CREATIVE SOLUTIONS IN HEALTHCARE
Ownership rollup across 149 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 2.1 of 5 stars on the CMS overall rating — about 0.5 stars below the ~2.6 average of its state. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is also moving the wrong way: across the same 149 homes rated throughout, the average fell 0.32 stars 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.
149
Homes in this chain
17,670
Certified beds119 per home on average
57%
Occupied10,159 residents a day across 17,670 beds
-0.32
Star changeacross the 149 homes rated throughout · 2025-02 to 2026-06
1
State covered
2.1
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.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.7 of 5 | 149 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 1.1 of 5 | 149 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.2 of 5 | 149 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.
77 with immediate-jeopardy citations6 Special-Focus candidates22 with an abuse flag110 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.
$9.7M
Related-party expensesummed across 12 homes · FY2023–2024 cost reports
11%
of operating expensegoes to related companies, across the 12 homes reporting both figures
-12.3%
Operating marginrevenue-weighted across 146 homes with a cost report
$8.2M
Total federal fines110 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 69%Medicare 7%Other / private 24%
Weighted by each home’s average daily census, across the 146 of 149 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 |
|---|---|---|
| Afton Oaks Nursing and Rehabilitation CenterHouston, TX | 1 of 5 | 12 immediate-jeopardy SFF candidate Abuse flag $90,872 fined |
| Arlington Heights Health and Rehabilitation CenterFort Worth, TX | 1 of 5 | 1 immediate-jeopardy Abuse flag $31,539 fined |
| Beltline Healthcare CenterGarland, TX | 1 of 5 | 4 immediate-jeopardy SFF candidate $32,006 fined |
| Bluebonnet Nursing & RehabilitationKarnes City, TX | 1 of 5 | 3 immediate-jeopardy $125,523 fined |
| Bluebonnet Point WellnessBullard, TX | 1 of 5 | 1 immediate-jeopardy $181,947 fined |
| Brentwood Terrace Healthcare And RehabilitationParis, TX | 1 of 5 | 8 immediate-jeopardy $234,447 fined |
| Buena Vida Nursing and Rehab-San AntonioSan Antonio, TX | 1 of 5 | 3 immediate-jeopardy SFF candidate Abuse flag $174,889 fined |
| Cottonwood Nursing & RehabilitationDenton, TX | 1 of 5 | — |
| Countryview Nursing & RehabilitationTerrell, TX | 1 of 5 | 3 immediate-jeopardy Abuse flag $79,953 fined |
| Dogwood Trails ManorWoodville, TX | 1 of 5 | 2 immediate-jeopardy Abuse flag $23,104 fined |
| Downtown Health and Rehabilitation CenterFort Worth, TX | 1 of 5 | Abuse flag $36,418 fined |
| Estates Healthcare and Rehabilitation CenterFort Worth, TX | 1 of 5 | 4 immediate-jeopardy Abuse flag $159,833 fined |
| Fair Park Health & Rehabilitation CenterDallas, TX | 1 of 5 | Abuse flag |
| Five Points Nursing & Rehabilitation of College StCollege Station, TX | 1 of 5 | 3 immediate-jeopardy Abuse flag $39,676 fined |
| Five Points at Lake Highlands Nursing and RehabDallas, TX | 1 of 5 | 2 immediate-jeopardy $58,149 fined |
| Five Points of PflugervillePflugerville, TX | 1 of 5 | 2 immediate-jeopardy $59,449 fined |
| Franklin Heights Nursing & RehabilitationEl Paso, TX | 1 of 5 | 5 immediate-jeopardy $191,503 fined |
| Gilmer Nursing & RehabilitationGilmer, TX | 1 of 5 | 6 immediate-jeopardy $168,779 fined |
| Grace Pointe Wellness CenterEl Paso, TX | 1 of 5 | 5 immediate-jeopardy $76,770 fined |
| Graham Oaks Care CenterGraham, TX | 1 of 5 | Abuse flag $34,690 fined |
