Beltline Healthcare Center
106 N BELTLINE RD, Garland, TX, 75040
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: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 47 residents/day
- Total nursing staff turnover
- 34.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 25% — lower 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)
- 1 fine · $301,580 total
State licensing & capacity
- License number
- 311787
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 29 Medicare-only · 91 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- January 1, 1979
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Garland I Enterprises, Llc
- Administrator
- Krystal Horn
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 (7 on record)
- Garland i Enterprises Llc
Operational/managerial Control · 100% · since 2023
- Gary r Blake
Operational/managerial Control · 50% · since 2023
- Honor x Enterprises, Llc
Other · 100% · since 2023
- Linda f Huggins
Corporate Director · since 2023
- Malisa a Blake
Operational/managerial Control · 50% · since 2023
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
+ 1 additional owner on the federal record.
Recent change of ownership
December 2023 (2 years ago) · acquired from Senior Care Beltline
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 24)
- D0684·Dec 30, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0842·Sep 23, 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.
- E0837·Sep 23, 2025Complaint
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- E0755·Sep 23, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- K0744·Sep 23, 2025Complaint
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- K0740·Sep 23, 2025Complaint
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E0712·Sep 23, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- K0684·Sep 23, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20251 fine · $302K
Most recent events
- Sep 23, 2025Fine · $302K
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Nov 7, 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
Beltline Healthcare Center is a 120-bed Medicare/Medicaid nursing home in Garland, Texas, operating at roughly 39% of licensed capacity. CMS rates it 1 star overall and 1 star on health inspections, alongside a single fine of $301,580 — nearly 15 times the Texas median fine of $20,699. Staffing rates 4 stars and staff turnover is among the lowest in the state. The facility is managed by Garland I Enterprises, LLC 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 4 stars here — placing this facility in roughly the top 9% of Texas nursing homes on that measure. Each resident receives about 195 minutes of nursing care per day. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those staffing hours stretch thinner than the raw minutes suggest.
About 3 in 10 nursing staff left in the past year — below the Texas 25th-percentile cutoff, meaning turnover is better than roughly three-quarters of nursing homes in the state. RN turnover follows a similar pattern, with about 2 in 10 registered nurses departing in the same period.
One administrator has turned over in the past year. A single change is not the same as chronic instability, but new leadership during an already difficult regulatory period is a concrete fact families should weigh.
CMS rates this facility 1 star on health inspections and 1 star overall. One fine totaling $301,580 was issued — about 14.6 times the Texas median fine of $20,699 among facilities that receive fines, and 70% of Texas nursing homes received no fine at all in the same period.
The facility's quality measures rate 4 stars overall, with long-stay residents rated 5 stars and short-stay residents rated 2 stars. Those two numbers point in different directions for different care situations.
The facility is operating at roughly 39% of its 120 licensed beds — 47 residents on average against 120 licensed capacity. Low occupancy alongside severe fines and a 1-star inspection record are facts that appear together in this record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Nature of the $301,580 fine
Ask what deficiency triggered the single CMS fine of $301,580 and what specific corrective steps have been completed since it was issued.
Why occupancy is so low
With only about 47 residents in a 120-bed facility, ask whether the low census reflects a planned reduction, a referral freeze, or another operational factor.
New administrator's priorities
An administrator change occurred in the past year during an active regulatory period — ask how long the current administrator has been in place and what their plan is for the 1-star inspection rating.
Short-stay care outcomes
Long-stay quality measures rate 5 stars while short-stay rates 2 stars — ask which specific short-stay measures are driving that gap and what the facility is doing about them.
Staffing on weekends
Reported weekend nursing hours run about 2.85 hours per resident per day versus 3.25 on weekdays — ask how staffing assignments differ on Saturdays and Sundays.
Management company's role
Day-to-day management is handled by Garland I Enterprises, LLC under a hospital district licensee — ask who holds operational authority over staffing decisions and complaint resolution.
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.