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CANTEX CONTINUING CARE

Ownership rollup across 37 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.

Insights

The chain’s homes average 3.1 of 5 stars on the CMS overall rating — about 0.4 stars above the ~2.6 average of its state — better than its local peers. It has been broadly flat, moving +0.00 stars across the same 37 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.

37
Homes in this chain
4,399
Certified beds119 per home on average
80%
Occupied3,508 residents a day across 4,399 beds
+0.00
Star changeacross the 37 homes rated throughout · 2025-02 to 2026-06
1
State covered
3.1
Average CMS rating~2.6 in its states · ~3.0 nationally

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.

ComponentChain averageBasis
Health inspection2.9 of 537 rated homesstate surveyors’ findings, ranked within each state
Staffing1.9 of 537 rated homesfrom payroll (PBJ) hours
Quality measures4.3 of 537 rated homeslargely 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.

16 with immediate-jeopardy citations3 with an abuse flag25 with federal fines

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.

$10
Related-party expensesummed across 10 homes · FY2023 cost reports
0%
of operating expensegoes to related companies, across the 10 homes reporting both figures
-5.2%
Operating marginrevenue-weighted across 37 homes with a cost report
$1.4M
Total federal fines25 homes fined

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.

Who pays — share of resident-days across this chain
Medicaid 60%Medicare 13%Other / private 27%

Weighted by each home’s average daily census, across the all 37 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.

HomeCMS ratingFlags
The Carlyle at Stonebridge ParkSouthlake, TX 1 of 52 immediate-jeopardy $125,895 fined
The Colonnades at Reflection BayPearland, TX 1 of 54 immediate-jeopardy $120,183 fined
The CrescentSugar Land, TX 1 of 57 immediate-jeopardy $105,770 fined
Ashford GardensHouston, TX 2 of 51 immediate-jeopardy $11,009 fined
Magnolia ManorGroves, TX 2 of 5$230,279 fined
Palomino PlaceMesquite, TX 2 of 52 immediate-jeopardy Abuse flag $165,086 fined
Park Valley Inn Health CenterRound Rock, TX 2 of 53 immediate-jeopardy Abuse flag $132,582 fined
San RemoRichardson, TX 2 of 5
SorrentoSan Antonio, TX 2 of 5
Sundance Inn Health CenterNew Braunfels, TX 2 of 52 immediate-jeopardy Abuse flag $6,364 fined
The Villa At Mountain ViewDallas, TX 2 of 5$25,390 fined
Windemere At Westover HillsSan Antonio, TX 2 of 52 immediate-jeopardy $8,281 fined
Windsor GardensLancaster, TX 2 of 52 immediate-jeopardy $13,877 fined
Bel Air at TeravistaRound Rock, TX 3 of 5$19,188 fined
Fort Bend Healthcare CenterRosenberg, TX 3 of 51 immediate-jeopardy $22,929 fined
HollymeadFlower Mound, TX 3 of 5$9,110 fined
LarkspurLufkin, TX 3 of 5$30,928 fined
Mill CreekSilsbee, TX 3 of 53 immediate-jeopardy $13,232 fined
Prairie EstatesFrisco, TX 3 of 51 immediate-jeopardy $24,587 fined
Renaissance Care CenterGainesville, TX 3 of 5
Solera at West HoustonHouston, TX 3 of 51 immediate-jeopardy $87,386 fined
The Bradford At BrooksideLivingston, TX 3 of 5
The Broadmoor at Creekside ParkThe Woodlands, TX 3 of 52 immediate-jeopardy $46,833 fined
The Harrison at HeritageFort Worth, TX 3 of 52 immediate-jeopardy $65,529 fined
The Manor at SeagovilleSeagoville, TX 3 of 51 immediate-jeopardy $98,062 fined
Beacon HillDenison, TX 4 of 5
CarraraPlano, TX 4 of 5$10,036 fined
Oakwood Manor Nursing HomeVidor, TX 4 of 5
The Belmont At Twin CreeksAllen, TX 4 of 5$8,278 fined
The Madison on MarshCarrollton, TX 4 of 5$8,473 fined
Woodville Health And Rehabilitation CenterWoodville, TX 4 of 5
Bonne ViePort Arthur, TX 5 of 5
Coronado At Stone OakSan Antonio, TX 5 of 5
Crestview CourtCedar Hill, TX 5 of 5$16,799 fined
Laurel CourtAlvin, TX 5 of 5
Palma RealMathis, TX 5 of 5
Riverside OaksVictoria, TX 5 of 5
Read this as a floor, not a verdict. CMS chain and ownership data is known to under-report private-equity and REIT ties, and a low chain average can hide strong individual homes (or vice-versa). Use it to know which questions to ask — then read each home’s actual inspection record and confirm current ownership with your state licensing agency.

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.