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.
Oak Ridge Manor runs 114 beds in Brownwood under for-profit LLC ownership, and its inspection record is genuinely decent, a four-star health inspection rating, fifteen deficiencies with none rising to harm or jeopardy, and a survey completed in late December 2025. The problem sits in the staffing column, where the home earns one star. Nurses provide 3.29 hours per resident day against a national average of 3.86, weekends drop about 19% below the home's own weekday coverage, and annual turnover hits 96.4% when the national figure is 45.8%. That's a workforce cycling through nearly completely each year. Two abuse-related deficiencies and a $129,761 fine round out a record where care appears adequate on paper but the people delivering it keep leaving.
Granbury Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: a staff turnover rate of 94.2%, where the national figure sits near 46%, meaning most of the people caring for residents this year likely won't be there next year. The home carries 37 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus $37,501 in fines. Inspectors were last out in February 2026, and the health inspection rating sits at 2 out of 5.
Graham Oaks runs on 2.99 nurse hours per resident per day, roughly a fifth below the national average, and weekends are thinner still, about 14 percent lighter than its own weekdays. That staffing picture comes with a 94.4 percent annual turnover rate, more than double the national figure, meaning the aides and nurses your family member sees are, more likely than not, new to the building within the year. The inspection record shows 21 deficiencies, three serious enough to put residents in harm's way and four tied to abuse, with $34,690 in fines. A for-profit LLC owns it. The most recent inspection was January 2025.
Franklin Heights runs on 3.07 nurse hours per resident per day, roughly a fifth less than the national average, and weekends drop another 14 percent below its own weekday levels. Staff turnover sits at 96.2 percent, more than double the national figure, so the people caring for residents are, statistically, almost all new. The inspection record is heavier: 77 deficiencies, five involving harm or jeopardy, 11 tied to abuse, and two fines totaling $191,503. State inspectors were last on site in July 2025. Ownership is a for-profit partnership. With 132 certified beds, that ratio of direct care to residents, especially on weekends, is the number worth asking about when you visit.
Southern Specialty Rehab & Nursing runs 144 beds in Lubbock under corporate ownership, and its staffing numbers look decent at first glance, 3.99 nurse hours per resident day, just above the national average. But that average hides a churn problem: turnover sits at 98.7%, more than double the national rate, meaning the aides and nurses at your mother's bedside are likely new to the building and still learning it. Weekend coverage drops about 6% below weekday levels, so the shifts when families visit least are the thinnest. The inspection record is harder to explain away: 30 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $36,652, with the most recent inspection in June 2026.
Vidor Health & Rehabilitation Center runs 144 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 2.88 total nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekend coverage slips about 10% below the home's own weekday level, and annual turnover sits at 93.5% against a national rate near 46%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs up the concern: 37 deficiencies on file, four at harm or jeopardy level, four abuse-related, and two fines totaling $58,904, with a one-star health inspection rating and a one-star staffing rating.
Kemp Care Center runs on 2.88 nurse hours per resident day, about a quarter below the national average, and weekends dip roughly 16% below what the home staffs on weekdays. That thin coverage sits behind a 95.4% annual turnover rate, more than double the national figure, so the aides and nurses at the bedside are, statistically, mostly new. Inspectors have cited 41 deficiencies, three of them at harm or jeopardy level and seven tied to abuse, with $256,260 in fines on record. A 5/5 quality measure score and a recent July 2025 inspection don't offset a 1/5 staffing rating from CMS. For-profit corporate ownership; ask specifically how weekends and evenings are covered before you decide.
Normandy Terrace is a 320-bed for-profit home in San Antonio, and the numbers that stand out are about people. Nurse staffing sits at 3.01 hours per resident day, roughly 22 percent under the national average, and weekends run about 18 percent thinner than weekdays. Staff turnover is 95.8 percent, more than double the national figure, meaning the aides and nurses caring for residents are, in large part, new or on their way out. The inspection record shows 49 deficiencies, six at the harm or jeopardy level and four abuse-related, with five fines totaling $287,359. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating back that up. If you're considering this home, ask hard questions about who's on the floor at night and on weekends.
Rock Creek runs on 2.84 nursing hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 15% below its own weekday staffing. That thin coverage shows up in turnover: 90.3% of staff left over the past year, double the national rate of 45.8%. The current record carries 36 deficiencies, two serious enough to involve harm or jeopardy, plus $82,579 in fines across two events. Inspectors last visited in August 2025. Corporate-owned and Medicare-certified for 120 beds, the home scores 1 out of 5 on CMS staffing and 2 on health inspections, while its quality measure rating sits at 3.
