Hamilton County Hospital District
10 Facilities1 States82% For-ProfitAvg. Overall Rating: 2.5Avg. Staffing Rating: 2.2Staffing Rating: 2.2
Hamilton County Hospital District operates 10 nursing homes across 1 state, with 82% classified as for-profit. Its average CMS overall rating is 2.5 stars.
Across the portfolio, facilities report an average of 3.20 total nurse HPRD, including 0.40 RN hours, below the national ratio of 3.77 HPRD.
10% of Hamilton County Hospital District facilities meet PBJ320 high-riskPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 25 fines ($566,556) for the chain's nursing homes.
Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.
| State | Provider | City | Total HPRD | RN HPRD | Overall Rating | Staffing Rating |
|---|---|---|---|---|---|---|
| TX | The Lakes at Texas City | Texas City | 2.91 | 0.28 | 2 | 1 |
| TX | Cross Country Healthcare Center | Brownwood | 3.81 | 0.44 | 4 | 3 |
| TX | Colonial Manor Advanced Rehab & Healthcare | Pharr | 3.27 | 0.16 | 2 | 1 |
| TX | Rosenberg Health & Rehabilitation Center 1 star, SFF Candidate | Rosenberg | 3.01 | 0.60 | 1 | 2 |
| TX | Hillview Nursing & Rehabilitation | Goldthwaite | 3.00 | 0.53 | 5 | 4 |
| TX | Avante Rehabilitation Center | Irving | 3.76 | 0.48 | 3 | 2 |
| TX | Goldthwaite Health & Rehab Center | Goldthwaite | 3.04 | 0.55 | 3 | 4 |
| TX | Riverside Nursing and Rehabilitation Center | Austin | 3.35 | 0.39 | 2 | 2 |
| TX | The Reserve at Richardson | Richardson | 3.15 | 0.23 | 3 | 2 |
| TX | Cedar Hollow Rehabilitation Center | Sherman | 3.58 | 0.33 | 2 | 2 |
Methodology
This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).
Metrics
- Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
- Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
- Contract Staff %: Share of hours provided by contract staff.
- Census: Average number of residents during the period.
Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.
Data transparency
The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.
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