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CREATIVE SOLUTIONS IN HEALTHCARE

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.

All 149 homes

C

56/100

Parkview Manor Nursing And Rehabilitation

Weimar, TX · Colorado County

CMS 1/594 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
93%
Serious cites
0

Abuse icon on record

Parkview Manor runs lean on nurse staffing, 3.19 hours per resident day, well under the national average, and weekends get thinner still, dropping about 8% below its own weekday level. The bigger red flag is turnover: 92.9% of staff left over the past year, roughly double the national rate, which means the people caring for residents are constantly new and unfamiliar. On the inspection side, 19 deficiencies sit on the current record, including one at the harm level and two tied to abuse, with a $15,920 fine and a survey from August 2024. For-profit individual ownership runs the place, and the federal star ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.

C

55.5/100

Amistad Nursing And Rehabilitation Center

Uvalde, TX · Uvalde County

CMS 2/5200 bedsGovernmentMedicaid
Nurse hours
2.77 /day
Staff turnover
97%
Serious cites
0

Amistad Nursing and Rehabilitation Center runs on thin staffing. At 2.77 nurse hours per resident day, it sits roughly 28% under the national average of 3.86, and weekends drop about 16% below its own weekday level. The bigger red flag is turnover: 97.1% of staff leave each year, more than double the national rate of 45.8%. That churn matters because consistent caregivers know residents' routines and catch changes early. The hospital district ownership and a clean inspection record help, 14 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in April 2025. But inspectors only see a snapshot. Daily care depends on who's actually on the floor, and here that's a revolving door.

C

55.5/100

Lubbock Health Care Center

Lubbock, TX · Lubbock County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.12 /day
Staff turnover
97%
Serious cites
0

Lubbock Health Care Center runs a tight ship on inspections, a 4 out of 5 there, with 21 deficiencies on record and none at the harm or jeopardy level. That's the good news, and it's real. The trouble sits in the day-to-day: 3.12 nurse hours per resident, roughly a fifth below the national average, with weekends dipping another 18% below its own weekday staffing. And that 96.8% turnover means the aides and nurses caring for your relative are, statistically, likely to be gone within a year, more than double the national rate. Two abuse-related deficiencies also appear on the current record. Inspections tell you what was caught on one day; staffing tells you what most days probably look like.

C

55.5/100

Brownwood Nursing & Rehabilitation

Brownwood, TX · Brown County

CMS 3/5128 bedsFor-profitMedicaid
Nurse hours
2.79 /day
Staff turnover
97%
Serious cites
0

Brownwood Nursing and Rehabilitation runs 128 certified beds under corporate for-profit ownership, and the staffing numbers are where your attention should go. At 2.79 nurse hours per resident day, it sits roughly 28% under the national average, and weekend coverage drops about 19% below its own weekday level, so the thinnest shifts land exactly when families tend to visit. Annual turnover of 96.9% means nearly the entire nursing staff turns over in a year, against a national rate of 45.8%, which is hard on continuity of care. The health inspection record is genuinely solid: 14 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent inspection is recent.

C

55.5/100

Greenbrier Nursing & Rehabilitation Center Of Pale

Palestine, TX · Anderson County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
98%
Serious cites
0

Greenbrier's inspection record looks strong on paper, a five-star health inspection rating and no deficiencies at the harm or jeopardy level, out of 12 total. The trouble sits with staffing. At 3.18 nurse hours per resident day, this home runs about 18 percent under the national average, and weekends drop another 16 percent below its own weekday coverage. That gap matters more when you consider turnover: 97.9 percent of staff leave within a year, against a national rate of 45.8, which means the people showing up are often new to the building. One abuse-related deficiency also appears on the current record. Inspections can miss what thin, constantly changing coverage hides.

