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Nursing homes in Hamilton County, Texas
Hamilton County, Texas, has 3 Medicare-certified nursing homes with 234 certified beds.
33% of them are rated 1 or 2 stars overall, a smaller share than the state (48%). Inspectors recorded 43 health deficiencies over three cycles, 18.4 per 100 beds against 24.4 statewide.
Fines in the period covered total $32K across 1 fine.
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.
| Measure | Hamilton County | Texas | US |
|---|---|---|---|
| Facilities | 3 | 1177 | 14690 |
| Rated 1–2 stars overall | 33% | 48% | 41% |
| Median overall rating | 4 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 18.4 | 24.4 | 26.8 |
| Median nurse hours per resident day | 3.8 | 3.3 | 3.7 |
| Fines listed | $32K | $54M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Focused Care At Hamilton | Hamilton | 78 | 5 | 5 | 1 | 8 | 10.3 | — | 27 Sep 2024 |
| Pecan Creek Healthcare Center | Hamilton | 76 | 4 | 4 | 2 | 12 | 15.8 | — | 11 Jun 2026 |
| Hico Nursing and Rehabilitation | Hico | 80 | 2 | 2 | 1 | 23 | 28.8 | $32K | 14 May 2025 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 6 |
| F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | 3 |
| F0880 | Provide and implement an infection prevention and control program. | 3 |
| F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | 2 |
| F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 2 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 3 |
Chains present: Focused Post Acute Care Partners (1), Coryell County Memorial Hospital Authority (1), Nexion Health (1).
Questions and answers
How many nursing homes are in Hamilton County, Texas?
3 Medicare-certified nursing homes with 234 certified beds.
Which nursing homes in Hamilton County have the highest CMS ratings?
Focused Care At Hamilton (5 stars), Pecan Creek Healthcare Center (4 stars), Hico Nursing and Rehabilitation (2 stars)
How do Hamilton County nursing homes compare with Texas?
33% are rated 1–2 stars overall against 48% statewide; citations run at 18.4 per 100 beds against 24.4 statewide.