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.
Windsor Nursing and Rehabilitation Center of Bastrop is run by a hospital district, and its inspection record reflects that, a four-star health inspection rating with 13 deficiencies on file, just one at the harm level and none related to abuse. The problem is staffing: 2.88 nurse hours per resident day, roughly 26% under the national average of 3.86, and weekends run about 9% thinner than weekdays. Turnover sits at 45%, basically identical to the national figure. One fine totaling $15,920 is on record, and the last inspection was July 2025. Good surveys don't help much when there are fewer hands on deck each day.
Windsor Nursing and Rehabilitation Center of Weslaco is run by a hospital district, and its nurses put in 2.41 hours of care per resident each day. That's about 37 percent under the national average of 3.86, and weekends run roughly 11 percent thinner than weekdays. Staff turnover sits at 40 percent, a bit better than the 45.8 percent national figure, though 26 deficiencies on the current record, two of them at the harm or jeopardy level, suggest the short staffing has real consequences. Two fines total $31,541, and the last inspection was in May 2025. The 4/5 quality measure score reflects good clinical documentation, but quality measures don't capture whether enough hands are present.
Windsor Nursing And Rehabilitation Center Of Segui runs on thin staffing: 2.79 nurse hours per resident day, roughly 28% under the national average, with weekends about 14% below its own weekday levels. That shows up in its staffing rating, which sits at the bottom of CMS's scale. The inspection record is mixed, 33 deficiencies, two at harm or jeopardy level, one abuse-related, and $24,499 in fines across two events, though the most recent inspection came in July 2025 and quality measures score reasonably well. Turnover is 38.9%, better than the 45.8% national figure. Owned by a hospital district, it's not a chain, but the day-to-day nursing hours are the number to weigh hardest here.
Cityview runs 210 beds in Fort Worth under nonprofit ownership, and the numbers pull in two directions. Its quality measure score is perfect, but the health inspection record is where things get serious: 41 deficiencies, four of them at the level where residents were actually harmed or put in jeopardy, plus two tied to abuse. Three fines total $234,014. Nurse staffing sits at 3.34 hours per resident day, roughly 14% under the national average, and weekends run about 10% thinner than weekdays. Turnover at 38% is better than the 45.8% national figure, and the most recent inspection was in August 2025, so the picture is current. The staffing and inspection numbers are the ones to weigh.
Yoakum Nursing and Rehabilitation Center runs on 2.59 nurse staffing hours per resident day, roughly a third below the national average of 3.86, and weekends dip about 14% below its own weekday levels. That thin coverage shows up in the federal staffing rating, which sits at 1 out of 5. The 110-bed nonprofit has kept turnover lower than average at 33.3% against 45.8% nationally, but its inspection record carries 26 deficiencies, including one at the harm level and three tied to abuse, plus a $13,627 fine, with the most recent inspection in May 2025.
Edinburg Nursing And Rehabilitation Center runs on 2.81 nurse hours per resident per day, roughly 27% under the national average, and weekends drop about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 35.8% is better than the 45.8% national figure, which suggests some continuity, but 32 deficiencies sit on the current record, including 5 tied to abuse and 2 serious enough to put residents in harm's way. Two fines totaling $21,472 followed. It's hospital-district owned and inspected recently, in April 2025, with quality measures scoring well above its staffing. The gap between those two numbers is the whole story.
Elgin Nursing and Rehabilitation Center runs lean on direct care: 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop another 12% under its own weekday pace. That thin coverage shows up in the federal staffing rating, and it's worth weighing against 27 deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $36,221 fine. Staff turnover at 33.3% is better than the 45.8% national figure, and the quality measure score of 4 out of 5 suggests residents' clinical outcomes aren't the main problem. The last inspection was April 2025, so the record is recent.
Monument Rehabilitation and Nursing Center is a 104-bed hospital-district home in La Grange, and its numbers pull in different directions. The clinical quality measures look solid at 4 out of 5 stars, but staffing sits at just 1 star with an annual turnover rate of 54.5 percent, nearly nine points above the national average of 45.8 percent. That churn matters. Twenty-one deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, with $8,281 in fines. The last inspection was September 11, 2025, so the record is recent enough to take seriously. Quality marks alone don't tell you who's showing up to provide the care.
Southbrooke Manor runs about 3.07 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends dip further, running about 14% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. The inspection record is the reassuring part: 16 deficiencies on file, none at the harm level and none abuse-related, with a recent February 2026 survey behind a four-star health inspection rating. Turnover sits at 40.6%, a bit better than the 45.8% national figure, and nonprofit ownership tends to mean steadier management. The tension here is real: a clean inspection history paired with staffing that's on the lean side.
