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Hamilton County Hospital District nursing homes
10 nursing homes with 1,109 beds in Texas (10).
CMS affiliated entity 589 · data as of September 1, 2026
The group's record in brief
CMS links 10 certified nursing homes in 1 state to Hamilton County Hospital District: 5 for profit, 0 nonprofit, 5 government run. 10 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 267 health citations; 31 citations were rated actual harm or immediate jeopardy, 24 of them immediate jeopardy. At their latest standard inspections the homes averaged 4.9 health deficiencies (national average 9.2).
9 homes in the group were fined in the last three years, $296,475 in all across 16 fines. Average nursing staff turnover across its homes was 49.4% (national 45.8%).
Staffing across the group
Daily payroll records from 10 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 16% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.18 | 3.75 |
| Registered nurses | 0.38 | 0.62 |
| Weekdays | 3.34 | 3.92 |
| Weekends | 2.81 | 3.33 |
| Share of nursing hours by contract staff | 1.4% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
10 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 2.3 overall, 2.6 health inspections, 2.1 staffing, 3.6 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 1 | |
| 4 of 5 | 0 | |
| 3 of 5 | 3 | |
| 2 of 5 | 3 | |
| 1 of 5 | 3 |
Across the group: 31 citations rated actual harm or immediate jeopardy, and an average of 3.17 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Riverside Nursing and Rehabilitation Center | Austin | TX | 1 | 28 | $10,820 |
| Lake Hills Healthcare Center | Brownwood | TX | 3 | 27 | $22,084 |
| Avir at Hillview | Goldthwaite | TX | 5 | 14 | |
| Goldthwaite Health & Rehab Center | Goldthwaite | TX | 2 | 19 | $32,545 |
| Avante Rehabilitation Center | Irving | TX | 2 | 19 | $24,542 |
| Colonial Manor Advanced Rehab & Healthcare | Pharr | TX | 1 | 37 | $54,998 |
| The Reserve at Richardson | Richardson | TX | 3 | 35 | $14,069 |
| Rosenberg Health & Rehabilitation Center | Rosenberg | TX | 1 | 29 | $97,334 |
| Cedar Hollow Rehabilitation Center | Sherman | TX | 3 | 30 | $31,673 |
| Avir at the Lakes | Texas City | TX | 2 | 29 | $8,410 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Staff pay reports
Staff pay at Hamilton County Hospital District homes
No staff pay figure at Hamilton County Hospital District homes has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review, and, for a group, from at least 2 homes.
Official wage estimates, United States
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
| All employers | |||
| CNAs (nursing assistants) | $20.32 | $17.91 to $22.70 | 1,448,910 |
| LPNs and LVNs | $30.96 | $28.37 to $36.55 | 648,410 |
| Registered nurses | $46.90 | $38.62 to $54.02 | 3,379,720 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides.
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