C

55.5/100

Park Place Care Center

Georgetown, TX · Williamson County

CMS 1/5116 bedsFor-profitMedicaid
Nurse hours
3.06 /day
Staff turnover
87%
Serious cites
0

Abuse icon on record

Park Place Care Center runs 116 certified beds in Georgetown under corporate ownership, and the staffing numbers are where the trouble starts. At 3.06 nurse hours per resident day it sits about 21% under the national average, weekends drop roughly 15% below its own weekday level, and annual turnover hits 86.8% against a national 45.8%, that's a new face on the floor almost every year. Its inspection record shows 37 deficiencies, nine at harm or jeopardy level and seven tied to abuse, with five fines totaling $142,439 and CMS placement in the Special Focus Facility program. The quality measure score looks good on paper, but staffing and inspection results are what a family actually lives with.

C

55.5/100

Kenedy Health & Rehabilitation

Kenedy, TX · Karnes County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
n/a
Serious cites
0

Kenedy Health & Rehabilitation runs on 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekend coverage dips about 8% below its own weekday level. That thin staffing shows up in the federal star ratings, where both staffing and quality measures sit at 1 out of 5, even though the inspection history earned 4 out of 5. The record isn't clean: 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a single $8,173 fine, with the most recent inspection in December 2025. No abuse citations appear. A corporation owns the 60-bed home. Families weighing this one should ask how the low weekday staffing and thinner weekend shifts get covered on nights and weekends.

C

55.5/100

Five Points Nursing & Rehabilitation Of College St

College Station, TX · Brazos County

CMS 1/5130 bedsFor-profit
Nurse hours
2.69 /day
Staff turnover
n/a
Serious cites
0

Five Points Nursing & Rehabilitation Of College St runs 130 certified beds in College Station under corporate for-profit ownership, and the nurse staffing number is the first thing to know: 2.69 hours per resident day, roughly 30 percent under the national average of 3.86. Weekends drop about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record carries 29 deficiencies, six of them at harm or jeopardy level, with one abuse-related finding and four fines totaling $49,016. The most recent inspection was April 23, 2025, so the record is current rather than stale. Low staffing and a heavy deficiency load tend to reinforce each other; here both are documented.

C

55/100

Heritage At Longview Healthcare Center

Longview, TX · Gregg County

CMS 1/5140 bedsFor-profitMedicaid
Nurse hours
2.81 /day
Staff turnover
n/a
Serious cites
0

Heritage at Longview runs 140 certified beds under corporate ownership, and its nurse staffing sits at 2.81 hours per resident each day, roughly 27 percent under the national average of 3.86. Weekends are thinner still, about 21 percent below what the home staffs on weekdays. The inspection record shows 26 deficiencies, including two at the level where harm or jeopardy occurred, one tied to abuse, and $81,752 in fines across two penalties. Its last inspection was June 5, 2024, so that record is recent. Staffing carries the lowest federal mark at 1 out of 5 stars, while inspections and quality measures each land at 3. The gap between those quality scores and the day-to-day staffing numbers is the thing worth asking about directly.

C

55/100

Heritage At Turner Park Health & Rehab

Grand Prairie, TX · Dallas County

CMS 2/5146 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
94%
Serious cites
0

Heritage at Turner Park runs 146 beds in Grand Prairie under for-profit LLC ownership, and the numbers that stand out most are about the people doing the work. Nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average, with weekends dipping about 10 percent below the home's own weekday levels, and annual turnover hitting 94.1 percent against a national rate near 46 percent. That churn means aides and nurses are constantly being replaced. The inspection record shows 17 deficiencies, three of them at harm or jeopardy level and one abuse-related, plus three fines totaling $31,873. The most recent inspection was July 31, 2025, so the record is current.

C

55/100

Five Points At Lake Highlands Nursing And Rehab

Dallas, TX · Dallas County

CMS 1/5280 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
64%
Serious cites
0

Five Points At Lake Highlands runs 280 certified beds in Dallas under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends dip roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 64% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is heavier still: 53 deficiencies, five at harm or jeopardy level, one abuse-related, and $58,149 in fines across five penalties. The most recent inspection was March 31, 2026, so the picture is current, not stale.

C

55/100

Pine Tree Lodge Nursing Center

Longview, TX · Gregg County

CMS 1/592 bedsGovernmentMedicaid
Nurse hours
3.29 /day
Staff turnover
94%
Serious cites
0

Pine Tree Lodge runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 93.8%, more than double the national figure, which means the aide who knows your mother's routine this month may be gone the next. The current record carries 43 deficiencies, four of them serious enough to endanger residents, plus $244,330 in fines. The hospital district that owns it isn't chasing profit, but that hasn't translated into stable hands-on care.

