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28 Best Non-Profit Nursing Homes in Texas

28 of the 1,179 Medicare-certified nursing homes in Texas (2%) are top-graded non-profit, and all are listed below. 28 of the 28 graded homes earn an A and 0 earn a D or F. They average 5.21 nursing hours per resident per day, 1.82 hours above the 3.39 for every home in Texas. The Legacy At Willow Bend in Plano grades highest at A (99 out of 100).

How top-graded non-profit homes in Texas compare

This group set against every nursing home in Texas, from the current CMS release.

Nursing hours per resident per day

5.21

All homes in Texas: 3.39

Better than the local average

Nurse staff turnover

33.7%

All homes in Texas: 55.3%

Better than the local average

Average ElderGrade score

90.8/100

All homes in Texas: 66.9/100

Better than the local average

Grade spread

A

28 grade A,

The best-graded top-graded non-profit home in Texas is The Legacy At Willow Bend in Plano, TX, grade A, 99/100.

Every top-graded non-profit nursing home in Texas

Showing 1 to 20 of 28, best-graded first.

A

99/100

Hendrick Skilled Nursing Facility

Abilene, TX · Taylor County

CMS 5/520 bedsNon-profit
Nurse hours
9.65 /day
Staff turnover
34%
Serious cites
0

Hendrick Skilled Nursing Facility is a small nonprofit home in Abilene, just 20 certified beds, and the staffing numbers are the first thing that stands out. At 9.65 nurse hours per resident day, it runs roughly two and a half times the national average, and even with weekends dipping about 12% below its own weekday level, that floor stays unusually high. Staff turnover sits at 34.3%, well under the national 45.8%. The inspection record is current as of December 2025, with eight deficiencies on file but none at the harm level and none abuse-related. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

The Methodist Hospital Snf

Houston, TX · Harris County

CMS 5/525 bedsNon-profit
Nurse hours
10.85 /day
Staff turnover
25%
Serious cites
0

The Methodist Hospital SNF runs 25 certified beds on a church-affiliated nonprofit model, and the staffing numbers reflect that: 10.85 nurse hours per resident day against a national average of 3.86. That's not a rounding error, it's roughly triple the typical home, with weekend coverage dipping only about 7% below its own weekday level, so care doesn't thin out when families visit. Staff turnover sits at 25% versus 45.8% nationally, meaning aides and nurses here tend to stay. The current record shows two deficiencies, neither at harm level and none abuse-related, with an inspection dated August 2025. Small, stable, and recently reviewed.

A

99/100

The Legacy At Willow Bend

Plano, TX · Collin County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.58 /day
Staff turnover
27%
Serious cites
0

The Legacy At Willow Bend runs on about 5.58 nurse hours per resident day, roughly 45% more staffing than the typical American nursing home. That's the kind of margin that shows up in daily care, and it's backed by a 26.7% annual staff turnover rate, well below the 45.8% national figure, meaning fewer unfamiliar faces. The trade-off: 16 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy level. The most recent inspection was in December 2025, so the picture is current. Weekend staffing dips about 8% below its own weekday level, a small but real gap. Nonprofit ownership, strong inspection and quality ratings, and no harm-level findings round out the record.

A

97/100

Baylor Scott & White Continuing Care Hospital Skil

Temple, TX · Bell County

CMS 5/523 bedsNon-profit
Nurse hours
8.51 /day
Staff turnover
34%
Serious cites
0

Nurse staffing here runs about 8.5 hours per resident day, more than double the national average, and it holds up on weekends rather than collapsing the way it does at many homes. Staff turnover sits at 34%, below the 45.8% national figure, and the single deficiency on the current record involves no harm or jeopardy to residents, with nothing abuse-related. The last inspection was in August 2025, so the record is recent. This is a 23-bed nonprofit unit, small enough that staffing ratios matter more than they would in a larger building, and the numbers suggest they're being kept up.

A

97/100

Bayou Manor

Houston, TX · Harris County

CMS 5/537 bedsNon-profit
Nurse hours
5.28 /day
Staff turnover
28%
Serious cites
0

Bayou Manor runs about 5.28 nurse hours per resident day, roughly 37% above the national average, and its staff turnover sits at 27.9% against a national rate near 46%. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. The home has seven deficiencies on its current record, none at the harm level and none abuse-related, with three fines totaling $22,725. It's nonprofit-owned, holds five stars across all three CMS categories, and was last inspected in December 2025.

A

96/100

C C Young Memorial Home

Dallas, TX · Dallas County

CMS 5/5129 bedsNon-profit
Nurse hours
5.30 /day
Staff turnover
43%
Serious cites
0

C C Young Memorial Home sits in Dallas as a nonprofit with 129 certified beds, and the numbers behind its record are worth walking through. Nurse staffing runs 5.30 hours per resident day, roughly 37% above the national average of 3.86, though weekend coverage dips about 9% below its own weekday levels. Staff turnover is 43.1%, slightly better than the national 45.8%. Eight deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection dated January 15, 2026. All three CMS star ratings land at 5 out of 5.

