Creative Solutions in Healthcare Expands Texas Footprint with Acquisition of Five Skilled Nursing Facilities
Fort Worth, Texas, September 1, 2025—
Creative Solutions in Healthcare, the largest skilled nursing operator in Texas, has acquired operations of five skilled nursing facilities from Southwest LTC, effective September 1. This expansion brings the company’s statewide footprint to 179 properties, including 157 skilled nursing locations.
The newly acquired facilities are located in Corsicana, Jacksonville, and Gainesville. With this acquisition, Creative Solutions strengthens its presence in Corsicana and Jacksonville, where it already serves residents, while also bringing its care model to the Gainesville community.
In addition, Creative Solutions has completed the real estate acquisition of Marine Creek Nursing and Rehabilitation through a $9.5 million bridge-to-HUD loan with lending partner Oxford.
“As a Texas family-owned company, we’re proud to grow in communities where we already have strong roots, and grow into new markets. More families in Texas choose Creative Solutions than any other provider, and that trust is built on the details: quality care, welcoming environments, clean facilities, and meals that feel like home. These new facilities allow us to extend that commitment to even more families across Texas.”
As part of the acquisition, Creative Solutions will make immediate investments into the new facilities, including replacing 100% of resident mattresses, an estimated 400 beds, and upgrading furniture and art packages. Each facility will also undergo improvements, with larger renovations assessed and planned where needed.
“Our team takes pride in being Texas family-owned and serving communities across the state,” Blake continued. “These improvements reflect our promise to create environments where residents feel at home and are cared for with dignity.”

Blake also praised the collaboration with Southwest LTC during the transition.
“It has been an honor to work with Southwest LTC on this process,” he said. “They had their choice of who to entrust this portfolio to, and we’re grateful for the opportunity to continue serving these communities.”
Acerca de las soluciones creativas en el cuidado de la salud
Founded in 2000 by Gary and Malisa Blake, Creative Solutions in Healthcare is a family-owned company headquartered in Fort Worth, TX. It started with the first acquisition of Granbury Care Center and has grown to operate 174 long-term care communities throughout the state of Texas. Each location still runs on the founding principle, ‘a life lived for others is a life worthwhile’. Its mission is to provide the highest quality of care to aging adults, by investing in cutting-edge technology and embodying core values of Compassionate Clinical Care, Nutritious Meals, Enriching Lives, Valued Employees, and Unparalleled Cleanliness.
Contacts
Leila Jones
817.734.4840
Leila_Jones@csnhc.com