Texas nursing home chains

CMS links 942 of 1,177 Texas nursing homes (80%) to a chain.
52 chains have two or more homes in Texas, covering 933 homes; the largest, Creative Solutions in Healthcare, has 149.
Chain names and chain-wide star averages are CMS's own fields, copied as published.

Chain	TX homes	Median deficiencies	With J/K/L
Creative Solutions in Healthcare	149	28	99
Avir Health Group	118	31	81
The Ensign Group	85	26	60
Wellsential Health	67	25	43
Cantex Continuing Care	37	27	23
HMG Healthcare	29	23	16
Advanced Healthcare Solutions	28	25.5	17
Opco Skilled Management	27	28	24
Nexion Health	26	24.5	12
Focused Post Acute Care Partners	25	33	18
Touchstone Communities	25	23	15
Fundamental Healthcare	24	24.5	18
Eduro Healthcare	20	35	16
Gulf Coast LTC Partners	20	29	12
Priority Management	18	20	10
Paradigm Healthcare	15	33	12
Caring Healthcare Group	14	26	9
Stonegate Senior Living	13	31	9
Foursquare Healthcare	10	14	3
Hamilton County Hospital District	10	28.5	9
Health Services Management	10	18.5	6
Coryell County Memorial Hospital Authority	9	17	6
Momentum Skilled Services	9	20	8
Texvet	9	28	6
Caraday Healthcare	8	25	5
Life Care Centers of America	8	25.5	7
Paramount Healthcare	8	26	5
Chambers County Public Hospital District No. 1	7	23	4
Ignite Medical Resorts	7	36	4
Ruby Healthcare	7	39	5
SLP Operations	7	31	6
Cross Healthcare Management	6	26	2
Harmony Care Group	6	43.5	5
Methodist Retirement Communities	6	13.5	3
ML Healthcare	6	26.5	5
Purehealth	6	12	3
Dallas County Hospital District	5	24	3
Fannin County Hospital District	5	19	2
Oakbend Medical Center	5	14	3
Diversicare Healthcare	4	16	2
Life Care Services	4	19.5	1
Lifespace Communities	4	11.5	0
Southwest LTC	4	19	2
Brookdale Senior Living	3	24	3
Cascades Healthcare	3	48	3
Charleston Healthcare Group	3	29	3
Skyblue Healthcare	3	38	1
Veritas Management Group	3	21	0
Erickson Senior Living	2	15.5	2
Healthpeak Properties, INC.	2	17.5	1
Legacy Nursing & Rehabilitation	2	31.5	0
Pacs Group	2	13.5	1

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

How we build this · Report an error