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.
Cypress Cove runs a tight ship, and the numbers back it up. Five deficiencies on record with nothing at the harm level and no abuse citations is a clean inspection history, and a 4/5 health inspection star with the most recent survey dated April 2026 means the state has looked recently and found little to flag. Staff turnover sits at 34.3%, well under the national 45.8%, that kind of retention usually means people stay because the place is run decently.
Where it slips is raw staffing hours: 3.79 per resident day against a national 3.86, and weekends drop about 9% below the home's own weekday pace. Nothing alarming, but if you're touring, ask who's actually on the floor on a Saturday.
Royal Oak Nursing Center sits in Dade City with 120 certified beds, run by a nonprofit corporation. Its nurse staffing comes in at 3.75 hours per resident day, a bit under the national average of 3.86, and weekends run roughly 12% thinner than weekdays, worth knowing if you're planning visits or worried about coverage gaps. Turnover is 41.2%, actually better than the 45.8% national figure, which matters for consistency of care.
The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in March 2024. Quality measures score high. What's behind the strong overall picture is steady staffing, low harm-level findings, and better-than-average retention, not one standout number.
Ayers Health and Rehabilitation Center runs 120 certified beds in Trenton under nonprofit ownership, and its nurse staffing sits at 3.88 hours per resident day, essentially right at the national average of 3.86, though weekends dip about 8% below its own weekday coverage. Staff turnover is 46.2%, a hair above the national 45.8%, so retention here looks typical rather than troubled.
The clearer signal is the inspection record: a 2-out-of-5 health inspection rating, 10 deficiencies on file with one rising to harm or jeopardy level, and a single $16,153 fine. No abuse citations appear. The most recent inspection was March 2025, so the picture is current. Quality and staffing measures both rate 4 out of 5, which softens the compliance concerns but doesn't erase them.
Beaumont Health Care Center runs about 3.67 nurse hours per resident per day, roughly 5% under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. Turnover sits at 43.4%, marginally better than the 45.8% national figure, though that's still a lot of churn. The inspection record is cleaner than most: 10 deficiencies, none at the harm level and none abuse-related, with a survey as recent as May 2025. What holds this home back isn't safety or quality measures, it's the day-to-day staffing margin, which runs thin and thins out further on weekends.
Cleveland Health Care Center runs 142 certified beds as a nonprofit corporation, and its last inspection was April 30, 2025. Nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86, but weekends drop about 12% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 39.4%, better than the 45.8% national figure, which suggests some stability in the workforce.
What pulls the record down is the inspection history: 12 deficiencies on file, 3 of them serious enough to involve harm or jeopardy, plus two fines totaling $30,198. No abuse citations appear. The day-to-day care measures and inspection scores look decent on their own; the harm-level findings are the part worth asking about directly.
Sugar Land Health Care Center runs 3.59 nurse hours per resident day, about 7% under the national average, and weekends dip roughly another 10% below its own weekday coverage. That thin margin shows up in the staffing star rating, which sits at 2 out of 5. Turnover is 41.3%, actually a bit better than the 45.8% national figure, so the problem isn't retention so much as how many hands are on deck per shift. The inspection record carries 17 deficiencies, three of them at the harm or jeopardy level, plus two fines totaling $30,494; the last survey was May 2025. Quality measures score well at 4 out of 5, but quality scores reflect resident outcomes, not whether enough staff are present to catch problems before they become one.
Heather Hill runs a nonprofit home with 105 beds in New Port Richey, and its strongest suit is staffing: 3.44 nurse hours per resident day, about 11% under the national average, but turnover sits at 38.2% against a national 45.8%, meaning the aides and nurses here stick around longer than is typical. Weekends dip roughly 6% below weekday coverage, so ask how that plays out on a Sunday. The state inspection record is the weak spot: 25 deficiencies, one serious enough to involve harm or jeopardy, with the last survey in June 2024. Nothing abuse-related appears on file. A 2/5 inspection rating next to a 4/5 staffing rating tells you where to aim your questions.
