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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Ennis Care Center is a trusted senior care provider situated in South Street, Ennis, TX, that provides skilled nursing, rehabilitation, and long- and short-term care. The community goes above and beyond to ensure seniors are comfortable and well taken care of. Rest assured that residents experience exceptional comfort with a team of respectful, compassionate, and skilled professionals prepared to lend support in their healing journey.
The community is committed to delivering the highest standards of care, utilizing approaches tailored to every resident’s unique needs. With its cozy and warm interior, residents feel at ease knowing they are in safe hands. Promising optimal wellness, the community serves delightful and healthy meals to satisfy residents’ dietary needs and cravings. Ennis Care Center is an ideal place to refresh your mind and find solace with its purposely-made amenities.
Travvis Dahl serves as the Administrator at Ennis Care Center, leading the community with a focus on personalized care and a holistic approach to healing. Under his leadership, the center emphasizes a family-like environment and tailored therapy plans to support each resident's recovery journey.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 214th out of 237 homes in Texas.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 18m per day | ▼ 31% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 7m per day | ▲ 18% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 31m per day | ▼ 25% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 22m per day | ▼ 21% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ■ Avg State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 16m per day | ▼ 24% State avg: 21m per day · National avg: 29m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
30% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #167 / 248Payroll — State benchmarkedThis home is ranked 167th out of 248 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Texas average: 63.5%Ennis Care Center is administrated by Robert Reese.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations are formal regulatory issues recorded during state inspections.
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 19, 2025, identified deficiencies related to inadequate supervision and safe transfer protocols, resulting in a resident fall with injury. Earlier inspections showed a pattern of issues including failure to ensure proper discharge documentation, verbal abuse by staff, environmental and food safety concerns, medication errors, and lapses in resident supervision and infection control. Complaint investigations substantiated incidents involving resident injury from improper lift use, verbal abuse, and medication delays, but enforcement actions such as removal of staff and in-service training were implemented; fines or license suspensions were not listed in the available reports. Most complaints were substantiated, with corrective actions taken promptly, and immediate jeopardy findings from 2023 and early 2024 were addressed during those surveys. The facility’s inspection history shows ongoing challenges with resident safety and care processes, with some improvements following enforcement of corrective measures but continued citations in key areas.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on May 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 20 citations resulted from standard inspections; 6 of 20 resulted from complaint investigations; and 1 of 20 came from combined inspections (standard and complaint).
50% worse than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
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Ennis Care Center is located in Ennis, Texas.
Here are the financial assistance programs available to residents in Texas.
1.6 miles from city center
Estimated distance in miles from Ennis's city center to Ennis Care Center's address, calculated via Google Maps.
— 0.53 miles to nearest hospital (Ennis Childrens Clinic)
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
65% worse than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
182 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 22 | 2 | 24 | 7,321 | 91 | 100% | 8 |
| Licensed Practical Nurse | 11 | 0 | 11 | 4,322 | 91 | 100% | 9.9 |
| Physical Therapy Aide | 8 | 0 | 8 | 3,130 | 67 | 74% | 7.4 |
| Speech Language Pathologist | 6 | 0 | 6 | 2,255 | 67 | 74% | 7.1 |
| Registered Nurse | 9 | 0 | 9 | 1,781 | 91 | 100% | 8.6 |
| RN Director of Nursing | 3 | 0 | 3 | 1,579 | 79 | 87% | 9 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,047 | 85 | 93% | 11.8 |
| Qualified Social Worker | 3 | 0 | 3 | 902 | 68 | 75% | 6.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 359 | 62 | 68% | 5.8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 59 | 8 | 9% | 7.4 |
| Feeding Assistant | 0 | 2 | 2 | 52 | 21 | 23% | 2.4 |
| Dental Services Staff | 0 | 1 | 1 | 39 | 6 | 7% | 6.5 |
| Other Physician | 1 | 0 | 1 | 30 | 9 | 10% | 3.3 |
| Medical Director | 0 | 1 | 1 | 30 | 8 | 9% | 3.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 17 | 2 | 2% | 8.5 |
| Physician Assistant | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
155Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.6
11% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.4
29% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
20.5%
27% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
7.9%
52% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.0%
62% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
73% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.1%
75% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.3%
57% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.2%
7% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
4.1%
44% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.35
10% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.03
In line with Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
9% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
106% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.9%
31% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.3%
36% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
3.0%
294% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
59.3%
10% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.5%
In line with Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
137% higher than Texas averageTexas average: $80K
21% more fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 19, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 1, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 11, 2023Last updated: Jan 2026
Historical financial and operational data for Ennis Care Center based on CMS SNF Cost Reports.
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The legal owner and operator of Ennis Care Center is Fannin County Hospital Authority.
Ennis Care Center has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TX state health department records, Ennis Care Center's license number is 149872.
According to TX state health department records, Ennis Care Center's license expires on January 4, 2027.
Ennis Care Center's occupancy is 45%.
Robert Reese is the administrator of Ennis Care Center.
Ennis Care Center has 155 beds.
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