Creative Solutions in Healthcare

The Premier SNF of Alice is a 104-bed nursing home in Alice, TX, managed by Alice I Enterprises, LLC under a hospital district license. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Health inspection and long-stay quality measure ratings are stronger, at 4 and 5 stars respectively. The facility is part of the Creative Solutions In Healthcare chain and is currently operating at about 77% of licensed capacity.

Alvarado Meadows Nursing & Rehabilitation is a 115-bed Medicare- and Medicaid-certified nursing home in Alvarado, Johnson County, operated by Creative Solutions In Healthcare. CMS rates it 1 star overall, with 1-star ratings on staffing, long-stay outcomes, and short-stay outcomes. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and the facility has received 5 fines totaling $90,873 since its last inspection cycle. Two administrators have left in the past year.

Amarillo Center for Skilled Care is a 122-bed nursing home in Amarillo, TX, operating under a hospital district license but managed by Amarillo II Enterprises, LLC and affiliated with the Creative Solutions in Healthcare chain. CMS rates it 4 stars overall, with a 5-star quality-of-care rating — though staffing rates 3 stars and turnover is high. The facility is running at roughly 62% of licensed beds, well below typical occupancy for the area.

Five Points Nursing and Rehabilitation is a 120-bed nursing home in Amarillo, Potter County, accepting Medicare and Medicaid. CMS rates it 3 stars overall, with a 1-star staffing rating and a 5-star quality-measures rating. Two administrators have turned over in the past year. The facility is operating at roughly 73% of licensed capacity, with 87 of 120 beds occupied on an average day.

Georgia Manor Nursing Home is a 76-bed Medicare/Medicaid nursing home in Amarillo, managed by Creative Solutions In Healthcare. CMS rates it 4 stars overall, with a 5-star quality-measures rating but a 2-star staffing rating. Roughly 49 of 76 beds are occupied. Two administrators have turned over in the past year, and total nursing staff turnover reached 69% — above the Texas 75th percentile.

Landmark of Amarillo Rehabilitation and Nursing Center is a 99-bed Medicare/Medicaid nursing home in Amarillo, TX, managed by Amarillo Vi Enterprises under a hospital district license. CMS rates it 4 stars overall, with a 3-star staffing rating. One CMS fine of $147,878 was issued — more than seven times the Texas median fine of $20,699. Occupancy averages 79 residents per day, and the current license runs through March 2027.

Interlochen Health And Rehabilitation Center is a 122-bed nursing home in Arlington, Tarrant County, accepting Medicare and Medicaid. CMS rates it 1 star overall and 1 star on health inspections — the lowest tier on both. Five fines totaling $84,341 have been issued; quality-of-care outcome measures rate 4 stars for long-stay residents and 5 stars for short-stay residents. The facility is operating at roughly 66% of licensed capacity.

Park Highlands Nursing & Rehabilitation Center is a 132-bed nursing home in Athens, Texas, licensed since 1971 and currently managed by Athens I Enterprises, LLC under a hospital district licensee. CMS rates it 4 stars overall, with a 5-star health inspection score, but staffing falls to 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Only 50 of 132 beds are occupied on an average day. No abuse findings or fines are on record.

Ballinger Healthcare And Rehabilitation Center is a 114-bed nursing home in Ballinger, Texas, licensed under Ballinger Memorial Hospital District and managed by Ballinger Ii Enterprises, LLC. CMS rates it 5 stars overall, with a 5-star health inspection score and a 4-star quality-of-care rating. Staffing earns 3 stars. About 60 residents occupy the facility on a given day — roughly half its licensed beds.

Central Texas Nursing & Rehabilitation is a 118-bed nursing home in Ballinger (Runnels County) offering Medicare and Medicaid coverage, including a 28-bed state-certified memory care unit (certification current through September 2028). CMS rates it 4 stars overall, with 4 stars on health inspections and quality measures. Staffing comes in at 3 stars. The facility is operating at roughly 55% of licensed capacity and is managed by Ballinger I Enterprises under licensee West Wharton County Hospital District.

Cedar Creek Nursing And Rehabilitation Center is a 62-bed nursing home in Bandera, TX, licensed since 1971 and managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 2-star quality-of-care rating. The facility is operating at roughly 52% of its licensed beds — about 32 residents on an average day. No abuse findings or fines are on record.

Matagorda Nursing & Rehabilitation Center is a 100-bed Medicare/Medicaid nursing home in Bay City, TX, licensed to the West Wharton County Hospital District and managed by Bay City I Enterprises, LLC. CMS rates it 3 stars overall, with a 1-star staffing rating and 59 of 100 beds occupied on an average day. Health inspections rate 4 stars and long-stay quality measures rate 5 stars.

Beaumont Nursing And Rehabilitation is a 120-bed nursing home in Beaumont, TX, managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 2-star staffing rating and a 2-star health inspection rating — offset by a 5-star quality-measures rating. Two CMS fines totaling $275,992 have been issued. At roughly 38% occupancy, the facility is operating well below its licensed capacity.

The Atrium of Bellmead is a 126-bed nursing home in Bellmead, McLennan County, accepting Medicare and Medicaid. CMS rates it 4 stars overall, with a 5-star health inspection score and 4-star quality measures — but staffing is rated 1 star. Managed by Bellmead I Enterprises, LLC under a hospital district licensee, the facility is currently operating at about 74% of licensed capacity.

Bertram Nursing & Rehabilitation is a 74-bed nursing home in Bertram, TX, licensed since 1971 and currently managed by Bertram I Enterprises under a hospital-district licensee. CMS rates it 5 stars overall — 4 stars on health inspections, 4 on staffing, and 5 on quality measures. The facility operates at about 62% of licensed capacity, with 46 of 74 beds occupied on an average day. It is part of the Creative Solutions In Healthcare chain.

Big Spring Center For Skilled Care is a 120-bed nursing home in Big Spring, TX, managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 2-star staffing rating — roughly the bottom third of Texas nursing homes on staffing. Five administrators have turned over, and the facility is running at about 55% of licensed capacity. The license is active through March 2028.

Seven Oaks Nursing & Rehabilitation is a 108-bed nursing home in Bonham, Fannin County, accepting Medicare and Medicaid residents. CMS rates it 4 stars overall, with a 5-star long-stay quality-of-care rating and a 4-star health inspection rating. Staffing rates 3 stars, and the facility is currently operating at roughly 39% of its licensed beds — about 42 residents out of 108. Managed by Creative Solutions in Healthcare, Inc., the license runs through January 2028.

Caprock Nursing & Rehabilitation is a 120-bed Medicare/Medicaid nursing home in Borger, TX, managed by Borger I Enterprises under a hospital-district license. CMS rates it 3 stars overall, with a 2-star health inspection rating and a substantiated abuse or neglect finding within the past 36 months. Quality-measure scores reach 5 stars, the highest tier. The facility is operating at roughly 56% of licensed beds.

