Cantex Continuing Care
38 Facilities2 States95% For-ProfitAvg. Overall Rating: 3.0Avg. Staffing Rating: 1.9Staffing Rating: 1.9
Cantex Continuing Care operates 38 nursing homes across 2 states, with 95% classified as for-profit. Its average CMS overall rating is 3.0 stars.
Across the portfolio, facilities report an average of 3.30 total nurse HPRD, including 0.40 RN hours, below the national ratio of 3.77 HPRD.
16% of Cantex Continuing Care 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 55 fines ($1.8 million) 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 |
|---|---|---|---|---|---|---|
| LA | St Joseph Skilled Nursing and Rehabilitation 1 star | Monroe | 3.36 | 0.25 | 1 | 1 |
| TX | Coronado at Stone Oak | San Antonio | 3.42 | 0.53 | 4 | 3 |
| TX | The Belmont at Twin Creeks | Allen | 3.20 | 0.51 | 4 | 2 |
| TX | The Carlyle at Stonebridge Park | Southlake | 3.31 | 0.48 | 3 | 2 |
| TX | San Remo | Richardson | 3.24 | 0.70 | 4 | 2 |
| TX | Solera at West Houston | Houston | 3.42 | 0.45 | 2 | 2 |
| TX | The Harrison at Heritage | Fort Worth | 3.36 | 0.37 | 4 | 2 |
| TX | The Crescent Abuse, SFF Candidate | Sugar Land | 3.57 | 0.78 | 2 | 2 |
| TX | Bel Air at Teravista | Round Rock | 3.37 | 0.61 | 4 | 4 |
| TX | The Broadmoor at Creekside Park | The Woodlands | 3.54 | 0.58 | 3 | 2 |
| TX | Magnolia Manor | Groves | 3.31 | 0.22 | 3 | 2 |
| TX | Hollymead | Flower Mound | 3.42 | 0.47 | 3 | 3 |
| TX | Sorrento | San Antonio | 3.22 | 0.43 | 2 | 1 |
| TX | Windemere at Westover Hills | San Antonio | 3.43 | 0.60 | 3 | 2 |
| TX | Palomino Place | Mesquite | 3.51 | 0.31 | 2 | 2 |
| TX | Carrara | Plano | 3.53 | 0.48 | 4 | 2 |
| TX | Bonne Vie | Port Arthur | 3.51 | 0.31 | 5 | 3 |
| TX | Park Valley Inn Health Center Abuse | Round Rock | 3.16 | 0.31 | 2 | 1 |
| TX | The Colonnades at Reflection Bay SFF Candidate | Pearland | 3.35 | 0.48 | 2 | 2 |
| TX | Prairie Estates | Frisco | 3.36 | 0.41 | 3 | 1 |
| TX | The Madison on Marsh | Carrollton | 3.28 | 0.52 | 3 | 1 |
| TX | Crestview Court | Cedar Hill | 3.38 | 0.38 | 3 | 1 |
| TX | Riverside Oaks | Victoria | 3.05 | 0.47 | 5 | 2 |
| TX | Windsor Gardens | Lancaster | 3.41 | 0.35 | 3 | 1 |
| TX | Woodville Health and Rehabilitation Center | Woodville | 3.18 | 0.35 | 4 | 2 |
| TX | Palma Real | Mathis | 2.95 | 0.27 | 4 | 1 |
| TX | Mill Creek 1 star | Silsbee | 3.22 | 0.27 | 1 | 1 |
| TX | Oakwood Manor Nursing Home | Vidor | 3.23 | 0.33 | 5 | 2 |
| TX | The Manor at Seagoville | Seagoville | 2.95 | 0.44 | 2 | 2 |
| TX | Ashford Gardens | Houston | 3.21 | 0.35 | 4 | 2 |
| TX | Renaissance Care Center | Gainesville | 3.10 | 0.43 | 2 | 1 |
| TX | Laurel Court | Alvin | 3.09 | 0.42 | 2 | 2 |
| TX | Beacon Hill | Denison | 3.27 | 0.52 | 5 | 2 |
| TX | Larkspur | Lufkin | 3.40 | 0.62 | 4 | 2 |
| TX | The Bradford at Brookside | Livingston | 3.39 | 0.37 | 4 | 2 |
| TX | Fort Bend Healthcare Center | Rosenberg | 3.22 | 0.48 | 3 | 2 |
| TX | The Villa at Mountain View | Dallas | 3.30 | 0.50 | 2 | 3 |
| TX | Sundance Inn Health Center Abuse | New Braunfels | 3.75 | 0.52 | 3 | 2 |
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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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