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.
Park View Care Center runs 179 certified beds in Fort Worth under corporate for-profit ownership, and its staffing sits at 4.02 nurse hours per resident day, a bit above the national average, though weekends drop roughly 10 percent below its own weekday coverage. That's the strongest part of the picture. The inspection record is where it gets harder to explain away: 62 deficiencies on file, including six at the harm or jeopardy level and seven tied to abuse, with six fines totaling $299,019. Annual staff turnover runs 51.9 percent against a national average of 45.8 percent, so the people providing care keep changing. The most recent inspection was February 2026, recent enough that this record reflects current conditions, not an old one.
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.
Patriot Heights runs 3.46 nurse hours per resident day, roughly 11% under the national average, and weekends dip about 15% below what the home itself staffs Monday through Friday. That thin weekend coverage matters more when you look at the record: 25 deficiencies, three at harm or jeopardy level, two tied to abuse, and $28,033 in fines across two penalties. Annual turnover sits at 50%, above the 45.8% national figure, so the people providing care keep changing. The quality measure score looks strong, but that reflects charted clinical outcomes, not whether enough hands are present on a Saturday. The last inspection was September 5, 2025.
Henderson Health & Rehabilitation Center runs 173 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 5% below its own weekday levels, and annual turnover hits 52.5% against a national 45.8%, meaning more than half the nursing staff turns over each year. The inspection record shows 30 deficiencies, four of them serious enough to cause harm or jeopardy, plus one abuse-related finding and a $10,546 fine. The last inspection was May 2025. Quality measures score well, but staffing and inspection results are where the real story sits.
Cherokee Rose runs lean on nurses. At 3.20 hours per resident day, its staffing sits about 17 percent under the national average, and weekends drop roughly another 20 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. That shows up in the staffing star rating, which comes in at 1 out of 5, even as the health inspection rating holds at 4 out of 5. The current record carries 18 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent inspection was March 2026. Quality measures rate 2 out of 5. Corporate-owned, 102 beds. Strong recent inspections, weak day-to-day staffing.
Arbor Lake runs on 3.11 nurse hours per resident per day, roughly 19 percent under the national average, and weekends drop another 11 percent below what the home itself staffs on weekdays. That thin coverage shows up in a 52.7 percent annual turnover rate, with more than half the nursing staff leaving each year. Inspectors cited 33 deficiencies on the current record, three of them serious enough to put residents in harm's way and two tied to abuse. The owner is a for-profit individual, and two fines totaling $14,676 are on file. One bright spot: the quality measures score well above average, and the most recent inspection was July 2025.
Chisolm Trail runs a 96-bed for-profit home in Lockhart, and the numbers point in two directions at once. Resident outcomes look good on the federal quality measures, but staffing sits at 2.72 nurse hours per resident day, roughly 29 percent under the national average, and weekends drop about 16 percent below the home's own weekday coverage. The inspection record shows 24 deficiencies, including one at the harm level and two tied to abuse, plus a $37,541 fine; the most recent inspection was in August 2025. If you're weighing this one, ask how they cover weekends and what changed after that harm citation.
Cass Valley Healthcare Center runs 74 certified beds in Centerville under for-profit LLC ownership, and its nurse staffing comes in at 4.20 hours per resident day, roughly 9% above the national average of 3.86. That cushion thins on weekends, which run about 10% below the home's own weekday level, and annual turnover sits at 45%, essentially matching the national rate. The harder numbers are on the inspection side: 25 deficiencies on the current record, five of them at the harm or jeopardy level and four tied to abuse, with four fines totaling $54,592 and a two-out-of-five health inspection rating. The most recent inspection was November 24, 2025. Strong quality measure scores don't erase that record.
Windsor Healthcare Residence runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage dips another 8% below its own weekday levels, so the thinnest shifts land when families tend to visit. Staff turnover sits at 52.4%, above the 45.8% national figure, and that churn shows up in the inspection record: 13 deficiencies, three serious enough to flag harm or jeopardy, two tied to abuse, plus three fines totaling $34,232. The most recent inspection was August 2025. It's a for-profit, individually owned home with 90 certified beds. The quality measure score looks strong, but quality measures reflect resident health outcomes, not whether enough hands are on the floor or whether problems get fixed.
Kirkland Court runs on thin staffing. At 2.88 nurse hours per resident per day, it sits about a quarter below the national average, and weekend coverage drops further, so the thinnest shifts fall when families tend to visit. Staff turnover of 53.3% tops the national rate, meaning the people caring for your relative are often new to the building. The inspection record is the harder read: 37 deficiencies, three serious enough to put residents in harm or jeopardy, and six tied to abuse. Two fines total $16,810. The quality measures look strong, but those come from resident assessments, not from how the place is run day to day.
