ADVANCED HEALTHCARE SOLUTIONS
Ownership rollup across 28 nursing homes in 1 state: Texas. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 2.9 of 5 stars on the CMS overall rating — roughly in line with the ~2.6 average of its state. It has been broadly flat, moving +0.00 stars across the same 28 homes rated throughout between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.8 of 5 | 28 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 2.0 of 5 | 28 rated homes | from payroll (PBJ) hours |
| Quality measures | 4.0 of 5 | 28 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the all 28 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Advanced Health & Rehab Center of GarlandGarland, TX | 1 of 5 | 4 immediate-jeopardy $181,828 fined |
| Advanced Rehabilitation and Healthcare of AthensAthens, TX | 1 of 5 | 3 immediate-jeopardy SFF candidate Abuse flag $162,078 fined |
| El Paso Health & Rehabilitation CenterEl Paso, TX | 1 of 5 | 2 immediate-jeopardy $20,312 fined |
| Greenville Health & Rehabilitation CenterGreenville, TX | 1 of 5 | 3 immediate-jeopardy SFF candidate Abuse flag $96,065 fined |
| Tomball Rehab & NursingTomball, TX | 1 of 5 | 2 immediate-jeopardy $110,495 fined |
| Winfield Rehab & NursingCrockett, TX | 1 of 5 | 5 immediate-jeopardy $355,773 fined |
| Advanced Rehabilitation & Healthcare of BurlesonBurleson, TX | 2 of 5 | 1 immediate-jeopardy $17,804 fined |
| Balch Springs Nursing HomeBalch Springs, TX | 2 of 5 | 2 immediate-jeopardy $28,012 fined |
| Henderson Health & Rehabilitation CenterHenderson, TX | 2 of 5 | 3 immediate-jeopardy Abuse flag $10,546 fined |
| Heritage House at Paris Rehab & NursingParis, TX | 2 of 5 | $10,358 fined |
| McAllen Nursing CenterMcAllen, TX | 2 of 5 | 2 immediate-jeopardy $17,459 fined |
| Clarksville Nursing CenterClarksville, TX | 3 of 5 | — |
| Palo Pinto Nursing CenterMineral Wells, TX | 3 of 5 | 2 immediate-jeopardy $41,036 fined |
| Prairie House Living CenterPlainview, TX | 3 of 5 | — |
| Santa Fe Health & Rehabilitation CenterWeatherford, TX | 3 of 5 | — |
| Sulphur Springs Health And RehabilitationSulphur Springs, TX | 3 of 5 | 1 immediate-jeopardy $44,044 fined |
| The Renaissance At Kessler ParkDallas, TX | 3 of 5 | $11,031 fined |
| Whitehall Rehab & NursingCrockett, TX | 3 of 5 | 1 immediate-jeopardy $77,342 fined |
| Willow Rehab & NursingKilgore, TX | 3 of 5 | 3 immediate-jeopardy $219,229 fined |
| Advanced Rehabilitation And Healthcare Of VernonVernon, TX | 4 of 5 | — |
| Advanced Rehabilitation and Healthcare of WichitaWichita Falls, TX | 4 of 5 | — |
| Crowell Nursing CenterCrowell, TX | 4 of 5 | — |
| Mesquite Tree Nursing CenterMesquite, TX | 4 of 5 | — |
| Whispering Oaks Rehab & NursingCuero, TX | 4 of 5 | 1 immediate-jeopardy |
| Advanced Rehabilitation And Healthcare Of BowieBowie, TX | 5 of 5 | — |
| Clyde Nursing CenterClyde, TX | 5 of 5 | — |
| Heritage House At Keller Rehab & NursingKeller, TX | 5 of 5 | $22,608 fined |
| Seymour Rehabilitation And HealthcareSeymour, TX | 5 of 5 | — |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.