Concho Health & Rehabilitation Center
613 EAKER STREET, Eden, TX, 76837-0838
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
- Government - Hospital district · Chain: Creative Solutions In Healthcare
- Certified beds
- 66 · avg 44 residents/day
- Total nursing staff turnover
- 57.1% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308736
- Service type
- Medicare/medicaid
- Licensed capacity
- 66 beds
- Bed type breakdown
- 4 Medicare-only · 62 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- May 1, 1981
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Eden Ii Enterprises, Llc
- Administrator
- Ladeanna Ballard
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)
- Eden ii Enterprises, Llc
Adp of The Snf · since 2025
- Kenneth Crowdus
Adp of The Snf · since 2025
- Axel Martinez Irizarry
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
September 2022 (3 years ago) · acquired from Concho Health & 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 8 of 14)
- D0842·Dec 19, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0609·Nov 18, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0880·Jul 24, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0656·Jul 24, 2025
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.
- E0880·May 23, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·May 23, 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.
- D0761·May 23, 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.
- D0689·May 23, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Jul 24, 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
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.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — the bottom third of Texas nursing homes on this measure. Each resident receives about 178 minutes of nursing care per day, roughly 63 minutes less than at a 4-star-staffing facility in Texas. RN coverage specifically runs to about 20 minutes per resident per day, compared to 37 minutes at the 4-star threshold.
RN turnover runs high: roughly 7 in 10 registered nurses left in the past year. A long-stay resident will likely go through two or three primary RNs over the course of a year. Total nursing staff turnover is 57.1% — just above the Texas 75th-percentile cutoff of 60%, meaning turnover is elevated but not at the extreme end statewide.
One administrator has turned over in the past year — an elevated rate. A single change doesn't indicate crisis, but leadership continuity affects how care policies are carried out day to day.
The facility is operating at roughly 66% of its 66 licensed beds, with about 43 to 44 residents on a given day. That figure sits notably below typical occupancy levels for Texas nursing homes.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing coverage on nights and weekends
Weekend nursing hours here average about 157 minutes per resident — ask how many nurses and aides are on shift overnight and on Saturdays and Sundays.
RN turnover and continuity of care
Seven in ten registered nurses left in the past year; ask which RN would be primarily responsible for your parent's care and how long that person has been on staff.
Current administrator and tenure
One administrator turned over in the past year; ask how long the current administrator has been in this role and whether any further leadership changes are expected.
Reasons behind lower occupancy
The facility is at roughly 66% capacity — about 43 residents in 66 licensed beds; ask what is driving the vacancy and whether staffing levels adjust with census changes.
Relationship between Eden II and Creative Solutions
The facility is licensed under West Wharton County Hospital District, managed by Eden II Enterprises, and affiliated with the Creative Solutions In Healthcare chain; ask which entity sets staffing policy and handles complaints.
Family Council availability
CMS records show a Resident Council but no Family Council; ask whether families have a formal channel to raise concerns collectively with administration.
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.