Creative Solutions in Healthcare
CMS Care Compare chain (Chain ID 169). Figures below are CMS-published chain averages and facility designations, not ElderCareCosts scores or opinions.
CMS chain averages
- Facilities in chain (CMS): 149
- Average overall rating: 2.1
- Average health inspection rating: 2.7
- Average staffing rating: 1.1
- Average quality measure rating: 3.2
Source: CMS Nursing Home Provider Information (Chain / Affiliated Entity columns). Missing values mean CMS did not publish that average for this chain.
The enforcement and staffing record
- Stored CMS fine totals across the linked facilities on this page sum to $3,771,278, spread over 62 of 100 facilities (CMS quality snapshot 2026-08-01). A fine total can span multiple years and may include resolved or appealed matters.
- Median reported nurse staffing: 3.13 hours per resident day across 100 reporting facilities (CMS Payroll-Based Journal, 2026Q1).
These are counts of public records, not a safety score. Each facility's own page shows its inspection history with the official source linked.
Special Focus designations in this chain
Among linked nursing homes on this page: 0 Special Focus Facility (SFF) and 3 SFF candidates per CMS Provider Information. These are public CMS designations.
Linked nursing homes
- De Leon Nursing and Rehabilitation
De Leon, TX · Overall 5 out of 5 stars · 2.95 hrs/resident-day
- Devine Health & Rehabilitation
Devine, TX · Overall 5 out of 5 stars · 3.33 hrs/resident-day
- Great Plains Nursing and Rehabilitation
Dumas, TX · Overall 5 out of 5 stars · 3.55 hrs/resident-day
- La Bahia Nursing & Rehabilitation
Goliad, TX · Overall 5 out of 5 stars · 2.95 hrs/resident-day
- San Saba Nursing & Rehabilitation
San Saba, TX · Overall 5 out of 5 stars · 2.26 hrs/resident-day
- Shady Oak Nursing and Rehabilitation
Moulton, TX · Overall 5 out of 5 stars · 2.85 hrs/resident-day
- Avalon Place Kirbyville
Kirbyville, TX · Overall 4 out of 5 stars · $9,113 stored fines · 3.42 hrs/resident-day
- Bertram Nursing and Rehabilitation
Bertram, TX · Overall 4 out of 5 stars · $10,135 stored fines · 2.73 hrs/resident-day
- Birchwood Nursing and Rehabilitation
Cooper, TX · Overall 4 out of 5 stars · 3.11 hrs/resident-day
- Cedar Manor Nursing and Rehabilitation Center
San Angelo, TX · Overall 4 out of 5 stars · 3.42 hrs/resident-day
- Concho Health & Rehabilitation Center
Eden, TX · Overall 4 out of 5 stars · 3.15 hrs/resident-day
- Fairfield Nursing & Rehabilitation Center
Fairfield, TX · Overall 4 out of 5 stars · 3.09 hrs/resident-day
- Five Points Nursing and Rehabilitation
Amarillo, TX · Overall 4 out of 5 stars · $8,420 stored fines · 3.51 hrs/resident-day
- Greenbrier Nursing & Rehabilitation Center of Pale
Palestine, TX · Overall 4 out of 5 stars · 3.18 hrs/resident-day
- Heritage House Nursing and Rehabilitation
Rosebud, TX · Overall 4 out of 5 stars · $13,804 stored fines · 3.05 hrs/resident-day
- Mineral Wells Nursing & Rehabilitation
Mineral Wells, TX · Overall 4 out of 5 stars · 3.05 hrs/resident-day
- Oasis Nursing & Rehabilitation Center
El Paso, TX · Overall 4 out of 5 stars · 3.40 hrs/resident-day
- Park Highlands Nursing & Rehabilitation Center
Athens, TX · Overall 4 out of 5 stars · 3.05 hrs/resident-day
