ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

CANTEX CONTINUING CARE

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.

Homes

37

States

1

Beds

4,399

Avg score

69.5

Avg turnover

48%

Federal fines

$1,410,286

Flags across this group

2 of the group's homes carry a CMS abuse icon.

All 37 homes

B

81.5/100

Coronado At Stone Oak

San Antonio, TX · Bexar County

CMS 5/5112 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
27%
Serious cites
0

Coronado At Stone Oak runs lean on nurse staffing, 3.38 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday levels, so coverage thins out when families tend to visit. Turnover is where it stands out: 27% annually against a national 45.8%, meaning the people caring for residents are more likely to still be there next year than at the typical home. Its inspection record shows 24 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was May 2025, so the picture is current. The quality measure score is strong, and ownership is a for-profit LLC.

B

80/100

Beacon Hill

Denison, TX · Grayson County

CMS 4/5150 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
35%
Serious cites
0

Beacon Hill runs 150 certified beds in Denison under corporate ownership, and its numbers are a mixed bag worth sorting through. Nurse staffing sits at 3.27 hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below what the home staffs on weekdays, that gap matters when families visit and see who's actually on the floor. Turnover is the brighter spot: 34.9 percent against a national 45.8 percent, which suggests people stay. Inspections in December 2025 turned up 21 deficiencies, none at harm or jeopardy level and none abuse-related.

B

80/100

Bel Air At Teravista

Round Rock, TX · Williamson County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
43%
Serious cites
0

Bel Air At Teravista runs 112 certified beds in Round Rock under corporate ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 11% below the home's own weekday coverage, so the thinnest shifts land exactly when families tend to visit. Turnover is 42.9%, a touch better than the 45.8% national figure, and the quality measure rating is a perfect 5 out of 5. The inspection record is the weaker side: 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus $19,188 in fines, with the most recent inspection in April 2025.

B

78/100

The Belmont At Twin Creeks

Allen, TX · Collin County

CMS 4/5112 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
42%
Serious cites
0

The Belmont At Twin Creeks runs a 112-bed for-profit building in Allen where nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about another 10% below the home's own weekday coverage. Turnover of 42.4% is slightly better than the 45.8% national figure, so the problem isn't retention so much as how thin the floor gets on Saturdays and Sundays. The current record shows 27 deficiencies, including one at the harm level and four tied to abuse. That combination, solid quality scores (5/5) against 27 deficiencies and a staffing rating of 3/5, tracks with staffing that meets the bar on paper but leaves less margin when something goes wrong.

B

77/100

Bonne Vie

Port Arthur, TX · Jefferson County

CMS 5/5140 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
33%
Serious cites
0

Bonne Vie runs lean on the floor. At 3.41 nurse hours per resident each day, it sits about 12% under the national average, and weekends drop roughly 13% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The 5/5 inspection rating looks strong next to 11 deficiencies on record, none at harm level but one abuse-related, and the most recent inspection was in March 2026. Staff turnover of 32.7% is well below the national 45.8%, which suggests people stay. Owned by a for-profit corporation, this 140-bed home in Port Arthur has consistent leadership but not enough daily hands.

B

76.5/100

Palma Real

Mathis, TX · San Patricio County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
32%
Serious cites
0

Palma Real runs lean on direct care: 3.24 nurse hours per resident day, roughly 16 percent under the national figure, with weekends dipping about 16 percent below its own weekday staffing. That thin coverage is the main reason its staffing rating sits low even though turnover, at 31.9 percent, beats the national 45.8 percent and suggests a relatively stable crew. The record shows 15 deficiencies with none at harm level, one tied to abuse, and a recent April 2025 inspection. Quality measures and inspections score well; staffing is where the numbers pull the overall picture down, so ask how afternoons and weekends are actually covered before deciding.

B

76/100

San Remo

Richardson, TX · Dallas County

CMS 2/5112 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
47%
Serious cites
0

San Remo runs 112 certified beds in Richardson under corporate for-profit ownership, and its staffing sits at 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends run about 6% leaner than weekdays, and turnover lands at 46.8%, a touch above the 45.8% national figure, so coverage thins out exactly when families tend to visit. The health inspection side is the weak spot: a 2/5 star rating and 34 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy. That record was last reviewed in February 2026. Quality measures score well at 4/5, which pulls the overall picture up, but the inspection history is what a family should weigh hardest.

B

75/100

Mill Creek

Silsbee, TX · Hardin County

CMS 3/567 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
55%
Serious cites
0

Mill Creek runs lean on nursing staff, 3.16 hours per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday coverage. That thinness shows up in the numbers: staff turnover sits at 54.7% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The 25 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with one fine of $13,232. Quality measures score well and the last inspection was recent, but a for-profit partnership operating 67 beds at this staffing level leaves little margin when problems surface.