Lawrence Street Health Care Center runs 150 certified beds in Tomball under nonprofit ownership, and its inspection record looks solid on paper: a four-out-of-five health inspection rating, with the most recent survey completed in October 2025. The trouble sits in the workforce numbers. Nurse staffing comes in at 3.65 hours per resident per day, roughly 5% under the national average, and weekends run about 10% thinner than weekdays. Annual turnover of 63.8% is well above the 45.8% national figure, which means the aides and nurses your family member sees may keep changing. Twelve deficiencies are on record, one serious enough to involve harm, plus a single fine of $12,740.
Bear Creek runs 3.57 nurse hours per resident day, about 8% under the national average, and weekends dip roughly 7% below its own weekday numbers. Staff turnover is 55.8%, well above the 45.8% national figure, so the people caring for your relative are changing often. The inspection record is where the real weight sits: 20 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $37,198 in fines across two penalties. The last inspection was March 2024. Quality measures score well at 4 stars, but the health inspection side sits at 2, and those two numbers rarely tell the same story.
Conroe Health Care Center runs 108 certified beds as a nonprofit, and the numbers tell a mixed story. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 5% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Staff turnover is 52.6%, notably worse than the 45.8% national figure, which matters because constant churn makes consistent care harder. The current inspection record shows 20 deficiencies, two serious enough to involve harm or jeopardy, plus one fine of $12,860; the most recent inspection was April 11, 2025. Quality measures rate mid-range, but inspections and staffing are the weaker spots here.
West Janisch runs on thin staffing margins, and it shows in the numbers. Nurse coverage sits just under the national average, but weekends drop about 11 percent below what the home manages on weekdays, and turnover runs at 69 percent against a national rate near 46 percent, meaning many of the people caring for residents are still learning the building. The inspection record is heavier: 22 deficiencies, three serious enough to put residents in harm's way, two tied to abuse, and one fine on file. A 1-out-of-5 inspection rating and a recent October 2025 survey give a current picture rather than an old one. Nonprofit ownership doesn't change what the data says about care.
College Street Health Care Center runs on thinner nursing coverage than most homes, 3.52 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday level. Staff turnover sits at 55.6%, well above the 45.8% national figure, so the people caring for your family member are cycling through faster than usual. The current record shows 22 deficiencies, including one at the harm level and two related to abuse. A 4-star inspection rating from August 2025 suggests the survey process itself went reasonably well, but the quality measure rating of 2 stars points to weaker clinical outcomes. It's a small, government-run home with real staffing strain underneath a decent inspection score.
Huntsville Health Care Center runs 3.50 nurse hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday staffing. That thin weekend coverage matters more when turnover sits at 63.8%, well above the 45.8% national figure, because replacements are constantly learning the residents. The inspection record is a mixed picture: a June 2025 survey, 18 deficiencies total, including one at the harm level and two tied to abuse, plus a $14,069 fine. Four stars on health inspections shows the home can pass a survey, but two stars on staffing and 18 open deficiencies suggest the day-to-day care depends heavily on who shows up.
Richmond Health Care Center runs about 3.66 nurse hours per resident day, roughly 5% under the national average, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 65.5%, well above the 45.8% national figure, which is a lot of churn for a 92-bed nonprofit home. Its inspection record shows 23 deficiencies, including one at the harm level and one abuse-related, plus two fines totaling $78,036. Inspections were current as of September 2025, and the health and quality ratings hold at 4 stars each. The staffing number is where this one separates from the pack.
Brooksville Healthcare Center runs 180 certified beds as a nonprofit corporation, and the numbers worth knowing sit in its staffing. At 3.60 nurse hours per resident day, it lands about 7% under the national average of 3.86, and weekend coverage drops roughly another 10% below its own weekday level, so the hours thin out exactly when families tend to visit and emergencies tend to happen. Staff turnover of 55.9% against a national 45.8% means caregivers cycle through faster than residents can build familiarity with them. The inspection record shows 21 deficiencies, four serious enough to reach harm or jeopardy and two tied to abuse, plus one fine of $37,811.
Liberty Health Care Center runs on thin nursing coverage, 3.76 hours per resident day, just under the national figure, and weekends drop roughly 16% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays. Staff turnover sits at 69.7%, well above the 45.8% national average, so the people caring for residents change often. Inspectors cited 20 deficiencies on the current record, five at the harm or jeopardy level and five abuse-related, with two fines totaling $225,774. The hospital district owns it, and the last inspection was August 2025. Ask about weekend coverage and how they retain aides.