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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 281 to 300 of 827, best-graded first.

C

69.5/100

Windsor Gardens

Lancaster, TX · Dallas County

CMS 2/5150 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
56%
Serious cites
0

Windsor Gardens runs 150 certified beds in Lancaster under corporate for-profit ownership, and the numbers show a split picture worth understanding. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekends drop about 17% below what the home itself provides on weekdays. Staff turnover hits 55.5% a year against a 45.8% national figure, so aides and nurses are cycling through steadily. The health inspection record carries 27 deficiencies, two serious enough to reach harm or jeopardy level, plus one fine of $13,877. A 5/5 quality measure score stands out, but quality measures rely on reported data, while staffing and inspection results come from what surveyors actually found.

C

69.5/100

Mullican Care Center

Savoy, TX · Fannin County

CMS 2/5112 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Mullican Care Center runs about 3.44 nurse staffing hours per resident per day, roughly 11 percent under the national average, and weekends dip another 12 percent below its own weekdays. That thin coverage shows up in CMS's staffing rating: one star out of five. The inspection record carries 43 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a single fine of $5,159. A May 2025 inspection is recent, and the three-star marks on health inspections and quality measures suggest care isn't failing across the board. Still, for 112 beds in a for-profit corporate setup, the numbers point to a home where staffing is the weak spot worth asking about directly.

C

69.5/100

Nocona Rehabilitation And Care Center

Nocona, TX · Montague County

CMS 1/589 bedsFor-profitMedicaid
Nurse hours
3.12 /day
Staff turnover
n/a
Serious cites
0

Grace Care Center Of Nocona runs on nurse staffing of 3.12 hours per resident day, roughly 19% under the national average, and weekends dip about 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The current record carries 28 deficiencies, including two at the harm or jeopardy level and one tied to abuse. Inspectors were last on site in November 2024. It's a for-profit LLC with 89 certified beds, and its staffing star sits at 1 out of 5 while quality measures come in at 3. If you're weighing this one, ask specifically how weekends and abuse-prevention are staffed.

C

69.5/100

Fort Bend Healthcare Center

Rosenberg, TX · Fort Bend County

CMS 3/556 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
43%
Serious cites
0

Fort Bend Healthcare Center runs 56 beds in Rosenberg under for-profit partnership ownership, and its staffing is the weak spot: 3.15 nurse hours per resident day against a national average of 3.86, with weekends running about 18% thinner than weekdays. Turnover lands at 43.2%, slightly better than the 45.8% national figure, so retention isn't the problem, raw coverage is. The inspection record shows 15 deficiencies, including one at the harm level and two tied to abuse, plus a single $22,929 fine; the most recent inspection was August 2025. CMS rates quality measures 5 out of 5 but staffing 1 out of 5, which tells you the clinical outcomes look good on paper even as daily floor coverage lags.

C

69/100

Sterling Hills Rehabilitation And Healthcare Cente

Sweetwater, TX · Nolan County

CMS 4/596 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
45%
Serious cites
0

Sterling Hills runs 96 beds in Sweetwater under corporate for-profit ownership, and its most recent inspection in March 2026 turned up 16 deficiencies, none of them serious enough to cause harm or involve abuse, which matters more than the raw count. Staffing sits at 3.82 nurse hours per resident day, just under the national average, and drops roughly 14% on weekends, so coverage thins exactly when families tend to visit. The bigger split shows up in the federal ratings: five stars on health inspections, but only one on quality measures, with turnover at 45.3%, basically level with the national figure. Good inspections, weaker clinical measures, and thin weekend coverage are the real story here.

C

69/100

Paradigm At Stevens

Yoakum, TX · Lavaca County

CMS 2/5106 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
46%
Serious cites
0

Paradigm At Stevens runs 106 beds in Yoakum under corporate for-profit ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, with weekend coverage dropping another 8% below its own weekday levels. The staffing star rating comes in at 1 out of 5, and turnover is 46.2%, essentially matching the national rate, so this isn't a retention crisis so much as a thin bench. Inspections tell a similar story: 35 deficiencies on record, four tied to abuse, though none reached harm or jeopardy. The last inspection was March 2025, and quality measures score well, but that gap between good clinical numbers and weak staffing is worth asking about directly.