Willowcreek runs on 2.74 nurse hours per resident day, roughly 29% under the national average, and the weekend gap makes that thinner when families visit most. Staff turnover sits at 57.7% against a 45.8% national figure, so aides and nurses cycle through faster than residents can get used to them. The inspection record shows 24 deficiencies, including one at the harm level and one abuse-related, with a $23,794 fine and a 2-out-of-5 health inspection rating. Quality measures score well, but that's largely charting, and a 1-out-of-5 staffing rating tells you where the daily experience likely lands.
Focused Care Of Center is a for-profit limited liability company home with 92 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, and weekends run roughly 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover, at 32.8%, is actually better than the 45.8% national figure, but the inspection record is where the real trouble sits: 37 deficiencies, including 4 at the harm or jeopardy level and 4 tied to abuse, plus two fines totaling $256,719. The most recent inspection was June 11, 2025.
Avir At Overton runs 100 certified beds under for-profit LLC ownership, and the staffing numbers tell a mixed story: 3.77 nurse hours per resident day sits just under the national average of 3.86, but weekends dip about 4% below weekdays, and annual turnover hits 58.3% against a national 45.8%. More concerning is the inspection record, 41 deficiencies, 13 of them at harm or jeopardy level, 10 abuse-related, and six fines totaling $363,446, with the most recent inspection dated April 2026. The quality measure rating is strong, but that reflects resident health metrics, not the safety and oversight record a family should weigh most heavily when choosing care.
Flatonia Healthcare Center runs 70 certified beds in Fayette County under corporate for-profit ownership, and its staffing is the one part of the picture that holds up: 4.04 nurse hours per resident day, about 5% above the national average, with weekend coverage dipping only slightly below weekdays. Turnover at 43.6% is a touch better than the national 45.8%. The trouble sits elsewhere. Fifteen deficiencies on the current record, two of them at harm or jeopardy level and two abuse-related, plus two fines totaling $15,098. The most recent inspection was December 4, 2025, so that record is recent. Staffing keeps residents attended to; the inspection history is what a family should ask about directly.
Lone Star Ranch runs 146 beds in Kingsville under corporate ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average, and weekends dip about 12% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Staff turnover is 43.8%, slightly better than the national rate. The inspection record is the real concern: 23 deficiencies, including one at the harm level and six tied to abuse, with a $8,190 fine and a survey completed in June 2025. Quality measures score well, but that coexists with a two-star inspection history.
Uvalde Healthcare and Rehabilitation Center runs 115 certified beds under for-profit LLC ownership, and its staffing is the number that stands out for the wrong reason: 3.38 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday level. Turnover sits at 53.8%, well above the 45.8% national figure, meaning nearly six in ten staff left within the year. The current inspection record carries 33 deficiencies, six at harm or jeopardy level and three abuse-related, along with five fines totaling $96,040. The most recent inspection was June 11, 2026. Whatever the quality measure score suggests, thin and unstable staffing paired with that deficiency history is what families should weigh.
Port Arthur Nursing and Rehabilitation Center runs 199 certified beds under for-profit partnership ownership, and its numbers split sharply depending on where you look. The quality measure score is perfect, yet nurse staffing sits at 3.06 hours per resident day, roughly 21% under the national average, and weekend coverage drops about 12% below its own weekday level. Turnover lands at 44.3%, close to the national figure, so retention isn't the outlier here. What is: 50 deficiencies on the current record, including five at harm or jeopardy level and 12 tied to abuse, plus four fines totaling $310,553. The last inspection was June 25, 2025. A strong quality score doesn't offset that inspection history.
Avir At Mineola runs on 3.45 nurse hours per resident day, roughly 11 percent under the national average, and weekends dip another 8 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The inspection record is heavier than that staffing gap alone would suggest: 54 deficiencies, including 8 tied to abuse and 3 serious enough to put residents in harm's way, plus three fines totaling $55,247. Ownership changed within the past year, which can mean new management or just a new name on the license. The most recent inspection was in December 2025. If you're considering this one, ask directly what changed after that inspection and who's actually on the floor on Saturdays.
Village Healthcare And Rehabilitation runs 114 certified beds in Mcallen under corporate for-profit ownership, and the staffing numbers are the main thing to know. At 3.49 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends run roughly 15% lighter than its own weekdays, so coverage thins out exactly when families tend to visit. Turnover at 33.3% is actually better than the 45.8% national figure, which is a real point in its favor. The inspection record is the harder part: 16 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $28,970. The most recent inspection was April 2025. Ask about weekend staffing and that abuse citation directly.
Friendship Haven runs about 3.20 nurse hours per resident per day, roughly 17% under the national average, and weekends dip about 9% below its own weekday staffing. Employee turnover sits at 50.4%, above the 45.8% national figure. Texas records show 17 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, plus an $8,018 fine; the last inspection was November 2024. The health inspection rating is strong at 4 out of 5, but that sits alongside a 2 out of 5 staffing rating. For a 150-bed for-profit home, the pattern is consistent: care standards look good on paper while the day-to-day staffing that delivers them runs thin.
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?