C

55/100

North Park Health And Rehabilitation Center

Mckinney, TX · Collin County

CMS 3/5140 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
96%
Serious cites
0

North Park runs 140 certified beds in McKinney under corporate ownership, and its most recent inspection in June 2025 found 13 deficiencies, none of them causing harm or tied to abuse, which matters. But look at the workforce: 3.05 nursing hours per resident per day, about a fifth below the national average, with weekends even thinner. Turnover sits at 95.6%, more than double the national rate, meaning the staff caring for residents turns over almost completely each year. The 5-star health inspection rating reflects that clean survey, but a 1-star quality measure score and 1-star staffing suggest the day-to-day care is stretched. Families should ask directly how the home keeps consistent caregivers on weekends and evenings.

C

55/100

The Hills Nursing & Rehabilitation

Decatur, TX · Wise County

CMS 1/5110 bedsFor-profitMedicaid
Nurse hours
2.74 /day
Staff turnover
93%
Serious cites
0

The Hills runs lean on nursing care: 2.74 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday level. That thin coverage shows up in the numbers CMS tracks, a one-out-of-five staffing rating, 18 deficiencies on the current record including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $29,325. Annual turnover sits at 93.2%, more than double the national rate, meaning the aides and nurses at the bedside are constantly new. The most recent inspection is dated February 26, 2026, so the record is current, not stale. Ownership is a for-profit limited liability company. Decatur families weighing this one should ask directly how the home covers weekend shifts.

C

55/100

The Atrium Of Bellmead

Bellmead, TX · Mc Lennan County

CMS 1/5126 bedsGovernmentMedicaid
Nurse hours
3.25 /day
Staff turnover
95%
Serious cites
0

The Atrium of Bellmead runs on 3.25 nursing hours per resident day, roughly 16% under the national average, and weekends drop about 14% below its own weekday numbers. Staff turnover is the number that should stop you: 95.3% a year against a national average of 45.8%, meaning the aides and nurses at the bedside are largely new faces. Inspections look strong on paper, a recent February 2026 survey and no deficiencies at the harm level, but six deficiencies are on record, two of them abuse-related, and the government's own staffing rating lands at the bottom. Government hospital district ownership doesn't change any of that arithmetic.

C

55/100

St. Teresa Nursing & Rehab Center

El Paso, TX · El Paso County

CMS 1/5124 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
97%
Serious cites
0

St. Teresa runs on thin staffing, and the numbers show it: 3.63 nurse hours per resident day against a national average of 3.86, with weekends dropping about 11% below its own weekday coverage. That's roughly 97% of staff turning over each year, more than double the national rate, which means caregivers are constantly new to residents who need consistency. The inspection record carries 75 deficiencies, including two at the harm level and seven tied to abuse, with $20,730 in fines. Federal inspectors last visited in September 2025. For-profit individual ownership, 124 beds, and a staffing star rating of 1 out of 5 round out a picture worth weighing carefully against other El Paso options.

C

55/100

La Hacienda De Paz Rehabilitation And Care Center

Eagle Pass, TX · Maverick County

CMS 2/5104 bedsGovernmentMedicaid
Nurse hours
3.12 /day
Staff turnover
95%
Serious cites
0

La Hacienda De Paz is a 104-bed hospital-district home in Eagle Pass, and the numbers that stand out most are about who's there to care for residents. Nurse staffing runs 3.12 hours per resident day, roughly 19 percent under the national average, and weekends drop about 12 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 95.1 percent against a national 45.8 percent, meaning the aides and nurses you meet may not be there in six months. The inspection record shows 24 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $14,069 fine. Ownership is government, through a hospital district.