- Seven Oaks Nursing & Rehabilitation
Bonham, TX · Overall 4 out of 5 stars · 2.81 hrs/resident-day
- Slaton Care Center
Slaton, TX · Overall 4 out of 5 stars · $23,491 stored fines · 2.84 hrs/resident-day
- Twilight Home
Corsicana, TX · Overall 4 out of 5 stars · $12,795 stored fines · 3.30 hrs/resident-day
- Alvarado Meadows Nursing & Rehabilitation
Alvarado, TX · Overall 3 out of 5 stars · $85,479 stored fines · 3.36 hrs/resident-day
- Amarillo Center for Skilled Care
Amarillo, TX · Overall 3 out of 5 stars · $21,390 stored fines · 3.31 hrs/resident-day
- Ballinger Healthcare and Rehabilitation Center
Ballinger, TX · Overall 3 out of 5 stars · 3.04 hrs/resident-day
- Big Spring Center for Skilled Care
Big Spring, TX · Overall 3 out of 5 stars · $8,184 stored fines · 3.43 hrs/resident-day
- Brownwood Nursing & Rehabilitation
Brownwood, TX · Overall 3 out of 5 stars · 2.79 hrs/resident-day
- Buena Vida Nursing & Rehab Odessa
Odessa, TX · Overall 3 out of 5 stars · $8,724 stored fines · 2.52 hrs/resident-day
- Care Nursing & Rehabilitation
Brownwood, TX · Overall 3 out of 5 stars · 2.98 hrs/resident-day
- Central Texas Nursing & Rehabilitation
Ballinger, TX · Overall 3 out of 5 stars · $8,936 stored fines · 3.04 hrs/resident-day
- Cherokee Rose Nursing and Rehabilitation
Glen Rose, TX · Overall 3 out of 5 stars · 3.20 hrs/resident-day
- Copperas Hollow Nursing & Rehabilitation Center
Caldwell, TX · Overall 3 out of 5 stars · $49,901 stored fines · 3.30 hrs/resident-day
- Crossroads Nursing & Rehabilitation
Hearne, TX · Overall 3 out of 5 stars · 3.07 hrs/resident-day
- Deerings Nursing and Rehabilitation
Odessa, TX · Overall 3 out of 5 stars · $8,278 stored fines · 2.71 hrs/resident-day
- Desoto Nursing & Rehabilitation Center
Desoto, TX · Overall 3 out of 5 stars · $8,281 stored fines · 2.96 hrs/resident-day
- Eagle Pass Nursing and Rehabilitation
Eagle Pass, TX · Overall 3 out of 5 stars · $17,419 stored fines · 3.08 hrs/resident-day
- Franklin Nursing Home
Franklin, TX · Overall 3 out of 5 stars · 3.13 hrs/resident-day
- Groveton Nursing Home
Groveton, TX · Overall 3 out of 5 stars · $56,378 stored fines · 3.25 hrs/resident-day
- Heritage Place of Decatur
Decatur, TX · Overall 3 out of 5 stars · 2.99 hrs/resident-day
- La Vida Serena Nursing and Rehabilitation
Del Rio, TX · Overall 3 out of 5 stars · $8,404 stored fines · 2.87 hrs/resident-day
- Landmark of Amarillo Rehabilitation and Nursing Ce
Amarillo, TX · Overall 3 out of 5 stars · $160,948 stored fines · 3.43 hrs/resident-day
- Lubbock Health Care Center
Lubbock, TX · Overall 3 out of 5 stars · 3.12 hrs/resident-day
- Mclean Care Center
Mclean, TX · Overall 3 out of 5 stars · $13,070 stored fines · 3.51 hrs/resident-day
- North Park Health and Rehabilitation Center
Mckinney, TX · Overall 3 out of 5 stars · 3.05 hrs/resident-day
- Oak Ridge Manor
Brownwood, TX · Overall 3 out of 5 stars · $129,761 stored fines · 3.29 hrs/resident-day
- Park Plaza Nursing and Rehabilitation Center
San Angelo, TX · Overall 3 out of 5 stars · 3.32 hrs/resident-day
- Rockwall Nursing Care Center
Rockwall, TX · Overall 3 out of 5 stars · $58,059 stored fines · 3.26 hrs/resident-day
- Shiner Nursing and Rehabilitation Center
