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.
St. Joseph Manor runs on thin staffing: 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends about 11% leaner than weekdays. The bigger problem is who's left to fill those shifts, annual turnover of 98.6% means the whole nursing staff essentially turns over every year, against a national rate near 46%. Inspectors have found 39 deficiencies, including two involving harm or jeopardy and two tied to abuse, and the most recent visit was March 2025. Hospital-district ownership doesn't change the math: a 1-out-of-5 inspection rating and 1-out-of-5 staffing rating alongside that turnover is what families should weigh.
Diboll Nursing and Rehab runs 82 beds under corporate ownership, and the numbers show a staffing problem more than a quality one. Nurses give 2.94 hours per resident per day, about a quarter below the national average, and weekends drop roughly 8 percent below what the home already provides on weekdays. Annual turnover sits at 63.3 percent against a national 45.8, so a lot of the people providing that care are still learning the building.
The health inspection record shows 33 deficiencies, two serious enough to involve harm or jeopardy, though none tied to abuse, and the last inspection was recent. Clinical quality measures rate well; staffing does not.
The Villa At Texarkana holds a four-star record on health inspections and quality measures, but its staffing tells a different story. At 3.36 nurse hours per resident day, it runs about 13% under the national average, and weekends dip roughly 11% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 59% sits well above the 45.8% national figure, meaning the people caring for residents are often new. Thirty deficiencies appear on the current record, including one at the harm level and two tied to abuse. A recent March 2026 inspection keeps the oversight current, but steady leadership and enough hands on deck are the harder problems here.
Azle Manor runs 142 certified beds under for-profit LLC ownership, and its nursing hours come in around 3.32 per resident day, roughly 14% under the national average. Weekends dip about 13% below the home's own weekday staffing, and annual turnover sits at 61.3% against a national figure near 45.8%, meaning a large share of the people caring for your relative are new to the building. The current inspection record shows 13 deficiencies, five serious enough to involve harm or jeopardy, with four fines totaling $44,548 and a February 2026 inspection. Resident outcome measures score better than the staffing or inspection picture suggests, so the question worth asking on a tour is who's actually on the floor, especially Saturday and Sunday.
Legend Oaks runs 3.32 nurse hours per resident day, roughly 14% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage shows up in the staffing rating: 1 out of 5. Annual turnover hits 70.9% against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. Inspections tell a similar story, 20 deficiencies on record, two serious enough to involve harm or jeopardy, and a $39,045 fine. The quality measures look strong at 5 out of 5, but those are self-reported numbers, and the last inspection was June 2025. Ask what changed since.
Avir At Luling runs on 2.82 nurse hours per resident per day, roughly 27% under the national average, and weekend coverage drops another 13% below its own weekday level. Staff turnover sits at 76.1% against a national 45.8%, so the people providing most of the hands-on care are constantly changing. The inspection record shows 41 deficiencies, including three at harm or jeopardy level and four tied to abuse, with $35,559 in fines across three penalties; the most recent inspection was November 2025. Corporate-owned and certified for 56 beds, the home's quality measure scores look good, but that's the part of the record least dependent on having enough consistent staff on hand.
Creekside Village runs lean on nursing hours, 3.51 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 9% below its own weekday coverage. Staff turnover sits at 57.4%, well above the 45.8% national figure, which means the people caring for residents are changing often. The inspection record is genuinely strong: a 5/5 health inspection rating, 11 deficiencies with none at harm or jeopardy level, nothing abuse-related, and a survey as recent as June 2025. But quality measures come in at 1/5, a real split from that inspection score. Ownership is a for-profit partnership. The pattern worth noticing is that the home inspects well while its clinical quality measures and staffing stability lag.
Solera At West Houston runs 112 certified beds under for-profit LLC ownership, and its nurses deliver 3.41 hours per resident day, roughly 12% below the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 43.6%, slightly better than the 45.8% national figure, but that's about the only number here that isn't working against the home. The current record carries 34 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus three fines totaling $87,386. A 5/5 quality measure score exists, but with a 2/5 inspection rating and a 2/5 staffing rating, the pattern is consistent: thin floor coverage, a long citation history, and compliance problems serious enough to draw federal penalties.
Corinth Rehabilitation Suites On The Parkway runs 134 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. At 3.58 nurse hours per resident per day, it sits about 7% under the national average, and weekends dip roughly 14% below its own weekday coverage, so the gaps aren't evenly spread. Turnover is the harder number: 66.2% of nursing staff leaving annually against a national 45.8% means the people caring for residents are, more often than not, new to the building. Fifty deficiencies, four at harm or jeopardy level and five tied to abuse, with the most recent inspection in May 2025. Quality measures score well; inspections and staffing do not.
Bear Creek runs lean on nursing staff, 3.31 hours per resident day, roughly 14% under the national average, and it thins out further on weekends, dropping about 10% below its own weekday coverage. More than half its nurses left over the past year (55% turnover), a rate well above the 45.8% national figure. The inspection record is where things get serious: 34 deficiencies, six of them at the harm or jeopardy level, one abuse-related, and three fines totaling $148,612. A 1-out-of-5 health inspection rating reflects that pattern, and a 3-out-of-5 quality measure score doesn't offset it. For-profit LLC ownership rounds out the picture.
