Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Whispering Oaks runs on more nursing hours than the typical American home, about 4.06 per resident per day, roughly 5% above the national figure, and its staff turnover of 36.6% is notably better than the 45.8% norm, which matters for continuity of care. The tradeoffs are thinner weekend coverage, about 15% below its own weekday level, and a deficiency record of 27 findings, one of them serious enough to involve harm or jeopardy. Inspectors were last on site in July 2025. This is a for-profit LLC with a decent recent inspection history but a real pile of past citations to weigh.
Sulphur Springs Health and Rehabilitation runs on a hospital-district ownership, which is a little unusual for a Texas nursing home, and its 128 beds are staffed at about 3.38 nurse hours per resident day, roughly 12% under the national average, with weekends thinner still. The inspection record is where you'll want to slow down: 50 deficiencies on file, one of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $44,044 fine. Turnover sits near the national norm at 44.9%, and the last survey was March 2026, so the picture is recent. Resident care measures score well; the staffing and inspection side is doing the dragging.
Clarksville Nursing Home is run by the local hospital district, and its last inspection was in December 2025, recent enough that you're not looking at stale findings. The record shows 34 deficiencies, but none at the harm or jeopardy level, and two tied to abuse, which is worth asking about directly. Staffing is the weaker spot: 3.01 nurse hours per resident day, roughly 22% under the national average, and weekends run about 12% lighter than weekdays, so coverage thins out exactly when families tend to visit. Turnover at 40.5% is better than the 45.8% national figure, and the 4/5 quality measure rating suggests clinical outcomes hold up despite the thin staffing.
Clyde Nursing Center runs a tight ship on inspections, a five-star health inspection rating, with the most recent visit in April 2025 turning up seven deficiencies, none of them causing harm or involving abuse. Where it slips is staffing: 3.19 nurse hours per resident day, roughly 17 percent under the national average, and weekends run about a fifth thinner than weekdays. That gap matters more than the raw number, since care doesn't pause on Saturdays. The one bright spot is retention, 38.2 percent turnover beats the national 45.8 percent, so the aides who are there tend to stay. For a 48-bed for-profit home, the pattern is familiar: solid care when inspected, stretched coverage day to day.
Heritage House runs about 3.40 nurse hours per resident day, roughly 12% under the national average, and weekend coverage drops another 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. The 46 deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, sit alongside a 2-out-of-5 inspection rating, though the quality measure score of 4 suggests the clinical numbers they report look better than the inspection history does. Turnover at 46.3% is essentially the national rate, meaning staffing churn isn't unusually bad here, just the raw hours that fall short.
Prairie House Living Center runs on a leaner nursing crew than most homes, about 2.97 nurse hours per resident each day against a national average near 3.86, and weekends dip roughly 12 percent below its own weekday coverage. That thin margin is the main reason its staffing rating sits at 2 out of 5, even though staff stick around: turnover of 26.7 percent is well below the national 45.8 percent, which suggests people aren't fleeing. Inspections look solid, a 4 out of 5 health inspection rating, nine deficiencies on record with none at the harm level and none abuse-related, and a visit as recent as November 2024. Owned by a hospital district, it's not chasing private-equity returns.
Advanced Rehabilitation and Healthcare of Bowie is a hospital-district home with 180 beds, and its inspection record is genuinely strong. Ten deficiencies on the current record, none causing harm or jeopardy, none abuse-related, and an inspection as recent as February 2026, with 5 out of 5 stars on both health inspections and quality measures. Staffing tells the other story. At 2.82 nurse hours per resident day, it runs roughly 27 percent under the national average of 3.86, and weekends dip about 20 percent below its own weekday level. Turnover at 42.1 percent is slightly better than the 45.8 percent national figure, so the issue isn't churn so much as how few hands are scheduled at any given time.
Mesquite Tree runs on 3.23 nurse hours per resident day, roughly 16% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.8%, well above the 45.8% national figure, which means the aides and nurses caring for your relative are often new to the building. The inspection record shows 25 deficiencies, including one at the harm level and one abuse-related, plus a $13,397 fine; the most recent inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are where the real story sits.
Crowell Nursing Center runs on thin staffing: 2.97 nurse hours per resident per day, roughly a quarter below the national average, with weekends about 12 percent lighter than weekdays. That gap is worth asking about directly, since it's the kind of thing families notice on a Sunday afternoon. The inspection record is cleaner than that number might suggest, a recent April 2026 survey and no deficiencies at the harm or jeopardy level, though three of the 15 total deficiencies are abuse-related, which deserves a pointed question about what happened and what changed. Turnover sits at 43.9 percent, essentially at the national average. Corporate-owned, 67 beds, and quality measures score well even as staffing drags.
