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827 For-Profit Nursing Homes in Texas

827 of the 1,179 Medicare-certified nursing homes in Texas (70%) are for-profit, and all are listed below. 15 of the 823 graded homes earn an A and 105 earn a D or F. Nurse staff turnover runs 57.7%, 2.4 points higher than the 55.3% across all homes there. Laredo Medical Center in Laredo grades highest at A (99 out of 100).

How for-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

3.32

All homes in Texas: 3.39

Worse than the local average

Nurse staff turnover

57.7%

All homes in Texas: 55.3%

Worse than the local average

Average ElderGrade score

65.4/100

All homes in Texas: 66.9/100

Worse than the local average

Grade spread

B
C
D

15 grade A, 265 grade B, 438 grade C, 105 grade D,

The best-graded for-profit home in Texas is Laredo Medical Center in Laredo, TX, grade A, 99/100.

Every for-profit nursing home in Texas

Showing 201 to 220 of 827, best-graded first.

B

72/100

The Harrison At Heritage

Fort Worth, TX · Tarrant County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
48%
Serious cites
0

The Harrison At Heritage runs on 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about another 12% below its own weekday staffing. That thin coverage sits behind a record of 31 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $65,529. Staff turnover is 47.7%, slightly worse than the 45.8% national figure, and the last inspection was December 2025. Quality measure scores look strong, but the inspection rating and the actual staffing numbers are what a family should weigh here.

B

72/100

Legacies Nursing And Rehabilitation

Hemphill, TX · Sabine County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
48%
Serious cites
0

Legacies Nursing And Rehabilitation runs 90 beds in Hemphill under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating with no deficiencies at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 3.55 nurse hours per resident day, it sits about 8% under the national average, weekend coverage drops roughly 12% below its own weekday level, and turnover at 47.7% edges past the national figure. Twelve deficiencies appear on the current record, none serious. The last inspection was recent, in March 2026. Quality measures land at two stars, so care outcomes documented in the data aren't keeping pace with the clean inspections.

B

72/100

Stonemere Rehabilitation Center

Frisco, TX · Collin County

CMS 4/5136 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
34%
Serious cites
0

Stonemere runs 136 beds in Frisco under corporate ownership, and its last inspection was in April 2025, recent enough that the record reflects current conditions rather than years-old findings. The 20 deficiencies on file include none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.33 nurse hours per resident day sits about 14% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage dips when families tend to visit. Turnover, at 33.8%, actually beats the national 45.8%, a genuine plus. Inspection history grades well; day-to-day staffing is where the tradeoff shows.

B

72/100

The Shoal

Texas City, TX · Galveston County

CMS 5/5134 bedsFor-profitMedicaid
Nurse hours
3.68 /day
Staff turnover
52%
Serious cites
0

The Shoal runs 3.68 nurse hours per resident day, about 5% under the national average, and weekend coverage drops roughly 10% below what it manages on weekdays. Staff turnover sits at 52.3% against a national 45.8%, so the people around your family member keep changing. Its record shows 11 deficiencies, including one at the harm level and one tied to abuse, and the last inspection was April 25, 2025. The quality measures look strong, but those come from resident assessments the home reports, while the staffing and inspection ratings, 2 out of 5 each, come from independent review. That gap is worth asking about directly.

B

72/100

Hollymead

Flower Mound, TX · Denton County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
45%
Serious cites
0

Hollymead runs 112 certified beds in Flower Mound under corporate for-profit ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average, with weekends about 7% thinner than its own weekdays. Turnover lands at 45%, right around the national figure, so retention isn't the outlier here; the shortfall is day-to-day coverage. The current record shows 32 deficiencies, one serious enough to involve harm or jeopardy, none abuse-related, and a single fine of $9,110. Its last inspection was April 24, 2025, so the picture is reasonably current. Ask about weekend nurse coverage and what changed after that harm-level finding.

B

72/100

The Brightpointe

Conroe, TX · Montgomery County

CMS 3/5150 bedsFor-profitMedicaid
Nurse hours
4.26 /day
Staff turnover
55%
Serious cites
0

The Brightpointe runs 150 certified beds in Conroe under corporate for-profit ownership, and its nurse staffing comes in at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That sounds solid until you notice weekends run about 12% lighter than weekdays, and turnover sits at 54.9% against a national 45.8%, so the people providing that care keep changing. The current inspection record carries 13 deficiencies, including three at the harm or jeopardy level and two tied to abuse, plus one fine of $21,037. The most recent inspection was July 9, 2025. Staffing beats the average on paper; the record behind it is what gives a family pause.