Windsor Nursing and Rehabilitation Center of Mcallen sits in a tough spot: its inspectors clearly found a well-run building, with a 4/5 health inspection rating and a recent December 2025 survey, but the daily staffing tells a different story. At 3.04 nurse hours per resident day, it runs about 21% under the national average, weekends drop another 12% below its own weekday levels, and half the staff turns over each year, worse than the 45.8% national figure. That thin coverage shows up in 18 deficiencies, including one at the harm level and three tied to abuse, plus a $24,083 fine. Good care when watched, but not enough hands the rest of the time.
Windsor Nursing and Rehabilitation Center of Alice runs on 3.20 nurse hours per resident per day, roughly 17 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5, even as the quality measure score reaches 4 out of 5. The inspection record is the harder read: 25 deficiencies, three at harm or jeopardy level and two abuse-related, across three fines totaling $31,463, with the last inspection dated April 2026. Turnover at 41.4 percent is slightly better than the 45.8 percent national figure, and hospital district ownership means public accountability.
Windsor Mission Oaks runs lean on direct care: 2.74 nurse hours per resident day, roughly 29% under the national average, with weekends dropping about 19% below its own weekday staffing. That thin coverage sits behind 37 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Retention is the bright spot, 23.2% turnover against a national 45.8% means far fewer unfamiliar faces than at a typical home. But a June 2025 inspection, a $10,842 fine, and a nonprofit owner don't offset what the staffing numbers say about daily coverage.
Windsor Las Palmas runs a five-star health inspection record with no deficiencies at the harm level and nothing abuse-related, which is genuinely the hard part of this business. The tradeoff shows up in staffing: 3.22 nurse hours per resident day against a national average of 3.86, and weekends run about 10 percent thinner than weekdays. Turnover sits at 40.3 percent, a bit better than the 45.8 percent norm, so the workforce is comparatively stable even if it's spread thin. One fine totaling $38,393 is on record, and the last inspection was in March 2025. Good care when inspectors look, leaner coverage the rest of the time.
Southpark Meadows runs lean on nurses, 2.83 hours per resident day, roughly a quarter below the national average, and weekends dip even further, about 10% under its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at the lowest tier, and in turnover: just over half the nursing staff leaves each year, above the national rate of 45.8%. The record isn't purely negative. State inspectors last visited in December 2025 and cited 22 deficiencies, three serious enough to risk harm, though none involved abuse, and fines total $10,998. Quality measures score well, but with a nonprofit owner and this staffing pattern, the daily care depends heavily on who's still on the floor.
Windsor Quail Valley Post-Acute runs 120 beds in Missouri City under hospital district ownership, and the numbers tell a mixed story. Nursing hours come to 3.09 per resident day, roughly 20 percent under the national average of 3.86, and weekends dip about 11 percent below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover at 41.7 percent is actually a touch better than the 45.8 percent national figure, which matters for continuity. On the record are 15 deficiencies, four of them at harm or jeopardy level and three abuse-related, plus two fines totaling $52,036. The most recent inspection was March 2025. Quality measures score well; staffing and the inspection history are where the concern sits.
Towers Nursing Home in Smithville runs a nonprofit operation with 120 certified beds, and its inspection record looks solid on paper, a 4-out-of-5 health inspection rating and a recent survey from July 2025. But the staffing numbers tell a different story. At 2.59 nurse hours per resident per day, this home sits about a third below the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. Staff turnover is 58.8%, well above the 45.8% national figure, which matters when you're counting on consistent caregivers. Fifteen deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, and CMS has fined the home $15,239. Ask about weekend coverage and how they keep CNAs.
Windsor Nursing and Rehabilitation Center of Morga runs 176 certified beds under nonprofit ownership, and the staffing numbers are the first thing to notice. At 2.91 nurse hours per resident per day, it sits about 25% under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 45.5%, essentially the national rate, so that's not the outlier here. The inspection record is heavier: 26 deficiencies, 7 at harm or jeopardy level, 5 tied to abuse, and three fines totaling $32,353. The most recent inspection was July 8, 2025. Quality measures score well; staffing and inspections are where the concerns sit.
Val Verde runs lean on direct care: 3.24 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday staffing. That's a real gap, not a rounding error, and it likely shows up on Saturday afternoons. Turnover is the bright spot, 31.1% versus 45.8% nationally, so the people who are there tend to stay. But the record holds 30 deficiencies, including two at harm level and three tied to abuse, plus a $138,908 fine. Inspectors were last in on June 6, 2025. Nonprofit ownership doesn't erase those numbers; staffing and past problems both matter when you weigh this one.
Brenham Nursing and Rehabilitation Center runs on 2.71 nurse hours per resident day, roughly 30 percent under the national average of 3.86, and weekend coverage drops about 10 percent below its own weekday level. Staff turnover sits at 44.3 percent, close to the national figure of 45.8 percent, so this isn't a retention crisis so much as a thin floor of coverage that thins further on Saturdays and Sundays. The inspection record is where the real trouble shows: 28 deficiencies, two at harm or jeopardy level, one abuse-related, and two fines totaling $29,353. The most recent inspection was February 19, 2026. A five-star quality measure score doesn't offset a one-star inspection history at a home this size.