Brownwood Nursing & Rehabilitation is a 128-bed Medicare/Medicaid nursing home in Brownwood, Texas, operated under the Creative Solutions In Healthcare chain. CMS rates it 5 stars overall, with a perfect 5 on health inspections and long-stay quality measures. Staffing earns 3 stars, and short-stay quality measures rate 2 stars. The facility is currently running at roughly 48% of licensed beds.

Care Nursing & Rehabilitation is a 97-bed Medicare/Medicaid nursing home in Brownwood, TX, operated under the Creative Solutions In Healthcare chain. CMS rates it 4 stars overall, with a 4-star health inspection score. Staffing comes in at 3 stars, and outcome measures rate 3 stars for long-stay residents and 2 stars for short-stay. The facility is running at roughly 56% of licensed capacity.

Oak Ridge Manor is a 114-bed Medicare/Medicaid nursing home in Brownwood, Texas, licensed since 1988 and managed by Brownwood II Enterprises, LLC under the Creative Solutions in Healthcare chain. CMS rates it 4 stars overall, with a 5-star quality-of-care rating but 3 stars on staffing and health inspection. Two CMS fines totaling $174,677 have been issued; the facility is currently operating at roughly 46% of licensed capacity, with about 52 residents per day.

Songbird Lodge is a 121-bed nursing home in Brownwood, Texas, licensed since 1992 and operated under a hospital district license by Brownwood Iv Enterprises, LLC. CMS rates it 2 stars overall, with a 1-star staffing rating — placing it among the bottom third of Texas nursing homes on nursing coverage. Quality-of-care measures rate 4 stars for long-stay residents. The facility is running at roughly 65% of licensed beds.

Lampstand Nursing And Rehabilitation is a 140-bed nursing home in Bryan, Texas, managed by Creative Solutions In Healthcare, Inc. CMS rates it 1 star overall — the lowest tier — with 1-star staffing and 2-star health inspection and quality-measure ratings. Three CMS fines totaling $43,786 have been issued, and two administrators left in the past year. The facility is operating at roughly 59% of its licensed beds.

Bluebonnet Point Wellness is a 119-bed nursing home in Bullard, Texas, accepting Medicare and Medicaid. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Six fines totaling $220,248 have been assessed — more than ten times the Texas median of $20,699. Nursing staff turnover runs at 71%, well above the state's 75th-percentile cutoff of 60%. Managed by Delta Healthcare Management under a Fannin County Hospital Authority license.

Copperas Hollow Nursing and Rehabilitation Center is a 90-bed Medicare/Medicaid nursing home in Caldwell, Texas, licensed to Coryell County Memorial Hospital Authority and managed by Caldwell III Enterprises. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. Three fines totaling $61,546 have been assessed. The facility is operating at roughly 52% of licensed beds, with 46 of 90 beds occupied on an average day.

Winnie L Nursing & Rehabilitation is a 105-bed Medicare/Medicaid nursing home in Cameron, TX, managed by Cameron I Enterprises and licensed under the Winniestowell Hospital District. CMS rates it 2 stars overall, with 2-star ratings for both health inspections and staffing. Two CMS fines totaling $51,291 have been issued, and three administrators have turned over in the past year. Quality-measure outcomes rate 4 stars. Only about 38 of 105 beds are currently occupied.

Five Points Nursing & Rehabilitation of College Station is a 130-bed Medicare/Medicaid nursing home in Brazos County, licensed since March 2024. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. CMS has substantiated findings of resident abuse or neglect here within the past 36 months, and the facility has received three fines totaling $39,701. It is part of the Creative Solutions in Healthcare chain and currently operates at about 65% of licensed capacity.

Fortress Nursing And Rehabilitation is a 120-bed Medicare/Medicaid nursing home in College Station, Texas, licensed since 1974 and managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. Two CMS fines totaling $90,768 have been assessed, and only about 62 of its 120 beds are occupied on an average day. Three administrators have turned over in the past year.

Birchwood Nursing & Rehabilitation is a 100-bed Medicare/Medicaid nursing home in Cooper, TX, licensed since 1971 and managed by Creative Solutions In Healthcare. CMS rates it 5 stars overall with a 5-star health inspection score — but staffing sits at 3 stars and quality-of-care outcomes rate 2 stars. The facility is running at about 55% of licensed capacity, well below typical occupancy.

Twilight Home is a 102-bed Medicare/Medicaid nursing home in Corsicana, Navarro County, managed by Corsicana I Enterprises under a Hospital District license. CMS rates it 4 stars overall, with 4 stars on health inspections and quality measures for long-stay residents. Staffing earns 3 stars. The facility is operating at roughly 62% of licensed beds, well below capacity.

Fair Park Health & Rehabilitation Center is a 114-bed nursing home in Dallas, TX, accepting Medicare and Medicaid. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Quality-of-care outcome measures rate 5 stars, the highest tier. The facility is operating at roughly 46% of its licensed beds, with an average of 53 residents per day.

Five Points At Lake Highlands Nursing And Rehab is a 280-bed nursing home in Dallas, TX, managed by Dallas I Enterprises, LLC under a hospital district licensee. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Five fines totaling $72,182 have been issued; quality-of-care measures rate 4 stars. The facility is operating at roughly 61% of licensed capacity.

Treemont Healthcare and Rehabilitation Center is a 130-bed Medicare/Medicaid nursing home in Dallas County, managed by Dallas II Enterprises, LLC under a hospital district licensee. CMS rates it 2 stars overall and 2 stars on health inspections. Five CMS fines totaling $89,937 have been issued, and the facility is currently operating at roughly 60% of its licensed beds. Staffing rates 3 stars; quality measures for long-stay residents rate 4 stars.

De Leon Nursing And Rehabilitation is a 98-bed Medicare/Medicaid nursing home in De Leon, Comanche County, operated under a hospital district license. CMS rates it 5 stars overall, with a 5-star quality-of-care rating and 4-star health inspection rating. Staffing earns 3 stars. The facility is running at roughly 47% of licensed capacity. Managed by De Leon I Enterprises, LLC; licensed through June 2028.

Heritage Place of Decatur is a 60-bed nursing home in Decatur, Texas, licensed since 1971 and managed by Creative Solutions In Healthcare. CMS rates it 4 stars overall, with 4 stars on health inspections and long-stay care outcomes. Staffing earns 3 stars, and short-stay outcomes rate 2 stars. The facility is currently running at about 70% of licensed capacity — 42 of 60 beds occupied on an average day.

The Hills Nursing & Rehabilitation is a 110-bed nursing home in Decatur, Texas, licensed since 1973 and operated by Decatur I Enterprises under the Creative Solutions In Healthcare chain. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Two CMS fines totaling $29,325 have been issued. The facility is currently at roughly 58% of its licensed beds — about 64 residents on an average day.

La Vida Serena Nursing And Rehabilitation is a 120-bed Medicare- and Medicaid-certified nursing home in Del Rio, Val Verde County, operated by Creative Solutions In Healthcare. CMS rates it 4 stars overall and 4 stars on health inspections, but 2 stars on staffing. About 70 residents occupy the facility on a given day — 58% of licensed beds. The license is active through March 2027.

