CareWitness
CareWitnessSenior CareHamilton County Hospital District

Nursing-home chain

Hamilton County Hospital District

We list 10 facilities in Texas, with CMS Care Compare ratings, ownership disclosures, and inspection histories on each.

Listed in our coverage
10
1 state
Chain-wide footprint
10
1 state (CMS-wide)
Avg overall rating
2.7 / 5
CMS chain-wide
Total fines
$463,176
20 fines
80% for-profit20% government-owned

Facilities listed in our coverage

Texas

10 facilities in Texas

Riverside Nursing And Rehabilitation Center

6801 E RIVERSIDE DR, Austin

2/5CMS overallStaff 2·Health 2
$88K in fines · 2 fines

Nursing home · Medicare/medicaid · 122 beds · For-profit

Bed mix: 8 Medicare · 114 dual

Riverside Nursing And Rehabilitation Center is a 122-bed nursing home in Austin (Travis County) accepting Medicare and Medicaid, managed by Songbird Healthcare, Inc. CMS rates it 2 stars overall — placing it in the bottom third of Texas nursing homes — with 2-star ratings on both health inspections and staffing. Two CMS fines totaling $88,227 have been issued; the license is active through April 2028.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Lake Hills Healthcare Center

1514 INDIAN CREEK RD., Brownwood

4/5CMS overallStaff 3·Health 4
$22K in fines · 2 fines

Nursing home · Medicare/medicaid · 112 beds · For-profit

Bed mix: 24 Medicare · 70 dual · 18 private-pay

Lake Hills Healthcare Center is a 112-bed nursing home in Brownwood, Texas, licensed through September 2027 and accepting Medicare and Medicaid. CMS rates it 4 stars overall, with a 4-star health inspection rating and a 3-star staffing rating. Quality measure ratings are lower — 2 stars overall and 1 star for short-stay outcomes. Managed by Slp Brownwood Llc under the Hamilton County Hospital District, the facility is operating at about 72% of its certified beds.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Goldthwaite Health & Rehab Center

1207 S. REYNOLDS ST., Goldthwaite

3/5CMS overallStaff 4·Health 2
$33K in fines · 1 fine

Nursing home · Medicare/medicaid · 94 beds · For-profit

Bed mix: 28 Medicare · 66 dual

Goldthwaite Health & Rehab Center is a 94-bed nursing home in Goldthwaite, TX, licensed to Hamilton County Hospital District and managed by Goldthwaite Skilled Care, LLC. CMS rates it 3 stars overall, with a 4-star staffing rating and a 5-star quality-measures rating — but a 2-star health inspection rating. One CMS fine of $32,545 has been issued. The facility is running at 56% of licensed capacity, with 53 of 94 beds occupied on an average day.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Hillview Nursing And Rehabilitation

1110 RICE ST, Goldthwaite

5/5CMS overallStaff 4·Health 5

Nursing home · Medicare/medicaid · 52 beds · Government

Hillview Nursing And Rehabilitation is a 52-bed nursing home in Goldthwaite, Texas, licensed since 1971 and operated by Hillview Skilled Care, LLC under the Hamilton County Hospital District. CMS rates it 5 stars overall, with 5 stars on health inspections and quality measures and 4 stars on staffing. All 52 beds are Medicare- and Medicaid-certified, and the facility is running at about 94% of licensed capacity.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Avante Rehabilitation Center

225 N SOWERS RD, Irving

3/5CMS overallStaff 2·Health 2
$25K in fines · 2 fines

Nursing home · Medicare/medicaid · 120 beds · For-profit

Bed mix: 15 Medicare · 105 dual

Avante Rehabilitation Center is a 120-bed nursing home in Irving, Dallas County, accepting Medicare and Medicaid. CMS rates it 3 stars overall, with a 2-star health inspection rating and 2-star staffing rating — though quality-of-care measures score 5 stars. About 80 residents are in residence on a given day, putting occupancy at roughly 66% of licensed beds. The facility is licensed through June 2026 and has an active inspection record.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Colonial Manor Advanced Rehab & Healthcare

1100 W. MINNESOTA RD., Pharr

2/5CMS overallStaff 1·Health 2
$71K in fines · 3 fines

Nursing home · Medicare/medicaid · 123 beds · For-profit

Bed mix: 20 Medicare · 103 dual

Colonial Manor Advanced Rehab & Healthcare is a 123-bed Medicare/Medicaid nursing home in Pharr, Hidalgo County, operating since 1971 under a hospital district license and managed by Pharr Skilled Nursing LLC. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier. Three CMS fines totaling $71,122 have been assessed. Quality-of-care outcome measures rate 5 stars. The facility is running at 97% of licensed capacity.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

The Reserve At Richardson

1610 RICHARDSON DR, Richardson

3/5CMS overallStaff 2·Health 3
$30K in fines · 2 fines

Nursing home · Medicare/medicaid · 129 beds · For-profit

Bed mix: 73 Medicare · 56 dual

The Reserve At Richardson is a 129-bed nursing home in Richardson (Dallas County) accepting Medicare and Medicaid, managed by Go Operations 6 LLC under a hospital district license. CMS rates it 3 stars overall, with a 2-star staffing rating. Two CMS fines totaling $29,835 have been assessed. The facility is running at roughly 66% of licensed beds — about 85 residents on an average day.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Rosenberg Health & Rehabilitation Center

1419 MAHLMANN ST., Rosenberg

1/5CMS overallStaff 2·Health 1
Special Focus Candidate$142K in fines · 5 fines

Nursing home · Medicare/medicaid · 124 beds · For-profit

Bed mix: 22 Medicare · 102 dual

Rosenberg Health & Rehabilitation Center is a 124-bed nursing home in Rosenberg, Fort Bend County, accepting Medicare and Medicaid. 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 — signaling a pattern of serious deficiencies — and five fines totaling $142,384 have been assessed. Two administrators left in the past year. The license is active through April 2029.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Cedar Hollow Rehabilitation Center

5011 NORTH US HWY 75, Sherman

2/5CMS overallStaff 2·Health 2
$40K in fines · 2 fines

Nursing home · Medicare/medicaid · 142 beds · Government

Bed mix: 20 Medicare · 122 dual

Cedar Hollow Rehabilitation Center is a 142-bed nursing home in Sherman, Texas, licensed to Hamilton County Hospital District and managed by Go Operations 7 LLC. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. Two CMS fines totaling $39,697 have been issued, and nursing staff turnover runs at 63%, above the state's 75th percentile. Quality-of-care measures rate 3 stars.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

The Lakes At Texas City

424 NORTH TARPEY ROAD, Texas City

2/5CMS overallStaff 1·Health 3
$13K in fines · 1 fine

Nursing home · Medicare/medicaid · 120 beds · For-profit

Bed mix: 24 Medicare · 85 dual · 11 private-pay

The Lakes at Texas City is a 120-bed nursing home in Galveston County accepting Medicare and Medicaid. CMS rates it 2 stars overall — driven by a 1-star staffing rating that ranks among the bottom 38% of Texas nursing homes. Quality-of-care measures rate 4 stars. The facility is operating at roughly 70% of its licensed beds, and one CMS fine of $12,740 is on record.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Source: CMS Nursing Home Chain Performance Measures (chain-wide rollups), as of March 2026 · CMS SNF Enrollments + state licensing registries (per-facility records).