B

75/100

Oakwood Manor Nursing Home

Vidor, TX · Orange County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
38%
Serious cites
0

Oakwood Manor runs a corporation-owned, 100-bed home in Vidor, and the numbers pull in different directions. Nurse staffing sits around 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday level, so care gets thinnest exactly when families tend to visit. Turnover is 37.8%, which is actually better than the 45.8% national figure, meaning the staff who are there tend to stay. Inspections are recent (December 2025) and turned up 21 deficiencies, none at harm or jeopardy level, though two are abuse-related. Quality measures score well; staffing is where it's weakest.

B

75/100

The Madison On Marsh

Carrollton, TX · Dallas County

CMS 4/5125 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
47%
Serious cites
0

The Madison On Marsh runs a four-star health inspection record and top marks on quality measures, which tells you the clinical care basics are being handled. The staffing side is a different story. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends run thinner still. Turnover at 46.8% is slightly worse than the typical U.S. nursing home, so the faces around your family member may change often. The current inspection record shows 21 deficiencies, including one at the harm level and two tied to abuse. That combination, solid inspections but thin, churning staff, is worth asking about directly before you decide.

B

73.5/100

Riverside Oaks

Victoria, TX · Victoria County

CMS 5/5108 bedsFor-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
39%
Serious cites
0

Riverside Oaks runs a 108-bed for-profit operation in Victoria, and the numbers pull in two directions. Its inspection record is genuinely clean, a recent visit in August 2025, ten deficiencies on the books, none of them causing harm or involving abuse. Quality measures also score at the top of the federal scale. The staffing side is where it gets thin. At 3.02 nurse hours per resident day, this home sits roughly 22 percent under the national average, and weekends drop about 15 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover at 39.4 percent is better than the 45.8 percent national figure, which suggests some stability in who's actually on the floor. Ask about weekend coverage specifically.

B

72/100

Woodville Health And Rehabilitation Center

Woodville, TX · Tyler County

CMS 4/589 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
44%
Serious cites
0

Woodville Health and Rehabilitation Center runs 89 certified beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average, with weekends running about 12 percent leaner than weekdays, a pattern families often notice when they visit on Saturdays and Sundays. Turnover lands at 44.4 percent, essentially in line with the national figure. The inspection record is the strongest part: a clean four-star health inspection score, 22 deficiencies but none at the harm or jeopardy level. That one abuse-related citation is worth asking about directly.

B

72/100

The Harrison At Heritage

Fort Worth, TX · Tarrant County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
48%
Serious cites
0

The Harrison At Heritage runs on 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about another 12% below its own weekday staffing. That thin coverage sits behind a record of 31 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $65,529. Staff turnover is 47.7%, slightly worse than the 45.8% national figure, and the last inspection was December 2025. Quality measure scores look strong, but the inspection rating and the actual staffing numbers are what a family should weigh here.

B

72/100

Hollymead

Flower Mound, TX · Denton County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
45%
Serious cites
0

Hollymead runs 112 certified beds in Flower Mound under corporate for-profit ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average, with weekends about 7% thinner than its own weekdays. Turnover lands at 45%, right around the national figure, so retention isn't the outlier here; the shortfall is day-to-day coverage. The current record shows 32 deficiencies, one serious enough to involve harm or jeopardy, none abuse-related, and a single fine of $9,110. Its last inspection was April 24, 2025, so the picture is reasonably current. Ask about weekend nurse coverage and what changed after that harm-level finding.

B

72/100

Carrara

Plano, TX · Collin County

CMS 4/5112 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
52%
Serious cites
0

The Plano home run by the hospital district is licensed for 112 beds and gets decent marks on health inspections and quality measures, 4 out of 5 stars on both, with its most recent inspection in May 2025. Where it slips is staffing: 3.70 nurse hours per resident day sits about 4% under the national average, weekends run roughly 10% thinner than weekdays, and turnover hits 51.8% against a national 45.8%. Twenty deficiencies are on the current record, three serious enough to reach harm or jeopardy level, though none involve abuse, and fines total just over $10,000. The care picture looks steadier than the workforce holding it together.

B

70.5/100

Renaissance Care Center

Gainesville, TX · Cooke County

CMS 3/591 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
49%
Serious cites
0

Renaissance Care Center runs 91 beds in Gainesville under individual for-profit ownership, and the staffing numbers are where families should focus. At 3.04 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 49.1%, above the 45.8% national figure. The inspection record shows 29 deficiencies, three tied to abuse, though none rose to harm or jeopardy level; the most recent inspection was April 30, 2025. Quality measures score well, but that staffing figure is the thing to ask about directly.

