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
149
States
1
Beds
17,670
Avg score
57.8
Avg turnover
93%
Federal fines
$8,213,875
Flags across this group
19 of the group's homes carry a CMS abuse icon.
7 homes are in or a candidate for the Special Focus Facility programme.
La Bahia runs a lean nursing floor: 2.95 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. The inspection record is strong on paper, a recent February 2026 survey, no deficiencies at the harm or jeopardy level, but 22 total deficiencies sit on the books, two of them abuse-related, and staffing carries just 2 out of 5 stars from CMS. Quality measures score the maximum, which reflects how well residents are being tracked and treated on paper, not how many hands are on the floor at 2 a.m. on a Saturday.
Shiner Nursing and Rehabilitation Center runs 95 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19 percent below the national average of 3.86. Weekends dip about 11 percent below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection record shows 29 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated March 20, 2026. Federal ratings land at 3 out of 5 for health inspections and quality measures, but only 2 for staffing. Enough direct-care time is the open question here, not safety or mistreatment.
Great Plains Nursing and Rehabilitation runs a tight ship on inspections, a five-star health inspection rating and just seven deficiencies on record, none of them causing harm and none tied to abuse. That's a clean paper trail, and the most recent survey was in May 2025, so it's current. Where the home gives ground is staffing: 3.55 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 18% below its own weekday coverage. The quality measure rating sits at three stars, middling. For a 120-bed for-profit LLC, the pattern is clear enough, good care when inspectors look, thinner coverage when they don't, especially on Saturdays and Sundays. Ask how they staff weekends before you decide.
Devine Health & Rehabilitation runs on thin staffing relative to what most Texas homes provide, 3.33 nurse hours per resident per day against a national average of 3.86. The bigger concern is who's left to cover those hours: annual turnover of 86.2% means most of the nursing staff from a year ago is gone, and weekend coverage dips even further below the weekday level. A five-star inspection record with 11 deficiencies and nothing at the harm level shows this isn't a dangerous building. It's a home that passes review but struggles to keep enough consistent hands on deck, and that gap between inspection results and staffing is what holds it back.
Deleon Nursing and Rehabilitation is run by a hospital district, and its inspection record is genuinely strong, a 5/5 on health inspections with 14 deficiencies on file, none of them causing harm or involving abuse, and the most recent visit was in November 2025. The catch is on the floor: total nurse staffing sits at 2.95 hours per resident per day against a national average of 3.86, roughly a quarter less, and weekends run about 10% thinner than weekdays. Quality measures also score 5/5. So the picture is a home that documents care well and inspects cleanly, but asks families to weigh that against fewer nursing hours than most places provide.
Copperas Hollow runs 90 certified beds in Caldwell under corporate ownership, and the staffing numbers are the first thing to notice. At 3.30 nurse hours per resident per day, it sits about 15 percent under the national average of 3.86, and weekends drop roughly 9 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 24 deficiencies on record, two of them at harm or jeopardy level, include two fines totaling $49,901, though none involve abuse. The quality measure rating of 5/5 stands out against a staffing rating of 1/5, which is worth asking about directly.
Crossroads Nursing & Rehabilitation runs on 3.07 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 15% below what the home itself staffs on weekdays. That thin coverage is the main reason its staffing rating sits at the bottom of CMS's scale, even though its quality measure score is perfect and its inspection record shows 30 deficiencies with none at the harm or jeopardy level and none abuse-related. The last inspection in December 2025 was recent. For-profit corporate ownership out of Hearne, 80 beds. Families should ask who is actually on the floor on Saturday and Sunday.
Mullican Care Center runs about 3.44 nurse staffing hours per resident per day, roughly 11 percent under the national average, and weekends dip another 12 percent below its own weekdays. That thin coverage shows up in CMS's staffing rating: one star out of five. The inspection record carries 43 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a single fine of $5,159. A May 2025 inspection is recent, and the three-star marks on health inspections and quality measures suggest care isn't failing across the board. Still, for 112 beds in a for-profit corporate setup, the numbers point to a home where staffing is the weak spot worth asking about directly.
Granbury Rehab & Nursing runs 95 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.03 nurse hours per resident day, it sits about 22% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels. Annual turnover hits 52.8% against a national 45.8%, which tells you aides and nurses are cycling through steadily.
The current record shows 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. CMS rated the quality measures 4 out of 5 but staffing 1 out of 5, which is the split worth understanding: residents' clinical outcomes look decent on paper, but the hours of hands-on care behind them are thin.