D

54.5/100

Gilmer Nursing & Rehabilitation

Gilmer, TX · Upshur County

CMS 1/593 bedsFor-profitMedicaid
Nurse hours
2.99 /day
Staff turnover
n/a
Serious cites
0

Gilmer Nursing And Rehabilitation runs on thin staffing: 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further, about 12 percent under its own weekday level, when backup is scarcest. The inspection record is heavier than that number alone suggests: 62 deficiencies on file, nine serious enough to reach harm or jeopardy, four tied to abuse, and three fines totaling $218,053. A for-profit limited liability company operates the 93-bed home, and its last inspection was March 2026. Quality measures score mid-range, but the health inspection and staffing ratings both sit at the bottom of the scale.

D

54/100

Afton Oaks Nursing And Rehabilitation Center

Houston, TX · Harris County

CMS 1/5169 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
n/a
Serious cites
0

Abuse icon on record

Afton Oaks is a 169-bed for-profit home in Houston that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The numbers back that up: 37 deficiencies on the current record, 16 of them at the harm or jeopardy level and 5 tied to abuse, plus four fines totaling $115,512. Nurse staffing runs about 7% below the national average, and weekends drop roughly 8% below the home's own weekday levels, when residents still need care. Its last inspection was in April 2025. If you're considering this one, ask directly what's changed since CMS flagged it.

D

54/100

Kennedy Health & Rehab

Lufkin, TX · Angelina County

CMS 1/5145 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Abuse icon on record

Kennedy Health & Rehab has been flagged for CMS's Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. The inspection history backs that up: 49 deficiencies on the current record, including 10 at the harm or jeopardy level and 8 tied to abuse. Federal fines total $268,507 across four penalties. Staffing sits at one star, and so do the health inspection and quality measure ratings, all three below what you'd want to see. This is a 145-bed for-profit home owned by an individual, most recently inspected in June 2025. If you're considering it for someone you love, the pattern here is consistent and serious, not a one-time slip.

D

54/100

Cottonwood Nursing & Rehabilitation

Denton, TX · Denton County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
98%
Serious cites
0

Cottonwood runs about 3.24 nurse hours per resident per day, roughly 16% under the national average, and weekends dip a bit further below its own weekday numbers. The bigger issue is turnover: 98% annually, more than double the national rate, which means the aides and nurses caring for your relative are constantly new. Twenty-eight deficiencies sit on the current record, though none rose to harm or jeopardy and none involved abuse. A recent inspection in August 2025 is a point in its favor, as is the three-star health inspection rating. But for-profit corporate ownership, a one-star staffing rating, and a two-star quality measure rating all point the same direction: check actual caregiver presence on the shifts you'd visit.

D

54/100

Beltline Healthcare Center

Garland, TX · Dallas County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
94%
Serious cites
0

Special Focus Facility

Beltline Healthcare Center runs 120 beds in Garland, and the numbers there are hard to dress up. Nurse staffing sits at 3.07 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 93.9% a year, more than double the national figure, which means the aide who knows your mother this month may be gone by next. Inspectors have cited 24 deficiencies, four of them serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, with a $32,006 fine on record. The last inspection was November 2024.

D

54/100

Mission Ridge Rehab & Nursing Center

Refugio, TX · Refugio County

CMS 2/590 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
97%
Serious cites
0

Mission Ridge runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 9% below its own weekday numbers. That's thin coverage even before you factor in turnover near 97%, more than double the national rate, meaning most of the people caring for your family member probably weren't there a year ago. The inspection record backs this up: 25 deficiencies, three of them serious enough to put residents in harm's way, one abuse-related, and $37,698 in fines. A for-profit LLC in Refugio County, 90 beds, last inspected February 2026. The quality measures look average on paper, but staffing is where this home falls apart.

D

53.5/100

Texoma Healthcare Center

Sherman, TX · Grayson County

CMS 1/5179 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
94%
Serious cites
0

Texoma Healthcare Center runs 179 certified beds in Sherman under corporate for-profit ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.24 hours per resident per day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Annual turnover is 93.7 percent, more than double the national rate of 45.8 percent, which means the aides and nurses caring for residents are, on average, not there for long. The inspection record shows 36 deficiencies, including two at harm or jeopardy level and one tied to abuse, with $16,441 in fines. The last inspection was March 19, 2026; the health and quality ratings each land at 3 out of 5, staffing at 1.

