58 Continuing Care Retirement Communities in Texas
58 of the 1,179 Medicare-certified nursing homes in Texas (5%) are CCRC, and all are listed below. 22 of the 57 graded homes earn an A and 1 earn a D or F. They average 4.35 nursing hours per resident per day, 0.96 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 CCRC homes in Texas compare
This group set against every nursing home in Texas, from the current CMS release.
Harmonee House is a 35-bed for-profit home in Amherst with a decent inspection history and a serious staffing problem. The health inspection rating sits at 3 out of 5, and the 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, which matters, because it means the problems found were mostly paperwork and process, not residents getting hurt. But the staffing rating is 1 out of 5, and that's the number a family should sit with. Quality measures come in at 4 out of 5, which suggests the care itself is tracking well when it happens. The last inspection was in September 2024, so the record is recent. A B grade here reflects a home that inspects fine but may not have enough hands on deck.
The Villages of Dallas runs 160 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average of 3.86, though weekends drop about 13% below its own weekday level. The bigger concern is turnover: 58.8% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. That churn shows up in the inspection record, 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $31,303 in fines across two penalties. CMS rated quality measures 5 stars and health inspections 3, but staffing only 2. The last inspection was April 16, 2026.
Focused Care At Westwood runs on thin nursing coverage: 3.08 hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below what the home staffs on weekdays. That gap shows up in the federal staffing rating, which sits at the lowest tier, even as the quality measure score lands at the top. Turnover is 38.9%, actually better than the 45.8% national figure, so the problem isn't churn so much as how few hours each resident gets. Inspections in March 2025 turned up 26 deficiencies, one serious enough to cause harm, though none tied to abuse. The for-profit partnership has real strengths here, consistent staff and strong clinical measures, alongside a staffing level worth asking about directly.
Eden Home runs a 122-bed for-profit operation in New Braunfels, and the staffing numbers are its strongest suit: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 38.8%, noticeably better than the 45.8% norm. The catch is that weekends run about 13% leaner than weekdays, so coverage thins out exactly when families tend to visit. What pulls the record down is the inspection side: 28 deficiencies on file, including two at the harm level and two abuse-related, plus a $22,205 fine, with the most recent inspection in March 2026. A two-star health inspection rating against a four-star staffing rating tells you the care hours are there, but the compliance history isn't clean.
Parks Health Center sits in Odessa with 90 certified beds and a for-profit LLC owner that took over within the past year. The nurse staffing number looks fine on paper, 3.92 hours per resident day, just above the national average, but weekends run about 11% thinner than weekdays, and turnover is the real problem at 66.2% against a national 45.8%. That's a lot of new faces cycling through, and it's worth asking how they cover a weekend when someone calls in.
The inspection record is the stronger side: 14 deficiencies, none at harm or jeopardy level, nothing abuse-related, and the most recent survey was October 2024.
Sharpville Residence runs lean on nursing hours, 3.07 per resident day, roughly a fifth below the national figure, and weekends dip about 8% below its own weekday coverage, which is when gaps tend to show up. Turnover works in its favor: 35.9% against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Its inspection record backs that up, with 12 deficiencies on file, none involving harm or abuse, and one fine of $8,431. The hospital district ownership and a clean June 2024 inspection suggest steady management. Go in asking how the weekend floor actually gets covered.
Signature Pointe runs 195 beds in Dallas under for-profit LLC ownership, and the nursing hours residents actually receive sit at 4.04 per day, roughly 5% above the national average. That sounds fine until you look at who's delivering those hours: annual turnover hits 64.6% against a national average of 45.8%, and weekends run about 8% thinner than weekdays. The inspection record is where the real concern lives, 32 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $38,436 fine. The most recent inspection was February 2025, so the picture is current. Strong quality measures don't offset a staffing churn problem and that deficiency history.
Mountain Villa runs 48 beds in El Paso under corporate for-profit ownership, and the numbers point in two directions. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average, with weekends about 10 percent thinner than weekdays, a pattern families should notice, since care doesn't pause on Saturdays. Staff turnover of 43.9 percent is slightly better than the national rate, and the health inspection record looks solid, with a 4-star rating and no deficiencies at the harm or jeopardy level. But the current record carries 23 deficiencies total, two tied to abuse, and the quality measure and staffing ratings both sit at 2 stars.
North Houston Transitional Care runs 70 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the raw number suggests. Total nurse staffing sits at 3.92 hours per resident day, technically above the national average of 3.86, but a 71.3% annual turnover rate means the people providing that care are constantly changing, and CMS's own staffing rating lands at just 1 out of 5 stars. Weekend coverage drops about 5% below weekday levels, so the hours tend to thin out when families are most likely to visit. The inspection record shows 8 deficiencies, 2 of them serious enough to involve harm or jeopardy, plus one fine of $11,508 from a last survey in April 2025. The 5-star quality measure rating stands out against all of this, but scores like that largely reflect reported clinical data rather than day-to-day staffing stability.