Maverick Nursing and Rehabilitation Center runs on a thin margin of nursing hours: 2.93 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday coverage. That staffing picture, not the inspection record, is what drags the home down, CMS gives it just one star for staffing even though inspections earned four and quality measures three. Turnover sits at 47.1%, slightly above the 45.8% national figure. Twenty-six deficiencies are on file, one serious enough to reach harm or jeopardy level, with a single fine of $15,642; the most recent inspection was December 12, 2025. If you're weighing this one, ask how they cover weekends.
Memorial City runs on 3.20 nurse hours per resident day, about 17% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin schedule sits behind 32 deficiencies on the current record, six of them at harm or jeopardy level, one abuse-related, plus four fines totaling $70,554. Annual turnover of 53.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The hospital district ownership is worth noting, but it hasn't kept the inspection record clean, the last survey was April 28, 2026, and the health inspection side scored 2 out of 5. Quality measures look strong at 5 out of 5, which raises the question of whether the day-to-day staffing can carry that.
Hidalgo Nursing and Rehabilitation Center runs on thinner nursing coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, which is when families often visit and notice. The 25 deficiencies on its current record include one at the harm level and four tied to abuse, and the health inspection rating sits low. Staff turnover at 41.6% is slightly better than the national 45.8%, and its quality measure score is strong, but a government-hospital-district owner doesn't change the math: the daily staffing number is what your family will actually feel.
Lavaca Bay runs on 2.99 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% below its own weekday staffing. That thin coverage shows up in the record: 37 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus $21,720 in fines across two penalties. Turnover sits at 51.4%, higher than the 45.8% national figure, so residents see a rotating cast of caregivers. The hospital district ownership doesn't change the math here, the staffing rating reflects the hours actually worked, not who signs the paycheck.
If you're weighing Jefferson Nursing and Rehabilitation Center, start with the staffing math, because it drives everything else here. At 3.30 nurse hours per resident per day, this nonprofit runs about 15% under the national average, and weekends dip roughly 8% below its own weekday level, meaning the thinnest coverage lands exactly when families tend to visit. Turnover sits at 52.2% against a national 45.8%, so the aides and nurses on the floor are changing often. The inspection record shows 20 deficiencies, three at harm or jeopardy level and three abuse-related, with a single $194,652 fine. One recent inspection doesn't erase a pattern; ask what's changed since July 2025.
Laredo West runs on 3.12 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends drop about 13% below what the home itself staffs on weekdays. Turnover sits at 47.3%, slightly above the national 45.8%. Those numbers sit behind a one-star health inspection rating and a record of 31 deficiencies, three of them at harm or jeopardy level and four tied to abuse, with two fines totaling $49,719. The most recent inspection was April 2025, so the record is current, not stale. Government hospital district ownership doesn't change what the staffing and inspection data show. Families should ask direct questions about weekend coverage and the abuse-related findings before deciding.
Guadalupe Valley runs 148 certified beds in Seguin under nonprofit ownership, which often signals stability, but the numbers here tell a more mixed story. Nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 48.1%, a bit above the national rate, while the inspection record shows 50 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one $75,450 fine. The most recent inspection, in March 2026, is recent enough to reflect current conditions rather than old ones.
Briarcliff runs on about 3.25 nurse hours per resident per day, roughly 16% under the national average, and the weekend gap is real, weekends come in around 12% below what the building staffs on weekdays. Turnover sits at 53% against a national 45.8%, so nearly half the nursing staff leaves each year. The inspection record shows 46 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with four fines totaling $63,129. The last inspection was May 2026. Ownership is a nonprofit corporation, and with 194 beds, there's plenty of room for the numbers to move. Right now, though, they aren't moving in the right direction.
Bastrop Lost Pines is run by a hospital district, which you might expect to mean steadier resources, but the numbers don't show that. Nurses give about 3.10 hours of care per resident each day against a national average of 3.86, and weekends run roughly 13 percent thinner than weekdays, so coverage depends heavily on when you visit. The current inspection record carries 27 deficiencies, three of them serious enough to put residents in harm's way and two tied to abuse, with $101,156 in fines across three cases. Turnover sits at 46.8 percent, slightly worse than the national figure, and the most recent inspection was January 30, 2026.
Magnolia Crossing runs on a government-hospital-district license and 128 beds, and its last inspection wrapped in May 2025 with a four-star health inspection rating, genuinely the strongest number here. The staffing numbers tell a different story. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 58.9% against a 45.8% national figure. Twenty deficiencies sit on record, none at harm level, though three are abuse-related. A strong inspection record is carrying a lot of weight for a building where people keep leaving.
Longview Hill is a hospital-district home with 198 beds, and the numbers show a building under real strain. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly another 10% below what the home itself provides on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover near 50% means the aides and nurses caring for residents are often new to the job. The inspection record backs that up: 60 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and more than $225,000 in fines.