Magnolia Manor
4400 GULF STREET, Groves, TX, 77619
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: Cantex Continuing Care
- Certified beds
- 126 · avg 87 residents/day
- Total nursing staff turnover
- 56.3% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · 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)
- 2 fines · $229,827 total
State licensing & capacity
- License number
- 144801
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 38 Medicare-only · 88 Medicaid/Medicare
- Current license effective
- February 1, 2025
- Current license expires
- February 1, 2028
- Initial license date
- July 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Tyler County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Cresthaven Health Care Center Ltd Co
- Administrator
- Delphia L Smith
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Cantex Continuing Care chain — 38 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (6 on record)
- Cresthaven Health Care Center Ltd co
Adp of The Snf · since 2025
- Kenosha Riles
Adp of The Snf · since 2025
- Delphia Smith
Operational/managerial Control · since 2024
- Kristopher Gabas Dela Cruz
Adp of The Snf · since 2022
- Tyler County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2015
- Sondra Williams
Corporate Officer · since 2007
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 23)
- D0842·Jul 2, 2025
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.
- F0812·Jul 2, 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.
- D0757·Jul 2, 2025
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D0656·Jul 2, 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.
- D0655·Jul 2, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0641·Jul 2, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- E0755·Mar 11, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0726·Mar 11, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Federal penalties
By year
- 20251 fine · $225K
- 20241 fine · $4,350
Most recent events
- Mar 11, 2025Fine · $225K
- Mar 21, 2024Fine · $4,350
Largest single fine on record: $225K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Jul 2, 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
Magnolia Manor is a 126-bed nursing home in Groves, Texas, licensed since 1971 and currently operating at about 69% of capacity. CMS rates it 3 stars overall, with a 2-star staffing rating and a 2-star health inspection rating — though quality measures for long-stay residents score 5 stars. Two CMS fines totaling $229,827 have been issued; the state median across fined facilities is $20,699. Managed by Cresthaven Health Care Center under a hospital district license.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 199 minutes of nursing care per day — roughly 42 minutes less than at a 4-star-staffing facility in Texas. About 32% of Texas nursing homes share this staffing rating, so this is not an outlier, but the gap is real. Of those 199 minutes, only 13 are provided by a registered nurse; the Texas threshold for 4-star staffing is 37 RN minutes per resident per day.
Two CMS fines totaling $229,827 have been issued against this facility. The median fine total among fined facilities in Texas is $20,699, and about 30% of Texas nursing homes have no fines at all. This total is more than eleven times the state median for fined facilities.
Magnolia Manor is operating at roughly 69% of its 126 licensed beds — about 87 residents on an average day. This is below the occupancy level typical for facilities in this region.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for the $229,827 in fines
Two CMS fines totaling $229,827 have been issued — ask what specific deficiencies triggered each fine and what corrective steps were taken.
RN coverage on a typical day
Reported RN hours average only 13 minutes per resident per day; ask how many registered nurses are on duty across each shift.
Why occupancy sits at 69%
The facility is running at roughly 69% of licensed capacity — ask whether that reflects a recent trend or a longer-term pattern, and what's driving it.
Weekend staffing levels
Reported weekend nursing hours run lower than weekday figures; ask how many nursing staff are scheduled on Saturdays and Sundays compared to the rest of the week.
Resident Council activity
A Resident Council is listed but no Family Council; ask how often the Resident Council meets and how family members are kept informed of concerns raised there.
Management company's role on-site
The facility is licensed to a hospital district but managed by Cresthaven Health Care Center — ask who has day-to-day authority over staffing and care decisions.
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.