A

94/100

Trinity Terrace

Fort Worth, TX · Tarrant County

CMS 5/552 bedsNon-profit
Nurse hours
4.11 /day
Staff turnover
30%
Serious cites
0

Trinity Terrace runs on 4.11 nurse hours per resident per day, about 7% above the national average, and its staff turnover of 30.2% is well below the 45.8% national figure, that kind of retention matters more than any single inspection result. Weekend staffing dips about 13% below its own weekday level, which is common but worth asking about if your family member needs more help on Saturdays and Sundays. The home carries eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in March 2025. As a nonprofit, it answers to a board rather than shareholders, and the survey history suggests problems get fixed before they endanger anyone.

A

94/100

Sagecrest Alzheimers Care Center

San Angelo, TX · Tom Green County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
16%
Serious cites
0

Sagecrest runs about 4.73 nurse hours per resident day, roughly 22% above the national average of 3.86, and that staffing holds up beyond the weekday, with weekends dipping only about 10% below its own weekday level. Turnover sits at 15.9% against a national average of 45.8%, which matters for dementia care, where unfamiliar faces can unsettle residents. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its last inspection was September 2024. As a nonprofit in San Angelo, it isn't chasing quarterly returns. The numbers point to steady, well-attended care rather than anything flashy.

A

94/100

Ventana By Buckner

Dallas, TX · Dallas County

CMS 5/572 bedsNon-profit
Nurse hours
5.11 /day
Staff turnover
45%
Serious cites
0

Ventana By Buckner runs 5.11 nurse hours per resident day, roughly a third more than the national average of 3.86, and weekends dip only about 5% below its own weekday staffing. That consistency matters more than the raw number, since shortfalls usually show up on Saturdays and Sundays. The Dallas nonprofit carries 14 deficiencies on its current record, none at the harm level and none abuse-related, with its last inspection dated March 2026. Staff turnover sits at 44.8%, essentially matching the national rate of 45.8%, neither a warning sign nor a bragging point. For families weighing this one, the staffing depth and clean harm record are doing the real work here.

A

93/100

The Hallmark

Houston, TX · Harris County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.33 /day
Staff turnover
51%
Serious cites
0

The Hallmark runs about 5.33 nurse hours per resident day, roughly 38% above the national average, and weekends dip only about 14% below its own weekday level, a modest drop by nursing home standards. Staff turnover sits at 51.3%, higher than the 45.8% national figure, so the people caring for residents do change fairly often. Its inspection record shows 16 deficiencies, none at the harm level and none abuse-related, with the most recent visit in January 2025; both its inspection and quality measure ratings come in at 5 out of 5. For a 32-bed nonprofit home, the numbers describe steady care with a staffing churn worth asking about directly.

A

92/100

The Arbour At Westminster Manor

Austin, TX · Travis County

CMS 5/590 bedsNon-profit
Nurse hours
4.96 /day
Staff turnover
40%
Serious cites
0

The Arbour at Westminster Manor runs about 4.96 nurse staffing hours per resident day, roughly 29 percent above the national average, and its 40.4 percent turnover sits below the national 45.8 percent, meaningful stability for a 90-bed nonprofit in Austin. Weekend staffing dips about 10 percent below its own weekday level, so coverage isn't perfectly even. The inspection record is where it gets complicated: 8 deficiencies, one at harm or jeopardy level and one abuse-related, plus a single $29,085 fine, with the most recent inspection in December 2025. Strong staffing and quality marks don't erase a harm-level finding, so ask specifically what happened and what changed since.

A

91/100

Querencia At Barton Creek

Austin, TX · Travis County

CMS 5/542 bedsNon-profit
Nurse hours
4.74 /day
Staff turnover
44%
Serious cites
0

Querencia At Barton Creek runs 42 certified beds as a nonprofit, and the staffing number is the one worth noticing: 4.74 nurse hours per resident day, roughly a quarter above the national average. Weekends dip about 12% below its own weekday coverage, so ask how that gap gets covered. Annual turnover sits at 43.6%, slightly better than the national 45.8%, meaningful in a field where replacing nurses constantly tends to show up in daily care. The inspection record isn't spotless: eight deficiencies, one serious enough to involve harm or jeopardy, and one $13,500 fine. No abuse citations. The last inspection was December 2025. Strong staffing, decent turnover, and one incident that deserves a direct question.

A

91/100

The Stayton At Museum Way

Fort Worth, TX · Tarrant County

CMS 5/546 bedsNon-profit
Nurse hours
4.64 /day
Staff turnover
38%
Serious cites
0

The Stayton At Museum Way runs on a nonprofit model with 46 certified beds, and its staffing tells a real story: 4.64 nurse hours per resident day, roughly 20% above the national average. That said, weekend coverage dips about 11% below its own weekday levels, so care can thin out on Saturdays and Sundays. Staff turnover sits at 37.8%, noticeably better than the 45.8% national figure, which suggests people stick around. The tradeoff shows up in the inspection record, 24 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in November 2025. Strong quality scores and steady staffing, but that deficiency count is worth asking about directly.

