The Arbors Healthcare And Rehabilitation Center
1884 LOOP 343 WEST, Rusk, TX, 75785
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
- 110 · avg 56 residents/day
- Total nursing staff turnover
- 37.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308680
- Service type
- Medicare/medicaid
- Licensed capacity
- 110 beds
- Bed type breakdown
- 32 Medicare-only · 78 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- November 5, 1987
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Rusk I Enterprises, Llc
- Administrator
- Sheryl L Smith
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 2022
- Honor x Enterprises, Llc
Other · 100% · since 2022
- Linda f Huggins
W-2 Managing Employee · since 2022
- Malisa a Blake
Operational/managerial Control · 50% · since 2022
- Rusk i Enterprises Llc
Operational/managerial Control · 100% · since 2022
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
+ 1 additional owner on the federal record.
Recent change of ownership
June 2022 (3 years ago) · acquired from The Arbors Healthcare And Rehab 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 22)
- D0880·Jan 14, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jan 14, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0730·Jan 14, 2026
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
- D0693·Jan 14, 2026
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D0690·Jan 14, 2026
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0657·Jan 14, 2026
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0655·Jan 14, 2026
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·Jan 14, 2026
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Jan 14, 2026. 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
The Arbors Healthcare and Rehabilitation Center is a 110-bed nursing home in Rusk, TX, licensed under West Wharton County Hospital District and managed by Rusk I Enterprises, LLC. CMS rates it 4 stars overall, with a 4-star health inspection rating and a 5-star short-stay quality rating. Staffing earns 3 stars, and the facility is currently running at about 51% of licensed capacity — roughly 56 residents in a building sized for 110.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars. Each resident receives about 193 minutes of nursing care per day — roughly 48 minutes less than at a 4-star-staffing facility in Texas. About 19% of Texas nursing homes earn the same 3-star staffing rating.
Roughly 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff of 42%, meaning turnover here is better than about three-quarters of nursing homes in the state. No RN turnover signal was flagged as unusual.
Two administrators have turned over in the past year — organizational instability that residents feel.
The facility is operating at about 51% of its 110 licensed beds, with roughly 56 residents on a typical day. At that level of occupancy, it is well below the state norm; paired with the high administrator turnover, it is a pattern worth asking about directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Two administrators in one year
The facility has had two administrator changes in the past 12 months — ask who is currently in charge and how long they have been in the role.
Why occupancy is so low
With only about 56 residents in a 110-bed building, ask management what is driving the low census and whether staffing or services have been adjusted as a result.
Staffing on nights and weekends
Weekend nursing hours here run about 2.8 hours per resident per day, below the weekday figure — ask how many nurses and aides are on duty overnight and on Sundays.
Management company's role day-to-day
The facility is licensed to a hospital district but managed by Rusk I Enterprises — ask which entity makes decisions about staffing levels, care policies, and capital repairs.
Family Council availability
The facility has a Resident Council but no Family Council — ask whether families have a formal channel to raise concerns and how those concerns are tracked and addressed.
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.