D

53.5/100

Longmeadow Healthcare Center

Justin, TX · Denton County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
2.70 /day
Staff turnover
86%
Serious cites
0

Longmeadow Healthcare Center runs on 2.70 nurse hours per resident day, roughly 30% under the national average of 3.86, and weekends drop about 17% below its own weekday staffing. That thin coverage shows up in the numbers: 85.9% annual turnover, nearly double the national rate, plus 35 deficiencies on record, eight serious enough to cause harm or jeopardy and five tied to abuse, with $50,595 in fines across three penalties. The 120-bed for-profit home, owned by a limited liability company, was last inspected May 6, 2025, and its health inspection score sits at the bottom of CMS's scale. Ask about weekend nurse coverage and how they've corrected the abuse-related findings before you decide.

D

53.5/100

Castle Pines Health & Rehabilitation

Lufkin, TX · Angelina County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
n/a
Serious cites
0

Castle Pines runs 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in the federal ratings: one star for staffing, two for quality measures, three on health inspections. The current record carries 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, along with three fines totaling $53,155. The last inspection was May 2025, so the picture is recent. Corporate-owned and certified for 120 beds, this is a home where the numbers point to a persistent staffing gap rather than a one-time slip.

D

53/100

Downtown Health And Rehabilitation Center

Fort Worth, TX · Tarrant County

CMS 1/5161 bedsGovernmentMedicaid
Nurse hours
3.24 /day
Staff turnover
94%
Serious cites
0

Abuse icon on record

The nurse staffing numbers at Downtown Health and Rehabilitation Center run about 16% under the national average, and weekends drop roughly another 13% below the home's own weekday level. That matters because more than nine in ten caregivers left over the past year, a 93.6% turnover rate against a national figure near 46%. The current inspection record carries 50 deficiencies, including three at the harm or jeopardy level and 11 tied to abuse; fines total $36,418. Fort Worth's hospital district operates the 161-bed home, and its last inspection was March 12, 2026. Low staffing stars and repeated turnover rarely sit apart from inspection trouble.

D

53/100

Oakmont Healthcare And Rehabilitation Of Humble

Humble, TX · Harris County

CMS 2/5134 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
91%
Serious cites
0

Oakmont Healthcare And Rehabilitation Of Humble runs 134 certified beds under corporate ownership, and the numbers that stand out most are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends run roughly 13% thinner than weekdays, and annual turnover is 91.4%, about double the national rate. That churn matters because it's hard to deliver consistent care when the staff keeps leaving. The inspection record backs that up: 31 deficiencies, 9 of them serious enough to involve harm or jeopardy, plus three fines totaling $418,615. Quality measures score well, but quality scores rest on staffing that clearly isn't stable right now.

D

53/100

Dogwood Trails Manor

Woodville, TX · Tyler County

CMS 1/590 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
94%
Serious cites
0

Abuse icon on record

Dogwood Trails Manor runs on thin staffing: 3.38 nurse hours per resident day, about 13 percent under the national average, and weekends drop roughly 12 percent below its own weekday levels. That gap matters because fewer aides on Saturday and Sunday means slower responses. The bigger warning sign is turnover, 93.9 percent annually against a national average near 46 percent, meaning most of the staff you'd meet likely weren't there a year ago. Eighteen deficiencies sit on the current record, including two at the harm or jeopardy level and five tied to abuse, with $23,104 in fines. Inspectors last visited in August 2025, and the corporation that owns it is for-profit.

D

53/100

Park Highlands Nursing & Rehabilitation Center

Athens, TX · Henderson County

CMS 3/5132 bedsGovernmentMedicaid
Nurse hours
3.05 /day
Staff turnover
87%
Serious cites
0

Park Highlands is a hospital-district home in Athens, and its inspection record is genuinely strong, five stars, nine deficiencies with none at the harm level and no abuse findings, and a survey done as recently as May 2025. The trouble is what happens between inspections. Nurses give residents 3.05 hours of care per day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Nearly nine in ten employees turned over last year, roughly double the national rate, which means the people at the bedside keep changing. Stable hands matter most in a nursing home, and this one struggles to keep them.