38 Best Medicaid Nursing Homes in Texas

Nurse hours

3.04 /day

Staff turnover

41%

Serious cites

0

Avir At Paris runs 98 certified beds under corporate ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. That gap widens on weekends, when coverage drops about 10% below the home's own weekday level. Turnover is 40.7%, a bit better than the 45.8% national figure, but the inspection record carries 40 deficiencies, including five at the harm or jeopardy level and four tied to abuse, plus one fine of $136,756. The most recent inspection was December 2025. Strong marks on inspections and quality measures don't erase what those staffing hours and deficiency counts mean day to day.

Nurse hours

4.59 /day

Staff turnover

n/a

Serious cites

0

Memorial Nursing And Rehabilitation Center in Dumas runs on 4.59 total nurse hours per resident day, roughly 19% above the national average of 3.86, and weekend coverage drops about 20% from its own weekday level. That gap matters if you're looking at a Saturday admission or a family member who needs help on Sundays. The current record shows five deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in June 2025. Hospital district ownership means public accountability rather than a chain's bottom line.

Nurse hours

4.72 /day

Staff turnover

52%

Serious cites

0

Pinecrest runs a nonprofit home with 51 beds in Lufkin, and the staffing numbers are the strongest part of the picture: 4.72 nurse hours per resident day, about 22% above the national average, which is a real cushion when someone needs help at 2 a.m. Weekends dip roughly 8% below its own weekday level, so ask how that plays out on Sundays. Turnover sits at 51.5% against a national 45.8%, meaning aides and nurses cycle through faster than average even with the generous hours. The current record shows 11 deficiencies, none at harm level and none abuse-related; the last inspection was June 2025, so the findings are recent, not stale.

Nurse hours

3.93 /day

Staff turnover

41%

Serious cites

0

Texhoma Christian Care Center runs 234 beds in Wichita Falls under hospital district ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, though weekend coverage drops roughly 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 41.1%, better than the national 45.8%, which suggests people tend to stay. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection and an inspection as recent as December 2025. The weaker spot is staffing star rating at three.

Nurse hours

3.34 /day

Staff turnover

23%

Serious cites

0

St. Francis runs a tight ship on retention, 22.9% turnover is roughly half the national rate, which means the aides and nurses you meet on Monday are likely still there in six months. That consistency matters more than headline numbers when you're trusting strangers with daily care. The tradeoff shows up in hours: 3.34 nurse staffing hours per resident day, about 14% under the national average, and weekends dip roughly 4% below the home's own weekday level. State inspectors last visited in January 2026 and logged 20 deficiencies, two serious enough to involve harm or jeopardy. The building is corporate-owned and has solid inspection and quality marks, but the staffing number is the one to ask about on your tour.

Nurse hours

4.09 /day

Staff turnover

42%

Serious cites

0

Crosbyton Nursing and Rehabilitation Center runs 53 certified beds under for-profit LLC ownership, and its staff turnover sits at 42.3%, slightly better than the national average of 45.8%, which matters in a rural Texas facility where finding replacements is hard. The trouble is staffing levels themselves: CMS gives this home 1 out of 5 stars there, even though its quality measures score 4 out of 5. That gap suggests the care processes look good on paper while day-to-day coverage runs thin. The inspection record shows 31 deficiencies, none at harm or jeopardy level, but five tied to abuse, worth asking about directly. The most recent inspection was December 2025, so the picture is current.

Nurse hours

4.81 /day

Staff turnover

43%

Serious cites

0

Parkwood Village runs 107 certified beds in Bedford under for-profit LLC ownership, and its nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average of 3.86. That margin matters, though weekends dip about 14% below the home's own weekday coverage. Staff turnover is 42.6%, a touch better than the 45.8% national figure. The current record shows 16 deficiencies, none at harm or jeopardy level, but one is abuse-related. The last inspection was December 12, 2024, and all three CMS star ratings, health inspections, quality measures, and staffing, land at 4 out of 5.

Nurse hours

5.53 /day

Staff turnover

47%

Serious cites

0

Mrc Creekside runs on a nonprofit corporate model with 66 certified beds, and its staffing sits at 5.53 nurse hours per resident day. That's roughly 43% above the national average of 3.86, a wide margin that shows up in the four-out-of-five staffing rating. Weekends dip about 14% below the home's own weekday coverage, so the weekday-to-weekend difference is worth asking about directly. The health inspection record is where things get interesting: 14 deficiencies on the current record, none at harm or jeopardy level, but one abuse-related citation is there. Staff turnover at 46.8% lands just above the national 45.8%. The last inspection was May 2026.

Nurse hours

3.42 /day

Staff turnover

27%

Serious cites

0

S.p.j.s.t. Rest Home 3 runs lean on nurse staffing, 3.42 hours per resident day, roughly 11 percent under the national average of 3.86, with weekends running about 4 percent below its own weekday level. It offsets that weakness well: state inspectors gave it a 5-star health inspection rating at its most recent survey in September 2025, and the record shows just 7 deficiencies, none at the harm or jeopardy level and none abuse-related. Annual staff turnover is 27.3 percent, well below the national 45.8 percent, so the caregivers who are there tend to stay. Quality measures land at 4 stars. Weekend coverage is the number worth watching.

