Creative Solutions in Healthcare
149 nursing homes in 1 state, in CMS's provider file of 2026-09-01.
These are the homes CMS lists under this chain today. Where a home has changed owner since 2016, CMS's change-of-ownership file (edition 2026-06-01) gives the date its current owner took it over, and penalties from before that date are counted apart: they were against an earlier owner, not a penalty against this chain's management. The figure can be off both ways: a change between two companies in the same chain is counted the same way, and a change the file does not hold (it runs to changes effective by 2026-02-01) is not counted at all.
CMS's archive holds 876 fines totalling $24,214,899 and 100 payment denials against these homes, at 145 of the 149. CMS's current file no longer shows 715 of those penalties.
118 of the 149 homes changed owner since 2016. 418 of those penalties, $8,615,789 in fines, are dated before the home's current owner took it over, which leaves $15,599,110 in fines since.
These are counts, not rates. They are not adjusted for how many homes the chain has, how large they are, or which states inspect them.
| Home | State | Fines | Total | Payment denials | Earliest | Current owner since | Before that |
|---|---|---|---|---|---|---|---|
| Amarillo Center for Skilled Care | TX | 6 | $57,681 | 0 | 2016 | 2022-06-01 | 4 ($25,781) |
| Avalon Place Kirbyville | TX | 6 | $155,232 | 2 | 2018 | 2017-04-01 | |
| Afton Oaks Nursing and Rehabilitation Center | TX | 10 | $268,757 | 1 | 2017 | 2024-09-01 | 8 ($197,746) |
| Alvarado Meadows Nursing & Rehabilitation | TX | 16 | $182,519 | 2 | 2020 | 2024-08-01 | 16 ($167,644) |
| Amistad Nursing and Rehabilitation Center | TX | 2 | $32,026 | 0 | 2020 | 2022-09-01 | 2 ($32,026) |
| Arlington Heights Health and Rehabilitation Center | TX | 7 | $204,110 | 0 | 2017 | 2022-11-01 | 4 ($172,571) |
| Ballinger Healthcare and Rehabilitation Center | TX | 5 | $108,342 | 0 | 2017 | 2022-04-01 | 4 ($107,355) |
| Bertram Nursing and Rehabilitation | TX | 7 | $36,560 | 0 | 2020 | 2022-09-01 | 6 ($26,425) |
| Big Spring Center for Skilled Care | TX | 7 | $275,111 | 1 | 2016 | none in CMS's file | |
| Birchwood Nursing and Rehabilitation | TX | 3 | $61,930 | 0 | 2016 | 2021-01-01 | 2 ($60,947) |
| Bluebonnet Point Wellness | TX | 10 | $276,584 | 1 | 2023 | none in CMS's file | |
| Brentwood Terrace Healthcare and Rehabilitation | TX | 5 | $363,512 | 2 | 2017 | 2023-02-01 | 5 ($129,065) |
| Beaumont Nursing and Rehabilitation | TX | 3 | $289,362 | 1 | 2020 | none in CMS's file | |
| Beltline Healthcare Center | TX | 11 | $54,857 | 0 | 2020 | 2023-12-01 | 10 ($22,851) |
| Bluebonnet Nursing & Rehabilitation | TX | 5 | $119,801 | 0 | 2024 | 2021-01-01 | |
| Brownwood Nursing & Rehabilitation | TX | 8 | $174,218 | 1 | 2017 | 2023-07-01 | 9 ($174,218) |
| Buena Vida Nursing & Rehab Odessa | TX | 5 | $44,387 | 1 | 2017 | 2023-07-01 | 5 ($35,663) |
| Buena Vida Nursing and Rehab-san Antonio | TX | 7 | $277,390 | 0 | 2020 | 2022-04-01 | 3 ($80,227) |
