Honey Grove Nursing Center
1303 EAST MAIN STREET, Honey Grove, TX, 75446
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
- 102 · avg 38 residents/day
- Total nursing staff turnover
- 65.6% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 83.3% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $213,797 total
State licensing & capacity
- License number
- 311731
- Service type
- Medicare/medicaid
- Licensed capacity
- 102 beds
- Bed type breakdown
- 22 Medicare-only · 80 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Honey Grove I Enterprises, Llc
- Administrator
- Marcia Lee L Jacobi
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)
- Gary r Blake
Operational/managerial Control · 50% · since 2023
- Honey Grove i Enterprises Llc
Operational/managerial Control · 100% · 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 Honey Grove Nursing 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
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 39)
- E0812·Dec 18, 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.
- D0689·Dec 18, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0656·Dec 18, 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.
- E0584·Dec 18, 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.
- D0558·Dec 18, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0550·Dec 18, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- J0689·Sep 30, 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.
- J0689·Sep 26, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20241 fine · $81K
- 20231 fine · $133K
Most recent events
- Sep 26, 2024Fine · $81K
- Jul 20, 2023Fine · $133K
Largest single fine on record: $133K.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Dec 18, 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
Honey Grove Nursing Center is a 102-bed Medicare/Medicaid nursing home in Honey Grove, Fannin County, operated by Creative Solutions In Healthcare. CMS rates it 2 stars overall, with 2-star ratings on both staffing and health inspections. Two CMS fines totaling $213,797 have been issued — more than ten times the Texas median of $20,699. The facility is currently running at roughly 38% of licensed beds.
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 188 minutes of nursing care per day — roughly 53 minutes less than at a 4-star-staffing facility in Texas. Texas nursing homes with 2-star staffing ratings make up about 32% of the state's total, so this isn't an outlier in tier, but the gap in daily minutes is concrete.
About 7 in 10 nursing staff left in the past year — above the Texas 75th percentile of 60%, meaning turnover here is worse than at least three-quarters of Texas nursing homes. RN turnover is higher still: roughly 8 in 10 registered nurses left over the same period. A long-stay resident will likely go through multiple primary caregivers over the course of a year.
Two CMS fines totaling $213,797 have been levied against this facility. The Texas median fine total across penalized facilities is $20,699 — this facility's total is more than ten times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 38% of its 102 licensed beds — about 38 residents on an average day. Paired with the staffing, turnover, and fine data above, that low census is a concrete condition of the facility's current operations.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reasons behind $213,797 in fines
Ask what specific deficiencies triggered the two CMS fines totaling $213,797 and what corrective steps have been completed or are still underway.
Nursing staff continuity for residents
With roughly 7 in 10 nursing staff leaving in the past year, ask how the facility assigns consistent caregivers to residents and how vacancies are currently being filled.
RN coverage on evenings and weekends
RN turnover ran at about 83% over the past year; ask how many registered nurses are on duty during overnight and weekend shifts on a typical week.
Current bed census and admissions pace
The facility averages about 38 occupied beds out of 102 licensed; ask what is driving the low occupancy and whether staffing levels are adjusted to the current resident count.
Management company's role day-to-day
The licensee is a hospital district but daily operations run through Honey Grove I Enterprises; ask which entity sets staffing budgets and handles regulatory compliance.
Resident Council activity and meeting schedule
CMS records a Resident Council but no Family Council; ask how often the Resident Council meets and how family members can raise concerns through a formal channel.
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.