Cottonwood Nursing & Rehabilitation is a 60-bed Medicare/Medicaid nursing home in Denton, TX, managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall — staffing earns 1 star and quality measures 2 stars. The facility is operating at 72% of licensed capacity, with 43 of 60 beds occupied on an average day. No fines appear in the CMS record and no abuse findings have been substantiated.

University Rehabilitation Center is a 146-bed nursing home in Denton, TX, operated by Denton II Enterprises, LLC under a hospital district license. CMS rates it 1 star overall — its quality-measure rating is also 1 star. Two CMS fines totaling $40,446 have been assessed, and the facility is running at roughly 71% of licensed capacity. Staffing earns 3 stars, with residents receiving about 198 minutes of nursing care per day.

Vintage Health Care Center is a 106-bed nursing home in Denton, Texas, operating under a hospital district licensee with day-to-day management by Denton III Enterprises, LLC. CMS rates it 1 star overall, with 1-star health inspections and 2-star staffing. CMS has flagged it as a Special Focus Facility candidate — a designation reserved for facilities with a sustained pattern of serious deficiencies. Four federal fines totaling $252,332 have been assessed.

Desoto Nursing & Rehabilitation Center is a 110-bed Medicare/Medicaid nursing home in DeSoto, Dallas County, operated by Gulf Coast LTC Partners. CMS rates it 5 stars overall, with 5-star health inspection and quality-measure ratings. Staffing comes in at 3 stars. About 78 residents occupied the facility on an average day — 71% of licensed beds.

Five Points Nursing and Rehabilitation is a 120-bed Medicare/Medicaid nursing home in DeSoto, Dallas County, managed by Desoto I Enterprises under a hospital-district licensee. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, placing it among the bottom 38% of Texas nursing homes on staffing. Quality-of-care outcomes rate 5 stars. Two administrators have left in the past year. Current occupancy runs at roughly 66% of licensed beds.

Devine Health & Rehabilitation is a 96-bed nursing home in Devine, Medina County, Texas, licensed since 1974 and currently operating at about 42% of capacity — roughly 40 residents in a facility built for 96. CMS rates it 5 stars overall, with 5-star scores on health inspections and quality measures. Staffing comes in at 3 stars, and RN turnover is elevated. Licensed to West Wharton County Hospital District and managed by Devine I Enterprises, LLC; affiliated with Creative Solutions In Healthcare.

Great Plains Nursing And Rehabilitation is a 120-bed Medicare/Medicaid nursing home in Dumas, Moore County, Texas, managed by Creative Solutions In Healthcare. CMS rates it 5 stars overall — the top tier — with 5-star scores on health inspections and quality measures and a 4-star staffing rating. The facility is currently running at about 33% of licensed capacity, with roughly 39 residents on an average day.

Eagle Pass Nursing And Rehabilitation is a 114-bed nursing home in Eagle Pass (Maverick County) accepting Medicare and Medicaid, managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall — with a 1-star staffing rating and a 4-star quality-measures rating. About 65 residents are currently in residence, well below licensed capacity. The license is active through March 2027.

La Hacienda De Paz Rehabilitation And Care Center is a 104-bed nursing home in Eagle Pass, Texas, licensed through September 2028 and operating at about 95.8 residents per day. CMS rates it 2 stars overall, with a substantiated abuse or neglect finding within the past 36 months. Staffing rates 3 stars; quality measures for short-stay residents rate 2 stars while long-stay residents rate 4 stars. One CMS fine of $21,645 is on record.

Concho Health & Rehabilitation Center is a 66-bed Medicare/Medicaid nursing home in Eden, Texas, licensed since 1981 and managed by Eden II Enterprises under the Creative Solutions In Healthcare chain. CMS rates it 4 stars overall, with 4-star scores on health inspections and quality measures. Staffing is the outlier — rated 2 stars — with residents receiving about 178 minutes of nursing care per day. The facility is running at roughly 66% of licensed capacity.

Franklin Heights Nursing & Rehabilitation is a 132-bed nursing home in El Paso, TX, licensed since 1973 and currently managed by El Paso I Enterprises, LLC under a hospital district licensee. CMS rates it 2 stars overall — 1 star on both health inspections and staffing, 5 stars on quality measures. Two CMS fines totaling $191,503 have been issued. The facility holds 102.9 residents on an average day against 132 licensed beds.

Grace Pointe Wellness Center is a 154-bed Medicare/Medicaid nursing home in El Paso, Texas, licensed since 1974 and part of the Creative Solutions In Healthcare chain. CMS rates it 2 stars overall, with a 1-star health inspection rating and a substantiated abuse finding on record. Two CMS fines total $76,402. The facility is operating at roughly 35% of licensed beds. Quality-of-care outcome measures rate 5 stars.

Mountain View Health & Rehabilitation is a 187-bed nursing home in El Paso, Texas, licensed since 1971 and managed by Creative Solutions In Healthcare. CMS rates it 1 star overall, with a 1-star health inspection rating and substantiated findings of resident abuse or neglect within the past 36 months. Three CMS fines totaling $127,645 have been issued. The facility is operating at roughly 66% of its licensed beds.

Oasis Nursing & Rehabilitation Center is a 130-bed Medicare/Medicaid nursing home in El Paso, licensed since 1971 and currently active through 2028. CMS rates it 4 stars overall, with a 4-star health inspection rating and a 5-star rating on long-stay care outcomes. Short-stay outcomes rate 2 stars. Staffing rates 3 stars. The facility operates at 73% of licensed capacity — about 95 residents on an average day. Part of the Creative Solutions In Healthcare chain.

Pebble Creek Nursing Center is a 120-bed nursing home in El Paso, TX, licensed since 1988 and managed by Creative Solutions In Healthcare. CMS rates it 1 star overall and 1 star on health inspections. CMS has substantiated findings of resident abuse or neglect within the past 36 months. Two fines totaling $151,360 have been issued — more than seven times Texas's median fine amount. The facility holds 120 certified Medicare/Medicaid beds and was operating at roughly 80% of capacity as of the most recent data.

St Teresa Nursing & Rehab Center is a 124-bed nursing home in El Paso, TX, certified for both Medicare and Medicaid. CMS rates it 1 star overall — the lowest possible — with a substantiated abuse or neglect finding within the past 36 months and three fines totaling $33,787 since its last inspection cycle. The facility is operating at roughly 98% of licensed capacity, meaning a waitlist is likely. Managed by Creative Solutions In Healthcare, Inc.

Vista Hills Health Care Center is a 120-bed Medicare/Medicaid nursing home in El Paso, managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. One fine of $40,465 has been assessed. The facility is operating at roughly 70% of its licensed beds, with 83 residents on a typical day. The license is active through February 2027.

Fairfield Nursing & Rehabilitation Center is a 101-bed nursing home in Fairfield, Texas, licensed through May 2028 and part of the Creative Solutions In Healthcare chain. CMS rates it 5 stars overall and 5 stars on health inspections — the top tier. Staffing earns 3 stars, and quality-of-care outcomes rate 2 stars. The facility operates at about 65% of licensed beds.