B

70.5/100

Sundance Inn Health Center

New Braunfels, TX · Comal County

CMS 3/5128 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
47%
Serious cites
0

Sundance Inn runs 128 certified beds in New Braunfels under corporate for-profit ownership, and its nursing hours sit at 3.58 per resident day, about 7% under the national average of 3.86, with weekend coverage dropping roughly 17% below what the home staffs on weekdays. The inspection record is the bigger concern: 27 deficiencies, two of them serious enough to involve harm or jeopardy, four tied to abuse. Staff turnover lands at 47.1%, slightly above the 45.8% national figure, and the most recent inspection came in August 2025. Quality measures score well, but staffing and inspection results tell a different story about day-to-day conditions.

B

70/100

Ashford Gardens

Houston, TX · Harris County

CMS 2/5202 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
43%
Serious cites
0

Ashford Gardens runs 202 beds in Houston under corporate ownership, and its nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends are thinner still, about 14 percent below its own weekday coverage, so the gaps families notice tend to show up on Saturdays and Sundays. The inspection record carries 24 deficiencies, including one at the harm level and one abuse-related, with a single fine of $11,009. Staff turnover at 43 percent is slightly better than the 45.8 percent national figure, which is some consolation. Quality measures score well; staffing and inspections do not.

B

70/100

Prairie Estates

Frisco, TX · Collin County

CMS 3/5180 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
n/a
Serious cites
0

Prairie Estates runs 3.38 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about 16% below its own weekday numbers. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5. The inspection record carries 23 deficiencies, two of them at the harm or jeopardy level, though none involve abuse, and CMS has fined the home twice for $24,587 total. Its quality measure rating is strong at 5 out of 5, and the last inspection was recent, in March 2026. Corporate-owned with 180 beds, Prairie Estates looks like a home where resident care measures well but day-to-day staffing is the weak point worth asking about directly.

B

70/100

Windemere At Westover Hills

San Antonio, TX · Bexar County

CMS 2/5112 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
57%
Serious cites
0

Windemere at Westover Hills runs 112 certified beds under corporate ownership, and its staffing is the weak spot, a one-star rating against a national average, with 57% of staff turning over each year versus 45.8% nationally. That churn shows up on the inspection record too: 22 deficiencies, two of them serious enough to reach harm or jeopardy level, though none involved abuse. A single fine of $8,281 rounds out the enforcement history. The quality measure score of four stars is the brighter note here, and the most recent inspection came in December 2025, so the picture is current. If you're weighing this one, ask directly how they're holding onto aides and nurses, because the numbers say that's where the trouble lives.

C

69.5/100

Windsor Gardens

Lancaster, TX · Dallas County

CMS 2/5150 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
56%
Serious cites
0

Windsor Gardens runs 150 certified beds in Lancaster under corporate for-profit ownership, and the numbers show a split picture worth understanding. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends drop about 17% below what the home itself provides on weekdays. Staff turnover hits 55.5% a year against a 45.8% national figure, so aides and nurses are cycling through steadily. The health inspection record carries 27 deficiencies, two serious enough to reach harm or jeopardy level, plus one fine of $13,877. A 5/5 quality measure score stands out, but quality measures rely on reported data, while staffing and inspection results come from what surveyors actually found.

C

69.5/100

Fort Bend Healthcare Center

Rosenberg, TX · Fort Bend County

CMS 3/556 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
43%
Serious cites
0

Fort Bend Healthcare Center runs 56 beds in Rosenberg under for-profit partnership ownership, and its staffing is the weak spot: 3.15 nurse hours per resident day against a national average of 3.86, with weekends running about 18% thinner than weekdays. Turnover lands at 43.2%, slightly better than the 45.8% national figure, so retention isn't the problem, raw coverage is. The inspection record shows 15 deficiencies, including one at the harm level and two tied to abuse, plus a single $22,929 fine; the most recent inspection was August 2025. CMS rates quality measures 5 out of 5 but staffing 1 out of 5, which tells you the clinical outcomes look good on paper even as daily floor coverage lags.

C

69/100

Laurel Court

Alvin, TX · Brazoria County

CMS 5/5125 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
53%
Serious cites
0

Laurel Court in Alvin runs a lean nursing floor: 3.29 hours of nurse staffing per resident day, roughly 15 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday numbers. Annual turnover sits at 53 percent, higher than the 45.8 percent national figure, which matters more in a building where the margin is already thin. The recent inspection history is genuinely clean, nine deficiencies, none at harm or jeopardy level, none abuse-related, and inspectors were last in on July 31, 2025. So you're weighing reliable care against thin coverage, especially on Saturdays and Sundays. That's the tradeoff worth asking about directly.