C

69/100

Willowbrook Nursing Center

Nacogdoches, TX · Nacogdoches County

CMS 3/5166 bedsFor-profitMedicaid
Nurse hours
3.21 /day
Staff turnover
52%
Serious cites
0

Willowbrook runs about 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekends are thinner still, around 13% below its own weekday coverage. Staff turnover sits at 52%, above the 45.8% national figure, so the people providing that care keep changing. The 166-bed for-profit home has 23 deficiencies on its current record, one serious enough to involve harm or jeopardy, and a single fine of $153,439. Its last inspection was July 2025. Quality measures score well, but the staffing side is where the trouble shows, and that gap is worth asking about directly.

C

69/100

Kirkwood Manor

New Braunfels, TX · Comal County

CMS 2/5162 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
42%
Serious cites
0

Kirkwood Manor runs about 18% leaner on nurse staffing than the national average, and weekends dip roughly another 12% below its own weekday levels, so the hours per resident aren't just low on paper, they thin out further when families tend to visit. Turnover sits at 42.3%, slightly better than the national rate, which suggests the problem is how many staff are scheduled rather than whether they stay. The current inspection record carries 49 deficiencies, including one at the harm level and one abuse-related, plus a $29,026 fine. A 2/5 staffing rating and 2/5 on health inspections line up with that record; the 3/5 quality measures are the one place the numbers look steadier. Ask specifically how the weekend shift is covered.

C

69/100

Rowlett Health And Rehabilitation Center

Rowlett, TX · Dallas County

CMS 3/5163 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
54%
Serious cites
0

Rowlett Health and Rehabilitation Center runs 163 beds under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, 16 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related, and a recent survey from July 2025. Staffing is where the picture dims. At 3.17 nurse hours per resident day, this home sits roughly 18% under the national average of 3.86, and weekends run about 9% thinner than its own weekdays. Annual turnover of 53.9% tops the national 45.8% average, which means the people at the bedside keep changing. Plenty of homes with worse inspection records have better staffing math than this.

C

69/100

Granbury Rehab & Nursing

Granbury, TX · Hood County

CMS 2/595 bedsFor-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
53%
Serious cites
0

Granbury Rehab & Nursing runs 95 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.03 nurse hours per resident day, it sits about 22% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels. Annual turnover hits 52.8% against a national 45.8%, which tells you aides and nurses are cycling through steadily. The current record shows 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. CMS rated the quality measures 4 out of 5 but staffing 1 out of 5, which is the split worth understanding: residents' clinical outcomes look decent on paper, but the hours of hands-on care behind them are thin.

C

69/100

Crestview Healthcare Residence

Waco, TX · Mc Lennan County

CMS 4/5192 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
43%
Serious cites
0

Crestview Healthcare Residence runs 192 certified beds in Waco under for-profit LLC ownership, and its staffing is the number to sit with first: 3.05 nurse hours per resident day against a national average of 3.86, roughly a fifth below what residents elsewhere get. Weekends drop about 8% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover sits at 43.3%, a touch better than the 45.8% national figure, and the inspection record shows 17 deficiencies with none at harm level, though one is abuse-related, plus a single $56,550 fine. The most recent inspection was June 19, 2025, and the 4-star health inspection rating is the strongest part of the picture.

C

69/100

The Oaks At Longview

Longview, TX · Gregg County

CMS 3/5108 bedsFor-profitMedicaid
Nurse hours
2.65 /day
Staff turnover
49%
Serious cites
0

The Oaks At Longview runs on thin nursing coverage: 2.65 nurse hours per resident per day against a national average of 3.86, and weekends drop roughly 15% below what the home already staffs on weekdays. That's the number behind its low staffing rating, and it matters most on Saturdays and Sundays when families tend to visit. Turnover sits at 48.5%, a few points above the national figure, so the aides and nurses working with your relative are likely to change. The 33 deficiencies on record include two tied to abuse, though none rose to the level of actual harm or jeopardy. Inspections were recent, and state surveyors rated the home well on health and quality measures, the gap here is who's on the floor and how long they stay.

C

69/100

Laurel Court

Alvin, TX · Brazoria County

CMS 5/5125 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
53%
Serious cites
0

Laurel Court in Alvin runs a lean nursing floor: 3.29 hours of nurse staffing per resident day, roughly 15 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday numbers. Annual turnover sits at 53 percent, higher than the 45.8 percent national figure, which matters more in a building where the margin is already thin. The recent inspection history is genuinely clean, nine deficiencies, none at harm or jeopardy level, none abuse-related, and inspectors were last in on July 31, 2025. So you're weighing reliable care against thin coverage, especially on Saturdays and Sundays. That's the tradeoff worth asking about directly.