Sunset Home is run by the local hospital district, and its 128 beds are staffed at 2.65 nurse hours per resident day, roughly 31% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so if your family visits on a Saturday, expect less coverage than a Tuesday. Turnover sits at 37.2%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Inspectors were last in on May 29, 2025, and found 13 deficiencies, one serious enough to put a resident in harm's way, no abuse citations, and fines total $14,020.
Kendall House runs 40 certified beds as a nonprofit operation, and its most recent inspection in January 2026 earned four stars for health inspections and three for quality measures. The staffing picture is a different story: a one-star rating and 68.1% annual turnover, well above the 45.8% national average, meaning nearly seven in ten staff left within the year. The current record shows 22 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a single fine of $88,390. Turnover that high with a harm-level deficiency is what pulls the overall picture down despite decent inspection scores.
Denton Village by Purehealth runs 88 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.55 hours per resident day, about 8% under the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so the thinnest shifts are the ones families tend to visit. The inspection record is the harder read: 26 deficiencies, including one at the harm level and one abuse-related, plus a $55,112 fine, with the most recent inspection in September 2025. Staff turnover at 41.3% is slightly better than the 45.8% national figure, and the 5/5 quality measure rating stands out against a 2/5 inspection score. The gap between those two numbers is worth asking about directly.
Brookdale Lakeway runs on thinner staffing than most homes its size, 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what it manages Monday through Friday. That gap matters because care doesn't pause on Saturdays. Annual turnover sits at 55.3%, well above the 45.8% national figure, so the aides and nurses your family member sees are cycling through faster than average. The inspection record backs this up: 23 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and $91,420 in fines. The most recent inspection was in August 2025. Quality measures score well, but the staffing and oversight numbers are where the concern lives.
Columbus Oaks runs 137 certified beds as a for-profit corporation, and the numbers show strain in a few places. Staff turnover sits at 56.5% against a national average of 45.8%, and the federal staffing and quality ratings both come in at one star out of five. The health inspection record shows 30 deficiencies, two of them serious enough to reach harm or jeopardy level, though none tied to abuse. Fines total $8,412 from a single penalty, and the most recent inspection was July 9, 2025. Nothing here suggests a home in crisis, but the combination of high turnover and low staffing marks is worth asking about directly.
Winfield Rehab & Nursing runs about 3.2 nurse hours per resident per day, roughly 17% under the national average, and weekend coverage dips another 11% below its own weekday level. Staff turnover sits at 62.1%, well above the 45.8% national figure, that's a lot of unfamiliar faces cycling through an 83-bed building. The inspection record is where things get serious: 48 deficiencies, nine at harm or jeopardy level, ten tied to abuse, and five fines totaling $355,773. The quality measure score looks fine on paper, but that reflects charted care processes, not the staffing and safety problems inspectors keep documenting. For-profit individual ownership, and the last inspection was December 2025.
North Park runs 140 certified beds in McKinney under corporate ownership, and its most recent inspection in June 2025 found 13 deficiencies, none of them causing harm or tied to abuse, which matters. But look at the workforce: 3.05 nursing hours per resident per day, about a fifth below the national average, with weekends even thinner. Turnover sits at 95.6%, more than double the national rate, meaning the staff caring for residents turns over almost completely each year. The 5-star health inspection rating reflects that clean survey, but a 1-star quality measure score and 1-star staffing suggest the day-to-day care is stretched. Families should ask directly how the home keeps consistent caregivers on weekends and evenings.
Vintage Health Care Center runs on 3.23 nurse hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday staffing. Annual turnover sits at 96.6 percent, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, likely to be new or on their way out. The inspection record backs that up: 57 deficiencies, seven serious enough to put residents in harm's way, one tied to abuse, and four fines totaling $252,370. Federal regulators have placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Rolling Meadows is a small non-profit home in Wichita Falls, certified for just two beds, and its record is clean on the federal measures that matter most: no deficiencies of any kind, nothing at the harm or jeopardy level, and no abuse-related citations. The most recent inspection was July 24, 2025, so the picture is current rather than stale. With a bed count that low, there's also no meaningful staffing average to weigh against the national figure, the usual comparison doesn't apply here. What you're looking at is a very small operation with a spotless recent survey history and no for-profit owner pushing the numbers. Call and ask how those two beds are actually used.
Frequently asked questions
How many CCRC nursing homes are there in Texas?
There are 58 CCRC Medicare-certified nursing homes in Texas, 5% of the 1,179 nursing homes there.
Are CCRC nursing homes better staffed?
In Texas they average 4.35 total nursing hours per resident per day, against 3.39 for all nursing homes in Texas, a difference of +0.96 hours. Staff turnover averages 46% against 55.3%.