| Granbury Care CenterGranbury, TX | 1 of 5 | 1 immediate-jeopardy $37,501 fined |
| Greenhill VillasMount Pleasant, TX | 1 of 5 | 1 immediate-jeopardy $154,116 fined |
| Heritage At Longview Healthcare CenterLongview, TX | 1 of 5 | 1 immediate-jeopardy $81,752 fined |
| Huebner Creek Health & Rehabilitation CenterSan Antonio, TX | 1 of 5 | 1 immediate-jeopardy $14,327 fined |
| Interlochen Health and Rehabilitation CenterArlington, TX | 1 of 5 | 2 immediate-jeopardy $54,137 fined |
| Kenedy Health & RehabilitationKenedy, TX | 1 of 5 | $8,173 fined |
| Kennedy Health & RehabLufkin, TX | 1 of 5 | 9 immediate-jeopardy SFF candidate Abuse flag $247,037 fined |
| Lake Lodge Nursing & RehabilitationLake Worth, TX | 1 of 5 | 2 immediate-jeopardy $33,845 fined |
| Lampstand Nursing and RehabilitationBryan, TX | 1 of 5 | 2 immediate-jeopardy $31,460 fined |
| Lancaster Nursing & RehabilitationLancaster, TX | 1 of 5 | 3 immediate-jeopardy $56,554 fined |
| Marine Creek Nursing & RehabilitationFort Worth, TX | 1 of 5 | 3 immediate-jeopardy Abuse flag $23,621 fined |
| Mesa Vista Inn Health CenterSan Antonio, TX | 1 of 5 | $8,160 fined |
| Mountain View Health & RehabilitationEl Paso, TX | 1 of 5 | 3 immediate-jeopardy $123,186 fined |
| Navasota Nursing & RehabilitationNavasota, TX | 1 of 5 | 5 immediate-jeopardy $105,594 fined |
| Normandy Terrace Nursing & Rehabilitation CenterSan Antonio, TX | 1 of 5 | 3 immediate-jeopardy Abuse flag $287,359 fined |
| North Pointe Nursing and RehabilitationWatauga, TX | 1 of 5 | 4 immediate-jeopardy $36,475 fined |
| Park Place Care CenterGeorgetown, TX | 1 of 5 | 7 immediate-jeopardy Abuse flag $114,392 fined |
| Parkview Manor Nursing and RehabilitationWeimar, TX | 1 of 5 | Abuse flag $10,348 fined |
| Peach Tree PlaceWeatherford, TX | 1 of 5 | 5 immediate-jeopardy Abuse flag $149,221 fined |
| Pebble Creek Nursing CenterEl Paso, TX | 1 of 5 | 3 immediate-jeopardy SFF candidate Abuse flag $145,184 fined |
| Pecan Tree Rehab And Healthcare CenterGainesville, TX | 1 of 5 | 2 immediate-jeopardy $16,595 fined |
| Pine Tree Lodge Nursing CenterLongview, TX | 1 of 5 | 4 immediate-jeopardy $232,525 fined |
| Pleasant Springs Healthcare CenterMount Pleasant, TX | 1 of 5 | 2 immediate-jeopardy Abuse flag $65,650 fined |
| River City Care CenterSan Antonio, TX | 1 of 5 | 2 immediate-jeopardy Abuse flag $18,503 fined |
| River Oaks Health And Rehabilitation CenterFort Worth, TX | 1 of 5 | 2 immediate-jeopardy Abuse flag $60,095 fined |
| Rock Creek Health and RehabilitationSulphur Springs, TX | 1 of 5 | 1 immediate-jeopardy $58,807 fined |
| Sienna Nursing and RehabilitationOdessa, TX | 1 of 5 | 3 immediate-jeopardy $241,722 fined |
| Southern Specialty Rehab & NursingLubbock, TX | 1 of 5 | 3 immediate-jeopardy $36,652 fined |
| St. Teresa Nursing & Rehab CenterEl Paso, TX | 1 of 5 | $20,730 fined |
| The Atrium of BellmeadBellmead, TX | 1 of 5 | 1 immediate-jeopardy $27,853 fined |
| The Hills Nursing & RehabilitationDecatur, TX | 1 of 5 | 3 immediate-jeopardy $29,325 fined |
| The Rio at Mission TrailsSan Antonio, TX | 1 of 5 | 3 immediate-jeopardy $153,825 fined |
| Twin Pines Nursing and RehabilitationVictoria, TX | 1 of 5 | 2 immediate-jeopardy $37,487 fined |
| University Rehabilitation CenterDenton, TX | 1 of 5 | 4 immediate-jeopardy $33,117 fined |
| Vidor Health & Rehabilitation CenterVidor, TX | 1 of 5 | 3 immediate-jeopardy $43,212 fined |
| Villa Toscana At Cypress WoodsHouston, TX | 1 of 5 | 3 immediate-jeopardy $37,827 fined |
| Vintage Health Care CenterDenton, TX | 1 of 5 | 6 immediate-jeopardy $243,970 fined |
