites
- 0
Stallings Court runs lean on nurse staffing, 3.30 hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and notice things. The good news: turnover sits at 36%, better than the 45.8% national average, and the inspection record is clean where it counts, 25 deficiencies total, but none at harm or jeopardy level and none abuse-related. A February 2026 inspection is recent enough to trust. For-profit LLC ownership with 120 beds. Families should ask who's on the floor on weekend evenings.
★★★☆☆CMS 3/5166 bedsFor-profitMedicaid
- Nurse hours
- 3.21 /day
- Staff turnover
- 52%
- Serious cites
- 0
Willowbrook runs about 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekends are thinner still, around 13% below its own weekday coverage. Staff turnover sits at 52%, above the 45.8% national figure, so the people providing that care keep changing. The 166-bed for-profit home has 23 deficiencies on its current record, one serious enough to involve harm or jeopardy, and a single fine of $153,439. Its last inspection was July 2025. Quality measures score well, but the staffing side is where the trouble shows, and that gap is worth asking about directly.
★★★☆☆CMS 3/5108 bedsFor-profitMedicaid
- Nurse hours
- 3.27 /day
- Staff turnover
- n/a
- Serious cites
- 0
Westward Trails runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends drop roughly 21% below its own weekday coverage. That's the kind of gap that shows up when a resident needs help on a Saturday afternoon. Inspectors gave the place solid marks in June 2025, but the record still carries 24 deficiencies, including two tied to abuse and two serious enough to put residents in harm's way, plus $25,036 in fines across three penalties. Corporate ownership means decisions about staffing levels get made somewhere other than Nacogdoches. Ask about weekend coverage and how those abuse deficiencies were resolved before you decide.