Slaton Care Center runs 2.84 nursing hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, and weekends dip about 11% below its own weekday level. The state inspection record looks solid, though: 20 deficiencies on file with none at the harm level and nothing abuse-related, and a clean survey as recently as December 2025. One fine of $23,491 is the only money penalty on record. The split is ownership and staffing versus everything else, corporate-owned, thinly staffed day to day, but passing its health inspections. Quality measures read strong at 5 out of 5; staffing reads 1 out of 5.
The Arbors runs 110 certified beds in Rusk under corporate for-profit ownership, and its nurse staffing sits at 3.11 hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip even further, about 22% under the home's own weekday coverage, so the quietest days are also the thinnest. Inspections are a different story: a 4-out-of-5 health inspection rating and a clean record on harm-level deficiencies, though 23 total deficiencies and one abuse-related finding still sit on the current file. The last survey was January 14, 2026, so the picture is recent. Quality measures land mid-range at 3, and staffing earns just 1 star.
The Rosebud home is a for-profit corporation with 85 certified beds, and its inspection record looks solid on paper, a 4 out of 5 on health inspections and a perfect 5 on quality measures, with the most recent survey done in January 2026. The problem sits in staffing: a 1 out of 5, paired with 100% annual turnover against a national average near 46%. That means the entire workforce, roughly speaking, turns over every year, which is hard on residents who rely on familiar faces. Ten deficiencies on the current record, one serious enough to cause harm, and a $13,804 fine round out the picture. Good outcomes in the data, but a workforce that can't stay put.
Avalon Place Kirbyville runs on thin staffing: 3.42 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. The bigger red flag is turnover, 97.8% annually, meaning the whole nursing workforce essentially turns over every year, more than double the national rate. Inspections look solid on paper (4 stars, most recent visit December 2025), but the record carries 17 deficiencies, including one at harm level and one abuse-related, plus $9,113 in fines. Government hospital-district ownership hasn't translated into stable caregivers. Families should ask hard questions about who's actually on the floor, especially Saturdays and Sundays, and how often the staff you meet will still be there in six months.
Rockwall Nursing Care Center runs 192 beds under corporate ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86, with weekends dipping about 9% below its own weekday levels. That thin coverage shows up in the workforce itself: annual turnover is 92.4%, more than double the 45.8% national figure, which means the people caring for residents are constantly changing. Inspectors have cited 45 deficiencies on the current record, including 4 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $66,755. The last inspection was January 16, 2025, so the record is recent.
Madisonville Care Center runs 106 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 13% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 13 deficiencies, three of them serious enough to reach harm or jeopardy level, though none involve abuse; two fines total $18,852. Federal ratings land at 3 out of 5 for both health inspections and quality measures, but just 1 out of 5 for staffing. The last inspection was March 19, 2026. If you're weighing this one, ask directly how they staff weekends.
Park Plaza runs 90 certified beds in San Angelo under corporate for-profit ownership, and its most recent inspection in March 2025 left 28 deficiencies on the record, none at the harm level, but one tied to abuse. That's a lot of paperwork findings for a single survey, even without immediate jeopardy attached. The bigger issue sits in the staffing numbers: a 1-out-of-5 CMS staffing rating and 85% annual turnover, nearly double the national rate of about 46%. High turnover means the aide helping your mother today may be gone in a few months. Inspections and quality measures both scored 4 out of 5, so care planning looks solid on paper, but consistent staffing is what actually delivers it.
Cedar Manor runs about 166 beds in San Angelo under corporate for-profit ownership, and the numbers that stand out most are staffing and turnover. Nurses give 3.42 hours of care per resident per day, roughly 11 percent below the national average, and weekends drop another 7 percent below the home's own weekday level. Annual staff turnover sits at 92.3 percent, double the national rate of 45.8 percent, which means the people caring for your family member are, statistically, likely to be gone within a year. The current inspection record shows 22 deficiencies, none at harm or jeopardy level, and the last survey was in December 2024. CMS rates staffing 2 out of 5; inspection and quality measures each come in at 3.
Amarillo Center For Skilled Care runs 122 certified beds as a for-profit limited liability company, and its staffing numbers are the first thing to look at. Nurses provide 3.31 hours per resident per day, roughly 14% under the national average of 3.86, and weekend coverage drops about 15% below what the home itself staffs on weekdays. Annual turnover of 89.6% is nearly double the national rate of 45.8%, that's people cycling through constantly, which matters more than any single number. The current record shows 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $21,390 fine. The last inspection was February 2026.
Franklin Nursing Home runs on thin staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends drop roughly another 17 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. That shows up in its one-star staffing rating, even as inspections and quality measures each earn four stars. The current record carries 19 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in September 2025. It's a hospital-district home, which may explain the stable oversight despite the lean floor. Ask how many nurses are actually on duty on a Saturday evening.
