Every one of the 10 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
2 of these hold the top CMS rating of five. 3 sit at one. Registered nurse cover averages 0.34 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| RENAISSANCE REHABILITATION AND HEALTHCARE CENTER | Italy | 5 | 5 | 2 | 0.37 | 74 | $0 |
| LEGEND OAKS HEALTHCARE AND REHABILITATION - ENNIS | Ennis | 5 | 5 | 2 | 0.30 | 124 | $13,275 |
| MIDTOWNE MEADOWS HEALTH & REHAB | Midlothian | 4 | 5 | 1 | 0.40 | 121 | $20,131 |
| BLUEBONNET REHAB AT ENNIS | Ennis | 4 | 4 | 2 | 0.32 | 136 | $0 |
| RED OAK HEALTH AND REHABILITATION CENTER | Red Oak | 3 | 4 | 1 | 0.42 | 144 | $12,035 |
| Pleasant Manor Healthcare Rehabilitation | Waxahachie | 3 | 2 | 2 | 0.41 | 132 | $29,011 |
| Midlothian Healthcare Center | Midlothian | 3 | 3 | 2 | 0.33 | 120 | $50,830 |
| Ennis Care Center | Ennis | 1 | 2 | 1 | 0.38 | 155 | $187,220 |
| Focused Care of Waxahachie ⚑ | Waxahachie | 1 | 1 | 1 | 0.27 | 152 | $172,367 |
| LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA | Waxahachie | 1 | 2 | 1 | 0.25 | 121 | $41,215 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Corporation | 3 |
| Government - Hospital district | 3 |
| For profit - Limited Liability company | 3 |
| For profit - Individual | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.