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.
Hillview Nursing & Rehabilitation runs on a government-hospital-district model in Goldthwaite, and the inspection record is the strongest part of the story: a perfect health inspection score, quality measures to match, and no deficiencies at the harm or jeopardy level. The 14 total deficiencies and one abuse-related finding are worth asking about directly, but none rose to actual harm. Staffing is where the picture gets complicated. At 3.10 nurse hours per resident day, this home sits roughly 20 percent below the national average, and weekends run about 14 percent thinner than weekdays. Turnover, though, is 30.3 percent against a national 45.8, a steadier crew than most. The January 2026 inspection means the record is current.
The Reserve At Richardson runs on leaner nurse staffing than most homes, 3.49 hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekday coverage. Turnover sits at 34.4%, better than the 45.8% national figure, so the people who are there tend to stay. What stands out is the inspection record: 35 deficiencies, including one at the harm level and three tied to abuse, plus a $14,069 fine, with the most recent inspection dated May 2026. A 4/5 on quality measures and 3/5 on inspections don't cancel that out. Government hospital district ownership doesn't change the arithmetic on the floor.
Goldthwaite Health & Rehab runs on a limited liability company that operates for profit, and the numbers show where the pressure lands. Nurse staffing sits at 2.80 hours per resident day, roughly 28 percent under the national average, and weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 39.5 percent is better than the national 45.8 percent, which matters for continuity, but the inspection record carries 19 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus a $32,545 fine. The most recent inspection was May 2026.
Cross Country Healthcare Center runs 94 certified beds in Brownwood under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 12% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover of 57.9% is well above the 45.8% national figure, which means the people caring for your relative are changing often. The inspection record shows 27 deficiencies, including two at the harm level and one tied to abuse, plus $22,084 in fines across two events. The most recent inspection was April 2025, so the picture is current.
Cedar Hollow is hospital-district owned, which usually means steadier public funding than a for-profit chain, but the numbers here don't show that advantage paying off. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gap isn't just theoretical, it's baked into the schedule. Turnover at 50.4% tops the national 45.8%, and the inspection record carries 30 deficiencies, including three at harm or jeopardy level and one tied to abuse, plus two fines totaling $39,697. The most recent inspection was May 2026, so that record is current.
Colonial Manor runs on 3.42 nurse hours per resident per day, roughly 11% under the national average, and weekends dip another 7% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The inspection record is the harder problem: 43 deficiencies, six serious enough to reach harm or jeopardy, six tied to abuse, and four fines totaling $87,564, all from a for-profit LLC operating 123 beds. Staff turnover at 39.2% actually beats the national 45.8%, which tells you the building can hold workers, the trouble is how few of them there are and what inspectors keep finding.
Riverside Nursing and Rehabilitation Center is a 122-bed for-profit in Austin where the staffing numbers are the first thing to notice. At 3.38 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly 17 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 52.5 percent against a national 45.8 percent, which means caregivers cycle through faster than average. The inspection record backs that up: 28 deficiencies, five at harm or jeopardy level, two tied to abuse, and $88,227 in fines. The most recent inspection was January 15, 2026.
The Lakes at Texas City runs on 2.86 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 levels. That thin coverage sits alongside a 62% annual turnover rate, well above the 45.8% norm, so the aides and nurses in the building are often new to the job. Inspectors have logged 29 deficiencies, one serious enough to reach harm or jeopardy, though none abuse-related, with the most recent visit in December 2025 and $8,410 in fines. The quality measure score looks strong on paper, but it's built on top of staffing that CMS itself rates at the bottom.
Avante Rehabilitation Center runs on 2.58 nurse staffing hours per resident day, about a third below the national average of 3.86, and weekends dip roughly 9% under its own weekday levels. Staff turnover sits at 66% against a national 45.8%, so the people caring for residents keep changing. The current inspection record shows 19 deficiencies, six of them at harm or jeopardy level and two abuse-related, with two fines totaling $24,542. That 5/5 quality measure rating looks strong, but quality measures come from submitted assessment data, the staffing and inspection numbers describe what's actually happening on the floor. Ask about weekend coverage, turnover, and how those abuse deficiencies were resolved before you decide.
Rosenberg Health & Rehabilitation Center runs on 2.99 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops another 13% from its already thin weekday level. That staffing gap shows up in the inspection record: 27 deficiencies, 8 of them serious enough to put residents at harm or jeopardy, with four fines totaling $97,334. Staff turnover sits at 61.7%, well above the 45.8% national figure, meaning the aides and nurses who know your family member are likely to leave within the year. It's hospital-district owned, which sometimes signals stability, but the numbers here say otherwise. The most recent inspection was May 2026, so this is a current picture, not an old one.