Beltline Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 20 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (16 vs median 8.0)
Bottom 25% in Texas · Meets national RN staffing standard · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $301,580 in fines
What this means for your family
This facility is a strong option for short-term physical therapy and rehabilitation, with several patients reporting significant mobility improvements. However, you must perform a thorough in-person inspection of the room and plumbing, as multiple reviewers have flagged serious concerns regarding facility maintenance and cleanliness.
Google Reviews
Google Reviews
20 reviews on Google“Families seeking rehabilitation services may find success here, as several reviewers praise the effectiveness of the physical therapy and the kindness of the staff. However, there are serious allegations regarding facility maintenance, including plumbing issues, exposed wires, and cleanliness concerns that should be investigated personally.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective rehabilitation and physical therapy
- Friendly and professional management
- Welcoming atmosphere for short-term recovery
Concerns
- Facility maintenance and safety issues including leaks and exposed wires (mentioned by 2 reviewers)
- Reports of rude or neglectful nursing staff (mentioned by 2 reviewers)
- Issues with cleanliness and odors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 22 analyzed
How They Respond to Reviews
The owner uses highly repetitive, templated responses that follow a nearly identical structure for every review. While they acknowledge the dissatisfaction, they fail to address any of the specific allegations regarding medical neglect, facility maintenance, or staff behavior.
Questions for Your Tour
- 1I noticed some great feedback about how compassionate the nursing staff is; how do you ensure that level of attentive care remains consistent across all shifts?
- 2What specific steps is the facility taking right now to address building maintenance and ensure the environment is safe and well-maintained for residents?
- 3Could you tell me more about your cleaning protocols and how you manage the overall freshness and upkeep of the resident rooms and common areas?
- 4With the high staffing rating, how do you support your team in maintaining a positive and professional attitude during busy or stressful shifts?
- 5What does a typical day of social activities and engagement look like for the residents here?
- 6In the event of a medical emergency during the night, what is the specific protocol for notifying the family and providing immediate care?
Personalized based on this facility's data
Key Review Excerpts
“My mother recently underwent hip surgery and could barely walk. This facility accommodated my mother and provided her with the care and therapy necessary for her recovery.”
“I cannot say enough about the wonderful care I was given at this facility. Sweet caring kindness was shown to me. I was not able to walk when I came in. I am walking with the aid of a walker.”
“The center is very clean and has been nicely refurbished, creating a comfortable and welcoming environment for patients.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
1
measures
1
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering 11 deficiencies, including recent issues in September 2025 involving dementia care, medication management, and treatment quality. The facility shows recurring problems with care planning, safety hazards, and building maintenance across multiple surveys from 2022-2025. While all deficiencies appear corrected, the pattern of repeated violations and family complaints suggests ongoing care quality concerns that warrant careful consideration.
Dec 30, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Sep 23, 2025Complaint8
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 26, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 7, 2024Routine9
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Sep 19, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Sep 28, 2023Routine3
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal Penalties
Fine
Sep 23, 2025
$49,240
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
GARLAND I ENTERPRISES, LLC
KRYSTAL HORN
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 110 of 148 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
20 reviews from families & visitors
Official Website
Visit beltlinenursing.com
Medicare data downloads
Original nursing home datasets
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