Shiner, TX · Overall 3 out of 5 stars · 3.13 hrs/resident-day
- Skilled Care of Mexia
Mexia, TX · Overall 3 out of 5 stars · $24,634 stored fines · 3.17 hrs/resident-day
- The Park in Plano
Plano, TX · Overall 3 out of 5 stars · 3.13 hrs/resident-day
- The Premier SNF of Alice
Alice, TX · Overall 3 out of 5 stars · 2.99 hrs/resident-day
- University Park Nursing and Rehabilitation
Wichita Falls, TX · Overall 3 out of 5 stars · 2.97 hrs/resident-day
- Wellington Care Center
Wellington, TX · Overall 3 out of 5 stars · $13,070 stored fines · 3.07 hrs/resident-day
- Westward Trails Nursing and Rehabilitation
Nacogdoches, TX · Overall 3 out of 5 stars · $25,036 stored fines · 3.27 hrs/resident-day
- Amistad Nursing and Rehabilitation Center
Uvalde, TX · Overall 2 out of 5 stars · 2.77 hrs/resident-day
- Beaumont Nursing and Rehabilitation
Beaumont, TX · Overall 2 out of 5 stars · $275,992 stored fines · 3.32 hrs/resident-day
- Caprock Nursing & Rehabilitation
Borger, TX · Overall 2 out of 5 stars · $10,145 stored fines · 2.82 hrs/resident-day
- Castle Pines Health & Rehabilitation
Lufkin, TX · Overall 2 out of 5 stars · $53,155 stored fines · 3.35 hrs/resident-day
- Cedar Creek Nursing and Rehabilitation Center
Bandera, TX · Overall 2 out of 5 stars · 3.35 hrs/resident-day
- Five Points Nursing and Rehabilitation
Desoto, TX · Overall 2 out of 5 stars · 3.03 hrs/resident-day
- Fortress Nursing and Rehabilitation
College Station, TX · Overall 2 out of 5 stars · $17,014 stored fines · 2.84 hrs/resident-day
- Ganado Nursing and Rehabilitation Center
Ganado, TX · Overall 2 out of 5 stars · $8,422 stored fines · 3.03 hrs/resident-day
- Georgia Manor Nursing Home
Amarillo, TX · Overall 2 out of 5 stars · $8,031 stored fines · 3.01 hrs/resident-day
- Granbury Rehab & Nursing
Granbury, TX · Overall 2 out of 5 stars · 3.03 hrs/resident-day
- Greenbrier Nursing & Rehabilitation Center of Tyle
Tyler, TX · Overall 2 out of 5 stars · 3.06 hrs/resident-day
- Heritage at Turner Park Health & Rehab
Grand Prairie, TX · Overall 2 out of 5 stars · $31,873 stored fines · 3.41 hrs/resident-day
- Honey Grove Nursing Center
Honey Grove, TX · Overall 2 out of 5 stars · $80,698 stored fines · 3.50 hrs/resident-day
- Kemp Care Center
Kemp, TX · Overall 2 out of 5 stars · $256,260 stored fines · 2.88 hrs/resident-day
- Kerens Care Center
Kerens, TX · Overall 2 out of 5 stars · 2.95 hrs/resident-day
- La Hacienda De Paz Rehabilitation and Care Center
Eagle Pass, TX · Overall 2 out of 5 stars · $14,069 stored fines · 3.12 hrs/resident-day
- Landmark of Plano Rehabilitation and Nursing Cente
Plano, TX · Overall 2 out of 5 stars · $9,240 stored fines · 3.42 hrs/resident-day
- Longmeadow Healthcare Center
Justin, TX · Overall 2 out of 5 stars · $28,869 stored fines · 2.70 hrs/resident-day
- Madisonville Care Center
Madisonville, TX · Overall 2 out of 5 stars · $18,852 stored fines · 3.19 hrs/resident-day
- Matagorda Nursing & Rehabilitation Center
Bay City, TX · Overall 2 out of 5 stars · $10,761 stored fines · 3.50 hrs/resident-day
- Memphis Convalescent Center
Memphis, TX · Overall 2 out of 5 stars · $19,754 stored fines · 3.39 hrs/resident-day
- Mission Ridge Rehab & Nursing Center
Refugio, TX · Overall 2 out of 5 stars · $37,698 stored fines · 3.19 hrs/resident-day