Arlington Heights Health And Rehabilitation Center is a 170-bed nursing home in Fort Worth (Tarrant County) accepting Medicare and Medicaid, managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall, with a substantiated abuse finding on record and 3 fines totaling $31,539 since the last inspection cycle. Quality-of-care measures rate 4 stars for long-stay residents. The facility is running at roughly 59% of its licensed beds.

Downtown Health And Rehabilitation Center is a 161-bed nursing home in Fort Worth (Tarrant County) accepting Medicare and Medicaid. CMS rates it 2 stars overall, with a substantiated abuse or neglect finding in the past 36 months and four fines totaling $38,486 since its last review period. Short-stay care rates 1 star; long-stay care rates 4 stars. The facility is operating at roughly 66% of licensed beds.

Estates Healthcare and Rehabilitation Center is a 141-bed nursing home in Fort Worth (Tarrant County) accepting Medicare and Medicaid. CMS rates it 2 stars overall, with 1-star ratings on both health inspections and staffing. CMS has substantiated abuse or neglect findings here within the past 36 months, and the facility has accumulated 7 fines totaling $158,213 since its last inspection cycle. About 85 residents occupy the facility on an average day — roughly 60% of licensed capacity.

Marine Creek Nursing & Rehabilitation is a 164-bed Medicare/Medicaid nursing home in Fort Worth (Tarrant County), operated by Marine Creek I Enterprises under a hospital district license. CMS rates it 1 star overall and 1 star on health inspections, and it carries a substantiated abuse or neglect finding within the past 36 months. Staffing rates 2 stars; quality measures rate 4 stars. The facility is part of the Creative Solutions In Healthcare chain.

River Oaks Health And Rehabilitation Center is a 120-bed Medicare/Medicaid nursing home in Fort Worth (Tarrant County), operated by Gulf Coast LTC Partners under Fort Worth Vi Enterprises, LLC. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 3-star on staffing and health inspections. The facility is currently running at about 39% of its licensed beds — 47 residents on an average day — which is well below typical occupancy for Texas nursing homes.

Franklin Nursing Home is a 90-bed Medicare/Medicaid facility in Franklin, Robertson County, Texas, licensed since 1986 and managed by Franklin Ii Enterprises, Llc under the West Wharton County Hospital District. CMS rates it 5 stars overall, with a 5-star quality-of-care rating and a 4-star health inspection rating. Staffing earns only 2 stars. The facility is operating at roughly 59% of licensed beds.

Pecan Tree Rehab And Healthcare Center is a 122-bed nursing home in Gainesville, Texas, operated under a hospital district license and managed by Gainesville II Enterprises, LLC. CMS rates it 1 star overall, with a 1-star health inspection rating and a 1-star short-stay quality rating. Staffing is rated 2 stars, and occupancy runs at about 69% of licensed beds. The facility holds one CMS fine of $21,530 and is part of the Creative Solutions In Healthcare chain.

Ganado Nursing And Rehabilitation Center is a 91-bed Medicare/Medicaid nursing home in Ganado, TX, licensed since 1971 and managed by Ganado I Enterprises under the West Wharton County Hospital District. CMS rates it 4 stars overall, with a 4-star health inspection score. Staffing rates 2 stars, and the facility is currently operating at about 54% of licensed capacity — roughly 49 residents per day.

Beltline Healthcare Center is a 120-bed Medicare/Medicaid nursing home in Garland, Texas, operating at roughly 39% of licensed capacity. CMS rates it 1 star overall and 1 star on health inspections, alongside a single fine of $301,580 — nearly 15 times the Texas median fine of $20,699. Staffing rates 4 stars and staff turnover is among the lowest in the state. The facility is managed by Garland I Enterprises, LLC under licensee West Wharton County Hospital District.

Park Place Care Center is a 116-bed nursing home in Georgetown, Texas, managed by Georgetown I Enterprises and licensed to the Guadalupe County Hospital Board. CMS rates it 1 star overall, with a 1-star health inspection rating and a substantiated abuse finding on record. Six CMS fines have totaled $374,871 since the facility's most recent inspection cycle, and CMS has flagged it as a Special Focus candidate. Two administrators have turned over in the past year.

Gilmer Nursing & Rehabilitation is a 93-bed nursing home in Gilmer, Texas, managed by Creative Solutions In Healthcare. CMS rates it 1 star overall, with 1-star ratings on both health inspections and short-stay care outcomes. Three federal fines total $218,053 — more than ten times the Texas median. The facility holds an active state license through 2028 and accepts Medicare and Medicaid.

Cherokee Rose Nursing & Rehabilitation is a 102-bed nursing home in Glen Rose, Texas, licensed since 1992 and managed by Creative Solutions In Healthcare. CMS rates it 4 stars overall, with a 4-star health inspection rating — but staffing earns only 2 stars, and short-stay care outcomes rate 1 star. The facility is operating at roughly 53% of licensed capacity, with about 54 residents currently.

La Bahia Nursing & Rehabilitation is a 90-bed nursing home in Goliad, TX, licensed for Medicare and Medicaid and managed by Creative Solutions In Healthcare. CMS rates it 5 stars overall, with 5-star health inspection and quality-measure scores. Staffing earns 3 stars. The facility is running at about 37% of licensed beds — roughly 33 residents on an average day — and two administrators have left in the past year.

Graham Oaks Care Center is a 110-bed nursing home in Graham, Texas, managed by Graham I Enterprises, LLC under a county licensee. CMS rates it 1 star overall — the lowest tier — with a substantiated abuse or neglect finding on record and a 1-star staffing rating. Two CMS fines totaling $34,690 have been issued. About 80 residents occupy the facility on an average day, roughly 72% of licensed capacity.

Granbury Care Center is a 174-bed nursing home in Granbury, Hood County, accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with 1-star staffing and 2-star health inspections. Two CMS fines totaling $37,260 have been issued. The facility is operating at roughly 67% of licensed beds. It is managed by Creative Solutions In Healthcare and licensed to West Wharton County Hospital District.

Granbury Rehab & Nursing is a 95-bed Medicare- and Medicaid-certified nursing home in Granbury, Texas, managed by Advanced HCS and licensed to Coryell County Memorial Hospital Authority. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 3-star staffing rating. At 80.7 average residents per day, it is operating close to capacity. No fines have been assessed and the current license runs through September 2026.

Heritage At Turner Park Health & Rehab is a 146-bed Medicare/Medicaid nursing home in Grand Prairie, Dallas County, managed by Grand Prairie I Enterprises under a hospital district license. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Two administrators have left in the past year. The facility is operating at roughly 59% of licensed capacity.

Groveton Nursing Home is a 47-bed Medicare/Medicaid facility in Groveton, Trinity County, operated by GHC Groveton Operations, LLC under a Hospital District license. CMS rates it 5 stars overall, with 4-star ratings on both staffing and quality measures. One CMS fine totaling $86,735 is on record. The facility is currently running at about 60% of licensed capacity, with roughly 28 residents on an average day.

