Ennis Care Center
1200 S HALL ST, Ennis, TX, 75119
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 - Corporation · Chain: Eduro Healthcare
- Certified beds
- 155 · avg 65 residents/day
- Total nursing staff turnover
- 56.1% — 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
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $187,220 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 149872
- Service type
- Medicare/medicaid
- Licensed capacity
- 155 beds
- Bed type breakdown
- 50 Medicare-only · 105 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Capstoneennis Opco Llc
- Administrator
- Robert Reese
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Eduro Healthcare chain — 36 facilities across 8 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (5 on record)
- Brian j Ramos
Operational/managerial Control · since 2022
- Ennis Nursing And Rehab Center Llc
Operational/managerial Control · 100% · since 2022
- Julie Wyatt
W-2 Managing Employee · since 2021
- Clark r Sanderson
Corporate Director · since 2018
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2018
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 21)
- J0689·Nov 19, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0627·May 19, 2025Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E0812·Mar 13, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0759·Mar 13, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0656·Mar 13, 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.
- D0645·Mar 13, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- E0584·Mar 13, 2025
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D0600·Mar 13, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20251 fine · $6,227
- 20241 fine · $31K · 1 payment denial
- 20231 fine · $150K
Most recent events
- May 19, 2025Fine · $6,227
- Feb 1, 2024Payment denial · 5 days · starting Mar 2, 2024
- Feb 1, 2024Fine · $31K
- Aug 11, 2023Fine · $150K
Largest single fine on record: $150K.
Fire-safety citations
26 Life-Safety-Code citations on file. Most recent: Mar 13, 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
Ennis Care Center is a 155-bed nursing home in Ennis, Ellis County, accepting Medicare and Medicaid residents. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and three fines totaling $187,220 since the last inspection cycle. The facility is operating at roughly 42% of licensed capacity, well below typical occupancy for Texas nursing homes. It is managed by Capstone Ennis Opco LLC under a license held by Fannin County Hospital Authority.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the bottom tier among Texas nursing homes, a rating shared by about 38% of facilities statewide. Each resident receives roughly 177 minutes of nursing care per day, about 64 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so the already-reduced hours stretch thinner than the raw number suggests.
Three CMS fines total $187,220. The Texas state median for fined facilities is about $20,699, making this total roughly nine times the median. About 30% of Texas nursing homes have no fines at all.
One administrator has turned over in the past year, above the baseline where no change would be expected.
The facility is operating at approximately 42% of its 155 licensed beds — about 65 residents in a building sized for 155. That low figure, alongside the staffing rating and fine total, reflects a pattern visible across multiple data points in this record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for low occupancy
With only about 65 residents in a 155-bed building, ask management what is driving the low census and whether staffing levels adjust as occupancy changes.
Details behind the fines
Three CMS fines totaling $187,220 — well above the Texas median — ask what deficiencies triggered each fine and what corrective steps were taken.
Daily nursing coverage per resident
CMS data shows roughly 177 minutes of nursing care per resident per day; ask how the facility schedules staff on weekends, when coverage typically drops further.
Administrator transition and continuity
An administrator change occurred in the past year; ask how long the current administrator has been in place and who is responsible for day-to-day care oversight.
Management company role
The facility is licensed to Fannin County Hospital Authority but operated by Capstone Ennis Opco LLC; ask which entity sets staffing policy and handles regulatory compliance.
Short-stay outcomes rating
CMS rates short-stay quality measures 1 star; ask what conditions the facility most commonly admits for short-term rehabilitation and what the typical discharge trajectory looks like.
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.