Ennis Care Center

Nursing Home in Ennis

CMS overall rating Info 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.
Ennis Care Center

Nursing Home in Ennis

CMS overall rating Info 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.

Overview of Ennis Care Center

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.

(972) 875-9053

Managed by Travvis Dahl

Administrator

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
1/5 ▼ 2.0 Texas average: 3.0/5
Health Inspection Info 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.
2/5 ▼ 0.9 Texas average: 2.9/5
Staffing Info 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.
1/5 ▼ 1.4 Texas average: 2.4/5
Quality Measures Info 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.
3/5 ▼ 1.0 Texas average: 4.0/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Texas state averages

Total nursing care / resident Info This home is ranked 224th out of 246 homes in Texas.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 54m per day
This facility Texas avg (3h 47m per day)
vs Texas avg
-23%

4 of 5 metrics below state avg

Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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
Nurse Aide Info 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) Info 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 19m per day ▼ 22% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info 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) Info 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

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 155
Avg. Length of Stay
218 days

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

30% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

49% of new residents, often for short stays.

Typical stay 3 months

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Governmental community
Operated by state authorities.
Home revenue
$8.5M
Surplus of revenue
$0
Governmental community Operated by state authorities.
Home revenue
$8.5M
Surplus of revenue
$0
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1
0% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.5M
Total costs $8.5M
Bed community size
155-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
54 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 43 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Services

Medicare/medicaid

About this community

Occupancy

Occupancy rate
45%
In line with Texas average
Occupied beds
69 / 155
Average residents 75 per day

License Details

Facility TypeNursing
StatusLicensed
IssuanceJanuary 4, 2024
ExpirationJanuary 4, 2027
CountyEllis
License Number149872
Year Opened9/1/1971
QualificationNursing

Ownership & Operating Entity

Ennis Care Center is administrated by Robert Reese.

Management CompanyCAPSTONEENNIS OPCO LLC
OwnerFannin County Hospital Authority
Ownership TypeHOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicare
50 units
Medicaid and Medicare
105 units
Total beds
155 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Skilled Nursing

Memory & Specialized Care

1 service
Alzheimer's Certification

Amenities & Lifestyle

4 amenities
Licensed Professional Staff
Dental Care
Dialysis
Podiatry Services
Specific ProgramsRehabilitation Therapy, Long & Short Term Care

Pricing & Financial Information

What does this home offer?

Types of Care at Ennis Care Center

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare Long-term care insurance

Inspection History

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.

11 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date November 19, 2025
Complaint Investigation

12 total citations

12 health citations 12 life safety citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Texas average: 6 citations

Texas average: 2 health citations

Texas average: 6 life safety citations

24 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Texas average: 32 deficiencies

Inspection Report Summary for Ennis Care Center

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.

Health Inspection History

Inspections
Total health inspections 6

Texas average 7.4


Last Health inspection on May 2025

Total health citations 20

Texas average 25.9

Citations per inspection
3.33

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).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 3
50% worse than Texas average

Texas average: 2


Serious Health citations More info 0
100% better than Texas average

Texas average: 0.4

3 critical citations More info Texas average: 2

0 serious citations More info Texas average: 0.4

17 moderate citations More info Texas average: 23

0 minor citations More info Texas average: 0.4
Citations history (last 3 years)
Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. May 19, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Mar 13, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 13, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Mar 13, 2025
Corrected

Compare Nursing Homes around Ennis The information below is reported by the Texas Health and Human Services Commission.

1 facility compared · CMS & TX Dept. of Health data · Updated Apr 2026

Filter by care type
Ennis Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Ennis155 49.3% -22%2.90 +48%-20%3203.3365- 43 Ennis Nursing And Rehab Center Llc$8.2M$0.0M0%455486

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Nursing Home in Texas

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Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized
General TX resident, low-income.
Income Limits (2025) ~$3,970/month 185% FPL
Asset Limits Not assessed.
TX

Priority for elderly/disabled; covers gas, electric, propane.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+
General unemployed, low-income, TX resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified.
TX

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Places of interest near Ennis Care Center

Address 1.6 miles from city center Info 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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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 81
Employees 73
Contractors 8
Staff to resident ratio 0.52:1
65% worse than Texas average

Texas average ratio: 1.51:1

Avg staff/day 34
Average shift 8.1 hours
0% compared with Texas average

Texas average: 8.1 hours

Total staff hours (quarter) 24,948
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

0.7%

182 contractor hours this quarter

Certified Nursing Assistant: 2 Feeding Assistant: 2 Medical Director: 1 Dental Services Staff: 1 Physician Assistant: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant222247,32191100%8
Licensed Practical Nurse110114,32291100%9.9
Physical Therapy Aide8083,1306774%7.4
Speech Language Pathologist6062,2556774%7.1
Registered Nurse9091,78191100%8.6
RN Director of Nursing3031,5797987%9
Medication Aide/Technician3031,0478593%11.8
Qualified Social Worker3039026875%6.9
Administrator1015126470%8
Other Dietary Services Staff1015126470%8
Mental Health Service Worker1015046369%8
Nurse Practitioner1014966268%8
Respiratory Therapy Technician1013596268%5.8
Occupational Therapy Aide2025989%7.4
Feeding Assistant022522123%2.4
Dental Services Staff0113967%6.5
Other Physician10130910%3.3
Medical Director0113089%3.8
Occupational Therapy Assistant0111722%8.5
Physician Assistant011211%2
24 Certified Nursing Assistant
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
8 Physical Therapy Aide
% of Days 74%
6 Speech Language Pathologist
% of Days 74%
9 Registered Nurse
% of Days 100%
3 RN Director of Nursing
% of Days 87%
3 Medication Aide/Technician
% of Days 93%
3 Qualified Social Worker
% of Days 75%
1 Administrator
% of Days 70%
1 Other Dietary Services Staff
% of Days 70%
1 Mental Health Service Worker
% of Days 69%
1 Nurse Practitioner
% of Days 68%
1 Respiratory Therapy Technician
% of Days 68%
2 Occupational Therapy Aide
% of Days 9%
2 Feeding Assistant
% of Days 23%
1 Dental Services Staff
% of Days 7%
1 Other Physician
% of Days 10%
1 Medical Director
% of Days 9%
1 Occupational Therapy Assistant
% of Days 2%
1 Physician Assistant
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 155
Medicare
46
29.7% of residents
Medicaid
109
70.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 11.4
29% better than Texas average

Texas average: 16.0

Long-stay resident measures
Above average Texas avg: 4.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 20.5%
27% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.9%
52% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 6.0%
62% better than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.6%
73% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.1%
75% better than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.3%
57% worse than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.2%
7% better than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.1%
44% worse than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.35
10% worse than Texas average

Texas average: 2.13

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.03
In line with Texas average

Texas average: 2.07

Short-stay resident measures
Significantly below average Texas avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
9% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.0%
106% worse than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
14% better than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 33.9%
31% worse than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.3%
36% worse than Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 3.0%
294% worse than Texas average

Texas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 59.3%
10% better than Texas average

Texas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.5%
In line with Texas average

Texas average: 50.6%

Penalties and fines

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)

Total fines amount $191K
137% higher than Texas average

Texas average: $80K

Number of fines 3
21% more fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
354% more payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $191K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 19, 2025
$10K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 1, 2024
$31K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Feb 1, 2024
5 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 11, 2023
$150K

Last updated: Jan 2026

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