Crossroads Nursing & Rehabilitation is an 80-bed Medicare/Medicaid nursing home in Hearne, Robertson County, operated by Hearne I Enterprises under a hospital district license. CMS rates it 3 stars overall, with a 1-star staffing rating — the bottom tier in Texas — offset by a 5-star long-stay quality-of-care rating. Three administrators have turned over in the past year. About 50 of 80 beds are currently occupied.

Honey Grove Nursing Center is a 102-bed Medicare/Medicaid nursing home in Honey Grove, Fannin County, operated by Creative Solutions In Healthcare. CMS rates it 2 stars overall, with 2-star ratings on both staffing and health inspections. Two CMS fines totaling $213,797 have been issued — more than ten times the Texas median of $20,699. The facility is currently running at roughly 38% of licensed beds.

Afton Oaks Nursing and Rehabilitation Center is a 169-bed nursing home in Houston's Harris County, licensed for Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with a 1-star health inspection score and substantiated findings of resident abuse or neglect within the past 36 months. CMS has also flagged it as a Special Focus candidate, signaling a pattern of serious deficiencies. Three fines totaling $92,576 have been assessed. The facility is managed by Diversicare Afton Oaks LLC under a hospital district license.

Villa Toscana at Cypress Woods is a 120-bed nursing home in Houston, Harris County, accepting Medicare and Medicaid. CMS rates it 2 stars overall — 2 stars on health inspections, 3 on staffing, and 4 on quality measures. Three CMS fines totaling $37,827 have been issued, and two administrators have left in the past year. The facility is managed by Houston I Enterprises, LLC under license to West Wharton County Hospital District.

Oakmont Healthcare And Rehabilitation Center Of Humble is a 134-bed Medicare- and Medicaid-certified nursing home in Humble, Harris County, Texas, open since 1986. The licensee is Dewitt Medical District, a hospital district authority; day-to-day operations are managed by Humble I Enterprises, LLC. The facility's state license was active as of April 2022 and was due for renewal in April 2025. No CMS Care Compare data is currently matched to this location, so inspection history and staffing ratings are not available through this record.

Twin Oaks Health & Rehabilitation Center is a 116-bed nursing home in Jacksonville, Texas, accepting Medicare and Medicaid. CMS rates it 3 stars overall, with staffing rated 2 stars — each resident receives about 183 minutes of nursing care per day. One CMS fine totaling $174,431 has been issued, well above the Texas median of $20,699. The facility is currently operating at roughly 56% of licensed capacity.

Longmeadow Healthcare Center is a 120-bed Medicare/Medicaid nursing home in Justin, Denton County, operated by Justin I Enterprises under a hospital district license. CMS rates it 1 star overall, with 1-star health inspection and 2-star staffing scores. Four CMS fines totaling $63,536 have been assessed. The facility is part of Creative Solutions In Healthcare and runs at roughly 79% of licensed beds.

Bluebonnet Nursing & Rehabilitation is a 120-bed nursing home in Karnes City, TX, licensed for Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing score and three fines totaling $89,538 since the last inspection cycle. Quality-measure outcomes rate 4 stars. The facility is currently operating at roughly 35% of licensed capacity, with about 42 residents on a given day.

Oakmont Healthcare And Rehabilitation Center Of Katy is a 130-bed nursing home in Katy (Harris County), licensed for Medicare and Medicaid. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Two administrators have left in the past year. The facility is operating at roughly 52% of its licensed beds.

Sunflower Park Health Care is a 92-bed nursing home in Kaufman, Texas, operating at about 55% of licensed capacity. CMS rates it 2 stars overall, with 1-star ratings on both health inspections and staffing. CMS has substantiated findings of resident abuse or neglect here within the past 36 months, and the facility has received $190,538 in fines across two citations. Quality-of-care outcome measures rate 5 stars.

Kemp Care Center is a 124-bed nursing home in Kemp, Kaufman County, accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and $256,260 in fines across 2 citations. Quality-of-care measures rate 4 stars for long-stay residents. The facility is operating at roughly 44% of licensed capacity, with about 55 residents on a typical day.

Kenedy Health & Rehabilitation is a 60-bed nursing home in Kenedy, TX, managed by Creative Solutions In Healthcare and certified for both Medicare and Medicaid. CMS rates it 4 stars overall, with 4 stars on health inspections. Staffing comes in at 3 stars, and quality measures rate 2 stars. The facility is operating at roughly 76% of licensed beds, with no recent ownership change and an active license through December 2026.

Kerens Care Center is a 70-bed nursing home in Kerens, Navarro County, accepting Medicare and Medicaid. CMS rates it 3 stars overall, with a 2-star staffing rating and a 4-star quality-measures rating. Managed by Creative Solutions In Healthcare, the facility is operating at roughly 59% of licensed capacity — about 41 residents on an average day. No fines are on record and no abuse findings have been substantiated.

Avalon Place Kirbyville is a 114-bed nursing home in Kirbyville, TX, operated under a government hospital district license and managed by Kirbyville I Enterprises. CMS rates it 5 stars overall, with a 5-star quality-measures rating and a 3-star staffing rating. The facility is currently running at about 45% of licensed capacity — roughly 52 residents in 114 beds.

Lake Lodge Nursing & Rehabilitation is a 140-bed Medicare/Medicaid nursing home in Lake Worth, Tarrant County, operating since 1978 and managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. Three fines totaling $47,621 have been assessed. Quality-of-care measures rate 4 stars. The facility is running at roughly 53% of licensed capacity — about 74 residents in 140 beds.

Lancaster Nursing & Rehabilitation is a 120-bed nursing home in Lancaster, Dallas County, managed by Creative Solutions In Healthcare. CMS rates it 1 star overall, with a 1-star health inspection rating and a 2-star quality-of-care rating — despite a 4-star staffing rating. Two CMS fines totaling $55,760 have been assessed. Only about 41 of 120 beds are currently occupied, a notably low figure for a licensed facility.

Heritage At Longview Healthcare Center is a 140-bed nursing home in Longview, TX, licensed for Medicare and Medicaid residents. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Two CMS fines totaling $81,327 have been assessed. The facility is currently operating at roughly 42% of licensed capacity, with 58 residents on average per day.

Pine Tree Lodge Nursing Center is a 92-bed nursing home in Longview, Texas, licensed since 1973 and managed by Longview I Enterprises under a hospital district license. CMS rates it 2 stars overall, with 1-star staffing and $225,502 in fines across two citations — more than ten times the Texas median fine amount of $20,699. Quality-of-care outcome measures rate 5 stars. The facility is operating at roughly 67% of licensed capacity.

Whispering Pines Lodge is a 116-bed nursing home in Longview, Texas, certified for Medicare and Medicaid. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. CMS has flagged it as a Special Focus candidate and substantiated findings of resident abuse or neglect within the past 36 months. Six fines totaling $510,605 have been assessed. The facility is operating at roughly 56% of licensed beds.

Lubbock Health Care Center is a 120-bed nursing home in Lubbock, TX, licensed under Lubbock III Enterprises, LLC and managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Only 68 of 120 beds are occupied on an average day. Health inspections rate 4 stars, and no fines have been issued.