C

68/100

The Colonnades At Reflection Bay

Pearland, TX · Brazoria County

CMS 1/5180 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
50%
Serious cites
0

The Colonnades at Reflection Bay is a 180-bed for-profit home in Pearland where the inspection record is the real story: 42 deficiencies on file, eight of them serious enough to involve actual harm or jeopardy, three tied to abuse. Six fines totaling $135,102 back that up, and the most recent inspection was in May 2026, so this isn't old history. Staffing sits at 3.46 nurse hours per resident day, roughly 10% under the national average, and weekends run thinner still. Turnover near 50% means the aides and nurses who know your family member may not be there next month.

C

68/100

The Broadmoor At Creekside Park

The Woodlands, TX · Montgomery County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
55%
Serious cites
0

The Broadmoor At Creekside Park runs 3.46 nurse hours per resident day, about ten percent under the national average, and weekend coverage dips roughly eight percent below its own weekday level, so the thinnest shifts come when families are most likely to visit. Staff turnover sits at 55.2 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year, and that churn shows up in a two-out-of-five staffing rating and a two-out-of-five health inspection rating. The current record carries 29 deficiencies, four of them at harm or jeopardy level and one abuse-related, plus $52,412 in fines. The five-out-of-five quality measure score reflects charted clinical care, not the inspection or staffing picture.

C

66.5/100

Sorrento

San Antonio, TX · Bexar County

CMS 2/5112 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
55%
Serious cites
0

Sorrento runs 112 certified beds in San Antonio under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.55 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 16% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover at 55.2% runs nearly ten points above the national rate, meaning the people providing that care are frequently new. Inspections closed in August 2025 with 50 deficiencies on record, two tied to abuse, though none reached harm or jeopardy level. The five-star quality measure score reflects reported clinical outcomes, not the hands available to deliver them.

C

66/100

Crestview Court

Cedar Hill, TX · Dallas County

CMS 5/5125 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
59%
Serious cites
0

Crestview Court runs on thinner nurse coverage than most homes, 3.40 hours per resident day against a national average of 3.86, with weekends dropping about 9% below its own weekday level. Turnover sits at 58.5%, well above the 45.8% national figure, so the people providing that care change often. Inspections tell a mixed story: a 4-star health inspection rating and a 5-star quality measure score, but 21 deficiencies on the current record, including 3 at harm or jeopardy level and 7 tied to abuse, plus one fine of $16,799. The most recent inspection was April 2025. A for-profit corporation owns the 125-bed home. Strong quality marks and steady inspection results sit alongside staffing shortages and a documented abuse-related history, worth asking about directly before deciding.

C

65/100

Solera At West Houston

Houston, TX · Harris County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
44%
Serious cites
0

Solera At West Houston runs 112 certified beds under for-profit LLC ownership, and its nurses deliver 3.41 hours per resident day, roughly 12% below the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 43.6%, slightly better than the 45.8% national figure, but that's about the only number here that isn't working against the home. The current record carries 34 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus three fines totaling $87,386. A 5/5 quality measure score exists, but with a 2/5 inspection rating and a 2/5 staffing rating, the pattern is consistent: thin floor coverage, a long citation history, and compliance problems serious enough to draw federal penalties.

C

64/100

The Villa At Mountain View

Dallas, TX · Dallas County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.31 /day
Staff turnover
48%
Serious cites
0

The Villa at Mountain View runs 3.31 nurse staffing hours per resident day, roughly 14% under the national average of 3.86, and weekends drop about 9% below its own weekday levels. That matters when you consider the record: 36 deficiencies, four of them at the harm or jeopardy level, one tied to abuse, plus three fines totaling $33,580. Staff turnover sits at 48.3%, a few points above the national 45.8%, and the most recent inspection was May 2025. Ownership is for-profit corporate, with 120 certified beds. The quality measure score looks strong on paper, but the staffing and inspection numbers describe a building where care depends heavily on who happens to be working that day.

C

64/100

Palomino Place

Mesquite, TX · Dallas County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
53%
Serious cites
0

Abuse icon on record

Palomino Place runs 120 beds in Mesquite, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 52.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. The inspection record shows 32 deficiencies, five serious enough to involve harm or jeopardy, plus one tied to abuse, and $165,086 in fines across three penalties. The last inspection was December 11, 2025, so the record is current. For-profit corporate ownership rounds out the picture.