A

91/100

Mrc The Crossings

League City, TX · Galveston County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
39%
Serious cites
0

Mrc The Crossings runs a tight ship on nearly every measure that matters. The nonprofit home puts 4.35 nursing hours behind each resident daily, roughly 13% above the national average, and its staff turnover of 39.1% sits well under the typical 45.8%, a signal that caregivers tend to stay. One deficiency on the current record, none involving harm or abuse, and a December 2024 inspection round out the picture. The one soft spot: weekend staffing dips about 8% below its own weekday level, so ask how coverage looks on Saturdays and Sundays. Otherwise, the numbers here are about as clean as they come.

A

90.5/100

Crestview Retirement Community

Bryan, TX · Brazos County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
10%
Serious cites
0

Crestview runs on nonprofit ownership in Bryan, and the numbers behind its A grade start with staff who stay. Annual turnover of 10% is remarkably low next to the 45.8% national figure, and total nurse staffing of 4.29 hours per resident day sits about 11% above the national average. The catch is weekends, when coverage drops roughly 18% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Eight deficiencies on record, one at the harm level, none abuse-related, with the most recent inspection in August 2025.

A

89/100

The Legacy Midtown Park

Dallas, TX · Dallas County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.71 /day
Staff turnover
33%
Serious cites
0

The Legacy Midtown Park in Dallas runs a tight ship on the things that matter most: 5.71 nurse staffing hours per resident day, roughly half again the national average, with weekend coverage dipping only about 9% below weekdays. Staff turnover sits at 33.3% against a national 45.8%, so the people caring for residents tend to stay. Inspections back that up, the most recent, in September 2025, produced six deficiencies, none at harm or jeopardy level, though one was abuse-related. Four fines totaling $27,523 have accumulated on the record. As a nonprofit with 54 beds, it's small enough that problems don't hide easily, and the inspection history suggests few serious ones have.

A

88/100

Continuing Care At Highland Springs

Dallas, TX · Dallas County

CMS 3/544 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
31%
Serious cites
0

Continuing Care At Highland Springs runs 44 certified beds as a nonprofit, and its staffing is a genuine bright spot: 4.29 nurse hours per resident day, roughly 11% above the national average, with weekend coverage dipping about 10% below its own weekday levels. Turnover sits at 31.4%, well under the 45.8% national figure, so the people caring for residents tend to stay. The friction is on the inspection side, 17 deficiencies on record, two of them serious enough to reach harm or jeopardy, plus one $46,105 fine, with the most recent inspection in September 2025. That combination of strong daily staffing and a troublesome survey history is what pulls the overall picture down.

A

87.5/100

Army Residence Community

San Antonio, TX · Bexar County

CMS 5/591 bedsNon-profit
Nurse hours
4.19 /day
Staff turnover
40%
Serious cites
0

Nurse staffing here runs about 4.19 hours per resident per day, roughly 8% above the national average, and the health inspection and quality measure ratings both come in at 5 out of 5. Weekend coverage drops about 16% below the home's own weekday level, though, so care can look thinner on Saturdays and Sundays than the weekday numbers suggest. Staff turnover sits at 40%, a bit better than the 45.8% national figure. The current record shows 18 deficiencies, none at the harm or jeopardy level, but two tied to abuse, which is worth asking about directly.

A

87/100

Morningside Manor

San Antonio, TX · Bexar County

CMS 4/5147 bedsNon-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
16%
Serious cites
0

Morningside Manor runs on a non-profit model with 147 beds, and the numbers show a stable operation. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends dip roughly 4% below its own weekday levels, worth knowing if your family visits mostly on Saturdays and Sundays. What stands out is turnover: 15.8% against a national average of 45.8%, which suggests caregivers here tend to stay. The inspection record shows 26 deficiencies, none at harm or jeopardy level, though one is abuse-related. State inspectors were last in on August 7, 2025, so the picture is current.

A

87/100

Parkway Place

Houston, TX · Harris County

CMS 5/542 bedsNon-profit
Nurse hours
4.32 /day
Staff turnover
31%
Serious cites
0

Parkway Place runs about 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 31% sits well below the 45.8% typical elsewhere, both real strengths. The trade-off shows up in its inspection record: 18 deficiencies, three of them serious enough to involve harm or jeopardy, plus a $45,741 fine. The last inspection was recent, in May 2025. With 42 beds and nonprofit ownership, this is a small home where consistent staffing helps, but the harm-level findings and the fine are the kind of thing worth asking about directly before you decide.

Frequently asked questions

How many top-graded non-profit nursing homes are there in Texas?
There are 28 top-graded non-profit Medicare-certified nursing homes in Texas, 2% of the 1,179 nursing homes there.
Are top-graded non-profit nursing homes better staffed?
In Texas they average 5.21 total nursing hours per resident per day, against 3.39 for all nursing homes in Texas, a difference of +1.82 hours. Staff turnover averages 33.7% against 55.3%.
Which top-graded non-profit nursing home grades best in Texas?
The Legacy At Willow Bend in Plano, TX, grade A, 99 out of 100.
Does being top-graded non-profit mean a nursing home is safe?
No. Of the 28 graded top-graded non-profit homes in Texas, 28 grade A and 0 grade D or F.
Do top-graded non-profit nursing homes in Texas accept Medicaid?
14 of the 28 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Texas