- Mullican Care Center
Savoy, TX · Overall 2 out of 5 stars · $5,159 stored fines · 3.44 hrs/resident-day
- Oakmont Healthcare and Rehabilitation Center of Ka
Katy, TX · Overall 2 out of 5 stars · $8,281 stored fines · 2.91 hrs/resident-day
- Oakmont Healthcare and Rehabilitation of Humble
Humble, TX · Overall 2 out of 5 stars · $418,615 stored fines · 3.27 hrs/resident-day
- Silver Tree Nursing and Rehabilitation Center
Schertz, TX · Overall 2 out of 5 stars · $114,303 stored fines · 3.26 hrs/resident-day
- Songbird Lodge
Brownwood, TX · Overall 2 out of 5 stars · $10,210 stored fines · 3.06 hrs/resident-day
- St. Giles Nursing and Rehabilitation Center
El Paso, TX · Overall 2 out of 5 stars · $13,065 stored fines · 3.61 hrs/resident-day
- Sunflower Park Health Care
Kaufman, TX · Overall 2 out of 5 stars · $190,538 stored fines · 3.24 hrs/resident-day
- Texoma Healthcare Center
Sherman, TX · Overall 2 out of 5 stars · $16,441 stored fines · 3.24 hrs/resident-day
- The Arbors Healthcare and Rehabilitation Center
Rusk, TX · Overall 2 out of 5 stars · 3.11 hrs/resident-day
- Treemont Healthcare and Rehabilitation Center
Dallas, TX · Overall 2 out of 5 stars · $63,262 stored fines · 3.42 hrs/resident-day
- Twin Oaks Health & Rehabilitation Center
Jacksonville, TX · Overall 2 out of 5 stars · $174,431 stored fines · 2.97 hrs/resident-day
- Twin Pines North Nursing and Rehabilitation Center
Victoria, TX · Overall 2 out of 5 stars · 3.20 hrs/resident-day
- Whitesboro Health and Rehabilitation Center
Whitesboro, TX · Overall 2 out of 5 stars · $30,253 stored fines · 2.86 hrs/resident-day
- Winnie L Nursing & Rehabilitation
Cameron, TX · Overall 2 out of 5 stars · $51,479 stored fines · 3.27 hrs/resident-day
- Afton Oaks Nursing and Rehabilitation Center
Houston, TX · Overall 1 out of 5 stars · $90,872 stored fines · 3.59 hrs/resident-day · SFF Candidate
- Arlington Heights Health and Rehabilitation Center
Fort Worth, TX · Overall 1 out of 5 stars · $31,539 stored fines · 3.27 hrs/resident-day
- Beltline Healthcare Center
Garland, TX · Overall 1 out of 5 stars · $32,006 stored fines · 3.07 hrs/resident-day · SFF Candidate
- Bluebonnet Nursing & Rehabilitation
Karnes City, TX · Overall 1 out of 5 stars · $125,523 stored fines · 3.40 hrs/resident-day
- Bluebonnet Point Wellness
Bullard, TX · Overall 1 out of 5 stars · $181,947 stored fines · 2.80 hrs/resident-day
- Brentwood Terrace Healthcare and Rehabilitation
Paris, TX · Overall 1 out of 5 stars · $234,447 stored fines · 3.04 hrs/resident-day
- Buena Vida Nursing and Rehab-San Antonio
San Antonio, TX · Overall 1 out of 5 stars · $174,889 stored fines · 2.93 hrs/resident-day · SFF Candidate
- Cottonwood Nursing & Rehabilitation
Denton, TX · Overall 1 out of 5 stars · 3.24 hrs/resident-day
- Countryview Nursing & Rehabilitation
Terrell, TX · Overall 1 out of 5 stars · $79,953 stored fines · 3.13 hrs/resident-day
- Dogwood Trails Manor
Woodville, TX · Overall 1 out of 5 stars · $23,104 stored fines · 3.38 hrs/resident-day
- Downtown Health and Rehabilitation Center
Fort Worth, TX · Overall 1 out of 5 stars · $36,418 stored fines · 3.24 hrs/resident-day
Showing up to 100 linked facilities currently in our directory (CMS reports 149 in chain).