Nurse hours

4.35 /day

Staff turnover

54%

Serious cites

0

Pure Health Transitional Care sits on the Texas Health Presbyterian campus in Dallas, a 49-bed for-profit run by a limited liability company. The numbers that matter most here are the inspection record: four deficiencies on file, none causing harm or jeopardy, none abuse-related, and a survey completed in July 2025. That's a clean recent look. Staffing runs 4.35 nurse hours per resident day, about 13% above the national average, though weekends dip roughly 9% below the home's own weekday level. Annual turnover is 53.7%, higher than the 45.8% national figure, so you'll want to ask how often residents see the same faces.

Nurse hours

5.23 /day

Staff turnover

51%

Serious cites

0

Crockett County Care Center runs on a county government budget in Ozona, and the staffing reflects it, 5.23 nurse hours per resident day, roughly a third more than the national average. Weekends dip about 17% below its own weekday coverage, so ask how that plays out on a Sunday shift. The six deficiencies on record carry zero harm or jeopardy findings and no abuse citations, and the last full inspection was in June 2025. Staff turnover sits at 51.1%, a bit above the national 45.8%, worth asking who's been there longest and whether the director of nursing is new.

Nurse hours

3.40 /day

Staff turnover

23%

Serious cites

0

Avir At Jacksonville runs on 3.40 nurse hours per resident day, about 12 percent under the national average of 3.86, and weekend coverage drops roughly 10 percent below its own weekday level, so the leanest shifts land when families tend to visit. The tradeoff is stability: 23.3 percent annual turnover is roughly half the national rate of 45.8 percent, meaning the aides and nurses your relative sees are more likely to still be there next year. Inspections in April 2025 produced a 5-star health inspection rating, though the current record lists 11 deficiencies, including one at the harm level and one abuse-related. This LLC-owned, 53-bed home scores well overall, but read the actual inspection reports before deciding.

Nurse hours

4.29 /day

Staff turnover

42%

Serious cites

0

Denton Rehabilitation and Nursing Center runs on 4.29 nurse hours per resident per day, about 11% above the national average, and its staff turnover of 41.8% sits slightly below the national figure, both signs of a steadier floor than many homes manage. The trade-off shows up in the inspection record: 29 deficiencies on file, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A government hospital district owns the 94-bed building, and the most recent state visit came in May 2025. Weekend staffing drops roughly 14% below weekday levels, so ask how that gap gets covered.

Nurse hours

3.84 /day

Staff turnover

44%

Serious cites

0

Grandview Nursing and Rehabilitation Center runs 82 certified beds as a nonprofit, and its record splits sharply depending on where you look. The quality measures that track resident outcomes score at the top of CMS's scale, and staff turnover of 44.3% is actually slightly better than the 45.8% national average. But staffing levels earn only 1 out of 5 stars, and the inspection history shows 13 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $21,125 fine. The last inspection was in May 2025. Read those two facts together: good outcome scores and thin staffing often don't stay compatible for long.

Nurse hours

4.42 /day

Staff turnover

47%

Serious cites

0

Brookdale Trinity Towers sits in Corpus Christi with 75 certified beds and a for-profit LLC owner. The staffing numbers are the bright spot: 4.42 nurse hours per resident day, about 15% above the national average, and weekends run roughly 9% lighter than weekdays, a dip, but not a collapse. Turnover lands at 46.8%, right around the national figure of 45.8%, so retention isn't the problem here. What pulls the record down is the inspection history: 21 deficiencies, one serious enough to reach harm or jeopardy level, plus a $16,449 fine. The most recent inspection was April 30, 2026, so the picture is current. Strong daily care, a rougher paper trail.

Nurse hours

4.09 /day

Staff turnover

29%

Serious cites

0

Seven Acres runs a nonprofit shop in Houston with 144 certified beds, and the staffing picture is genuinely solid: 4.09 nurse hours per resident day, roughly 6% above the national average, with weekend coverage dipping only about 8% below weekdays. Turnover sits at 29.3%, well under the 45.8% national figure, which matters because steady aides know the residents. What pulls the record down is the inspection side, 10 deficiencies on file, one serious enough to reach harm or jeopardy level, and a $25,454 fine. No abuse citations, and the last inspection was recent (May 2025), so the picture is current rather than stale. Strong daily care, but the survey history is where a family should ask questions.

Nurse hours

3.59 /day

Staff turnover

25%

Serious cites

0

Trucare Living Centers runs on a hospital district's license in Palestine, and the numbers suggest steady hands more than flash. Ten deficiencies on the current record sounds like a lot until you see none of them reached harm or jeopardy, and none involved abuse, that's a clean complaint history where it matters most. Staff turnover sits at 25%, well under the 45.8% national average, which means familiar faces on the floor. The tradeoff is coverage: 3.59 nurse hours per resident day lands about 7% under the national figure, and weekends dip roughly 11% below the home's own weekday pace. Inspectors visited in December 2025 and came away satisfied.

Nurse hours

3.84 /day

Staff turnover

27%

Serious cites

0

The Village at Incarnate Word runs a tight ship on staffing, with nurse hours per resident day essentially matching the national average and a staff turnover rate of 27%, well below the 45.8% typical elsewhere. That retention matters, because it means the same caregivers are likely still there next year. Weekend coverage dips about 10% below weekday levels, which is worth asking about directly. On the inspection side, 17 deficiencies show up on the current record, but none reached harm or jeopardy and none involved abuse, and the most recent survey is from December 2025. As a nonprofit, it answers to a board rather than shareholders.