The Rio at Mission Trails runs 124 beds under hospital district ownership in San Antonio, and its nurse staffing sits just under the national average, 3.71 hours per resident day against 3.86. That small gap is not the real story. Weekend staffing drops roughly 16% below its own weekday level, and annual turnover hits 97.2%, more than double the national rate of 45.8%, meaning the aides and nurses at your mother's bedside are, statistically, almost certain to be new within the year. On inspections, the home carries 32 deficiencies, three at harm or jeopardy level and four abuse-related, with two fines totaling $153,825.
Greenhill Villas runs on thin staffing even before the weekend squeeze: 3.10 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday level. That's the kind of gap families notice as slower call-button response. Staff turnover sits at 95.2%, more than double the national 45.8%, so the aide who knows your mother's routine this month may be gone the next. The current record carries 47 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $154,116 in fines across three penalties. The last inspection was June 2025. Corporate-owned, 150 beds.
Buena Vida Nursing and Rehab in San Antonio runs 222 certified beds under hospital district ownership, and federal data shows it struggling on every measure CMS tracks. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 9% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 49 deficiencies, five serious enough to put residents in harm's way, three tied to abuse, and $187,608 in fines. That combination landed it in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Peach Tree Place runs on 2.65 nurse hours per resident day, about a third less than the national average, and weekend coverage drops roughly 14% below what it manages on weekdays. Staff turnover hits 92% a year, double the national rate, so the people caring for residents are, more often than not, new to the building. The inspection record shows 29 deficiencies, five involving actual harm or jeopardy to residents and five tied to abuse. One fine on file totals $229,570. Ownership is a for-profit corporation, and the most recent state inspection dates to March 2024.
Estates Healthcare and Rehabilitation Center runs 141 beds in Fort Worth under corporate for-profit ownership, and the numbers that stand out most are its inspection record and its staffing. Nurses provide about 3.08 hours of care per resident per day, roughly 20% below the national average, and weekend coverage drops about 16% below what the home staffs on weekdays. Staff turnover sits at 86.7%, nearly double the national rate of 45.8%.
That instability shows up in the record: 53 deficiencies, 11 of them serious enough to involve harm or jeopardy to residents, and 8 tied to abuse. Eight fines total $159,833. One bright spot is the quality measure rating at 4/5, but with a 1/5 inspection rating and a 1/5 staffing rating, families should ask hard questions before choosing this home.
Bluebonnet Nursing and Rehabilitation runs 120 beds in Karnes County under corporate ownership, and the staffing numbers are the first thing to notice. At 3.40 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 23% below its own weekday level, which matters if your family visits on a Saturday. Turnover is the harder number: 91.4% of staff leave each year against a national average of 45.8%, so the people caring for your relative are likely new to the building and still learning it. The current inspection record shows 39 deficiencies, five of them at the harm or jeopardy level, with $125,523 in fines across five penalties. The last inspection was August 2025.
Nurse staffing at Marine Creek works out to 3.47 hours per resident per day, roughly 10 percent under the national average, and weekends drop about 18 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 94.1 percent a year against a national average near 46 percent, meaning most of the people caring for residents are new to the building and still learning it. The current inspection record carries 44 deficiencies, including 6 at the harm or jeopardy level and 5 tied to abuse. Three fines totaling $23,621 are on file, and the most recent inspection was September 18, 2025.
If your family is looking at Sienna Nursing and Rehabilitation in Odessa, the staffing numbers are what you need to sit with. Nurses provide 2.91 hours of care per resident each day, about a quarter below the national average, and weekends run thinner than weekdays. Turnover is the number that should worry you most: 92.3% of staff leave or are replaced annually, roughly double the national rate, meaning the aide who knows your mother's routines today is probably gone within a year. The record shows 28 deficiencies, four of them serious enough to put residents at real risk, plus one abuse-related finding and a $241,722 fine. The state last inspected in January 2025.
Pebble Creek runs on thin staffing, and the numbers show it. At 3.38 nurse hours per resident per day, it sits about 13% under the national average, and weekends drop roughly another 11% below its own weekday level, so care gets thinnest exactly when families tend to visit. Meanwhile, annual turnover hits 97.4%, more than double the national rate, which means the people providing that care are constantly changing.
The inspection record is worse: 65 deficiencies, including 4 at harm or jeopardy level and 5 tied to abuse. Federal fines total $145,184 across two penalties, and the last inspection was May 2024, with a 1/5 health inspection rating and 1/5 staffing rating. For-profit, limited liability ownership. Ask direct questions about weekend coverage and turnover before considering this one.
Navasota Nursing & Rehabilitation runs 2.49 nursing hours per resident per day, roughly 36% under the national average of 3.86, and weekend staffing drops about 18% below its own weekday levels. The current inspection record carries 47 deficiencies, six of them serious enough to put residents in harm's or jeopardy's way, two tied to abuse, with six fines totaling $105,594. All three CMS star ratings, health inspections, quality measures, and staffing, sit at one out of five. Corporate for-profit ownership holds the license on 172 certified beds, and the most recent inspection was June 5, 2025.
