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 Vida Serena runs thin on nursing staff, 2.87 hours per resident per day against a national average of 3.86, roughly a quarter below it. Weekends are lighter still, about 11% under the home's own weekday coverage, so the thinnest shifts come when families often visit. The inspection record is a mixed picture: a four-star health inspection rating and a recent survey in September 2024, but 17 deficiencies on file, two of them at harm or jeopardy level and three tied to abuse. A single fine of $8,404 has been levied. The staffing star sits at one out of five, which tells you where the trouble concentrates.
Wellington Care Center runs on thin nursing coverage: 3.07 hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 11% below its own weekday level. That shortfall is what drags its staffing rating down to 1 out of 5, even though its last inspection in January 2026 went reasonably well and produced a 4-out-of-5 inspection rating. The record shows 15 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse, plus a single $13,070 fine. Government hospital district ownership doesn't change the arithmetic, the quality measure rating sits at 3 out of 5, and the daily staffing numbers are the weakest part of this home's profile.
Greenbrier runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% under its own weekday level. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale. Annual turnover of 96.6%, more than double the national figure, means the people caring for residents are constantly new. Its current record carries 28 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was March 2026. For-profit corporate ownership rounds out the picture. Ask about actual weekend coverage and how long aides tend to stay.
Birchwood runs 3.11 nurse hours per resident day, roughly a fifth under the national average, and weekends drop about 12% below its own weekday levels. Annual turnover is 93.6% against a national average near 46%, meaning most of last year's caregivers are gone. Inspections, though, are a different story: a 5/5 health inspection rating with 13 deficiencies on record, none causing harm or involving abuse, and the last visit was June 2025. Cooper's home is clean on paper but thin on the floor, and a C reflects that split.
Fairfield Nursing & Rehabilitation Center is run by a hospital district, and its inspectors clearly find little to fault: a five-star health inspection record, 10 deficiencies with none rising to harm or jeopardy, and a visit as recent as December 2025. Where the numbers turn is staffing. At 3.09 nurse hours per resident day, this home sits about 20% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level. Turnover tells the same story, 96.7% annually against a national 45.8%, meaning nearly the whole nursing staff cycles through in a year. Good inspections, thin and unstable coverage.
Oasis Nursing & Rehabilitation Center runs 130 certified beds in El Paso under corporate ownership, and its last inspection wrapped up in April 2025 with no harm-level or abuse-related deficiencies on the books. That's the good news. The staffing picture is where things get shaky: 3.40 nurse hours per resident day sits about 12% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover hit 94.8%, more than double the national rate. So you have a home that scores well on quality measures and inspection history, but with a workforce cycling through fast enough that consistent care is hard to guarantee. Ask how they cover weekends before you decide.
Songbird Lodge runs on thin staffing: 3.06 nurse hours per resident per day against a national average of 3.86, and weekends drop about 16% below its own weekday levels. The bigger red flag is turnover, 98.8% annually, more than double the national 45.8%, which means the aides and nurses who know your mother's routines are largely gone within a year. Brownwood's hospital district owns the place, and the inspection record is recent (December 2025) with 18 deficiencies, none at harm level, plus one fine of $10,210. Its quality scores look strong and inspections are middling, but the staffing numbers tell you what day-to-day coverage probably feels like.
San Saba Nursing & Rehabilitation runs on 2.26 nursing hours per resident per day, roughly 41 percent below the national average, and the staff it does have turns over at more than double the typical rate. Weekends are thinner still, about 17 percent leaner than weekdays. What keeps this home from looking worse on paper is its inspection record: three deficiencies, none involving harm or abuse, and a clean five-star history on health inspections and quality measures as recently as the end of 2025. That gap matters. The clinical care being documented looks steady, but the people delivering it keep leaving, and there simply aren't enough of them.
Desoto Nursing & Rehabilitation Center runs about 2.96 nurse hours per resident day, roughly a quarter below the national average of 3.86, and staffing thins out further on weekends. The bigger red flag is turnover: 96.6% of nursing staff leave within a year, against a national rate near 46%, which makes it hard to keep consistent caregivers who know the residents. The 18 deficiencies on record include one at the harm or jeopardy level, and a single fine of $12,740 has been levied. Quality measures look strong at 5/5 stars, but staffing sits at 1/5, and that gap between good outcomes on paper and thin, constantly changing staff is what drives the low overall score.
Grace Pointe Wellness Center runs 154 certified beds in El Paso under corporate for-profit ownership, and the numbers don't line up in the family's favor. Nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average, and weekends drop about 19% below what the home staffs on weekdays, so the coverage your relative gets on a Saturday is thinner than what the inspection record assumes. That record carries 53 deficiencies, including 5 at harm or jeopardy level and 8 tied to abuse, plus two fines totaling $76,770. The quality measure score looks strong, but quality measures are self-reported, and a 1-out-of-5 inspection rating alongside a 1-out-of-5 staffing rating is what the state actually found when it walked through the door in March 2026.
