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.
Fortress Nursing and Rehabilitation runs 2.84 nurse hours per resident day, roughly 27% under the national average, and weekend coverage drops about 22% below its own weekday levels. That thin staffing sits alongside a 79.7% annual turnover rate, well above the 45.8% norm, so the people caring for residents change often. The current record carries 19 deficiencies, four of them at the harm or jeopardy level and three tied to abuse, plus a $17,014 fine; the most recent inspection was January 22, 2026. Ownership is a for-profit limited liability company. Quality measures score well, but staffing and inspection findings are where the trouble shows.
Honey Grove Nursing Center runs 102 certified beds under corporate for-profit ownership, and the staffing numbers are where things get uncomfortable. At 3.50 nurse hours per resident per day, it sits roughly 9% under the national average of 3.86, and weekends drop another 8% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record backs that up: 40 deficiencies, four serious enough to reach harm or jeopardy level, and two fines totaling $213,797. No abuse citations appear on the current record, and the most recent inspection was in December 2025, so the picture is current rather than stale.
Fair Park runs about 2.97 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 20% beneath its own weekday level. That thin coverage is the big number here: staff turnover sits at 91.8% against a national average near 46%, so nearly the entire nursing staff turns over in a year. The current record shows 29 deficiencies, none at harm level but two tied to abuse, and the last inspection was in May 2025. For-profit corporate ownership and a 1-out-of-5 CMS staffing rating back up what the hours already suggest, ask who's actually on the floor on a Sunday.
Vista Hills runs on thin staffing: 3.44 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 15% below what the home manages on weekdays. The bigger problem is retention, 95.8% annual turnover means the aides and nurses caring for residents are, on average, gone within about a year, against a national rate near 46%. Inspectors have cited 72 deficiencies, including five tied to abuse and one at the harm level, and fined the corporate owner $40,465. The quality measure score looks good on paper, but that's family-reported data, and it sits alongside a one-star staffing rating.
Ballinger Healthcare and Rehabilitation Center runs on thin staffing. At 3.04 nurse hours per resident per day, it sits about 21% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The bigger flag is turnover: 96.1% annually, meaning the aides and nurses caring for residents are, in large part, new to the building, against a national rate near 46%. Its 13 deficiencies include one abuse-related citation but none at the harm level, and the last inspection was November 2024. For-profit LLC ownership. Ask about weekend coverage and how long current staff have actually been there.
Groveton Nursing Home is a 47-bed for-profit in Trinity County, and the split in its federal ratings is the whole story. Inspectors rate it well, four stars, six deficiencies total, only one serious enough to cause harm, none tied to abuse, and the most recent visit was in September 2025. But staffing sits at one star, and that gap matters: a home can pass inspection on any given day while running thin the rest of the year. One fine has been levied, $56,378, which isn't small for a building this size. If you're considering it, ask how many direct-care hours residents actually get per day and how often they use agency or temporary staff.
Caprock Nursing & Rehabilitation runs on 2.82 nurse hours per resident per day, roughly 27% under the national average, and weekends dip about 9% below its own weekday staffing. That thin coverage meets a workforce where 93.3% of staff turn over each year, more than double the national rate, so the people providing care keep changing. The current record holds 27 deficiencies, three at harm or jeopardy level and four abuse-related, plus one fine of $10,145. The most recent inspection was May 21, 2025. Quality scores look strong on paper, but the staffing and inspection record is where the real story sits.
Twin Pines North runs on 3.20 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends dip about 11 percent below its own weekday levels. That thin coverage shows in the numbers: 96.3 percent annual staff turnover, more than double the national rate, which means the aide or nurse caring for your relative this month is likely gone within the year. Twenty-six deficiencies sit on the current record, including two tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was April 2025. Corporate-owned and for-profit, the home rates one star for staffing and two for quality measures.
Skilled Care of Mexia is run by the local hospital district, and its inspection record is genuinely decent, a 4/5 health inspection rating, 17 deficiencies logged with three at the harm level and none tied to abuse. The problem sits almost entirely on the staffing side. At 3.17 nurse hours per resident day, this home runs about 18% under the national average, and weekends drop another 10% below its own weekday pace. Then there's turnover: 97.2% against a national average of 45.8%, meaning the aides and nurses around your relative are largely new to the building. Care can look fine on paper and still feel thin when the same faces never stay long enough to learn a resident's habits.
Pleasant Springs Healthcare Center runs about 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips another 14% under its own weekday levels. The bigger red flag is turnover: 95.9% annually, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, almost certain to be new to the building within a year. Its inspection record shows 54 deficiencies, including three at the harm level and two tied to abuse, plus $70,837 in fines across four penalties. The most recent inspection was February 2025. Ownership is corporate for-profit. With 90 beds, that combination of thin staffing, constant churn, and a serious deficiency history is what a family should weigh carefully before choosing this home.