| Caprock Nursing & Rehabilitation | TX | 6 | $95,791 | 0 | 2018 | none in CMS's file | |
| Central Texas Nursing & Rehabilitation | TX | 3 | $43,562 | 0 | 2022 | 2022-09-01 | 1 ($19,211) |
| Concho Health & Rehabilitation Center | TX | 1 | $12,981 | 0 | 2022 | 2022-09-01 | 1 ($12,981) |
| Copperas Hollow Nursing & Rehabilitation Center | TX | 17 | $537,085 | 1 | 2017 | none in CMS's file | |
| Crossroads Nursing & Rehabilitation | TX | 2 | $13,446 | 0 | 2021 | 2024-10-01 | 2 ($13,446) |
| Care Nursing & Rehabilitation | TX | 1 | $7,157 | 0 | 2020 | 2022-09-01 | 1 ($7,157) |
| Castle Pines Health & Rehabilitation | TX | 6 | $138,733 | 1 | 2017 | none in CMS's file | |
| Cedar Creek Nursing and Rehabilitation Center | TX | 1 | $15,508 | 0 | 2016 | none in CMS's file | |
| Cedar Manor Nursing and Rehabilitation Center | TX | 2 | $12,007 | 0 | 2021 | 2024-02-01 | 2 ($12,007) |
| Cherokee Rose Nursing & Rehabilitation | TX | 2 | $13,457 | 0 | 2021 | none in CMS's file | |
| Cottonwood Nursing & Rehabilitation | TX | 2 | $9,471 | 0 | 2020 | 2020-12-01 | |
| Countryview Nursing & Rehabilitation | TX | 8 | $248,372 | 1 | 2019 | 2024-10-01 | 7 ($201,142) |
| De Leon Nursing and Rehabilitation | TX | 2 | $16,704 | 0 | 2020 | 2022-06-01 | 1 ($6,500) |
| Desoto Nursing & Rehabilitation Center | TX | 3 | $9,919 | 0 | 2020 | none in CMS's file | |
| Deerings Nursing and Rehabilitation | TX | 6 | $301,439 | 2 | 2016 | 2020-02-01 | 6 ($283,411) |
| Devine Health & Rehabilitation | TX | 1 | $8,108 | 0 | 2022 | 2022-09-01 | 1 ($8,108) |
| Dogwood Trails Manor | TX | 2 | $23,104 | 0 | 2024 | none in CMS's file | |
| Downtown Health and Rehabilitation Center | TX | 10 | $99,393 | 0 | 2020 | 2017-03-31 | |
| Eagle Pass Nursing and Rehabilitation | TX | 4 | $32,169 | 0 | 2020 | none in CMS's file | |
| Estates Healthcare and Rehabilitation Center | TX | 19 | $401,799 | 3 | 2018 | 2023-02-01 | 9 ($184,597) |
| Fairfield Nursing & Rehabilitation Center | TX | 1 | $4,428 | 0 | 2017 | 2022-05-01 | 1 ($4,428) |
| Fortress Nursing and Rehabilitation | TX | 7 | $264,387 | 1 | 2018 | 2019-12-01 | 1 ($8,102) |
| Franklin Nursing Home | TX | 2 | $29,331 | 0 | 2018 | 2022-06-01 | 2 ($29,331) |
| Fair Park Health & Rehabilitation Center | TX | 5 | $97,832 | 0 | 2017 | 2023-12-01 | 5 ($97,832) |
| Five Points Nursing & Rehabilitation of College St | TX | 4 | $39,866 | 0 | 2025 | none in CMS's file | |
| Five Points Nursing and Rehabilitation | TX | 3 | $20,116 | 1 | 2021 | 2022-05-01 | 1 ($3,250) |
| Five Points Nursing and Rehabilitation | TX | 4 | $36,214 | 1 | 2022 | 2023-04-01 | 4 ($27,700) |
| Five Points at Lake Highlands Nursing and Rehab | TX | 5 | $58,149 | 0 | 2023 | 2023-02-01 | |
| Five Points of Pflugerville | TX | 10 | $216,332 | 2 | 2020 | none in CMS's file | |
| Franklin Heights Nursing & Rehabilitation | TX | 5 | $380,592 | 1 | 2023 | 2022-08-31 | |
| Ganado Nursing and Rehabilitation Center | TX | 5 | $29,631 | 0 | 2017 | 2022-09-01 | 4 ($21,209) |
| Greenhill Villas | TX | 14 | $546,288 | 3 | 2016 | 2022-06-01 | 10 ($324,367) |
