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Nursing homes owned by Guadalupe County Hospital Board
The CMS ownership file lists Guadalupe County Hospital Board with an ownership interest in 26 certified nursing homes with 2,938 beds in Texas (26).
CMS ownership and Care Compare data as of September 1, 2026
What the ownership file says
CMS lists Guadalupe County Hospital Board as a direct owner of 26 homes, and with operational or managerial control of 1 home. Its earliest ownership association date on file is February 1, 2015, the latest September 1, 2025.
Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.
CMS also groups homes on this list into the chains The Ensign Group (11), Avir Health Group (10) and Creative Solutions in Healthcare (2).
The homes' record in brief
26 of the 26 homes have a CMS overall rating, averaging 2.2 stars against a national average of 3. 17 are for profit, 1 nonprofit, 8 government run; 26 are certified for Medicaid.
Across the inspections on file the homes carry 947 health citations; 63 citations were rated actual harm or immediate jeopardy, 49 immediate jeopardy. At their latest standard inspections they averaged 9.0 health deficiencies (national 9.2).
22 homes were fined in the last three years, $1,122,170 across 43 fines. Average nursing staff turnover was 55.8% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.28 | 3.75 |
| Registered nurses | 0.43 | 0.62 |
| Weekdays | 3.45 | 3.92 |
| Weekends | 2.86 | 3.33 |
| Share of nursing hours by contract staff | 1.7% | 5.3% |
Daily payroll records of 26 homes, summed. Weekends ran 17% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.
Every home it owns
| Home | City | State | Role in the CMS file | Share | Overall | Citations | Fines |
|---|---|---|---|---|---|---|---|
| Legend Oaks Healthcare and Rehabilitation - North | Austin | TX | Direct owner (5% or more), since April 2017 | 100% | 1 | 24 | $28,064 |
| Sedona Trace Health and Wellness Center | Austin | TX | Direct owner (5% or more), since August 2021 | 100% | 3 | 16 | $11,168 |
| Avir at Bay City | Bay City | TX | Direct owner (5% or more), since April 2022 | 100% | 2 | 20 | $13,627 |
| Avir at Bellville | Bellville | TX | Direct owner (5% or more), since June 2022 | 4 | 31 | ||
| Park Place Care Center | Georgetown | TX | Direct owner (5% or more), since April 2017 | 100% | 1 | 37 | $114,392 |
| Arbor View Nursing & Rehabilitation | Kerrville | TX | Additional disclosable party; Direct owner (5% or more); Operational or managerial control, since November 2022 | 100% | 1 | 82 | $154,617 |
| Legend Oaks Healthcare and Rehabilitation-Kyle | Kyle | TX | Direct owner (5% or more), since April 2017 | 100% | 3 | 26 | $8,407 |
| Avir at Longview | Longview | TX | Direct owner (5% or more), since September 2025 | 100% | 1 | 56 | $262,731 |
| Avir at Luling | Luling | TX | Direct owner (5% or more), since March 2017 | 100% | 2 | 41 | $35,559 |
| Granite Mesa Health Center | Marble Falls | TX | Direct owner (5% or more), since April 2017 | 100% | 2 | 25 | $59,345 |
| Eden Home | New Braunfels | TX | Direct owner (5% or more); Trustee of the snf, since May 2021 | 100% | 3 | 28 | $45,130 |
| Legend Oaks Healthcare and Rehabilitation - New Br | New Braunfels | TX | Direct owner (5% or more), since April 2019 | 100% | 3 | 38 | |
| Avir at Pecos | Pecos | TX | Direct owner (5% or more), since March 2025 | 100% | 2 | 39 | |
| Five Points of Pflugerville | Pflugerville | TX | Direct owner (5% or more), since April 2017 | 100% | 1 | 39 | $46,822 |
| Hunters Pond Rehabilitation and Healthcare | San Antonio | TX | Direct owner (5% or more), since November 2019 | 100% | 3 | 38 | $66,531 |
| Morningside Manor | San Antonio | TX | Direct owner (5% or more), since April 2017 | 100% | 4 | 26 | $5,000 |
| Northeast Rehabilitation and Healthcare Center | San Antonio | TX | Direct owner (5% or more), since March 2022 | 100% | 1 | 57 | $15,862 |
| Westover Hills Rehabilitation and Healthcare | San Antonio | TX | Direct owner (5% or more), since December 2023 | 100% | 4 | 29 | $20,156 |
| Hays Nursing and Rehabilitation Center | San Marcos | TX | Direct owner (5% or more), since December 2020 | 100% | 3 | 26 | $8,226 |
| San Marcos Rehabilitation and Healthcare Center | San Marcos | TX | Direct owner (5% or more), since April 2017 | 100% | 2 | 17 | $33,891 |
| Avir at Schertz | Schertz | TX | Direct owner (5% or more), since March 2017 | 100% | 2 | 65 | $34,769 |
| Avir at Sealy | Sealy | TX | Direct owner (5% or more), since June 2022 | 100% | 4 | 17 | |
| Avir at Seguin | Seguin | TX | Direct owner (5% or more), since February 2015 | 100% | 1 | 51 | $13,877 |
| Avir at Cowhorn Creek | Texarkana | TX | Direct owner (5% or more), since September 2025 | 100% | 1 | 68 | $30,545 |
| Avir at Texarkana | Texarkana | TX | Direct owner (5% or more), since September 2025 | 100% | 1 | 33 | $95,459 |
| The Courtyard Rehabilitation and Healthcare Center | Victoria | TX | Direct owner (5% or more), since April 2017 | 100% | 3 | 18 | $17,992 |
Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.