2001 6th St., Ballinger, TX 76821 · Runnels County · (325) 365-5766
114 certified beds, about 60 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675614 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 19, 2026, inspectors cited 6 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 11 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.04 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.27 of those hours.
96.1% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 resident (Resident #1) reviewed for accidents, hazards, supervision. CNA A and CNA B improperly transferred Resident #1 by hooking their arms under hers. The failure could place residents who required assistance during transfers at risk for injuries.
Inspectors wroteBased on interview and record review, the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis. The facility failed to ensure they employed had a full time or interim DON from 12/27/2025 through present (02/19/2026). This failure could place all residents at risk of not receiving necessary care and services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who needs respiratory care is provided such care, consistent with professional standards of practice for 2 (Resident #2 and #36) of 4 residents observed for oxygen management. The facility failed to ensure Resident #2 and Resident #36 had an oxygen signs posted outside their room. This failure could place residents on oxygen therapy at risk of receiving incorrect or inadequate oxygen support and at risk of harm and exposure to a fire hazard if staff and visitors are not aware of oxygen present.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each room was designed or equipped to assure full visual privacy for 3 (Rooms 5, 18 and 21) of 30 dual occupancy rooms reviewed for privacy in the facility. The facility failed to ensure that dual occupancy rooms were provided with ceiling suspended curtains, which extended around the bed, to provide total visual privacy. This failure could lead to a lack of privacy for residents, allow residents' private medical treatment to be observed by roommates or others, and lead to a decline in psychosocial well-being.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure services provided by the facility, as outlined by the comprehensive care plan, met professional standards of quality for one (Resident #27) of one resident observed for g-tube feedings. The facility failed to ensure the ADON administered medication and water to Resident #27 via her gastrostomy tube (g-tube) by following facility policy. The Facility failed to ensure the ADON performed hand hygiene and changed gloves while administering medication via g-tube. The facility failed to ensure the ADON cleaned the plunger after it came off established clean field area before using it again. These failures could place residents at risk for fluid overload, weight loss, aspiration pneumonia, abdominal discomfort, and risk for spread of infection.
Inspectors wroteBased on interview and record review, the facility failed to maintain medical records that were complete and accurately documented for 1 of 12 residents (Resident #2) reviewed, in that: The facility failed to ensure Resident #2's eTAR for the month of January 2026 were completed by the nursing staff and not left blank. This failure could place residents at risk of not receiving proper care and having their personal needs met.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 1 (Resident #9) of 3 residents reviewed for infection control. The facility failed to ensure LVN A used recommended PPE for Resident #9 who was on EBP precautions when changing her urinary catheter. This failure could place residents at risk of cross contamination and the spread of infection.
Inspectors wroteBased on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food and nutrition services. 1. The facility failed to ensure chicken was thawed under running water or in the refrigerator. 2. The facility failed to ensure staff appropriately cleaned and sanitized the thermometer prior testing food temperatures. 3. The facility failed to ensure sick staff wore an appropriate face mask. 4. The facility failed to ensure staff wore effective hair restraints. 5. The facility failed to ensure food was stored in a manner that was not opened to the air. These failures could place residents at risk for food borne illness and cross contamination.
Inspectors wroteBased on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 3 residents (Residents #2 and #5) reviewed for infection control. 1. RN A failed to wash her hands or use hand sanitizer between glove changes during wound care for Resident #5. 2. RN A failed to wash her hands or use hand sanitizer between glove changes during medication administration and PEG tube dressing change for Resident #2. These failures could place resident's risk for cross contamination and the spread of infection.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for 1 of 2 treatment carts (Hall 4 cart) reviewed for medication storage. The facility failed to ensure the nurses' treatment cart was not left unlocked and unsupervised for 10 minutes on hall 4. This failure could place residents at risk of loss, diversion or accidental ingestion of medications.
Inspectors wroteBased on observation, interview, and record review the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys for one medication cart (carts A and C) of four medication carts reviewed for label and storage of drugs and biologicals. The facility failed to ensure treatment cart A was locked when unattended. The facility failed to ensure medication cart C was locked when unattended. This failure could place residents at risk of having access to unauthorized medications and/or lead to possible harm or drug diversions.
4 fire safety citations on file: 3 on February 19, 2026, 1 on November 21, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.04 | 3.39 | 3.86 |
| Registered nurses | 0.27 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.72 | 2.98 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 96.1% | 55.3% | 45.8% |
| Registered nurse turnover | 100.0% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.17 on weekdays and 2.72 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.42 in April to June 2025 to 3.04 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.04 | 0.27 | 3.17 | 2.72 | 0.0% | 1 of 90 | 60 |
| Oct to Dec 2025 | 3.17 | 0.32 | 3.31 | 2.79 | 0.0% | 3 of 92 | 60 |
| Jul to Sep 2025 | 3.25 | 0.38 | 3.37 | 2.97 | 0.0% | 0 of 92 | 60 |
| Apr to Jun 2025 | 3.42 | 0.40 | 3.67 | 2.79 | 0.0% | 4 of 91 | 60 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Trains nurse aides: this home runs a state-approved CNA program (state list: HHSC Approved NATCEP Providers, as of October 6, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Ballinger Healthcare CNA training on CareerFunded, our sister site for career training.
Staff pay reports
No staff pay figure for this home 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. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, 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 |
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. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 31.1 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.7 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.6 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.2 | 9.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Ballinger Healthcare and Rehabilitation Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 22 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 27 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 17 eligible stays.
50.0% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 20 residents counted.
2.9% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 34 residents counted.
1.9% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 34 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BALLINGER MEMORIAL HOSPITAL DISTRICT. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ballinger Memorial Hospital District | 5% or greater direct ownership interest | Organization | 100% | 04/01/2022 |
| Atwood, Mark | Managing control - governing body | Individual | 01/01/2025 | |
| Bundrant, Bradly | Managing control - governing body | Individual | 01/01/2025 | |
| Dankworth, Mike | Managing control - governing body | Individual | 01/01/2025 | |
| Fricke, Rhett | Managing control - governing body | Individual | 11/16/2015 | |
| Hunter, William | Managing control - governing body | Individual | 01/01/2025 | |
| Reasor, Tyler | Managing control - governing body | Individual | 01/01/2025 | |
| Studer, Scott | Managing control - governing body | Individual | 01/01/2025 | |
| Zuniga, Elizabeth | Managing control - governing body | Individual | 01/01/2025 | |
| Huggins, Linda | Corporate director | Individual | 02/01/2023 | |
| Willig, Zachary | Corporate director | Individual | 01/01/2025 | |
| Fricke, Rhett | Corporate officer | Individual | 11/16/2015 | |
| Ballinger II Enterprises, L.L.C. | Operational/managerial control | Organization | 02/01/2023 | |
| Blake, Gary | Operational/managerial control | Individual | 02/01/2023 | |
| Blake, Malisa | Operational/managerial control | Individual | 02/01/2023 | |
| Ballinger II Enterprises, L.L.C. | Adp of the SNF | Organization | 04/14/2025 | |
| Blake, Gary | Adp of the SNF | Individual | 02/01/2023 | |
| Hronek, Holden | Adp of the SNF | Individual | 04/14/2025 | |
| Martinez Irizarry, Axel | Adp of the SNF | Individual | 04/14/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.