Southern Specialty Rehab & Nursing is a 144-bed Medicare/Medicaid nursing home in Lubbock, TX, operating at roughly 50% of licensed capacity. CMS rates it 1 star overall, 1 star on health inspections, and 1 star on staffing. Three CMS fines total $67,291 since the last inspection cycle. The facility is managed by Lubbock I Enterprises, LLC under a hospital district licensee, and is part of the Creative Solutions In Healthcare chain.

Whisperwood Nursing & Rehabilitation Center is a 114-bed nursing and rehabilitation facility in Lubbock, Texas, licensed since 1972 and currently operating at about 67% of capacity. CMS rates it 1 star overall, with a 1-star health inspection rating and a substantiated finding of resident abuse or neglect within the past 36 months. Staffing rates 2 stars; quality measures rate 3 stars overall. The facility is managed by Lubbock II Enterprises, LLC under a government hospital district license.

Castle Pines Health & Rehabilitation is a 120-bed nursing home in Lufkin, Texas, licensed for Medicare and Medicaid care and managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 2-star staffing rating and a 1-star short-stay quality rating. Two CMS fines totaling $38,771 have been assessed. About 93 residents occupy the facility on an average day, and the license runs through May 2027.

Kennedy Health & Rehab is a 145-bed nursing home in Lufkin, Texas, licensed since 1971 and currently operating at about 49% of licensed capacity. CMS rates it 1 star overall, with 1-star ratings on both health inspections and quality measures. CMS has substantiated findings of resident abuse or neglect here, and the facility carries 4 fines totaling $258,059 — more than 12 times the Texas median fine amount.

Madisonville Care Center is a 106-bed nursing home in Madisonville, TX, managed by Creative Solutions In Healthcare. CMS rates it 4 stars overall, with 4 stars each on health inspections and quality measures. Staffing is rated 2 stars — the facility's clearest gap. At 51 residents against 106 licensed beds, it is operating at roughly 48% capacity, well below typical occupancy for a nursing home of this size.

North Park Health And Rehabilitation Center is a 140-bed Medicare/Medicaid nursing home in McKinney, operated by Creative Solutions In Healthcare. CMS rates it 4 stars overall, with a 5-star health inspection score, though the quality-of-care rating sits at 1 star and staffing at 3 stars. The facility is currently operating at about 67% of licensed capacity — roughly 93 residents in 140 beds.

McLean Care Center is a 64-bed nursing home in McLean, Texas, licensed since 1979 and managed by Creative Solutions In Healthcare. CMS rates it 4 stars overall, with a 5-star quality-of-care rating — but staffing sits at 1 star, the lowest possible, placing it among roughly the bottom 38% of Texas nursing homes on that measure. The facility is operating at about 40% of its licensed beds, with 25.8 residents per day on average.

Memphis Convalescent Center is a 72-bed nursing home in Memphis, TX, licensed under the Childress County Hospital District and managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier. Quality-of-care measures rate 5 stars. Three administrators have turned over in the past year. The facility is currently operating at roughly 36% of licensed capacity.

Skilled Care of Mexia is an 80-bed nursing home in Mexia, Texas, licensed for Medicare and Medicaid, managed by Mexia II Enterprises, LLC under a government hospital district license. CMS rates it 4 stars overall, with a 5-star rating for long-stay resident outcomes and a 3-star staffing rating. Two CMS fines totaling $24,634 have been issued. The facility is operating at roughly 85% of licensed capacity.

Mineral Wells Nursing & Rehabilitation is a 109-bed nursing home in Mineral Wells, Texas, accepting both Medicare and Medicaid. CMS rates it 5 stars overall and 5 stars on health inspections — the top tier nationally. Staffing is rated 2 stars, with each resident receiving about 197 minutes of nursing care per day. The facility currently operates at roughly 74% of licensed beds.

Shady Oak Nursing And Rehabilitation is a 61-bed nursing home in Moulton, Texas, licensed since 1971 and managed by Moulton I Enterprises under the West Wharton County Hospital District. CMS rates it 5 stars overall, with 5-star health inspection and quality-of-care ratings. The 2-star staffing rating is the main counterweight. The facility is operating at roughly 52% of licensed beds.

Greenhill Villas is a 150-bed Medicare/Medicaid nursing home in Mount Pleasant, Texas, part of the Creative Solutions In Healthcare chain. CMS rates it 1 star overall, with 1-star health inspection and 2-star staffing ratings. Four CMS fines totaling $150,506 have been assessed. The facility is currently operating at roughly 52% of licensed beds.

Pleasant Springs Healthcare Center is a 90-bed nursing home in Mount Pleasant, Texas, accepting Medicare and Medicaid. CMS rates it 2 stars overall, with a 2-star health inspection score. Outcome measures for long-stay residents rate 5 stars — the highest tier — while staffing rates 3 stars. The facility has received two CMS fines totaling $33,155 since its most recent inspection cycle. It is managed by Mt Pleasant II Enterprises, LLC under a hospital district license.

Westward Trails Nursing And Rehabilitation is a 108-bed nursing home in Nacogdoches, TX, licensed for Medicare and Medicaid and managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 2-star staffing rating and a 4-star quality-measures rating for long-stay residents. Three CMS fines totaling $33,060 have been assessed. The facility is operating at roughly 77% of licensed capacity.

Navasota Nursing & Rehabilitation is a 172-bed Medicare/Medicaid nursing home in Navasota, Grimes County, managed by Creative Solutions In Healthcare. CMS rates it 1 star overall, 1 star on health inspections, and 1 star on staffing. Five fines totaling $123,093 have been levied, and three administrators have turned over in the past year. The facility is currently operating at about 33% of licensed capacity.

Buena Vida Nursing & Rehab Odessa is a 117-bed Medicare/Medicaid nursing home in Odessa, Texas, licensed since 1971 and operated by Odessa I Enterprises under a hospital district licensee. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and a 1-star short-stay quality rating, though long-stay quality rates 5 stars. About 83 of its 117 beds are occupied on an average day. The facility is part of the Creative Solutions In Healthcare chain.

Deerings Nursing And Rehabilitation is a 109-bed Medicare/Medicaid nursing home in Odessa, Texas, licensed since 1976 and managed by Creative Solutions In Healthcare. CMS rates it 5 stars overall, with a 5-star quality-of-care score and a 4-star health inspection score. Staffing comes in at 2 stars, and the facility is running at about 48% of licensed capacity — roughly 52 residents in a building certified for 109.

Sienna Nursing and Rehabilitation is a 138-bed Medicare/Medicaid nursing home in Odessa, Texas, operating at about 70% of licensed capacity. CMS rates it 2 stars overall, with a 1-star health inspection rating and a substantiated finding of resident abuse or neglect within the past 36 months. A single fine of $366,050 — nearly 18 times the Texas median — was assessed within the CMS reporting window. Quality-of-care outcome measures rate 5 stars for both long- and short-stay residents.

