In the first quarter of 2026, Hopkins County Hospital District owned Colonial Nursing & Rehabilitation Center, according to the Centers for Medicare and Medicaid Services (CMS). Located in Smith County, the nursing home has been under Hopkins County Hospital District’s ownership since March 31, 2017.
Colonial Nursing & Rehabilitation Center operates as a for-profit facility.
During this timeframe, the nursing home was given an overall CMS rating of 1, which is lower than the Texas state average of 2.7 for nursing homes. CMS ratings are based on essential factors including health inspection performance, staffing ratios, and the resident care quality provided.
The data indicates Colonial Nursing & Rehabilitation Center served an average of 69.6 residents daily in early 2026, out of 90 available beds. The nursing home currently does not operate as a hospital-based facility.
As of Q1 2026, Colonial Nursing & Rehabilitation Center accumulated total fines of $247,572 and received one penalty.
Altogether, Smith County, Texas, contained 11 for-profit nursing homes.
U.S. Census Bureau estimates show that the population of older adults is increasing nationwide as the younger population declines. Americans age 65 and older grew by 13% from 2020 to 2024, while the population under 18 fell by 1.7%. The older adult population in the United States has surged in the last 100 years, rising from 4.9 million in 1920 to more than 61 million in 2024.
A 2021 study found that nearly 50% of this age group, about 28 million people, could need long-term services and support. The same study projects that more than a third may eventually require nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an organization focused on insurance education. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Avir at Azalea Heights | West Wharton County Hospital District | For profit – Limited Liability company | 2 | 83.5 |
| Avir at Lindale | West Wharton County Hospital District | Government – Hospital district | 1 | 100.7 |
| Avir at Petal Hill | West Wharton County Hospital District | Government – Hospital district | 1 | 81.9 |
| Bluebonnet Point Wellness | Fannin County Hospital Authority | For profit – Corporation | 1 | 89.8 |
| Briarcliff Health Center | South Limestone Hospital District | For profit – Corporation | 2 | 131.2 |
| Colonial Nursing & Rehabilitation Center | Hopkins County Hospital District | For profit – Individual | 1 | 69.6 |
| Greenbrier Nursing & Rehabilitation Center of Tyle | Liberty County Hospital District No. 1 | For profit – Corporation | 3 | 54.2 |
| Providence Park Rehabilitation and Skilled Nursing | South Limestone Hospital District | For profit – Corporation | 3 | 96.3 |
| Reunion Plaza Healthcare & Rehabilitation | Stephens Memorial Hospital District | Government – Hospital district | 5 | 73.8 |
| Rose Trail Nursing and Rehabilitation Center | West Wharton County Hospital District | Government – Hospital district | 1 | 78.1 |
| The Heights of Tyler | Liberty County Hospital District No. 1 | For profit – Corporation | 2 | 112.6 |
| The Waterton Healthcare & Rehabilitation | Fannin County Hospital Authority | For profit – Limited Liability company | 4 | 67 |
Information for this article comes from the Centers for Medicare and Medicaid Services. Source data is available here.