| Georgia Manor Nursing Home | TX | 5 | $55,739 | 1 | 2018 | none in CMS's file | |
| Gilmer Nursing & Rehabilitation | TX | 12 | $294,044 | 1 | 2018 | 2021-01-01 | 4 ($43,532) |
| Grace Pointe Wellness Center | TX | 5 | $165,186 | 3 | 2016 | 2023-12-01 | 5 ($88,416) |
| Graham Oaks Care Center | TX | 7 | $116,960 | 0 | 2021 | none in CMS's file | |
| Granbury Care Center | TX | 5 | $74,199 | 0 | 2016 | 2022-04-01 | 1 ($16,900) |
| Granbury Rehab & Nursing | TX | 1 | $9,753 | 0 | 2017 | none in CMS's file | |
| Great Plains Nursing and Rehabilitation | TX | 0 | 0 | none in CMS's file | |||
| Greenbrier Nursing & Rehabilitation Center of Pale | TX | 0 | 0 | 2024-10-01 | |||
| Greenbrier Nursing & Rehabilitation Center of Tyle | TX | 3 | $149,692 | 0 | 2017 | none in CMS's file | |
| Groveton Nursing Home | TX | 1 | $56,378 | 0 | 2025 | 2024-12-01 | |
| Heritage at Longview Healthcare Center | TX | 8 | $196,391 | 1 | 2016 | none in CMS's file | |
| Heritage House Nursing and Rehabilitation | TX | 2 | $21,100 | 0 | 2019 | none in CMS's file | |
| Heritage Place of Decatur | TX | 3 | $92,973 | 1 | 2017 | 2021-02-01 | 1 ($55,646) |
| Honey Grove Nursing Center | TX | 11 | $268,853 | 1 | 2017 | 2023-12-01 | 11 ($188,155) |
| Heritage at Turner Park Health & Rehab | TX | 9 | $117,883 | 2 | 2019 | none in CMS's file | |
| Huebner Creek Health & Rehabilitation Center | TX | 7 | $100,238 | 0 | 2020 | none in CMS's file | |
| Interlochen Health and Rehabilitation Center | TX | 11 | $206,124 | 0 | 2016 | 2017-03-31 | 2 ($61,372) |
| Kemp Care Center | TX | 5 | $305,302 | 0 | 2019 | 2022-09-01 | 3 ($49,042) |
| Kenedy Health & Rehabilitation | TX | 2 | $10,063 | 0 | 2024 | none in CMS's file | |
| Kennedy Health & Rehab | TX | 7 | $446,768 | 2 | 2017 | 2020-12-01 | 3 ($172,485) |
| Kerens Care Center | TX | 4 | $179,924 | 0 | 2016 | 2019-01-01 | 1 ($35,428) |
| La Vida Serena Nursing and Rehabilitation | TX | 4 | $43,306 | 0 | 2020 | none in CMS's file | |
| Longmeadow Healthcare Center | TX | 12 | $193,913 | 1 | 2019 | none in CMS's file | |
| La Bahia Nursing & Rehabilitation | TX | 2 | $1,630 | 0 | 2021 | 2021-03-01 | |
| La Hacienda De Paz Rehabilitation and Care Center | TX | 3 | $50,019 | 0 | 2025 | 2022-09-01 | |
| Lake Lodge Nursing & Rehabilitation | TX | 5 | $106,345 | 0 | 2019 | 2020-12-01 | 1 ($19,663) |
| Lampstand Nursing and Rehabilitation | TX | 9 | $238,172 | 0 | 2017 | 2019-12-01 | 2 ($59,021) |
| Lancaster Nursing & Rehabilitation | TX | 13 | $157,156 | 1 | 2017 | 2024-07-01 | 13 ($120,676) |
| Landmark of Amarillo Rehabilitation and Nursing Ce | TX | 9 | $357,253 | 4 | 2017 | none in CMS's file | |
| Landmark of Plano Rehabilitation and Nursing Cente | TX | 4 | $85,916 | 1 | 2021 | 2019-04-01 | |
| Lubbock Health Care Center | TX | 1 | $5,695 | 0 | 2017 | none in CMS's file | |
| Madisonville Care Center | TX | 7 | $210,027 | 0 | 2017 | none in CMS's file | |
| Marine Creek Nursing & Rehabilitation | TX | 7 | $72,891 | 2 | 2018 | 2022-04-01 | 6 ($49,270) |
| Matagorda Nursing & Rehabilitation Center | TX | 9 | $28,937 | 0 | 2020 | 2022-09-01 | 7 ($14,702) |