Eagle Pass Nursing and Rehabilitation runs on 3.08 nurse staffing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs during the week. The record shows 26 deficiencies, three of them serious enough to reach harm or jeopardy, plus three abuse-related citations and $17,419 in fines. A recent inspection in May 2025 and a strong health inspection star rating suggest the home does get looked at closely, which makes the thin staffing harder to explain. Government hospital district ownership doesn't change the arithmetic here: fewer hands per resident, especially on weekends, is the number families will feel.
Memphis Convalescent Center runs on 3.39 nursing hours per resident day, roughly 12% under the national average, and weekends dip about 9% below its own weekdays, so the thinnest coverage lands when families tend to visit. Every aide and nurse on staff turned over last year, against a national rate near 46%, which means the people caring for residents are largely new to the building and to each other. The record shows 20 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus one fine of $19,754; the last inspection was November 2025. Hospital-district ownership doesn't change what those numbers say about daily care.
Twilight Home in Corsicana runs about 3.30 nurse hours per resident per day, roughly 14% under the national average, and weekends dip another 12% below its own weekday staffing. The bigger problem is turnover: 94.9% of staff leave each year, more than double the national rate, so the people providing that already-thin care are constantly new. Inspections look strong on paper, a 4 out of 5 star rating, with the most recent visit in May 2025, but the record still carries 10 deficiencies, one of them serious enough to involve harm or jeopardy, plus a $12,795 fine. CMS rates the staffing domain 1 out of 5 stars, and that's the number that matters most day to day.
Winnie L Nursing & Rehabilitation runs on thin staffing and high turnover, and both numbers are worth sitting with. Nurses provide 3.27 hours per resident day against a national average of 3.86, and weekends drop about 13% below what the home manages on weekdays. Staff turnover sits at 87.5%, nearly double the national rate, which means the people caring for residents are constantly new. The inspection record shows 34 deficiencies, five serious enough to involve harm or jeopardy, plus one abuse-related finding and $51,479 in fines; the last inspection was May 2025. Ownership is a for-profit corporation. Quality measure scores look strong, but that's the part of the record least connected to how the building is actually run day to day.
Huebner Creek runs on thin nursing coverage. At 2.52 nurse hours per resident day, it sits about 35% under the national average of 3.86, and weekends drop roughly 24% below what the home already staffs on weekdays. That matters when you're thinking about who answers a call light on a Saturday.
The inspection record is heavier than the staffing picture alone would suggest: 54 deficiencies, including one at the harm or jeopardy level and two tied to abuse. The last inspection was March 2026, so the findings are recent, not stale. A single fine of $14,327 is on file. Limited liability ownership, 146 beds, and quality measures that rate better than the staffing and inspection scores, a gap worth asking about directly.
Villa Toscana At Cypress Woods runs on 3.30 nurse hours per resident day, roughly 14 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. The bigger problem is turnover: 91.4 percent of staff leave within a year, double the national rate, which means whoever is at the bedside is often new to the building. Inspectors have cited 39 deficiencies on the current record, including four at the harm level and four related to abuse, with $37,827 in fines across three penalties. The 4/5 quality measure score reflects resident care measures, not the safety record or the thin staffing that surrounds it.
River Oaks runs on a staffing model that doesn't hold. Nearly every employee who worked there a year ago is gone now, turnover sits at 95.6% against a national average of 45.8%, and the staffing star rating reflects it at 1 out of 5. That churn shows up in the record: 37 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with two fines totaling $60,095. The health inspection rating is also 1 star, though the quality measure score of 4 suggests some clinical targets are being met on paper. Ownership is a for-profit limited liability company. The most recent inspection was April 17, 2026.
Twin Pines runs 3.01 nurse staffing hours per resident day, roughly 22% under the national average of 3.86, and weekends dip about 8% below its own weekday levels. That thin coverage sits behind a one-star staffing rating and a one-star inspection record: 63 deficiencies on file, four serious enough to put residents in harm or jeopardy, one tied to abuse, plus three fines totaling $37,199. The most recent inspection was February 2026, so the record is current, not stale. With 200 beds under corporate for-profit ownership, families should ask directly who is on the floor overnight and on weekends, and request the latest inspection report before deciding.
Cedar Creek runs on thin staffing. At 3.35 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly 18 percent below what the home manages during the week, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 94.4 percent of staff leaving in a year, more than double the national rate, which means the aides and nurses who know your mother's routines are constantly being replaced by people learning them for the first time. Forty total deficiencies on record, three tied to abuse, with the last inspection in May 2026. Corporate-owned, 62 beds. Ask to see weekday and weekend staffing schedules side by side before you decide.
Mineral Wells Nursing & Rehabilitation has a split personality in the federal data. Its last inspection was in April 2025, and it earned a top five-star health inspection rating with twelve deficiencies on record, one of which rose to the harm or jeopardy level and one tied to abuse. Where it struggles is staffing: 3.05 nurse hours per resident day sits about 21 percent under the national average, weekend coverage drops roughly 11 percent below its own weekdays, and annual turnover runs 95.6 percent against a national 45.8. That churn is the number that should worry you most, because it means the people caring for your relative are, more often than not, new to the building.
