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FANNIN COUNTY HOSPITAL DISTRICT

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

5

States

1

Beds

469

Avg score

67

Avg turnover

42%

Federal fines

$49,608

Flags across this group

1 of the group's homes carry a CMS abuse icon.

All 5 homes

B

74.5/100

Levelland Nursing And Rehabilitation Center

Levelland, TX · Hockley County

CMS 3/587 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
33%
Serious cites
0

Levelland Nursing & Rehabilitation Center runs 87 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.11 hours per resident day, roughly 19% under the national average of 3.86. Weekends thin out further, running about 20% below the home's own weekday level, so coverage depends heavily on when you visit. Turnover is the brighter spot: 32.5% versus 45.8% nationally, meaning caregivers stick around longer than at the typical home. The current inspection record carries 24 deficiencies, including two at the harm or jeopardy level and one abuse-related, plus $18,516 in fines across two penalties. The most recent inspection was January 16, 2026.

B

72/100

Pampa Nursing Center

Pampa, TX · Gray County

CMS 4/588 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
47%
Serious cites
0

Pampa Nursing Center runs 88 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.05 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 46.9%, close to the 45.8% national figure, so retention isn't the problem here, raw hours are. The inspection record is genuinely decent: 21 deficiencies, none at harm or jeopardy level, one abuse-related, and a single fine of $4,085, with the most recent inspection in July 2025. Ask about weekday versus weekend nurse coverage before you decide.

C

64.5/100

Cedar Lake Nursing Center

Malakoff, TX · Henderson County

CMS 3/590 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Cedar Lake passed its most recent inspection in September 2025 with no deficiencies at the harm level and none tied to abuse, which matters, that's the part families worry about most, and it's clean. Where the home struggles is everyday care capacity. Both its staffing and quality measure ratings sit at the bottom of CMS's five-point scale, meaning resident care hours and clinical outcomes lag what's typical nationally, even though the building holds 90 beds. Eight deficiencies and four fines totaling $27,270 point to recurring paperwork and process problems rather than dangerous conditions. A for-profit limited liability company runs it. The inspection record looks better than the day-to-day staffing numbers, so ask specifically about nurse and aide coverage on evenings and weekends.

C

64/100

Harbor Valley Health And Rehabilitation

San Antonio, TX · Bexar County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
44%
Serious cites
0

Abuse icon on record

Harbor Valley runs leaner on nursing hours than most homes in the country, 3.58 per resident day against a national average of 3.86, and weekends get thinner still, with about 12% less coverage than weekdays. That matters, because 40 deficiencies sit on the current record, including two at the harm level and three tied to abuse, and the last inspection was in December 2025. Staff turnover at 43.8% is actually slightly better than the typical home, which suggests the problem isn't retention so much as how many hands are scheduled. For-profit, individually owned, 120 beds. Ask about weekend staffing and how the abuse citations were resolved.

C

60/100

Rockdale Estates & Rehabilitation

Rockdale, TX · Milam County

CMS 3/584 bedsFor-profitMedicaid
Nurse hours
2.72 /day
Staff turnover
43%
Serious cites
0

Rockdale Estates runs about 2.7 nursing hours per resident each day, roughly 30% under the national average of 3.86, and weekends dip even lower. That thin coverage shows up against a one-star quality measure rating and 13 deficiencies on the current record, including one at the harm or jeopardy level, plus a single fine of $8,018. The inspection history is the bright spot: four stars and a recent April 2025 survey. Turnover at 42.6% is actually a bit better than the national 45.8%, so the problem isn't churn, it's how few hands are scheduled per resident, especially on weekends.