Chains › Hamilton County Hospital District
Hamilton County Hospital District
Nursing home chain, as named in the CMS provider file.
Hamilton County Hospital District operates 10 Medicare-certified nursing homes in 1 state, with 1,109 certified beds; the largest presence is in Texas.
60% of its facilities are rated 1 or 2 stars overall (national: 41%). Citations run at 24.6 per 100 beds against 26.8 nationally, and fines in the period covered total $374K.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026. Chain membership is as recorded by CMS and can lag ownership changes.
| Measure | Hamilton County Hospital District | US |
|---|---|---|
| Median overall rating | 2 | 3 |
| Median citations per facility | 29 | 23 |
| Median nurse hours per resident day | 3.4 | 3.7 |
| Median nursing turnover | 52.5% | 44.9% |
| Facilities with the abuse icon | 1 | 1426 |
Rating distribution
States
| State | Facilities |
|---|---|
| Texas | 10 |
Most-cited tags
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 29 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 24 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 17 |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 12 |
| F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 12 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 10 |
| F0695 | Provide safe and appropriate respiratory care for a resident when needed. | 9 |
| F0558 | Reasonably accommodate the needs and preferences of each resident. | 9 |
Penalties by year
Facilities
| Facility | City | State | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|---|
| Avante Rehabilitation Center | Irving | TX | 120 | 2 | 2 | 1 | 19 | 15.8 | $25K | 23 Apr 2026 |
| Cedar Hollow Rehabilitation Center | Sherman | TX | 142 | 3 | 3 | 2 | 30 | 21.1 | $32K | 12 Jun 2026 |
| Colonial Manor Advanced Rehab & Healthcare | Pharr | TX | 123 | 1 | 2 | 1 | 44 | 35.8 | $55K | 25 Jun 2026 |
| Goldthwaite Health & Rehab Center | Goldthwaite | TX | 94 | 2 | 2 | 4 | 19 | 20.2 | $33K | 14 May 2026 |
| Hillview Nursing and Rehabilitation | Goldthwaite | TX | 52 | 5 | 5 | 4 | 14 | 26.9 | — | 28 Feb 2025 |
| Lake Hills Healthcare Center | Brownwood | TX | 94 | 3 | 3 | 3 | 26 | 27.7 | $22K | 9 Feb 2026 |
| Riverside Nursing and Rehabilitation Centerabuse icon | Austin | TX | 122 | 1 | 2 | 1 | 28 | 23.0 | $88K | 12 Apr 2026 |
| Rosenberg Health & Rehabilitation Center | Rosenberg | TX | 124 | 1 | 1 | 2 | 29 | 23.4 | $97K | 10 Jun 2026 |
| The Lakes At Texas City | Texas City | TX | 109 | 2 | 3 | 1 | 29 | 26.6 | $8K | 4 Dec 2025 |
| The Reserve At Richardson | Richardson | TX | 129 | 3 | 3 | 2 | 35 | 27.1 | $14K | 21 May 2026 |
Questions and answers
How many nursing homes does Hamilton County Hospital District operate?
10 Medicare-certified facilities in 1 state, with 1,109 certified beds, according to the chain name in the CMS provider file.
How are Hamilton County Hospital District facilities rated?
60% are rated 1–2 stars overall and 1 hold 5 stars; the median overall rating is 2. Nationally 41% are rated 1–2 stars.
Has Hamilton County Hospital District been fined?
CMS lists 17 fines totalling $374K and 2 payment denials across its facilities in the period the penalties file covers.