| Vista Hills Health Care CenterEl Paso, TX | 1 of 5 | $40,465 fined |
| Whispering Pines LodgeLongview, TX | 1 of 5 | 10 immediate-jeopardy SFF candidate Abuse flag $491,489 fined |
| Whisperwood Nursing & Rehabilitation CenterLubbock, TX | 1 of 5 | 1 immediate-jeopardy Abuse flag $19,546 fined |
| Amistad Nursing and Rehabilitation CenterUvalde, TX | 2 of 5 | — |
| Beaumont Nursing and RehabilitationBeaumont, TX | 2 of 5 | 1 immediate-jeopardy $275,992 fined |
| Caprock Nursing & RehabilitationBorger, TX | 2 of 5 | $10,145 fined |
| Castle Pines Health & RehabilitationLufkin, TX | 2 of 5 | 1 immediate-jeopardy $53,155 fined |
| Cedar Creek Nursing and Rehabilitation CenterBandera, TX | 2 of 5 | — |
| Five Points Nursing and RehabilitationDesoto, TX | 2 of 5 | 1 immediate-jeopardy |
| Fortress Nursing And RehabilitationCollege Station, TX | 2 of 5 | 2 immediate-jeopardy $17,014 fined |
| Ganado Nursing And Rehabilitation CenterGanado, TX | 2 of 5 | $8,422 fined |
| Georgia Manor Nursing HomeAmarillo, TX | 2 of 5 | $8,031 fined |
| Granbury Rehab & NursingGranbury, TX | 2 of 5 | — |
| Greenbrier Nursing & Rehabilitation Center of TyleTyler, TX | 2 of 5 | — |
| Heritage at Turner Park Health & RehabGrand Prairie, TX | 2 of 5 | 1 immediate-jeopardy $31,873 fined |
| Honey Grove Nursing CenterHoney Grove, TX | 2 of 5 | 2 immediate-jeopardy $80,698 fined |
| Kemp Care CenterKemp, TX | 2 of 5 | 3 immediate-jeopardy $256,260 fined |
| Kerens Care CenterKerens, TX | 2 of 5 | — |
| La Hacienda De Paz Rehabilitation and Care CenterEagle Pass, TX | 2 of 5 | $14,069 fined |
| Landmark of Plano Rehabilitation and Nursing CentePlano, TX | 2 of 5 | $9,240 fined |
| Longmeadow Healthcare CenterJustin, TX | 2 of 5 | $28,869 fined |
| Madisonville Care CenterMadisonville, TX | 2 of 5 | 1 immediate-jeopardy $18,852 fined |
| Matagorda Nursing & Rehabilitation CenterBay City, TX | 2 of 5 | 1 immediate-jeopardy $10,761 fined |
| Memphis Convalescent CenterMemphis, TX | 2 of 5 | 3 immediate-jeopardy $19,754 fined |
| Mission Ridge Rehab & Nursing CenterRefugio, TX | 2 of 5 | 1 immediate-jeopardy $37,698 fined |
| Mullican Care CenterSavoy, TX | 2 of 5 | $5,159 fined |
| Oakmont Healthcare and Rehabilitation Center of KaKaty, TX | 2 of 5 | $8,281 fined |
| Oakmont Healthcare and Rehabilitation of HumbleHumble, TX | 2 of 5 | 8 immediate-jeopardy $418,615 fined |
| Silver Tree Nursing And Rehabilitation CenterSchertz, TX | 2 of 5 | 1 immediate-jeopardy $114,303 fined |
| Songbird LodgeBrownwood, TX | 2 of 5 | $10,210 fined |
| St. Giles Nursing and Rehabilitation CenterEl Paso, TX | 2 of 5 | $13,065 fined |
| Sunflower Park Health CareKaufman, TX | 2 of 5 | 2 immediate-jeopardy $190,538 fined |
| Texoma Healthcare CenterSherman, TX | 2 of 5 | $16,441 fined |
| The Arbors Healthcare And Rehabilitation CenterRusk, TX | 2 of 5 | — |
| Treemont Healthcare and Rehabilitation CenterDallas, TX | 2 of 5 | 1 immediate-jeopardy $63,262 fined |
| Twin Oaks Health & Rehabilitation CenterJacksonville, TX | 2 of 5 | 2 immediate-jeopardy $174,431 fined |
| Twin Pines North Nursing and Rehabilitation CenterVictoria, TX | 2 of 5 | — |
| Whitesboro Health and Rehabilitation CenterWhitesboro, TX | 2 of 5 | $30,253 fined |
| Winnie L Nursing & RehabilitationCameron, TX | 2 of 5 | 3 immediate-jeopardy $51,479 fined |
| Alvarado Meadows Nursing & RehabilitationAlvarado, TX | 3 of 5 | 2 immediate-jeopardy $85,479 fined |
| Amarillo Center For Skilled CareAmarillo, TX | 3 of 5 | 1 immediate-jeopardy $21,390 fined |
| Ballinger Healthcare And Rehabilitation CenterBallinger, TX | 3 of 5 | — |