Greenbrier Nursing & Rehabilitation Center of Palestine is a 120-bed nursing home in Anderson County, Texas, accepting both Medicare and Medicaid. CMS rates it 4 stars overall, with a 5-star health inspection rating — though staffing is rated 1 star, the lowest tier. The facility operates at roughly 41% of licensed capacity, with about 49 residents currently in place. It is managed by Palestine I Enterprises, LLC under a license active through October 2027.

Brentwood Terrace Healthcare And Rehabilitation Center is a 119-bed nursing home in Paris, Texas, managed by Paris I Enterprises, LLC under a hospital district license. CMS rates it 1 star overall and 1 star on health inspections, and has substantiated findings of resident abuse or neglect here within the past 36 months. A single CMS fine totals $234,447 — more than 11 times the Texas median. Staffing rates 4 stars, and staff turnover is below state norms.

Pflugerville Care Center is a 111-bed nursing home in Pflugerville (Travis County) accepting Medicare and Medicaid. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Five fines totaling $59,449 have been issued, and nursing staff turnover reached 62% last year. The license is active through April 2026.

Landmark of Plano Rehabilitation and Nursing Center is a 160-bed Medicare/Medicaid nursing home in Plano, TX, operating at roughly 49% occupancy — about 78 residents on a typical day. CMS rates it 1 star overall, with a 1-star health inspection rating and substantiated findings of resident abuse or neglect within the past 36 months. Two CMS fines totaling $79,867 have been issued, and four administrators have left in the past year. The license is active through April 2028.

The Park in Plano is a 120-bed nursing home in Collin County, Texas, licensed for Medicare and Medicaid. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Three administrators have turned over in the past year. The facility is operating at roughly 59% of licensed capacity.

Mission Ridge Rehab & Nursing Center is a 90-bed Medicare/Medicaid nursing home in Refugio, TX, managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 2-star quality-measures rating and a 1-star short-stay rating. The facility is operating at roughly 46% of licensed capacity — about 42 residents on an average day. Two CMS fines totaling $23,373 have been assessed. License is active through March 2028.

Rockwall Nursing Care Center is a 192-bed Medicare/Medicaid nursing home in Rockwall, TX, part of the Creative Solutions In Healthcare chain. CMS rates it 2 stars overall — its staffing rating is 1 star, the lowest possible. Quality-of-care outcome measures rate 5 stars. Three CMS fines totaling $66,755 have been assessed. At roughly 47% occupancy, about 90 of 192 beds are currently filled.

Heritage House Nursing And Rehabilitation is an 85-bed nursing home in Rosebud, Texas, licensed since 1971 and managed by Creative Solutions In Healthcare. CMS rates it 5 stars overall — 4 stars on health inspections and 5 stars on long-term care quality measures. Staffing earns 3 stars, and the facility is currently operating at roughly 40% of licensed capacity, with about 34 residents on a typical day.

The Arbors Healthcare and Rehabilitation Center is a 110-bed nursing home in Rusk, TX, licensed under West Wharton County Hospital District and managed by Rusk I Enterprises, LLC. CMS rates it 4 stars overall, with a 4-star health inspection rating and a 5-star short-stay quality rating. Staffing earns 3 stars, and the facility is currently running at about 51% of licensed capacity — roughly 56 residents in a building sized for 110.

Cedar Manor Nursing And Rehabilitation Center is a 166-bed nursing home in San Angelo, Tom Green County, licensed for Medicare and Medicaid residents. CMS rates it 4 stars overall, with 4 stars each on health inspections and staffing. Quality measures rate 3 stars. The facility is operated by Creative Solutions In Healthcare under a hospital district license and currently has about 45 residents — well below its licensed capacity.

Park Plaza Nursing And Rehabilitation Center is a 90-bed nursing home in San Angelo, TX, licensed since 1971 and managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Health inspection and quality-measure ratings both reach 4 stars. The facility is currently operating at roughly 47% of licensed capacity.

Buena Vida Nursing & Rehab San Antonio is a 222-bed Medicare/Medicaid nursing home in Bexar County, managed by San Antonio IV Enterprises under a hospital district license. CMS rates it 1 star overall, and it carries an active abuse finding and an SFF Candidate designation — a pattern-of-serious-deficiencies flag. Two fines have totaled $241,940 since the last inspection cycle. The facility is currently operating at about 31% of licensed capacity.

Huebner Creek Health & Rehabilitation Center is a 146-bed Medicare/Medicaid nursing home in San Antonio's Bexar County, operating under a hospital district license and managed by Bexar I Enterprises. CMS rates it 2 stars overall, with 1-star staffing — the lowest tier. Quality-of-care outcome measures rate 5 stars for long-stay residents. The facility is running at 58% of licensed capacity, with 84 of 146 beds occupied on an average day.

Mesa Vista Inn Health Center is a 144-bed nursing home in San Antonio (Bexar County) accepting Medicare and Medicaid residents. CMS rates it 2 stars overall — staffing earns 1 star, the lowest tier, while quality measures rate 4 stars. The facility is managed by San Antonio III Enterprises, LLC under a hospital district license, and is part of the Creative Solutions in Healthcare chain.

Normandy Terrace Nursing & Rehabilitation Center is a 320-bed nursing home in San Antonio (Bexar County) accepting Medicare and Medicaid. CMS rates it 1 star overall, with 1-star health inspection and 2-star quality-measure ratings. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and five fines totaling $296,055 have been issued. The facility is currently operating at roughly 31% of its licensed beds.

River City Care Center is a 92-bed nursing home in San Antonio's Bexar County, accepting Medicare and Medicaid, managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall, with a substantiated abuse or neglect finding in the past 36 months. Quality-of-care outcomes rate 4 stars. Only 41 of 92 beds are occupied — a 45% occupancy rate.

The Rio At Mission Trails is a 124-bed nursing home in San Antonio (Bexar County) accepting Medicare and Medicaid. CMS rates it 3 stars overall, with a 1-star staffing rating — the bottom tier in Texas — alongside $153,825 in fines from 2 CMS citations. Quality-of-care outcomes rate 5 stars. The facility operates at roughly 72% of licensed beds, and its license runs through April 2028.

San Saba Nursing & Rehabilitation is a 72-bed Medicare/Medicaid nursing home in San Saba County, TX, operated by Creative Solutions In Healthcare. CMS rates it 5 stars overall — with 5-star scores on health inspections and quality measures — but 1 star on staffing. The facility is running at about 61% occupancy (roughly 44 of 72 beds), and its license, held by West Wharton County Hospital District, runs through September 2028.

Mullican Care Center is a 112-bed nursing home in Savoy, Fannin County, licensed since 1971 and currently operated by Savoy I Enterprises under West Wharton County Hospital District. CMS rates it 3 stars overall, with a 4-star quality-measures rating. The facility is running at roughly 39% of licensed capacity — about 44 residents in a building built for 112. It carries one CMS fine totaling $5,159 and holds an active state license through December 2026.