If you're considering Oakmont Healthcare And Rehabilitation Center Of Katy, the staffing numbers are what stand out first. Nurses provide 2.91 hours of care per resident per day, roughly a quarter below the national average, and weekend coverage drops about 10% below what the home staffs on weekdays. Annual turnover runs 92.6%, more than double the national rate of 45.8%, meaning most of the people caring for residents are new to the building.
The inspection record shows 23 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a $12,740 fine. The last inspection was November 2024, so the record is reasonably current. Ownership is a for-profit corporation.
Arlington Heights runs 170 certified beds in Fort Worth, and the numbers that stand out are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends drop about 11% below the home's own weekday level, and annual turnover hits 91.6% when the national figure is 45.8%, which means the aide or nurse your mother sees on Tuesday may not be there by spring. The inspection record shows 43 deficiencies, three at harm or jeopardy level and three abuse-related, with $31,539 in fines and a 2/5 health inspection rating. Ownership is for-profit, individual.
Treemont's staff turnover runs about 94 percent a year, roughly double the national average, which tells you the people caring for residents here are, more often than not, new to the building. That instability shows up in the numbers: 41 deficiencies on the current record, five serious enough to involve harm or jeopardy, six tied to abuse, and four fines totaling $63,262. Federal inspectors last visited in July 2025 and rated the home two stars for health inspections, two for quality measures, and one for staffing. It's a for-profit limited liability company with 130 certified beds.
Sunflower Park Health Care runs 3.24 nurse hours per resident day, roughly 16 percent under the national average, and weekends dip about 15 percent below its own weekday coverage. That thin staffing sits atop 100 percent annual turnover, every nurse replaced over a year, against a national rate near 46 percent. Inspectors cited 52 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, with $190,538 in fines. The quality measure score looks strong, but it reflects charted care, not the hands available to deliver it. The most recent inspection was January 7, 2026.
Georgia Manor runs on thin staffing, and the numbers show it: 3.01 nurse hours per resident day, roughly a fifth below the national average, with weekends dropping another 14% beneath its own weekday levels. Nearly every employee leaves within a year, turnover sits at 97.7% against a national average of 45.8%, so the people caring for residents are, more often than not, new to the building. The inspection record adds weight: 37 deficiencies, including one at the harm level and three tied to abuse, plus an $8,031 fine. A recent inspection date helps, but it doesn't erase a staffing pattern where continuity is nearly absent.
Matagorda Nursing & Rehabilitation Center runs a 100-bed for-profit operation in Bay City, and the staffing numbers are where the trouble shows. At 3.50 nurse hours per resident per day, it sits about 9% under the national average, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 87.8% is nearly double the national rate, meaning the people providing most of the daily care are, statistically, on their way out. Twelve deficiencies sit on the current record, one serious enough to involve harm or jeopardy, along with a $16,555 fine. A May 2025 inspection is recent, so the picture isn't stale.
St. Giles runs about 124 beds in El Paso, and the staffing numbers are where the trouble starts. At 3.61 nurse hours per resident day it sits roughly 7% under the national average, and weekend coverage drops another 9% below what it manages on weekdays. The bigger red flag is turnover: 93.9% of staff leave within a year, against a national average near 46%, that's an entirely new workforce roughly every twelve months. The current record carries 44 deficiencies, two tied to abuse, though none reached harm or jeopardy level and the last inspection was recent.
Big Spring Center For Skilled Care runs on thin nursing coverage: 3.43 hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday level. The bigger warning sign is turnover, 91.7% annually, roughly double the national rate, meaning nearly the entire nursing staff cycles through in a year. Inspections look decent on paper with a 4-star rating and a recent visit, but the record still carries 27 deficiencies, including one at the harm level and four tied to abuse, plus an $8,184 fine. Corporate-owned and certified for 120 beds, this is a home where you'd want to ask hard questions about who's actually on the floor at 2 a.m. on a Sunday.
Buena Vida Nursing and Rehab runs about 2.5 nurse hours per resident each day, roughly a third below the national average, and weekends dip even further. That thin coverage sits alongside a 94.2% annual turnover rate, more than double the national figure, meaning the people caring for residents are, more often than not, new to the building. Inspections turned up 15 deficiencies, one involving actual harm and one tied to abuse. The quality scores look strong, but those measure clinical outcomes, not whether enough hands are on deck. Ownership is corporate and for-profit.
Heritage Place Of Decatur runs 60 certified beds as a for-profit corporation, and its last inspection on November 21, 2025 sits fairly recent. The inspection history is the strong part: 13 deficiencies on record, none at harm or jeopardy level and none abuse-related, which lines up with a 4-out-of-5 health inspection rating. Staffing is where the picture shifts. At 2.99 nurse hours per resident day, it runs about 23% under the national average of 3.86, and weekends drop roughly 16% below its own weekday level, thin coverage getting thinner when families tend to visit. Quality measures come in at 2 out of 5. Ask how they cover weekends before you decide.