| Big Spring Center For Skilled CareBig Spring, TX | 3 of 5 | $8,184 fined |
| Brownwood Nursing & RehabilitationBrownwood, TX | 3 of 5 | — |
| Buena Vida Nursing & Rehab OdessaOdessa, TX | 3 of 5 | 1 immediate-jeopardy $8,724 fined |
| Care Nursing & RehabilitationBrownwood, TX | 3 of 5 | — |
| Central Texas Nursing & RehabilitationBallinger, TX | 3 of 5 | $8,936 fined |
| Cherokee Rose Nursing And RehabilitationGlen Rose, TX | 3 of 5 | — |
| Copperas Hollow Nursing & Rehabilitation CenterCaldwell, TX | 3 of 5 | 2 immediate-jeopardy $49,901 fined |
| Crossroads Nursing & RehabilitationHearne, TX | 3 of 5 | — |
| Deerings Nursing and RehabilitationOdessa, TX | 3 of 5 | $8,278 fined |
| Desoto Nursing & Rehabilitation CenterDesoto, TX | 3 of 5 | $8,281 fined |
| Eagle Pass Nursing and RehabilitationEagle Pass, TX | 3 of 5 | $17,419 fined |
| Franklin Nursing HomeFranklin, TX | 3 of 5 | — |
| Groveton Nursing HomeGroveton, TX | 3 of 5 | 1 immediate-jeopardy $56,378 fined |
| Heritage Place Of DecaturDecatur, TX | 3 of 5 | — |
| La Vida Serena Nursing And RehabilitationDel Rio, TX | 3 of 5 | $8,404 fined |
| Landmark of Amarillo Rehabilitation and Nursing CeAmarillo, TX | 3 of 5 | $160,948 fined |
| Lubbock Health Care CenterLubbock, TX | 3 of 5 | — |
| McLean Care CenterMclean, TX | 3 of 5 | $13,070 fined |
| North Park Health and Rehabilitation CenterMcKinney, TX | 3 of 5 | — |
| Oak Ridge ManorBrownwood, TX | 3 of 5 | $129,761 fined |
| Park Plaza Nursing And Rehabilitation CenterSan Angelo, TX | 3 of 5 | — |
| Rockwall Nursing Care CenterRockwall, TX | 3 of 5 | 2 immediate-jeopardy $58,059 fined |
| Shiner Nursing and Rehabilitation CenterShiner, TX | 3 of 5 | — |
| Skilled Care of MexiaMexia, TX | 3 of 5 | $24,634 fined |
| The Park in PlanoPlano, TX | 3 of 5 | — |
| The Premier SNF Of AliceAlice, TX | 3 of 5 | — |
| University Park Nursing And RehabilitationWichita Falls, TX | 3 of 5 | — |
| Wellington Care CenterWellington, TX | 3 of 5 | $13,070 fined |
| Westward Trails Nursing and RehabilitationNacogdoches, TX | 3 of 5 | $25,036 fined |
| Avalon Place KirbyvilleKirbyville, TX | 4 of 5 | $9,113 fined |
| Bertram Nursing And RehabilitationBertram, TX | 4 of 5 | 1 immediate-jeopardy $10,135 fined |
| Birchwood Nursing And RehabilitationCooper, TX | 4 of 5 | — |
| Cedar Manor Nursing and Rehabilitation CenterSan Angelo, TX | 4 of 5 | — |
| Concho Health & Rehabilitation CenterEden, TX | 4 of 5 | — |
| Fairfield Nursing & Rehabilitation CenterFairfield, TX | 4 of 5 | — |
| Five Points Nursing and RehabilitationAmarillo, TX | 4 of 5 | $8,420 fined |
| Greenbrier Nursing & Rehabilitation Center of PalePalestine, TX | 4 of 5 | — |
| Heritage House Nursing And RehabilitationRosebud, TX | 4 of 5 | 1 immediate-jeopardy $13,804 fined |
| Mineral Wells Nursing & RehabilitationMineral Wells, TX | 4 of 5 | — |
| Oasis Nursing & Rehabilitation CenterEl Paso, TX | 4 of 5 | — |
| Park Highlands Nursing & Rehabilitation CenterAthens, TX | 4 of 5 | — |
| Seven Oaks Nursing & RehabilitationBonham, TX | 4 of 5 | — |
| Slaton Care CenterSlaton, TX | 4 of 5 | $23,491 fined |
| Twilight HomeCorsicana, TX | 4 of 5 | 1 immediate-jeopardy $12,795 fined |
| De Leon Nursing and RehabilitationDe Leon, TX | 5 of 5 | — |
| Devine Health & RehabilitationDevine, TX | 5 of 5 | — |
| Great Plains Nursing and RehabilitationDumas, TX | 5 of 5 | — |
| La Bahia Nursing & RehabilitationGoliad, TX | 5 of 5 | — |
| San Saba Nursing & RehabilitationSan Saba, TX | 5 of 5 | — |
| Shady Oak Nursing And RehabilitationMoulton, 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.