If you're weighing Lancaster Nursing & Rehabilitation for someone you love, the federal numbers are worth sitting with. Nurse staffing runs about 3.30 hours per resident day, roughly 14% under the national average, and weekends dip another 14% below what the home itself staffs on weekdays. Staff turnover sits near 93%, more than double the national rate, meaning the aide who knows your mother this month may be gone the next. The inspection record shows 37 deficiencies, three involving actual harm or jeopardy and three tied to abuse, with $56,554 in fines and a survey as recent as October 2024. For-profit, LLC-owned, 120 beds. The pattern here is thin coverage and heavy churn, and that's what drives the low marks.
Whitesboro Health And Rehabilitation Center runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about another 10% below its own weekday levels. That thin coverage shows in the numbers: 90.9% annual staff turnover, double the national rate, with a 1-out-of-5 CMS staffing rating and 2-out-of-5 on quality measures. Inspectors last visited in May 2025 and cited 15 deficiencies, four of them serious enough to put residents at harm or jeopardy, including one abuse-related finding. Two fines totaling $30,253 are on record. For-profit corporate ownership, three inspection stars, and a resident population of up to 95, this is a home where you'd want to visit unannounced, on a weekend, and ask directly who's on the floor.
North Pointe runs on thin staffing. At 3.15 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The bigger signal is turnover: 94.5% of nursing staff leaving in a year, against a national average of 45.8%. That's a building where almost everyone you meet is new. The inspection record backs it up, 27 deficiencies, 8 serious enough to cite harm or jeopardy, 7 tied to abuse, and three fines totaling $36,475. State inspectors were last in on April 17, 2025. For-profit, individually owned, 126 beds.
Brentwood Terrace runs on 3.04 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 92.9%, more than double the national rate, which means the people caring for your relative are, statistically, likely to be gone within the year. The inspection record is the harder read: 51 deficiencies, eight serious enough to cause harm or jeopardy, seven tied to abuse, and a single $234,447 fine. The most recent inspection was June 2025.
Twin Oaks runs on thin staffing: 2.97 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 18% below what the home already provides on weekdays. The bigger red flag is turnover, 98% annually, more than double the national figure, meaning the aide or nurse who knows your mother this month is statistically unlikely to be there next year. Its current record carries 34 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, plus a $174,431 fine. A December 2025 inspection is recent, so the picture isn't stale. The corporate owner is for-profit, and the numbers suggest a building where care depends heavily on who happens to be on shift.
Whispering Pines Lodge runs leaner on nursing hours than most homes in Texas and nationwide, and weekends are thinner still, roughly one-sixth less coverage than a weekday. Staff turnover is the number that should stop you: more than nine in ten caregivers left over the past year, against a national rate under half that. The inspection record backs it up, 60 deficiencies, a dozen serious enough to put residents in harm's way, and five tied to abuse, with over half a million dollars in fines. CMS has placed it in the Special Focus Facility program, its most intensive monitoring tier, following a January 2026 inspection.
Mountain View runs 187 certified beds under limited-liability, for-profit ownership, and the staffing numbers are where things get uncomfortable. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekend coverage drops roughly 15% below its own weekday level, so the thinnest shifts are also the least supervised. Staff turnover is 95.9% against a national figure of 45.8%, meaning nearly the entire nursing workforce cycles out annually. On the current record: 68 deficiencies, five of them serious enough to put residents in harm's way, seven tied to abuse, and three fines totaling $127,645. The most recent inspection was March 2026, recent enough that these problems are current, not historical.
Bluebonnet Point Wellness runs on 2.80 nurse hours per resident day, roughly 27% under the national average, and weekends drop about 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 97.8% against a national 45.8%, meaning nearly the entire nursing workforce cycles out each year. The current record shows 34 deficiencies, six serious enough to cause harm or jeopardy and one tied to abuse, with five fines totaling $181,947. Inspectors last visited in August 2025. With 119 certified beds under corporate for-profit ownership, ask specifically who is on duty nights and weekends before you decide.
Lampstand runs 140 beds in Bryan under for-profit LLC ownership, and the staffing numbers are the first thing to sit with. At 3.33 nurse hours per resident day, it's roughly 14% under the national average, and weekends drop about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the harder fact: 97.3% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, almost certain to change within the year. Behind those numbers sit 48 deficiencies on the current record, four of them serious enough to reach harm or jeopardy level, plus $31,460 in fines. The most recent inspection was April 2026.
Vintage Health Care Center runs on 3.23 nurse hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday staffing. Annual turnover sits at 96.6 percent, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, likely to be new or on their way out. The inspection record backs that up: 57 deficiencies, seven serious enough to put residents in harm's way, one tied to abuse, and four fines totaling $252,370. Federal regulators have placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.