Central Texas Nursing & Rehabilitation
1800 NORTH BROADWAY STREET, Ballinger, TX, 76821-2418
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
- 118 · avg 65 residents/day
- Total nursing staff turnover
- 45.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 44.4% — lower 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
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,936 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 310548
- Service type
- Medicare/medicaid
- Licensed capacity
- 118 beds
- Memory-care capacity
- 28 beds · state-certified
- Bed type breakdown
- 49 Medicare-only · 69 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- June 1, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Ballinger I Enterprises, Llc
- Administrator
- Kenneth Gibson
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.
Parent entity
West Wharton County Hospital District
Disclosed owners (18 on record)
- Ballinger i Enterprises Llc
Adp of The Snf · since 2025
- Kenneth Trey Gibson
Adp of The Snf · since 2025
- Axel Martinez Irizarry
Adp of The Snf · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
- Sean Bowers
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
September 2022 (3 years ago) · acquired from Central Texas Nursing & Rehabilitation
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
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 14)
- D0677·Jan 16, 2026Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0609·Jan 16, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0880·May 29, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·May 29, 2025Complaint
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.
- D0656·May 29, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0552·May 29, 2025Complaint
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
- D0761·Apr 18, 2024
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.
- D0755·Apr 18, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20241 fine · $8,936
Most recent events
- Feb 15, 2024Fine · $8,936
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: May 29, 2025. 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
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.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars. Each resident receives about 179 minutes of nursing care per day — roughly 62 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. Of that total, about 29 minutes comes from a registered nurse, compared to 37 minutes at the 4-star threshold in Texas.
The facility is running at roughly 55% of its 118 licensed beds, with an average of 65 residents per day. That occupancy level is lower than typical for nursing homes in Texas; combined with the staffing rating, it raises a practical question about whether staffing levels adjust as census changes.
One CMS fine of $8,936 has been issued. That figure is below the Texas median of $20,699 among facilities that received fines, and about 30% of Texas nursing homes received no fine at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours here average 2.51 hours per resident per day — lower than the weekday figure; ask how many nurses and aides are scheduled on weekends and overnight.
RN coverage during off-hours
Reported RN time is about 29 minutes per resident per day; ask whether a registered nurse is physically present on all shifts or available only on call.
Current occupancy and its effect on staffing
The facility is at roughly 55% capacity; ask whether staffing levels are adjusted if occupancy rises quickly, and how many beds are currently filled.
Memory care unit admission criteria
The 28-bed memory care unit holds state certification through September 2028; ask what level of dementia or behavioral need is accepted and whether there is currently a waitlist.
Management company's day-to-day role
Day-to-day management is handled by Ballinger I Enterprises while the licensed owner is West Wharton County Hospital District; ask how decisions about staffing and care policy are divided between the two.
The 2023 CMS fine and corrective steps
CMS issued one fine totaling $8,936; ask what the cited deficiency was and what specific changes were made in response.
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.