Hamilton County Hospital District: nursing homes, inspection results and fines
Hamilton County Hospital District has 10 nursing homes in this data. In their last three inspection cycles, 9 were cited at level G or higher (actual harm or immediate jeopardy), 10 had at least one health citation, and the 10 homes together had 261 health citations.
Medicare lists 15 fines totaling $289,029 against 9 of them, dated December 7, 2023 to December 30, 2025.
Source: Medicare (CMS) Provider Data Catalog, Health Deficiencies and Penalties, data updated October 1, 2026, retrieved November 13, 2026.
Every nursing home with inspection data
Sorted by the most serious level of citation (J to L, then G to I, then A to F), then by the number of citations at level G or higher, then by total fines. Click a column heading to sort another way.
| Rosenberg Health & Rehabilitation Center | Rosenberg, TX | 1 | 29 | K | 8 | $97,334 | 2.95 |
|---|---|---|---|---|---|---|---|
| Goldthwaite Health & Rehab Center | Goldthwaite, TX | 2 | 19 | K | 3 | $32,545 | 2.94 |
| Avante Rehabilitation Center | Irving, TX | 3 | 22 | J | 6 | $17,096 | 3.73 |
| Cedar Hollow Rehabilitation Center | Sherman, TX | 2 | 30 | J | 5 | $31,673 | 3.42 |
| Riverside Nursing and Rehabilitation Center | Austin, TX | 2 | 27 | J | 4 | $10,820 | 3.56 |
| Colonial Manor Advanced Rehab & Healthcare | Pharr, TX | 2 | 37 | J | 2 | $54,998 | 3.38 |
| Lake Hills Healthcare Center | Brownwood, TX | 4 | 19 | J | 2 | $22,084 | 3.63 |
| The Reserve at Richardson | Richardson, TX | 4 | 35 | J | 1 | $14,069 | 3.62 |
| Avir at the Lakes | Texas City, TX | 2 | 29 | J | 1 | $8,410 | 2.89 |
| Avir at Hillview | Goldthwaite, TX | 5 | 14 | F | 0 | — | 3.16 |
Columns: overall Medicare star rating (1 to 5); health citations from the last three inspection cycles; most serious scope-and-severity letter (A to L; G or higher means actual harm or immediate jeopardy); how many citations were at level G or higher; total fines in Medicare’s Penalties file (about the last three years); reported nurse staffing in hours per resident per day. A dash means Medicare reports no value.
How these numbers are made
All values come from the Medicare (CMS) Provider Data Catalog files Health Deficiencies, Penalties, Provider Information and State US Averages (data updated October 1, 2026; penalties file updated October 1, 2026). A citation (deficiency) is counted once per tag and inspection. “Last three inspection cycles” are the cycles Medicare publishes; they cover about three years. Fines are the sum of the fine amounts in the Penalties file. Nothing is rated or ranked by us: the order is only the stated sort. A citation shows what inspectors found on the dates given; read each home’s page and the inspection reports on Medicare Care Compare before you decide.