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Health Services Management: nursing homes, inspection results and fines

Health Services Management has 16 nursing homes in this data. In their last three inspection cycles, 13 were cited at level G or higher (actual harm or immediate jeopardy), 16 had at least one health citation, and the 16 homes together had 282 health citations.

Medicare lists 11 fines totaling $413,044 against 9 of them, dated October 27, 2023 to March 19, 2026.

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.

Richmond Health Care Center Richmond, TX 2 27 K 2 $78,036 3.76
Conroe Health Care Center Conroe, TX 2 20 K 2 $12,860 3.67
West Janisch Health Care Center Houston, TX 1 20 K 2 — 3.77
Liberty Health Care Center Liberty, TX 2 19 J 5 $217,890 3.65
Brooksville Healthcare Center Brooksville, FL 3 21 J 4 — 3.74
Bear Creek Nursing Center Hudson, FL 2 21 J 2 $34,053 3.60
Ayers Health and Rehabilitation Center Trenton, FL 2 17 J 1 $16,153 3.73
Sugar Land Health Care Center Sugar Land, TX 3 16 J 1 $14,901 3.78
Lawrence Street Health Care Center Tomball, TX 4 13 J 1 $8,281 3.53
Cleveland Health Care Center Cleveland, TX 4 11 G 1 $16,801 4.00
Huntsville Health Care Center Huntsville, TX 4 18 G 1 $14,069 3.54
Heather Hill Healthcare Center New Port Richey, FL 2 25 G 1 — 3.50
College Street Health Care Center Beaumont, TX 4 22 G 1 — 3.58
Royal Oak Nursing Center Dade City, FL 4 14 E 0 — 3.69
Beaumont Health Care Center Beaumont, TX 5 13 E 0 — 3.90
Cypress Cove Care Center Crystal River, FL 5 5 E 0 — 3.70

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.

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