B

72/100

Carrara

Plano, TX · Collin County

CMS 4/5112 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
52%
Serious cites
0

The Plano home run by the hospital district is licensed for 112 beds and gets decent marks on health inspections and quality measures, 4 out of 5 stars on both, with its most recent inspection in May 2025. Where it slips is staffing: 3.70 nurse hours per resident day sits about 4% under the national average, weekends run roughly 10% thinner than weekdays, and turnover hits 51.8% against a national 45.8%. Twenty deficiencies are on the current record, three serious enough to reach harm or jeopardy level, though none involve abuse, and fines total just over $10,000. The care picture looks steadier than the workforce holding it together.

B

72/100

Las Alturas Nursing & Transitional Care

Laredo, TX · Webb County

CMS 3/5138 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
49%
Serious cites
0

Las Alturas runs 3.13 nurse hours per resident per day, about 19% under the national average, and the gap widens on weekends, when staffing drops roughly 13% below its own weekday level. That thin coverage is the main reason its staffing rating sits at 1 out of 5 even though quality measures score 5 out of 5, those measures reflect clinical outcomes, not how many hands are on the floor. The 22 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and turnover at 49.2% means nearly half the nursing staff leaves within a year. The last inspection was February 2026.

B

71.5/100

Rose Haven Retreat

Atlanta, TX · Cass County

CMS 4/5108 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
62%
Serious cites
0

Rose Haven Retreat carries a government-hospital-district ownership, and its 108 certified beds get more nursing time than most: 4.53 hours per resident day, roughly 17 percent above the national average of 3.86. That staffing edge is real, but weekends run about 16 percent leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Turnover sits at 62.3 percent against a national 45.8 percent, meaning the people at the bedside change often. The current record lists 33 deficiencies, including one at the harm level and two tied to abuse, with $8,281 in fines. The last inspection was May 7, 2025.

B

71.5/100

Avir At Walnut Springs

Seguin, TX · Guadalupe County

CMS 4/5113 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
58%
Serious cites
0

A 113-bed for-profit home in Seguin, Avir At Walnut Springs holds a strong recent inspection record, 14 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The weaker signal is staffing: 3.66 nurse hours per resident day sits about 5% under the national average of 3.86, weekend coverage drops roughly a fifth below its own weekday level, and annual turnover runs 57.7% against a national 45.8%. That combination, high marks from surveyors on health and quality measures, low marks from CMS on staffing, is worth understanding before you visit. Ask how the weekend schedule actually looks on the floor, and how long the current director of nursing has been in the role.

B

71.5/100

Stephenville Nursing And Rehabilitation

Stephenville, TX · Erath County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
2.77 /day
Staff turnover
n/a
Serious cites
0

Stephenville Nursing And Rehabilitation sits in Erath County with 46 certified beds and a for-profit LLC structure. The paper record looks strong, five stars on health inspections and quality measures, no deficiencies at the harm level, nothing abuse-related, and a clean inspection as recent as December 2025. Nine total deficiencies exist, but none rose to jeopardy. Staffing is the weak spot: one star, meaning hours per resident fall well below what CMS expects. That's the tension here. Inspectors find little wrong, residents' clinical measures track well, yet the day-to-day caregiver presence isn't there in the numbers. For a family weighing a move, that staffing figure is the one worth asking about directly.

B

71.5/100

The Heights Of Alamo

Alamo, TX · Hidalgo County

CMS 5/5130 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
39%
Serious cites
0

The Heights of Alamo runs lean on direct care: 3.18 nurse hours per resident day against a national average of 3.86, with weekends dropping about 15% below its own weekday coverage. That thin weekend staffing matters most when residents need help and fewer hands are on the floor. Turnover sits at 38.9%, better than the 45.8% national figure, so the crew that is there tends to stay. Inspections in June 2025 produced a 4-star health rating and 5-star quality measures, but the record carries 12 deficiencies, including one at harm level and two tied to abuse, plus an $8,414 fine. Corporate-owned and for-profit, this is a home where care quality scores well while daily staffing is the weak point.

B

71/100

Parks Health Center

Odessa, TX · Ector County

CMS 4/590 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
66%
Serious cites
0

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.

B

71/100

Cedar Ridge Rehabilitation And Healthcare Center

Pilot Point, TX · Denton County

CMS 3/5108 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
50%
Serious cites
0

Cedar Ridge runs about 108 certified beds in Pilot Point under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.57 nurse hours per resident day, it sits roughly 7 percent below the national average, and weekends dip another 5 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is nearly 50 percent, above the national figure, meaning aides and nurses cycle through faster than average. The inspection record shows 35 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was April 2026, so the picture is relatively current.