Five Points runs a 120-bed for-profit operation in Amarillo where the clinical numbers tell two different stories. On quality measures and health inspections, it scores well, four and five stars respectively, but staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends drop roughly 13% below its own weekday levels. That thin coverage comes with 96.3% annual turnover, more than double the national rate, which means the people at the bedside are constantly changing.
The current record shows 18 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,281. The last inspection was May 2026. High marks on paper don't offset a workforce that can't stay put.
Concho Health & Rehabilitation Center runs on 3.15 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop another 8 percent below its own weekday coverage. Inspectors visited recently, in July 2025, and found 14 deficiencies on the current record, none rising to harm or jeopardy, but one tied to abuse, which families should ask about directly. The staffing star comes in at 1 out of 5 while quality measures sit at 2, even as the inspection star reads 5. Hospital district ownership doesn't change the math: thin daily coverage is the pattern here, and it's what pulls the overall picture down.
Beaumont Nursing and Rehabilitation runs 120 certified beds under corporate for-profit ownership, and the numbers split in an unusual direction. Nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86, and weekend coverage drops about 8 percent below its own weekday level, so the thinnest shifts land when families tend to visit. The current inspection record carries 23 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse; two fines total $275,992. The most recent inspection was June 11, 2025. Quality measures score well, but a staffing rating of 1 out of 5 and that deficiency history are what a family should weigh before choosing.
Care Nursing & Rehabilitation runs 97 certified beds in Brownwood under corporate for-profit ownership, and its inspection record is genuinely good, a 4-out-of-5 health inspection rating, last survey in March 2025, and 17 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 2.98 nurse hours per resident day, it sits roughly 23 percent under the national average of 3.86, weekends run about 13 percent thinner than weekdays, and CMS gives it just 1 out of 5 stars for staffing. Quality measures land at 3. So: clean inspections, thin coverage. Ask about weekend and evening nurse presence before deciding.
Bertram Nursing and Rehabilitation runs on a thin nursing margin. At 2.73 hours per resident day, the home sits about 29 percent under the national staffing average, and weekends slip roughly 19 percent below its own weekday level, you can guess when problems tend to surface. The bigger signal is turnover: 95.6 percent of nursing staff leave within a year, against a national rate near half that, which means the people caring for residents are, more often than not, still learning the building. Inspections look strong on paper, including two abuse-related deficiencies and two at harm level, and one $10,135 fine. The pattern is a home that can score well on paper while the workforce underneath it keeps churning.
Cherokee Rose runs lean on nurses. At 3.20 hours per resident day, its staffing sits about 17 percent under the national average, and weekends drop roughly another 20 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. That shows up in the staffing star rating, which comes in at 1 out of 5, even as the health inspection rating holds at 4 out of 5. The current record carries 18 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent inspection was March 2026. Quality measures rate 2 out of 5. Corporate-owned, 102 beds. Strong recent inspections, weak day-to-day staffing.
River City Care Center runs 92 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average, with weekends about 13% thinner than weekdays. That shortfall shows up in the federal staffing rating, which lands at the lowest tier. The inspection record is the heavier concern: 36 deficiencies on file, including two at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse, and $23,410 in fines across two penalties. Its quality measure score looks good on paper, but that's largely self-reported data, and the last full inspection was in July 2025. The families I'd tell to look hardest at this one are those needing consistent hands-on care, especially on weekends.
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.
Seven Oaks runs on 2.81 nurse hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 10% below its own weekday staffing. That thin coverage lines up with a 100% annual turnover rate, more than double the national 45.8%, so the aide or nurse your family meets in January may be gone by summer. Inspections tell a different story: a 4/5 health inspection rating, a clean record on harm and abuse, and a visit as recent as July 2025, though 30 deficiencies sit on file. Ownership is corporate, for-profit. Strong clinical quality marks and weak staffing don't cancel each other out; they describe two different parts of the same building.
Mclean Care Center runs 64 beds under for-profit limited liability ownership, and its inspection record has some real positives: a four-star health inspection rating and a four-star quality measure score, with the most recent survey completed in July 2025. The trouble sits in staffing. At 3.51 nurse hours per resident day, it runs about 9% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage. Annual staff turnover hits 100%, more than double the national 45.8%, which means the people caring for residents are largely new to the building. Thirteen deficiencies are on record, one at the harm or jeopardy level, along with a $13,070 fine.
Mesa Vista Inn Health Center runs 144 certified beds in San Antonio under corporate for-profit ownership, and its nurse staffing sits at 2.59 hours per resident day, about a third below the national average of 3.86. Weekends drop roughly another 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 44 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,160. CMS gives the home one star for staffing and two for health inspections, though its quality measure score is a middle-of-the-road three. The most recent inspection was April 24, 2026.