| Mclean Care Center | TX | 2 | $31,868 | 0 | 2021 | none in CMS's file | |
| Memphis Convalescent Center | TX | 2 | $31,522 | 0 | 2021 | 2024-04-01 | 2 ($31,522) |
| Mesa Vista Inn Health Center | TX | 7 | $142,591 | 0 | 2016 | 2023-07-01 | 6 ($134,431) |
| Mineral Wells Nursing & Rehabilitation | TX | 4 | $32,617 | 1 | 2017 | 2022-06-01 | 4 ($24,750) |
| Mission Ridge Rehab & Nursing Center | TX | 3 | $37,698 | 0 | 2024 | 2021-03-01 | |
| Mountain View Health & Rehabilitation | TX | 9 | $404,085 | 3 | 2016 | 2018-02-01 | 6 ($209,354) |
| Mullican Care Center | TX | 5 | $130,216 | 0 | 2020 | 2023-12-01 | 4 ($125,057) |
| Navasota Nursing & Rehabilitation | TX | 9 | $291,757 | 0 | 2019 | 2021-02-01 | 2 ($176,584) |
| Normandy Terrace Nursing & Rehabilitation Center | TX | 14 | $559,075 | 2 | 2017 | 2023-02-01 | 10 ($210,069) |
| North Park Health and Rehabilitation Center | TX | 1 | $154,592 | 0 | 2017 | 2017-03-31 | |
| North Pointe Nursing and Rehabilitation | TX | 9 | $258,545 | 2 | 2017 | 2020-12-01 | 4 ($73,790) |
| Oak Ridge Manor | TX | 2 | $174,677 | 0 | 2023 | 2022-09-01 | |
| Oasis Nursing & Rehabilitation Center | TX | 3 | $73,382 | 0 | 2017 | 2022-04-01 | 2 ($31,422) |
| Oakmont Healthcare and Rehabilitation Center of Ka | TX | 4 | $98,140 | 0 | 2016 | 2021-04-01 | 3 ($89,859) |
| Oakmont Healthcare and Rehabilitation of Humble | TX | 10 | $888,642 | 5 | 2017 | 2019-04-01 | 4 ($193,220) |
| Park Plaza Nursing and Rehabilitation Center | TX | 0 | 0 | 2024-02-01 | |||
| Pecan Tree Rehab and Healthcare Center | TX | 2 | $18,179 | 1 | 2016 | 2025-03-01 | 2 ($1,300) |
| Park Highlands Nursing & Rehabilitation Center | TX | 4 | $142,931 | 1 | 2016 | 2017-03-31 | 4 ($132,882) |
| Park Place Care Center | TX | 12 | $526,714 | 2 | 2020 | none in CMS's file | |
| Parkview Manor Nursing and Rehabilitation | TX | 6 | $186,594 | 1 | 2016 | 2023-01-01 | 6 ($176,246) |
| Peach Tree Place | TX | 4 | $182,716 | 1 | 2020 | 2022-04-01 | 2 ($23,652) |
| Pebble Creek Nursing Center | TX | 7 | $357,063 | 2 | 2016 | 2018-10-01 | 3 ($172,879) |
| Pine Tree Lodge Nursing Center | TX | 8 | $406,128 | 0 | 2016 | 2022-05-01 | 3 ($132,284) |
| Pleasant Springs Healthcare Center | TX | 8 | $104,138 | 0 | 2017 | 2017-03-31 | |
| River City Care Center | TX | 7 | $328,836 | 1 | 2016 | 2019-01-01 | 2 ($51,188) |
| River Oaks Health and Rehabilitation Center | TX | 11 | $231,868 | 1 | 2016 | 2024-07-01 | 10 ($189,986) |
| Rock Creek Health and Rehabilitation | TX | 10 | $410,643 | 3 | 2016 | 2022-09-01 | 10 ($334,461) |
| Rockwall Nursing Care Center | TX | 9 | $226,055 | 1 | 2018 | 2023-12-01 | 8 ($194,009) |
| Seven Oaks Nursing & Rehabilitation | TX | 2 | $59,345 | 0 | 2016 | 2021-01-01 | 1 ($55,120) |
| Shady Oak Nursing and Rehabilitation | TX | 1 | $650 | 0 | 2021 | 2022-09-01 | 1 ($650) |
| Silver Tree Nursing and Rehabilitation Center | TX | 6 | $141,348 | 0 | 2020 | 2022-06-01 | 3 ($27,045) |
| St. Teresa Nursing & Rehab Center | TX | 12 | $239,115 | 3 | 2016 | 2019-01-01 | 4 ($56,489) |