Landmark of Amarillo Rehabilitation and Nursing runs 99 certified beds under for-profit LLC ownership, and the inspection history is the place to start. The home carries 24 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse. Two CMS fines total $160,948. That's a lot of enforcement activity for a building this size.
Staffing is the other pressure point. At 3.43 nurse hours per resident day, it sits about 11% under the national average, weekends drop roughly 13% below its own weekday levels, and annual turnover hits 97.6%, more than double the national figure of 45.8%. That churn makes consistent care hard to sustain.
The most recent inspection was January 15, 2025.
Interlochen runs lean on the floor, and the numbers show it. Nurses give residents about 3.36 hours of care a day, roughly 13% under the national average, and weekends drop another 14% below the home's own weekday pace, so the thinnest coverage lands right when families tend to visit. On top of that, nearly everyone on staff left in the past year: 95.9% turnover against a national figure under half that, which means the people caring for residents are constantly new to the building. Its record carries 31 deficiencies, 6 serious enough to involve harm or jeopardy, 4 tied to abuse, and $54,137 in fines. An April 2025 inspection is recent, but the pattern behind it isn't reassuring.
Lake Lodge runs on 3.26 nurse hours per resident day, roughly sixteen percent under the national average, and weekends dip about eight percent below its own weekday staffing. That thin coverage shows up in a 93 percent annual turnover rate, double the national figure, meaning the aides and nurses at your mother's bedside are, statistically, likely to be gone within a year. The current record carries 33 deficiencies, five serious enough to cause harm or jeopardy and six tied to abuse, with $47,621 in fines across three cases. A January 2026 inspection is recent, at least, but a for-profit LLC with that staffing level and that churn is worth visiting unannounced, on a weekend, before you decide.
University Park Nursing and Rehabilitation runs on 2.97 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below its own weekday staffing. The bigger warning sign is turnover: 86.9% of nursing staff left over the past year, nearly double the national rate of 45.8%, meaning the people at the bedside are constantly changing. Inspections look better than that picture, 23 deficiencies, none causing harm or involving abuse, and a recent June 2025 survey earned four stars. If you're considering this one, ask how they hold staffing steady on weekends and how they keep experienced nurses from walking out the door.
Countryview has 51 deficiencies on its current record, six of them serious enough to put residents in harm's way, and eight tied to abuse. That's an unusual concentration of the worst categories, and the one-star inspection rating reflects it. Staffing sits at 3.13 hours per resident per day, roughly 19% under the national average, with weekends running about 13% thinner than weekdays. The turnover number is the one that would worry me most: 94.4%, about double the national rate, meaning the aides who know your mother are mostly gone within a year. Five fines totaling just under $80,000 round out the record. It's a hospital-district home, inspected recently, in August 2025.
The Park In Plano runs on about 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekend coverage dips another 14 percent below its own weekday level. Staff turnover sits at 93.2 percent, about double the national figure, which means the aides and nurses in the building are, more often than not, still learning the residents. Inspections tell a different story: a 4 out of 5 federal rating, 36 deficiencies on record with none at the harm level, though two are abuse-related. It's a for-profit limited liability company with 120 beds, last inspected in April 2026. The pattern is a home that passes its surveys while running lean on the people who do the daily work.
Central Texas Nursing & Rehabilitation runs 118 certified beds in Ballinger under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day, about 21% under the national average of 3.86. Weekends drop roughly 17% below its own weekday level, so coverage thins exactly when families tend to visit. The inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus one fine of $8,936. A recent May 2025 inspection and a 4-star health inspection rating suggest the survey process is current and not entirely bleak, but a 1-star staffing rating and 2-star quality measures pull hard the other way. Ask about weekend nurse coverage and how the abuse-related findings were resolved.
Pecan Tree runs on 2.57 nursing hours per resident day, roughly a third below the national average of 3.86, and weekends drop about 23% below what it manages on weekdays. That thin coverage sits behind a one-star staffing rating, and the inspection record is heavier still: 30 deficiencies, two of them serious enough to put residents in harm's way, plus two tied to abuse. The last full inspection was February 2026, so the findings are recent, not stale. Cooke County Hospital District owns the place, which means public ownership here hasn't translated into public accountability on care. One fine totaling $16,595 rounds out the record. If you're considering this home, ask directly how they staff weekends and what changed after those abuse citations.
Kerens Care Center runs on 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday levels. The bigger issue is turnover: 97.3% of staff leave annually, against a national average of 45.8%, which means the people caring for your family member are, more often than not, brand new. Fifteen deficiencies sit on the current record, two serious enough to involve harm or jeopardy, though none are abuse-related. The last inspection was April 2025, so the picture is fairly current. Corporate-owned, 70 beds, and staffing is where the trouble concentrates.
Five Points of Pflugerville runs on 3.08 nurse hours per resident per day, roughly a fifth under the national average, and it leans harder on weekdays than weekends, weekend coverage drops another 12% below its own weekday level. Staff turnover sits at 71.6% against a national 45.8%, so nearly three in four caregivers left over the past year, which matters more when the staffing rating is 1 out of 5. The current inspection record carries 41 deficiencies, 8 of them at harm or jeopardy level and 2 abuse-related, with five fines totaling $59,449; the last survey was March 19, 2025. Quality measures score well, but that's the one bright spot.
