Sulphur, LA · Calcasieu County
★★★★☆CMS 4/5101 bedsFor-profitMedicaid
- Nurse hours
- 3.30 /day
- Staff turnover
- 57%
- Serious cites
- 0
High Hope Care Center runs on 3.30 nurse hours per resident day, roughly 15 percent under the national average, and weekend coverage drops about 11 percent below its own weekday levels. That thin schedule helps explain the two-out-of-five staffing score, and a 56.8 percent annual turnover rate, well above the 45.8 percent national figure, means many of the aides and nurses on that schedule are still new. The good news is the inspection record: 11 deficiencies, none involving harm or abuse, and a recent March 2026 survey that earned four stars on health inspections. For-profit, limited liability ownership, 101 beds. The pattern here is a home that passes inspections but runs lean on the floor.
Boerne, TX · Kendall County
★★☆☆☆CMS 2/574 bedsFor-profitMedicaid
- Nurse hours
- 2.70 /day
- Staff turnover
- 41%
- Serious cites
- 0
Care Choice of Boerne runs 74 certified beds under corporate for-profit ownership, and the number that stands out is nurse staffing: 2.70 hours per resident per day, roughly 30% under the national average of 3.86. That shortfall shows up on weekends too, when coverage drops about 12% below the home's own weekday level. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. The current inspection record carries 30 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $33,937. The most recent inspection was February 14, 2026. If you're weighing this one, ask directly how they cover weekends and what changed since those abuse-related findings.
Brenham, TX · Washington County
★★★☆☆CMS 3/596 bedsGovernmentMedicaid
- Nurse hours
- 3.51 /day
- Staff turnover
- 62%
- Serious cites
- 0
High Hope Care Center of Brenham is run by the local hospital district, which in theory can mean steadier resources than a for-profit chain. The numbers don't show that advantage. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 12% thinner than weekdays. Staff turnover is 62.2%, well above the national 45.8%, so the people caring for residents change often. Inspections turned up 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $20,699 fine. The last inspection was March 2026, and the quality and staffing ratings both sit at 2 out of 5.
Waco, TX · Mc Lennan County
★☆☆☆☆CMS 1/5132 bedsFor-profitMedicaid
- Nurse hours
- 3.06 /day
- Staff turnover
- 55%
- Serious cites
- 0
Woodland Springs runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and staffing thins out further on weekends. That shortfall shows up in the numbers families can't see at the door: 29 deficiencies on the current record, nine of them serious enough to put residents in harm's way and seven tied to abuse. Inspectors last visited in August 2024 and left five fines totaling $92,215. With 54.7% of staff leaving each year, the aides who know your mother's routines are probably gone within twelve months. The corporate owner has kept the building open at this level for a while.