Ballinger Healthcare And Rehabilitation Center
2001 NORTH 6TH STREET, Ballinger, TX, 76821
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 114 · avg 60 residents/day
- Total nursing staff turnover
- 47.1% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308655
- Service type
- Medicare/medicaid
- Licensed capacity
- 114 beds
- Bed type breakdown
- 46 Medicare-only · 68 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Ballinger Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Ballinger Ii Enterprises, Llc
- Administrator
- Holden Wayne Hronek
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (16 on record)
- Axel Martinez Irizarry
Adp of The Snf · since 2025
- Ballinger ii Enterprises, L.l.c.
Adp of The Snf · since 2025
- Holden Hronek
Adp of The Snf · since 2025
- Bradly Bundrant
Managing Control - Governing Body · since 2025
- Elizabeth Zuniga
Managing Control - Governing Body · since 2025
- Mark Atwood
Managing Control - Governing Body · since 2025
+ 10 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Ballinger Healthcare And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 6 of 6)
- E0880·Nov 21, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Nov 21, 2024Complaint
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E0812·Nov 21, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Sep 21, 2023
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0690·Jul 21, 2022
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0607·Jul 21, 2022
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Nov 21, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
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.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 3 stars here. Each resident receives about 195 minutes of nursing care per day — roughly 46 minutes less than at a 4-star-staffing facility in Texas. Of that, registered nurses contribute about 23 minutes per resident per day, compared to 37 minutes at the 4-star threshold. Approximately 19% of Texas nursing homes fall in this staffing tier.
The facility is running at about 52% of its 114 licensed beds — roughly 60 residents on an average day. That occupancy level is low relative to peers; the beds are there, so capacity is not a constraint.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Reported weekend nursing hours run about 2.97 hours per resident per day — below the weekday figure; ask how many nurses and aides are on duty overnight and on weekends.
RN coverage each day
Registered nurses average about 23 minutes per resident per day here; ask how many hours an RN is physically present in the building on a typical weekday versus a weekend.
Why occupancy is low
Only about 60 of 114 beds are occupied on an average day; ask what accounts for that and whether the facility is actively admitting.
Role of Ballinger Ii Enterprises
The licensee is a hospital district, but the management company is a separate LLC; ask which entity makes day-to-day staffing and care decisions.
Resident council activity
A Resident Council meets here but no Family Council is listed; ask how often the Resident Council meets and how family members can raise concerns.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.