B

71/100

Advanced Rehabilitation And Healthcare Of Vernon

Vernon, TX · Wilbarger County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
49%
Serious cites
0

Advanced Rehabilitation And Healthcare Of Vernon runs 120 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: 17 deficiencies on file but none at the harm or jeopardy level, none abuse-related, and a survey completed as recently as August 2025. Where it slips is staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends run roughly 12 percent thinner than its own weekdays. Annual turnover of 49 percent tops the national figure of 45.8. So you have a home that inspects cleanly but depends on a thin, churning workforce to get there, worth asking about on a tour.

B

71/100

White Acres Wellness & Rehabilitation

El Paso, TX · El Paso County

CMS 2/574 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
50%
Serious cites
0

White Acres runs leaner than most. At 3.32 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% is higher than the 45.8% national figure, which means aides and nurses cycle through and familiarity suffers. The inspection record shows 28 deficiencies, none at harm or jeopardy level, but one tied to abuse, and a single fine of $4,475. The last inspection was October 2024. Nonprofit ownership helps, and the 4/5 quality measure rating suggests residents' clinical outcomes hold up despite the staffing math.

B

71/100

Panola County Nursing & Rehabilitation

Carthage, TX · Panola County

CMS 3/5108 bedsFor-profitMedicaid
Nurse hours
2.97 /day
Staff turnover
46%
Serious cites
0

Panola County Nursing & Rehabilitation runs on 2.97 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 13% below its own weekday staffing. That lands the home at 2 out of 5 stars on CMS staffing, though its inspection and quality measure ratings both sit at 3. Turnover is 46.3%, essentially matching the national 45.8%. The current record shows 34 deficiencies, none at harm or jeopardy level, one abuse-related, with the most recent inspection in August 2025.

B

71/100

Devine Health & Rehabilitation

Devine, TX · Medina County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
86%
Serious cites
0

Devine Health & Rehabilitation runs on thin staffing relative to what most Texas homes provide, 3.33 nurse hours per resident per day against a national average of 3.86. The bigger concern is who's left to cover those hours: annual turnover of 86.2% means most of the nursing staff from a year ago is gone, and weekend coverage dips even further below the weekday level. A five-star inspection record with 11 deficiencies and nothing at the harm level shows this isn't a dangerous building. It's a home that passes review but struggles to keep enough consistent hands on deck, and that gap between inspection results and staffing is what holds it back.

B

71/100

Avir At Burnet

Burnet, TX · Burnet County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
51%
Serious cites
0

Avir At Burnet runs a 112-bed for-profit home where the people on the floor matter most, and the numbers there are thin: 3.02 nurse hours per resident per day against a national average of 3.86. Weekends drop roughly 9% below the home's own weekday staffing, and annual turnover sits at 51.2%, above the 45.8% national figure, so the aide helping your mother on a Sunday is likelier than average to be new. Inspections are a different story, a recent April 2026 survey, a 4/5 health inspection rating, and 13 deficiencies with none at harm or jeopardy level and no abuse citations. Ask what weekend coverage actually looks like on the shift you'd visit.

B

71/100

Avir At Snyder

Snyder, TX · Scurry County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
67%
Serious cites
0

Avir At Snyder runs 80 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage, so the thinnest hours come when families are most likely to visit. Annual turnover of 67.4% is well above the 45.8% national figure, which means caregivers are cycling through constantly. The inspection record shows 26 deficiencies, including four tied to abuse and two at the harm level, with a $15,631 fine and a survey as recent as January 2026. Strong quality-measure scores don't offset a 1-out-of-5 staffing rating and a 2-out-of-5 inspection rating.

Frequently asked questions

How many for-profit nursing homes are there in Texas?
There are 827 for-profit Medicare-certified nursing homes in Texas, 70% of the 1,179 nursing homes there.
Are for-profit nursing homes better staffed?
In Texas they average 3.32 total nursing hours per resident per day, against 3.39 for all nursing homes in Texas, a difference of -0.07 hours. Staff turnover averages 57.7% against 55.3%.
Which for-profit nursing home grades best in Texas?
Laredo Medical Center in Laredo, TX, grade A, 99 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 823 graded for-profit homes in Texas, 15 grade A and 105 grade D or F.
Do for-profit nursing homes in Texas accept Medicaid?
808 of the 827 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Texas