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The Ensign Group Inc nursing homes in Texas
The Ensign Group Inc is associated with 7 Medicare-certified providers in Texas — 7 nursing homes. That is 10% of the 72 facilities WhoOwnsCare currently covers for this operator across 4 states. Its largest covered market is California with 62.
The most recent recorded ownership activity in Texas is dated 2025-02-01. Ownership grouping confidence: Verified.
The Ensign Group Inc portfolio in Texas
| Facilities in state | 7 |
| Share of operator's covered portfolio | 10% |
| Share of the state's certified providers | 0.2% |
| Skilled nursing | 7 |
| Home health | not available |
| Hospice | not available |
| Certified beds | 755 |
| Counties represented | 6 |
| Cities represented | 6 |
| Legal entities in the corporate family | 10 |
| Earliest recorded ownership event in state | 2019-06-01 |
| Latest recorded activity | 2025-02-01 |
| Acquisitions recorded in state | 6 |
| Divestitures recorded in state | 0 |
| Net portfolio change | +6 |
| Momentum | Static |
The Ensign Group Inc in Texas vs its broader portfolio
| Measure | Texas | Other covered states | Difference |
|---|---|---|---|
| Occupancy of certified beds | 76.8% | 90.3% | −13.5% |
| Nurse hours per resident day | 3.39 | 4.35 | −0.95 |
| Annual nursing turnover | 52.6% | 37.7% | +14.9% |
| CMS overall rating | 3.00 | 3.43 | −0.43 |
| Health deficiencies on record | 24.9 | 46.0 | −21.1 |
| Distress score | 37.8 | 30.2 | +7.6 |
Compared with this operator's facilities currently covered by WhoOwnsCare in other states — not with all of its facilities nationally, and not with the state average. Only like-for-like measures are compared, and measures CMS does not publish for a provider type are omitted rather than estimated.
Corporate structure in Texas
| Entity | Relationship | What it means | Facilities |
|---|---|---|---|
| Keystone Care LLC | Direct owner | Holds a direct ownership interest. | 5 |
| The Ensign Group Inc | Indirect owner | Holds an indirect ownership interest. | 5 |
| The Ensign Group Inc | Direct owner | Holds a direct ownership interest. | 2 |
| Appaloosa Healthcare, Inc. | Operator | Holds operational or managerial control. | 1 |
| Myrtle Springs Healthcare, Inc. | Operator | Holds operational or managerial control. | 1 |
| The Ensign Group Inc | Disclosable party | Disclosed to CMS as an additional party — vendors and professional advisers appear in this category as well as controlling parties. | 6 |
| Appaloosa Healthcare, Inc. | Disclosable party | Disclosed to CMS as an additional party — vendors and professional advisers appear in this category as well as controlling parties. | 1 |
| Myrtle Springs Healthcare, Inc. | Disclosable party | Disclosed to CMS as an additional party — vendors and professional advisers appear in this category as well as controlling parties. | 1 |
Lenders, lienholders, trustees and property owners are listed because they are part of the public record, and are excluded from every facility count on this page. Holding the mortgage is not operating the business.
How this corporate family is resolved
Verified Documentary evidence — a shared registered identifier, a shared officer, or a declared parent relationship — connects at least 80% of the entities in this corporate family.
Grouping is WhoOwnsCare analysis derived from CMS filings, not a CMS designation. How resolution and confidence work.
Ownership changes in Texas
| Effective | Facility | Acquiring entity | Prior entity |
|---|---|---|---|
| 2025-02-01 | Mesquite Post Acute Care | Yellow Ridge Healthcare LLC | MPD Bender Terrace of Lubbock LLC |
| 2024-03-01 | Beacon Harbor Healthcare and Rehabilitation | Eastland Memorial Hospital District | Myrtle Springs Healthcare, Inc. |
| 2020-01-01 | Patriot Heights Health Care Center | Green Mountain Healthcare LLC | BLC Patriot Heights LLC |
| 2019-12-01 | Crestwood Health and Rehabilitation Center | Eastland Memorial Hospital District | Crestwood SCC LLC |
| 2019-11-01 | Pecan Valley Rehabilitation and Healthcare | Calavaras Creek Healthcare LLC | Pecan Valley SCC LLC |
| 2019-06-01 | Golden Palms Rehabilitation and Retirement | Santiago Healthcare LLC | Golden Palms Operating Company LLC |
Across the period covered, WhoOwnsCare attributes 6 acquisitions and 0 divestitures to this operator in Texas, of which 1 and 0 fall in the last 24 months. These are recorded Medicare changes of ownership; CMS publishes them with a lag and they carry no price or terms. All Texas ownership changes.
Where The Ensign Group Inc operates in Texas
| County | Facilities | Share of state portfolio |
|---|---|---|
| Bexar | 2 | 29% |
| Rockwall | 1 | 14% |
| Lubbock | 1 | 14% |
| Van Zandt | 1 | 14% |
| Collin | 1 | 14% |
| Cameron | 1 | 14% |
The portfolio is clustered: the largest single county holds 29% of the operator's Texas facilities, spread across 6 countyies.
The Ensign Group Inc facilities in Texas
| Facility | City | Type | CCN |
|---|---|---|---|
| Beacon Harbor Healthcare and Rehabilitation | Rockwall | Nursing home | 675579 |
| Crestwood Health and Rehabilitation Center | Wills Point | Nursing home | 675597 |
| Golden Palms Rehabilitation and Retirement | Harlingen | Nursing home | 455672 |
| Mesquite Post Acute Care | Lubbock | Nursing home | 676163 |
| Patriot Heights Health Care Center | San Antonio | Nursing home | 455969 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | Nursing home | 676250 |
| The Healthcare Resort of Plano | Plano | Nursing home | 676395 |
Every facility above links to its own ownership record. The full list is published; only the downloadable dataset is paid.
Related Texas intelligence
The Ensign Group Inc full operator profile · Texas market overview · Largest operators in Texas · Texas ownership changes · Texas distressed facilities · The Ensign Group Inc in California
Common questions
How many facilities does The Ensign Group Inc have in Texas?
7 Medicare-certified providers, which is 10% of the 72 facilities WhoOwnsCare currently covers for this operator.
Is The Ensign Group Inc expanding or contracting in Texas?
Recorded Medicare ownership transfers show 6 acquisitions and 0 divestitures in Texas, and the operator's overall momentum is static.
How much of the Texas market does The Ensign Group Inc hold?
0.2% of the Medicare-certified providers WhoOwnsCare covers in Texas.