University Rehabilitation Center runs 146 certified beds in Denton under for-profit limited liability ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits roughly 13% under the national average of 3.86, weekend coverage dips about 11% below its own weekday level, and annual turnover of 88.2% means most of the people caring for residents are new to the building, nearly double the national rate of 45.8%. The inspection record backs that up: 38 deficiencies, five of them serious enough to put residents in harm's way, one tied to abuse, plus two fines totaling $33,117. A 1-out-of-5 staffing rating and 2-out-of-5 on inspections tell the story plainly.
Silver Tree runs on 3.26 nursing hours per resident day, about sixteen percent under the national average, and weekend coverage dips another seven percent below its own weekday level. The number that stands out most is turnover: 93.3 percent of staff left over the past year, against a national rate of 45.8 percent, that's roughly a full replacement of the workforce annually, which makes consistent care hard to build. The record shows 60 deficiencies, four at harm or jeopardy level and two tied to abuse, plus three fines totaling $113,981. Ownership is a hospital district, and the last inspection was June 2026.
Ganado Nursing and Rehabilitation Center runs on 3.03 nurse staffing hours per resident day, about 21 percent under the national average of 3.86, and weekends drop roughly another 20 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $8,422. State inspectors were last in on February 25, 2026, and the federal ratings land at one star for staffing, two for quality measures, and three for health inspections. It's a 91-bed for-profit corporation, and the staffing number is the one worth asking about directly.
The Premier Snf Of Alice runs on thin staffing, 2.99 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 15% below its own weekday level. That's the number that matters most here, because 92.5% annual turnover means the people providing that care are constantly being replaced. The 14 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, which is a real distinction, and the last inspection was recent. Corporate ownership and a one-star CMS staffing rating sit alongside a four-star inspection rating. Families weighing this home should ask directly how many CNAs are on the floor on a Saturday night.
Five Points runs a 120-bed for-profit operation in DeSoto, and the staffing numbers are the first thing to look at. At 3.03 nurse hours per resident day, it's about a fifth below the national average, and weekends drop another 13% under its own weekday coverage, that's when problems tend to surface. The bigger concern is a 91% annual turnover rate, roughly double the national figure, which means the people caring for your relative are likely new and still learning the building. Twenty-eight deficiencies sit on the current record, including two at harm or jeopardy level and one tied to abuse. Inspectors were last there in May 2025.
Deerings runs on thin staffing, and the numbers show it. At 2.71 nurse hours per resident day, it sits about 30% under the national average of 3.86, and weekends drop roughly another 18% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover is 97.9%, more than double the national 45.8%, meaning the aides and nurses caring for residents are largely new or on their way out. Inspections look better: a 4/5 health inspection rating and a recent March 2025 visit, but the record still holds 30 deficiencies, including one at the harm level and three tied to abuse, plus $8,278 in fines. Good quality scores can't offset that kind of churn.
Shady Oak runs lean on staff. At 2.85 nurse hours per resident day, it sits about 26% under the national average, and weekends drop roughly another 15% below its own weekday coverage. Every nursing position turned over in the past year, 100%, against a national figure near 46%, which means the people caring for residents keep changing. Inspectors visited in September 2025 and logged 14 deficiencies, none at the harm level but one tied to abuse. The 5-star inspection rating looks strong on paper, but the 2-star quality and staffing marks tell you where the strain actually lands.
Alvarado Meadows runs on thin staffing margins: 3.36 nurse hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. The turnover number is the harder one to get past, 95.7% annually, more than double the national rate, which means the aide helping your mother today is statistically unlikely to be there next year. The inspection record shows 19 deficiencies, three of them serious enough to cause harm or jeopardy and four tied to abuse, plus $85,479 in fines across five penalties. The most recent inspection was in May 2026. For-profit, limited liability ownership.
Landmark of Plano runs about 3.42 nursing hours per resident per day, roughly 12% under the national average, and weekend coverage drops another 12% below its own weekday level, so the thinnest staffing lands when families tend to visit. Annual turnover sits at 88.5%, nearly double the national 45.8%, meaning the aides and nurses caring for your relative are likely to change often. On its current record: 42 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $9,240 fine. Inspectors were last on site in August 2025.
Whisperwood runs on thin staffing: 3.39 nurse hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekdays, so the thinnest coverage lands when families tend to visit. The bigger red flag is turnover, 95.6% annually, meaning roughly the whole nursing staff cycles through in a year, versus about 46% nationally. That instability shows up in the inspection record: 34 deficiencies, six at harm or jeopardy level and seven abuse-related, with two fines totaling $19,546. It's a hospital-district home of 114 beds, last inspected in November 2024. Consistent staffing and a clean abuse record matter most here, and neither is present right now.