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Health Services Management nursing homes
16 nursing homes with 1,865 beds in Texas (10), Florida (6).
CMS affiliated entity 257 · data as of September 1, 2026
The group's record in brief
CMS links 16 certified nursing homes in 2 states to Health Services Management: 1 for profit, 13 nonprofit, 2 government run. 16 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 276 health citations; 24 citations were rated actual harm or immediate jeopardy, 19 of them immediate jeopardy. At their latest standard inspections the homes averaged 5.8 health deficiencies (national average 9.2).
10 homes in the group were fined in the last three years, $450,043 in all across 12 fines. Average nursing staff turnover across its homes was 52.2% (national 45.8%).
Staffing across the group
Daily payroll records from 16 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 13% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.67 | 3.75 |
| Registered nurses | 0.51 | 0.62 |
| Weekdays | 3.82 | 3.92 |
| Weekends | 3.31 | 3.33 |
| Share of nursing hours by contract staff | 4.5% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
16 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 3.2 overall, 3.1 health inspections, 2.6 staffing, 3.5 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 2 | |
| 4 of 5 | 7 | |
| 3 of 5 | 1 | |
| 2 of 5 | 4 | |
| 1 of 5 | 2 |
Across the group: 24 citations rated actual harm or immediate jeopardy, and an average of 3.67 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Brooksville Healthcare Center | Brooksville | FL | 3 | 21 | $37,811 |
| Cypress Cove Care Center | Crystal River | FL | 5 | 5 | |
| Royal Oak Nursing Center | Dade City | FL | 4 | 14 | |
| Bear Creek Nursing Center | Hudson | FL | 2 | 21 | $34,053 |
| Heather Hill Healthcare Center | New Port Richey | FL | 2 | 25 | |
| Ayers Health and Rehabilitation Center | Trenton | FL | 2 | 17 | $16,153 |
| Beaumont Health Care Center | Beaumont | TX | 5 | 13 | |
| College Street Health Care Center | Beaumont | TX | 4 | 22 | |
| Cleveland Health Care Center | Cleveland | TX | 4 | 11 | $16,801 |
| Conroe Health Care Center | Conroe | TX | 2 | 20 | $12,860 |
| West Janisch Health Care Center | Houston | TX | 1 | 20 | |
| Huntsville Health Care Center | Huntsville | TX | 4 | 18 | $14,069 |
| Liberty Health Care Center | Liberty | TX | 1 | 19 | $217,078 |
| Richmond Health Care Center | Richmond | TX | 4 | 23 | $78,036 |
| Sugar Land Health Care Center | Sugar Land | TX | 4 | 14 | $14,901 |
| Lawrence Street Health Care Center | Tomball | TX | 4 | 13 | $8,281 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.