FOURSQUARE HEALTHCARE

Nurse hours

3.61 /day

Staff turnover

48%

Serious cites

0

Cheyenne Medical Lodge is a hospital-district home in Mesquite with 139 certified beds, and its numbers tell a mixed story. The clinical record looks strong, 21 deficiencies on file with none at the harm level and nothing abuse-related, plus a recent May 2025 inspection and top marks on CMS quality measures. Staffing is where it thins out: 3.61 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 21% below its own weekday levels, and turnover at 47.7% runs slightly above the national rate. That pattern, solid care outcomes propped up by a workforce stretched thin on weekends and cycling through staff, is the real tension in this home's record.

Nurse hours

3.00 /day

Staff turnover

36%

Serious cites

0

Lexington Medical Lodge runs on 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 12% below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 1 out of 5, even though turnover at 35.8% is actually better than the 45.8% national figure, a stable crew working with fewer hands than most homes. The inspection side tells a different story: a 5/5 health inspection rating, 12 deficiencies on record with none at the harm or jeopardy level and none abuse-related, and a survey as recent as April 2025. This government hospital-district home passes its inspections cleanly; the open question is whether the daily staffing level matches what those inspections suggest.

Nurse hours

2.88 /day

Staff turnover

47%

Serious cites

0

Farmersville Health And Rehabilitation runs on thin staffing. At 2.88 nurse hours per resident day, it sits about 25% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels. That helps explain the 2-star staffing rating even as inspections came back clean: 5 stars, 13 deficiencies on record with none at the harm level. Three of those are abuse-related, worth asking about directly. Turnover is 47.1%, slightly above the 45.8% national figure. The corporate for-profit owner keeps 74 certified beds, and the most recent inspection was January 2025. Good survey results, light coverage on the floor.

Nurse hours

3.15 /day

Staff turnover

41%

Serious cites

0

Senior Care Health & Rehabilitation Center in Wichita Falls runs on a government hospital district license and holds a five-star inspection record, with its most recent survey completed in February 2025. That inspection history is clean where it matters most: no deficiencies tied to harm or jeopardy, none related to abuse. Where the home falls short is staffing. At 3.15 nurse hours per resident day, it sits roughly 18% under the national average of 3.86, and weekend coverage drops another 16% below its own weekday levels, a real concern if your family visits or needs help on Saturdays and Sundays. Turnover at 40.7% is better than the 45.8% national figure, so the people who are there tend to stay.

Nurse hours

3.06 /day

Staff turnover

51%

Serious cites

0

Princeton Medical Lodge runs on a government hospital district license with 138 certified beds, and its inspection record is genuinely clean, a five-star health inspection rating, 11 deficiencies with none at harm or jeopardy level and nothing abuse-related, and a survey as recent as March 2026. Where the picture changes is daily care capacity. Nurse staffing sits at 3.06 hours per resident day against a national average of 3.86, roughly a fifth below it, and weekends drop about 15% below the home's own weekday coverage. Staff turnover of 51.1% tops the 45.8% national figure. Strong surveys, thin staffing, and a workforce that keeps cycling through, that combination is what pulls the overall grade down.

Nurse hours

3.15 /day

Staff turnover

55%

Serious cites

0

Sheridan Medical Lodge earned a clean five-star inspection rating, and that's not nothing, 13 deficiencies on record with zero at the harm or jeopardy level and nothing abuse-related, reviewed as recently as March 2026. The staffing side tells a different story. At 3.15 nurse hours per resident day, it runs about 18% under the national average, weekends drop roughly 14% below its own weekday level, and annual turnover sits at 54.5% against a national 45.8%. For-profit corporate ownership, 130 beds. Ask how they hold that inspection record when the people providing the care keep changing.

Nurse hours

3.13 /day

Staff turnover

47%

Serious cites

0

Midland Medical Lodge runs about 3.13 nurse hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends drop another 17 percent below its own weekday numbers. Staff turnover sits at 46.9 percent, slightly above the national 45.8 percent, so the people around your family member may change often. The inspection record is the stronger side: 17 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. With 125 beds under for-profit partnership ownership, ask specifically how weekend coverage is handled on the unit your relative would live on.

Nurse hours

3.57 /day

Staff turnover

45%

Serious cites

0

Madison Medical Resort runs 3.57 nursing hours per resident day, roughly 8% under the national average of 3.86, and weekends drop about 16% below its own weekday staffing. That thin weekend coverage matters more than the overall number, since gaps show up when fewer people are watching. The 44.8% turnover rate is basically in line with the national 45.8%, so retention isn't the standout problem here. What is: ten deficiencies on the current record, two of them at harm or jeopardy level, plus a $32,445 fine. A 3/5 on health inspections and quality measures is middling, and the 1/5 staffing rating reflects the hours above. Ownership is for-profit corporate.

Nurse hours

3.44 /day

Staff turnover

55%

Serious cites

0

Traymore Nursing Center runs on thinner staffing than most homes its size. At 3.44 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 14% below what the home itself staffs on weekdays. Turnover is 54.9%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record is mixed. Eleven deficiencies, three of them at the level where residents were actually harmed or put in jeopardy, plus two fines totaling $30,113. The most recent inspection was July 2025, so the picture is current. What stands out is the gap: inspectors rated the care environment 4 out of 5, yet the staffing rating is 1 out of 5. Good survey results are hard to sustain when there aren't enough consistent hands on the floor.

Nurse hours

2.88 /day

Staff turnover

n/a

Serious cites

0

Whitney Nursing and Rehabilitation Center runs on a government-hospital-district license with 88 certified beds, and nurse staffing sits at 2.88 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 14% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. The current inspection record carries 15 deficiencies, four of them at harm or jeopardy level and two tied to abuse; one fine totaling $45,435 has been levied. The most recent inspection was December 4, 2025. With a 1-out-of-5 staffing rating and a 2-out-of-5 quality measure rating, the numbers point to a home where care capacity is stretched and problems have recurred.