Silver Tree Nursing And Rehabilitation Center is a 120-bed Medicare/Medicaid nursing home in Schertz (Guadalupe County), operated by Schertz I Enterprises under a hospital district license. CMS rates it 2 stars overall, with a 1-star health inspection rating and 3 fines totaling $122,677 since the current data period. Quality-of-care outcome measures rate 5 stars for long-stay residents. The facility is running at 74% of licensed beds — about 88 residents on an average day.

Texoma Healthcare Center is a 179-bed nursing home in Sherman, Texas, licensed since 1971 and managed by Sherman I Enterprises under a Hospital District/Authority license. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing rating and a substantiated finding of resident abuse or neglect within the past 36 months. The facility is running at roughly 54% of licensed capacity, with 96 of 179 beds occupied on an average day. Four administrators have turned over in the past year.

Shiner Nursing And Rehabilitation Center is a 95-bed Medicare- and Medicaid-certified nursing home in Shiner, TX, licensed since 1971 and managed by Shiner I Enterprises, LLC under the Creative Solutions In Healthcare chain. CMS rates it 3 stars overall, with a 2-star staffing rating. About 47 of 95 beds are occupied on an average day. Two administrators have left in the past year.

Slaton Care Center is a 120-bed nursing home in Slaton (Lubbock County), licensed for Medicare and Medicaid, managed by Creative Solutions In Healthcare. CMS rates it 4 stars overall and 4 stars on health inspections, but staffing earns only 2 stars. Two administrators have left in the past year. The facility is operating at roughly 29% of licensed capacity — about 35 residents in 120 beds.

St. Giles Nursing and Rehabilitation Center is a 124-bed nursing home in Socorro, El Paso County, accepting both Medicare and Medicaid. CMS rates it 2 stars overall — a 1-star staffing rating and high administrator turnover are the sharpest concerns. Quality-of-care measures rate 4 stars. Managed by Creative Solutions In Healthcare, Inc.; licensed through June 2028.

Rock Creek Health And Rehabilitation is a 120-bed nursing home in Sulphur Springs, Hopkins County, licensed through September 2028. CMS rates it 4 stars overall, with 4 stars on health inspections. Staffing comes in at 3 stars, and care-quality outcomes also rate 3 stars. Two CMS fines totaling $32,034 have been issued. The facility is operating at roughly 71% of licensed beds. It is part of the Creative Solutions In Healthcare chain.

Countryview Nursing & Rehabilitation is a 115-bed nursing home in Terrell, Kaufman County, accepting Medicare and Medicaid. CMS rates it 1 star overall, with a 1-star health inspection rating. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and five fines totaling $94,108 have been issued. The facility is currently operating at about 39% of its licensed beds — roughly 45 residents in a building licensed for 115.

Greenbrier Nursing & Rehabilitation Center of Tyler is a 120-bed nursing home in Tyler, Texas, accepting Medicare and Medicaid residents. CMS rates it 4 stars overall and 4 stars on health inspections. Staffing is rated 2 stars — residents receive about 193 minutes of nursing care per day, roughly 48 minutes below the Texas 4-star threshold. The facility is currently operating at about 45% of licensed capacity, with 53 of 120 beds occupied on an average day.

Amistad Nursing And Rehabilitation Center is a 200-bed nursing home in Uvalde, Texas, licensed through September 2028 and operating under a hospital district license with management by Uvalde I Enterprises. CMS rates it 4 stars overall, with a 4-star health inspection score and a 5-star rating for long-stay resident outcomes. Staffing rates 2 stars, and the facility is running at roughly 45% of its licensed beds — about 90 residents in a 200-bed building.

Twin Pines North Nursing And Rehabilitation Center is a 90-bed nursing home in Victoria, Texas, licensed to West Wharton County Hospital District and managed by Victoria II Enterprises, LLC. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. The facility has no active CMS fines and carries a current state license through May 2028.

Twin Pines Nursing And Rehabilitation is a 200-bed nursing home in Victoria, Texas, managed by Victoria I Enterprises, LLC under the West Wharton County Hospital District. CMS rates it 1 star overall, with 1-star ratings on both health inspections and short-stay quality measures. Three fines totaling $44,971 have been issued, and the facility is currently operating at roughly 48% of its licensed beds.

Vidor Health & Rehabilitation Center is a 144-bed nursing home in Vidor, Orange County, accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing score and a 1-star short-stay quality rating. The facility is operating at roughly 62% of licensed capacity. It is managed by Vidor I Enterprises, LLC under a license held by Liberty County Hospital District No. 1.

North Pointe Nursing & Rehabilitation is a 126-bed nursing home in Watauga, Tarrant County, accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating possible — with a 1-star health inspection rating and a substantiated finding of resident abuse or neglect within the past 36 months. Three CMS fines total $48,716. Quality-of-care outcome measures rate 4 stars, and the facility is operating at roughly 41% of licensed beds.

Peach Tree Place is a 59-bed nursing home in Weatherford, TX, licensed for Medicare and Medicaid, with a state-certified memory care unit covering all 59 beds (certification runs April 2025–April 2028). CMS rates it 1 star overall, with a substantiated abuse or neglect finding within the past 36 months and a single fine of $229,570. Two administrators have left in the past year. The facility is operating at roughly 73% of licensed capacity.

Parkview Manor Nursing & Rehabilitation is a 94-bed nursing home in Weimar, Texas, licensed since 1971 and operated under a hospital district authority with day-to-day management by Weimar I Enterprises. CMS rates it 3 stars overall, with 2-star scores on both staffing and quality measures. Two administrators have left in the past year. The facility is running at roughly 45% of its licensed beds.

Wellington Care Center is a 76-bed nursing home in Wellington, Collingsworth County, Texas, licensed since 1972 and currently operating at roughly 48% of capacity — about 37 residents on a typical day. CMS rates it 4 stars overall, with 4 stars each for health inspections and quality measures. Staffing earns 3 stars, with each resident receiving about 184 minutes of nursing care per day. The facility has no CMS fines on record and is managed by Creative Solutions In Healthcare, Inc under a hospital district licensee.

Whitesboro Health & Rehabilitation Center is a 95-bed nursing home in Whitesboro, Grayson County, accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and a 1-star short-stay quality rating. Two CMS fines totaling $30,253 have been issued, and two administrators have left in the past year. The facility is operating at roughly 46% of its licensed beds.

University Park Nursing & Rehabilitation is a 98-bed nursing home in Wichita Falls, Texas, accepting Medicare and Medicaid. CMS rates it 4 stars overall, with a 5-star rating on long-stay quality measures and a 4-star health inspection score. Staffing is rated 2 stars — the weakest part of the record — and two administrators have left in the past year. Managed by Wichita Falls I Enterprises under the Creative Solutions In Healthcare chain, the facility has been licensed since 1971.

Dogwood Trails Manor is a 90-bed Medicare/Medicaid nursing home in Woodville, Tyler County, Texas, licensed since 1992 and managed by Creative Solutions In Healthcare. CMS rates it 2 stars overall, with matching 2-star ratings across health inspections, staffing, and quality measures. Two CMS fines totaling $27,869 have been assessed, and the facility is operating at roughly 67% of licensed capacity — about 61 residents in 90 beds.