Heritage House at Keller runs on 3.18 total nurse hours per resident day, roughly 18 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5 even as quality measures score 5 out of 5, a gap worth asking about, since strong outcomes can reflect careful documentation as much as daily care. Turnover is 45.3 percent, essentially level with the national 45.8 percent. The inspection record is more concerning: 20 deficiencies, including 2 at the harm level and 2 abuse-related, plus $22,608 in fines. It's hospital-district owned and last inspected in December 2025.
Advanced Rehabilitation and Healthcare of Wichita runs 180 certified beds as a for-profit corporation, and its inspection record is its strongest suit, a 4/5 health inspection rating with 20 deficiencies on file, none at the harm or jeopardy level. Two of those are abuse-related, which is worth asking about directly. Where the numbers get thinner is staffing: 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop about 13% below its own weekday level. Annual turnover sits at 42.6%, a bit better than the 45.8% national figure. Last inspection was December 6, 2024.
Advanced Rehabilitation And Healthcare Of Vernon runs 120 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: 17 deficiencies on file but none at the harm or jeopardy level, none abuse-related, and a survey completed as recently as August 2025. Where it slips is staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends run roughly 12 percent thinner than its own weekdays. Annual turnover of 49 percent tops the national figure of 45.8. So you have a home that inspects cleanly but depends on a thin, churning workforce to get there, worth asking about on a tour.
Advanced Rehabilitation & Healthcare Of Burleson runs 121 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national average of 3.86. Weekends thin out further, roughly 12 percent below the home's own weekday coverage. Staff turnover is 63.6 percent against a national 45.8 percent, which means a large share of caregivers are new to the building each year. The inspection record shows 28 deficiencies, two serious enough to involve harm or jeopardy, plus $17,804 in fines across two events. Quality measures score well, but staffing and inspection results are where the concerns concentrate.
Willow Rehab & Nursing is a for-profit LLC home in Kilgore with 118 certified beds, and its record shows real tension between care quality and staffing. The quality measure rating comes in at 5 out of 5, but nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, and weekends run about 11% thinner than weekdays, with a 2 out of 5 staffing rating to match. Its inspection history carries 33 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $219,229. Turnover at 43.8% is slightly better than the 45.8% national figure. The most recent inspection is dated April 1, 2026. Strong clinical measures, thin coverage, and a costly enforcement record.
Whitehall Rehab & Nursing runs about 3.01 nurse hours per resident each day, roughly 22 percent under the national average of 3.86, and weekend coverage drops another 13 percent below its own weekday level. That thin staffing shows up alongside 22 deficiencies on the current record, including five at the harm or jeopardy level and five tied to abuse, plus five fines totaling $77,342. Turnover sits at 36.5 percent, better than the 45.8 percent national figure, and the last inspection was recent, February 2026. For-profit ownership under an LLC, a 113-bed building, and a quality measure score that outpaces its staffing picture, worth asking about directly on a visit.
El Paso Health & Rehabilitation Center runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday staffing. That thin coverage sits behind a one-star CMS staffing rating and 55 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Inspectors were last in on August 7, 2025, so the findings are recent, and the home carries one fine of $20,312. It's a 150-bed hospital-district facility, which can mean public oversight, but the numbers here don't show it translating into safer care.
The Renaissance at Kessler Park runs 135 beds under corporate for-profit ownership, and its biggest problem shows up in the staffing numbers. At 2.92 nurse hours per resident day, it sits about 24% under the national average of 3.86, and the federal staffing rating comes in at just 1 out of 5. Weekend coverage dips slightly below weekday levels, and annual turnover of 51.6% runs above the national 45.8%, so the people caring for residents keep changing.
Inspections look stronger on paper, a recent December 2025 survey and solid marks on health inspections and quality measures, but the record shows 30 deficiencies, including one at the harm level and two tied to abuse, plus an $11,031 fine.
McAllen Nursing Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 10% below its own weekday level. The 2/5 inspection rating reflects 28 deficiencies on the current record, three of them at harm or jeopardy level, plus two abuse-related citations, and the state has fined the home twice, totaling $17,459. Staff turnover at 40.7% is actually a little better than the national 45.8%, though that is the one number here that leans your way. The limited liability company operating it last faced inspection in April 2025, so the record is recent.
Seymour Rehabilitation and Healthcare is run by a hospital district, and its inspection record is genuinely strong, a recent April 2025 survey with no deficiencies at the harm or jeopardy level and none related to abuse. The trouble sits elsewhere. Nurse staffing runs about 3.27 hours per resident day, roughly 15% under the national average, and weekend coverage dips below its own weekday level. Annual turnover of 67.9% means most of the people caring for residents are relatively new, against a national rate near 46%. Twenty deficiencies sit on the current record, none serious. Good inspections paired with thin, churning staff is the whole story here.
