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.
The Manor Healthcare Residence runs on about 3.22 nurse hours per resident per day, roughly 17% under the national average of 3.86, and weekends dip another 8% below its own weekday staffing. Turnover is the bright spot: 25.8% against a national 45.8% means far more familiar faces than most homes manage. Inspections look strong, a perfect health inspection rating and a December 2025 visit, but 16 deficiencies sit on the current record, including one at harm level and two tied to abuse, which is worth asking about directly. For-profit, LLC-owned, 66 beds. Ask how they cover weekends when staff call out.
Fairview Healthcare Residence runs on thin nurse coverage, 3.13 hours per resident day, roughly 19 percent under the national average, and weekends drop about 11 percent below its own weekday levels. Turnover sits at 43.6 percent, slightly better than the national figure, so the staff who are there tend to stay. Inspections are recent, and the record holds 11 deficiencies, including one at the harm level and one abuse-related, plus a single $19,412 fine. The quality and inspection ratings hold up at 4 out of 5, but staffing lands at 3, and that gap is what pulls the overall picture down.
Hico Nursing and Rehabilitation is a for-profit LLC home with 80 certified beds, and its numbers tell a split story. The quality measures look strong at 5 out of 5, but staffing sits at the bottom of the national range, 1 out of 5, and that shortfall shows up in the inspection record: 23 deficiencies, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $31,552 is on file. The last inspection was recent, December 3, 2025, so this isn't stale history. A family weighing this home should ask directly how direct-care hours are covered on evenings and weekends, and how the abuse-related findings were resolved.
Western Hills runs leaner on nursing hours than the typical American nursing home, about 3.56 per resident day against a national average near 3.86, and weekends get thinner still, roughly 12% below its own weekday coverage. Staff turnover sits at 52.1%, well above the 45.8% norm, which matters because new faces cycling through a 158-bed building rarely know residents' routines. The inspection record is the harder read: 29 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus a $62,078 fine. Ownership is a for-profit LLC, and the last full inspection came in May 2025. Quality measures score well, but quality scores are self-reported.
Crestview Healthcare Residence runs 192 certified beds in Waco under for-profit LLC ownership, and its staffing is the number to sit with first: 3.05 nurse hours per resident day against a national average of 3.86, roughly a fifth below what residents elsewhere get. Weekends drop about 8% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover sits at 43.3%, a touch better than the 45.8% national figure, and the inspection record shows 17 deficiencies with none at harm level, though one is abuse-related, plus a single $56,550 fine. The most recent inspection was June 19, 2025, and the 4-star health inspection rating is the strongest part of the picture.
Windsor Healthcare Residence runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage dips another 8% below its own weekday levels, so the thinnest shifts land when families tend to visit. Staff turnover sits at 52.4%, above the 45.8% national figure, and that churn shows up in the inspection record: 13 deficiencies, three serious enough to flag harm or jeopardy, two tied to abuse, plus three fines totaling $34,232. The most recent inspection was August 2025. It's a for-profit, individually owned home with 90 certified beds. The quality measure score looks strong, but quality measures reflect resident health outcomes, not whether enough hands are on the floor or whether problems get fixed.
Wesley Woods in Waco runs 120 certified beds under corporate ownership, and the staffing numbers tell a story worth paying attention to. Nurses provide 3.51 hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 7% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover hits 56.3%, well above the 45.8% national figure, which means fewer familiar faces and more training burden. The current inspection record carries 26 deficiencies, including three at the harm or jeopardy level and one abuse-related finding. All three CMS star ratings, health inspections, quality measures, staffing, sit at 2 out of 5.
Hillside Medical Lodge runs on thinner staffing than most homes its size, 3.10 nurse hours per resident day against a national average of 3.86, with weekends dropping about 16% below its own weekday levels. That's the number families should weigh hardest, since it's the one that shapes daily care. Turnover sits at 46.7%, roughly in line with the national figure, and the home changed owners within the past year, which often means new management still settling in. The good news: 13 deficiencies on record with none at harm or jeopardy level and none abuse-related, plus a four-star health inspection rating and a recent December 2025 inspection. Quality measures land at two stars.
Austin Wellness & Rehabilitation runs on 2.63 nurse hours per resident each day, roughly a third below the national average of 3.86, and weekend staffing drops another 9% below its own weekday level. That thin coverage sits behind a 1-out-of-5 inspection rating and 62 deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse. Staff turnover is 61.3% against a national 45.8%, meaning the aides and nurses your family member sees may keep changing. Three fines total $166,205, and the last inspection was March 2025. For-profit, individually owned, 120 beds.