CCN 676237 · Collin County, Texas
The Belmont at Twin Creeks
999 Raintree Circle, Allen, TX 75013
The Belmont at Twin Creeks is a 112-bed for-profit nursing home in Allen, Texas, first certified for Medicare or Medicaid in 2009. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 86.1 residents a day, about 77% of its certified beds. It has an active FHA-insured Section 232 loan: $7.6 million originally, at 3.72%, with $6 million outstanding as of September 30, 2026 and maturity in October 2049.
Facility facts
- Certified beds
- 112
- Average residents per day
- 86.1 (76.9% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Dallas County Hospital District
- Certified since
- Sep 10, 2009
- Chain or affiliated group
- Cantex Continuing Care (37 facilities, chain average 3.1 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.40 | 3.27 | 3.68 |
| RN hours per resident per day | 0.56 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 3.06 | ||
| Nursing staff turnover | 42.4% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 76.9% | 68.6% | 85.7% |
| Fines reported by CMS | 1 totaling $8,278 | ||
| Health deficiencies, latest standard survey | 12 (May 22, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Belmont at Twin Creeks meets that part today: 4 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Dallas County Hospital DistrictOrganization | Direct Ownership Interest | 100% | 09/01/2019 |
| Belmont Care Center Ltd CoOrganization | Operational / Managerial Control | n/a | 09/01/2019 |
| Amiri, RachelIndividual | Operational / Managerial Control | n/a | 05/03/2023 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Sep 1, 2019 | Dallas County Hospital District | Decatur Hospital Authority |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 30, 2014 | 223(f) refinance or purchaseHUD project name: Cantex - The Belmont at Twin Creeks, 112 beds. Lender at endorsement: Berkadia Commercial Mortgage LLC | $7,599,300 | Active: 3.72%, $6,014,180 balanceMatures Oct 1, 2049. Servicer: Berkadia Commercial Mortgage | 11322176 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.