Advanced Health & Rehab Center of Garland runs on 2.97 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 10% below its own weekday staffing. That thin coverage shows up in the inspection record: 41 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and three fines totaling $237,224. Staff turnover of 43.5% is slightly better than the national 45.8%, and the quality measure score is strong, but the staffing and inspection scores sit at the bottom. It's hospital-district owned and was inspected in April 2025. Ask about weekend nurse coverage and what changed since that inspection.
Henderson Health & Rehabilitation Center runs 173 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 5% below its own weekday levels, and annual turnover hits 52.5% against a national 45.8%, meaning more than half the nursing staff turns over each year. The inspection record shows 30 deficiencies, four of them serious enough to cause harm or jeopardy, plus one abuse-related finding and a $10,546 fine. The last inspection was May 2025. Quality measures score well, but staffing and inspection results are where the real story sits.
Balch Springs Nursing Home runs on 2.72 nurse hours per resident day, roughly 29% under the national average, and weekend coverage drops about 15% below its own weekday level. That thin margin shows up in the numbers: a 1-out-of-5 staffing rating, 56.5% annual turnover against a national 45.8%, and 21 deficiencies on the current record, two of them serious enough to reach harm or jeopardy. Ownership is for-profit corporate, and there's one fine totaling $43,095. The last inspection was May 2026. Resident outcome measures look strong at 5 out of 5, which suggests the clinical care itself isn't the problem, the question is whether the staffing can hold that up.
Palo Pinto Nursing Center runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below what the home itself staffs on weekdays. Turnover sits at 45.6%, essentially the national rate, so the staffing shortfall isn't an exodus problem, it's how many hours the building puts on the floor. The inspection record shows 22 deficiencies, including two at the harm level and two tied to abuse, with a $41,036 fine and a survey completed in September 2025. The corporate owner operates it for profit across 106 certified beds. Families weighing this one against others nearby should ask how the weekend shifts are actually covered.
Greenville Health & Rehabilitation Center runs 120 certified beds under corporate ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends drop about 8% below what the home staffs on weekdays, so coverage thins out exactly when families tend to show up. Half the staff turned over in the past year, above the 45.8% national rate.
The inspection history is heavier: 68 deficiencies on the current record, including 5 at the harm or jeopardy level and 10 tied to abuse. Five fines total $96,065, and the last inspection was March 27, 2024.
Santa Fe Health & Rehabilitation Center runs 116 certified beds in Weatherford under for-profit LLC ownership, and its staffing is the number that stands out. At 2.89 nurse hours per resident per day, it's about a quarter below the national average of 3.86, and weekends dip roughly 15% below its own weekday level, which matters when families visit and needs don't pause. Annual turnover of 59.7% runs well above the national 45.8%, so familiar faces are hard to keep. The inspection record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in February 2025. CMS rates its staffing 1 out of 5 stars, while inspections and quality measures each land at 3.
Tomball Rehab & Nursing runs on 2.77 nurse hours per resident day, roughly 28% under the national average, and weekends drop another 8% below its own weekday coverage. That thin staffing shows up in the numbers: 68% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. The hospital district ownership doesn't change what the payroll looks like day to day.
Inspectors cited 26 deficiencies on the current record, two serious enough to involve harm or jeopardy, with $110,495 in fines across two penalties. The most recent inspection was February 2026. Quality measures score well at four stars, but that's a self-reported side of the ledger, and it sits against a two-star inspection history and staffing that's the real story here.
Winfield Rehab & Nursing runs about 3.2 nurse hours per resident per day, roughly 17% under the national average, and weekend coverage dips another 11% below its own weekday level. Staff turnover sits at 62.1%, well above the 45.8% national figure, that's a lot of unfamiliar faces cycling through an 83-bed building. The inspection record is where things get serious: 48 deficiencies, nine at harm or jeopardy level, ten tied to abuse, and five fines totaling $355,773. The quality measure score looks fine on paper, but that reflects charted care processes, not the staffing and safety problems inspectors keep documenting. For-profit individual ownership, and the last inspection was December 2025.
Advanced Rehabilitation and Healthcare of Athens carries 120 certified beds and is run by a hospital district, which you might expect to mean steadier oversight. The numbers say otherwise. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 8% below the home's own weekday levels. Staff turnover hits 58% against a national 45.8%. The inspection record shows 31 deficiencies, seven at harm or jeopardy level and seven abuse-related, with two fines totaling $210,588, and CMS has placed the home in its Special Focus Facility program. Its last inspection was March 2026. Quality measures score well; staffing and inspections do not.