| Sunflower Park Health Care | TX | 8 | $675,722 | 0 | 2021 | 2022-09-01 | 2 ($21,918) |
| San Saba Nursing & Rehabilitation | TX | 2 | $13,650 | 0 | 2018 | 2022-09-01 | 2 ($13,650) |
| Shiner Nursing and Rehabilitation Center | TX | 1 | $658 | 0 | 2022 | 2022-05-01 | 1 ($658) |
| Sienna Nursing and Rehabilitation | TX | 5 | $371,236 | 1 | 2019 | 2022-04-01 | 2 ($85,787) |
| Skilled Care of Mexia | TX | 4 | $46,638 | 0 | 2021 | 2022-06-01 | 1 ($12,740) |
| Slaton Care Center | TX | 3 | $88,328 | 0 | 2016 | none in CMS's file | |
| Songbird Lodge | TX | 2 | $21,215 | 0 | 2017 | 2022-09-01 | 1 ($11,005) |
| Southern Specialty Rehab & Nursing | TX | 5 | $98,862 | 0 | 2020 | 2022-04-01 | 1 ($13,000) |
| St. Giles Nursing and Rehabilitation Center | TX | 7 | $142,142 | 1 | 2016 | 2018-06-01 | 3 ($88,500) |
| The Arbors Healthcare and Rehabilitation Center | TX | 2 | $144,904 | 0 | 2017 | 2022-06-01 | 1 ($123,404) |
| Texoma Healthcare Center | TX | 6 | $62,568 | 1 | 2017 | 2017-03-31 | |
| The Atrium of Bellmead | TX | 4 | $144,196 | 1 | 2018 | 2022-09-01 | 4 ($116,343) |
| The Hills Nursing & Rehabilitation | TX | 6 | $280,963 | 0 | 2016 | 2022-06-01 | 3 ($226,148) |
| The Park in Plano | TX | 3 | $34,813 | 0 | 2021 | 2022-04-01 | 2 ($24,750) |
| The Premier Snf of Alice | TX | 0 | 0 | 2022-06-01 | |||
| The Rio at Mission Trails | TX | 10 | $687,380 | 2 | 2020 | 2022-04-01 | 9 ($108,574) |
| Treemont Healthcare and Rehabilitation Center | TX | 15 | $452,301 | 2 | 2018 | 2023-02-01 | 8 ($214,326) |
| Twilight Home | TX | 6 | $20,784 | 0 | 2020 | 2022-05-01 | 4 ($4,555) |
| Twin Oaks Health & Rehabilitation Center | TX | 2 | $248,364 | 0 | 2016 | 2022-04-01 | 1 ($73,933) |
| Twin Pines North Nursing and Rehabilitation Center | TX | 4 | $16,081 | 0 | 2021 | 2022-05-01 | 3 ($2,948) |
| Twin Pines Nursing and Rehabilitation | TX | 13 | $212,478 | 0 | 2020 | 2022-09-01 | 8 ($135,628) |
| University Park Nursing and Rehabilitation | TX | 4 | $35,365 | 3 | 2017 | 2023-07-01 | 7 ($35,365) |
| University Rehabilitation Center | TX | 14 | $374,246 | 1 | 2017 | 2023-12-01 | 13 ($341,129) |
| Villa Toscana at Cypress Woods | TX | 7 | $242,146 | 3 | 2016 | 2022-09-01 | 6 ($204,319) |
| Vidor Health & Rehabilitation Center | TX | 3 | $48,478 | 0 | 2016 | 2022-06-01 | 1 ($5,266) |
| Vintage Health Care Center | TX | 15 | $332,540 | 0 | 2017 | 2023-12-01 | 12 ($88,570) |
| Vista Hills Health Care Center | TX | 5 | $138,385 | 1 | 2016 | 2024-02-23 | 4 ($97,920) |
| Wellington Care Center | TX | 1 | $13,070 | 0 | 2026 | 2024-04-01 | |
| Westward Trails Nursing and Rehabilitation | TX | 9 | $79,213 | 0 | 2019 | 2021-05-01 | 1 ($13,553) |
| Whispering Pines Lodge | TX | 20 | $858,768 | 1 | 2016 | 2019-01-01 | 5 ($129,374) |
| Whisperwood Nursing & Rehabilitation Center | TX | 6 | $88,514 | 0 | 2019 | 2022-04-01 | 3 ($53,262) |
| Whitesboro Health and Rehabilitation Center | TX | 9 | $130,141 | 0 | 2017 | 2023-12-01 | 4 ($26,348) |
| Winnie L Nursing & Rehabilitation | TX | 3 | $74,440 | 3 | 2020 | 2023-01-01 | 3 ($22,961) |