Simpson Place runs about 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends dip another 7% below its own weekday staffing. That thin coverage comes with 55.6% annual turnover, well above the 45.8% national figure, so the aides and nurses cycling through are stretched even when the numbers look adequate on paper. The record shows 34 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the most recent inspection was April 30, 2026. State surveyors rated health inspections 3 out of 5 and quality measures 4 out of 5, but staffing 1 out of 5, which tells you where the trouble lives.
Renaissance Park runs 4.03 nurse hours per resident day, a bit above the national figure of 3.86, but that average hides a gap: weekends drop about 17% below the home's own weekday staffing. The bigger concern is retention, 63.2% annual turnover against a national average of 45.8%, which means many of the people caring for residents are new to the building. On the record side, 31 deficiencies include 4 at the harm or jeopardy level and 2 tied to abuse, with $106,478 in fines across 4 penalties. The most recent inspection closed in April 2026.
Diversicare Of Luling runs 60 certified beds under corporate ownership, and the staffing number is the one to watch: 2.96 nurse hours per resident per day against a national average of 3.86. That's roughly a quarter less hands-on nursing time than the typical home, and weekends dip about 9% below what the building manages on weekdays. The state inspection record is where it looks stronger, 13 deficiencies, none at the harm or jeopardy level, no abuse findings, and a survey as recent as May 2025. So the picture isn't dangerous care so much as thin coverage: 4 out of 5 on inspections, but 1 out of 5 on staffing, which is the number that shapes daily life.
Focused Care At Odessa runs about 3.06 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends drop another 17% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The 28 deficiencies on record include one at the harm level and two tied to abuse, with the most recent inspection dated January 2026. A 45.9% turnover rate sits essentially at the national figure, meaning the staff it has turns over about as fast as everywhere else. Ownership is corporate for-profit across 75 certified beds. The federal staffing rating of 1 out of 5 is the number that explains the rest.
Cedar Lake passed its most recent inspection in September 2025 with no deficiencies at the harm level and none tied to abuse, which matters, that's the part families worry about most, and it's clean. Where the home struggles is everyday care capacity. Both its staffing and quality measure ratings sit at the bottom of CMS's five-point scale, meaning resident care hours and clinical outcomes lag what's typical nationally, even though the building holds 90 beds. Eight deficiencies and four fines totaling $27,270 point to recurring paperwork and process problems rather than dangerous conditions. A for-profit limited liability company runs it. The inspection record looks better than the day-to-day staffing numbers, so ask specifically about nurse and aide coverage on evenings and weekends.
Care Nursing & Rehabilitation runs 97 certified beds in Brownwood under corporate for-profit ownership, and its inspection record is genuinely good, a 4-out-of-5 health inspection rating, last survey in March 2025, and 17 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 2.98 nurse hours per resident day, it sits roughly 23 percent under the national average of 3.86, weekends run about 13 percent thinner than weekdays, and CMS gives it just 1 out of 5 stars for staffing. Quality measures land at 3. So: clean inspections, thin coverage. Ask about weekend and evening nurse presence before deciding.
Bertram Nursing and Rehabilitation runs on a thin nursing margin. At 2.73 hours per resident day, the home sits about 29 percent under the national staffing average, and weekends slip roughly 19 percent below its own weekday level, you can guess when problems tend to surface. The bigger signal is turnover: 95.6 percent of nursing staff leave within a year, against a national rate near half that, which means the people caring for residents are, more often than not, still learning the building. Inspections look strong on paper, including two abuse-related deficiencies and two at harm level, and one $10,135 fine. The pattern is a home that can score well on paper while the workforce underneath it keeps churning.
Midland Medical Lodge runs about 3.13 nurse hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends drop another 17 percent below its own weekday numbers. Staff turnover sits at 46.9 percent, slightly above the national 45.8 percent, so the people around your family member may change often. The inspection record is the stronger side: 17 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. With 125 beds under for-profit partnership ownership, ask specifically how weekend coverage is handled on the unit your relative would live on.
Meridian Care of Alice runs 201 certified beds under individual for-profit ownership, and the staffing picture is mixed in a way worth understanding. Total nurse coverage sits at 3.21 hours per resident day, roughly 17 percent under the national average, and weekends drop about 14 percent below the home's own weekday level. The one number that looks better than average is turnover: 34.7 percent against a national 45.8 percent. But the inspection record is where the real concern lives: 18 deficiencies on file, four at harm or jeopardy level, three tied to abuse, and two fines totaling $211,990, with the most recent inspection dated March 2026. Strong quality measures and low turnover don't outweigh that harm-level history.
The Meadows runs on 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips even further below its own weekday levels. The current record shows 32 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $35,731 in fines across two penalties. Staff turnover sits at 58.1%, well above the 45.8% national figure, under for-profit LLC ownership. The quality measure score of 4 out of 5 may look reassuring, but it stands against a 1 out of 5 inspection rating and a 2 out of 5 on staffing, the numbers families weigh most heavily. The most recent inspection was January 15, 2025, so the record is current.
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?