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HMG HEALTHCARE

Ownership rollup across 31 nursing homes in 2 states: Kansas, 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 ~2.7 average of the 2 states it operates in — better than its local peers. It is improving: across the same 31 homes rated throughout, the average rose 0.39 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.

31
Homes in this chain
3,870
Certified beds125 per home on average
73%
Occupied2,826 residents a day across 3,870 beds
+0.39
Star changeacross the 31 homes rated throughout · 2025-02 to 2026-06
2
States covered
3.1
Average CMS rating~2.7 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 inspection2.8 of 531 rated homesstate surveyors’ findings, ranked within each state
Staffing1.8 of 531 rated homesfrom payroll (PBJ) hours
Quality measures4.4 of 531 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.

17 with immediate-jeopardy citations3 Special-Focus candidates3 with an abuse flag21 with federal fines
Ownership

3 of this chain’s 31 homes are tied to a real-estate investment trust (REIT) in CMS ownership records. Private-equity and REIT operators are the focus of most research into how money is moved out of nursing homes — often through the related-party payments shown below. CMS under-reports these ties, so read this as a floor.

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.

$1.1M
Related-party expensesummed across 3 homes · FY2023 cost reports
4%
of operating expensegoes to related companies, across the 3 homes reporting both figures
-2.7%
Operating marginrevenue-weighted across 31 homes with a cost report
$1.6M
Total federal fines21 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 62%Medicare 8%Other / private 30%

Weighted by each home’s average daily census, across the all 31 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
Smoky Hill Rehabilitation CenterSalina, KS 1 of 51 immediate-jeopardy SFF candidate Abuse flag $140,605 fined
Tanglewood Nursing & RehabilitationTopeka, KS 1 of 52 immediate-jeopardy SFF candidate $227,440 fined
Deerbrook Skilled Nursing and Rehab CenterHumble, TX 1 of 55 immediate-jeopardy SFF candidate Abuse flag $176,222 fined
Park Manor of Cypress StationHouston, TX 1 of 54 immediate-jeopardy Abuse flag $33,822 fined
Silver SpringAbilene, TX 1 of 57 immediate-jeopardy
Treviso Transitional CareLongview, TX 1 of 54 immediate-jeopardy $150,705 fined
Accel at College StationCollege Station, TX 2 of 510 immediate-jeopardy $74,042 fined
Park Manor Of TomballTomball, TX 2 of 52 immediate-jeopardy $14,069 fined
Park Manor of Quail ValleyMissouri City, TX 2 of 51 immediate-jeopardy REIT-owned
Park Manor of WestchaseHouston, TX 2 of 55 immediate-jeopardy $127,277 fined REIT-owned
Arbrook PlazaArlington, TX 3 of 5
Cimarron Place Health & RehabilitationCorpus Christi, TX 3 of 5$19,143 fined
Forum Parkway Health & RehabilitationBedford, TX 3 of 51 immediate-jeopardy $19,083 fined
Green Oaks Nursing & RehabilitationArlington, TX 3 of 51 immediate-jeopardy $83,850 fined
Hewitt Nursing And RehabilitationHewitt, TX 3 of 54 immediate-jeopardy $33,539 fined
Methodist Transitional Care Center-Desoto LLCDesoto, TX 3 of 53 immediate-jeopardy $27,993 fined
Red Oak Health and Rehabilitation CenterRed Oak, TX 3 of 5$12,035 fined
Willowbrook Nursing CenterNacogdoches, TX 3 of 51 immediate-jeopardy $153,439 fined
Friendship Haven Healthcare And Rehabilitation CenFriendswood, TX 4 of 5$8,018 fined
Gulf Pointe PlazaRockport, TX 4 of 5
Mission Nursing and Rehabilitation CenterMission, TX 4 of 5$8,190 fined
Park Manor Of HumbleHumble, TX 4 of 53 immediate-jeopardy $181,138 fined REIT-owned
Park Manor Of South BeltHouston, TX 4 of 5
Park Manor Of The WoodlandsThe Woodlands, TX 4 of 5
Crowley Nursing And RehabilitationCrowley, TX 5 of 5$18,470 fined
Harbor Lakes Nursing And Rehabilitation CenterGranbury, TX 5 of 5
Holland Lake Rehabilitation And Wellness CenterWeatherford, TX 5 of 5
Park Manor Of CyfairHouston, TX 5 of 5
Pecan Bayou Nursing And RehabilitationBrownwood, TX 5 of 52 immediate-jeopardy $48,415 fined
Stallings Court Nursing and RehabilitationNacogdoches, TX 5 of 5
Stonegate Nursing And RehabilitationFort Worth, TX 5 of 5$16,801 fined
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.