C

69/100

Whitehall Rehab & Nursing

Crockett, TX · Houston County

CMS 3/5113 bedsFor-profitMedicaid
Nurse hours
3.01 /day
Staff turnover
37%
Serious cites
0

Whitehall Rehab & Nursing runs about 3.01 nurse hours per resident each day, roughly 22 percent under the national average of 3.86, and weekend coverage drops another 13 percent below its own weekday level. That thin staffing shows up alongside 22 deficiencies on the current record, including five at the harm or jeopardy level and five tied to abuse, plus five fines totaling $77,342. Turnover sits at 36.5 percent, better than the 45.8 percent national figure, and the last inspection was recent, February 2026. For-profit ownership under an LLC, a 113-bed building, and a quality measure score that outpaces its staffing picture, worth asking about directly on a visit.

C

69/100

Regency House

San Angelo, TX · Tom Green County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
54%
Serious cites
0

Regency House runs about 3.27 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 11% below its own weekday staffing. That thin coverage shows up in the federal staffing rating, which sits at the lowest mark, while annual turnover of 54.3% runs well above the 45.8% national figure, meaning the people scheduled are also frequently new. The current record carries 16 health deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was in September 2024. Quality measures score noticeably better than staffing does. If you're weighing this one, ask how the weekend shift is actually covered.

C

69/100

Mi Casita Nursing And Rehabilitation

Lubbock, TX · Lubbock County

CMS 3/595 bedsFor-profitMedicaid
Nurse hours
2.80 /day
Staff turnover
38%
Serious cites
0

Mi Casita runs lean on nurses: 2.80 hours per resident per day against a national average of 3.86, and weekends dip about 12% below its own weekday levels. Turnover sits at 37.5%, actually better than the 45.8% national figure, so the problem isn't churn, it's raw coverage hours, which is why staffing lands at the bottom of CMS's scale. The inspection record is cleaner than that number suggests: 28 deficiencies on file, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was recent enough to matter. A for-profit partnership operating 95 beds. Strong inspections, thin daily staffing, and a recent look behind it, those are the facts a family should weigh.

C

69/100

Sagebrook Nursing And Rehabilitation

Cedar Park, TX · Williamson County

CMS 4/5124 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
51%
Serious cites
0

Sagebrook runs on noticeably thinner staffing than most homes, 3.19 nurse hours per resident day against a national average of 3.86, with weekends about 7% leaner than weekdays. That's the number behind its low staffing rating, and it's the kind of gap families feel on a Saturday afternoon. Turnover sits at 50.7%, above the national 45.8%, so the aides and nurses cycling through are less likely to know your mother's routines. The inspection side looks steadier: 21 deficiencies on record, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. A May 2025 inspection is recent enough to trust. Corporate-owned and for-profit, this is a home that passes its surveys but may ask more of your own vigilance between them.

C

69/100

Legend Oaks Healthcare And Rehabilitation Center -

San Antonio, TX · Bexar County

CMS 3/5126 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
46%
Serious cites
0

Legend Oaks runs 126 certified beds in San Antonio under individual for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, about 6% under the national figure of 3.86. Weekends run roughly 13% leaner than weekdays there, and annual turnover is 46.2%, which is right at the national average of 45.8%, so retention isn't the outlier here; the hours per resident are. The current record shows 32 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection on December 4, 2025. Quality measures score well above its staffing marks, a gap worth asking about directly.

C

69/100

Green Oaks Nursing & Rehabilitation

Arlington, TX · Tarrant County

CMS 4/5142 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
49%
Serious cites
0

Green Oaks runs 142 certified beds under corporate ownership, and its nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, and turnover is 48.5% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 17 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a single $83,850 fine; the last survey was in January 2025. The 5/5 quality measure star is genuinely strong, but staffing stars sit at 2/5 and health inspections at 3/5, worth asking how the good outcomes hold up when fewer nurses are on the floor.

C

69/100

Mansfield Medical Lodge

Mansfield, TX · Tarrant County

CMS 4/5118 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
47%
Serious cites
0

Mansfield Medical Lodge runs a 118-bed for-profit operation, and the numbers point to a home that inspects well but runs lean. Its last health inspection, in December 2025, came back clean on the serious stuff, 12 deficiencies on record, none at the harm level, none abuse-related, and a single $6,032 fine. Where it slips is staffing: 3.17 nurse hours per resident day against a national average of 3.86, with weekends roughly 11% thinner than weekdays. Annual turnover of 46.6% sits just above the national 45.8%. So you're looking at a place that keeps its record tidy but asks a relatively small crew to carry the load, which is worth asking about directly.

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