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.
Capstone Healthcare of Daingerfield runs a 106-bed for-profit operation where the staffing numbers look decent on paper, 3.95 nurse hours per resident day, a bit above the national average, but weekend coverage drops about 14% below what the home staffs on weekdays. Turnover sits at 33.9%, better than the 45.8% national figure, so the people who stay tend to stay. The trouble is the inspection record: 58 deficiencies, including 7 at harm or jeopardy level and 8 tied to abuse, plus six fines totaling $321,040. That history matters more than the staffing averages when you're deciding whether this is the right place for someone you love.
The Villa at Mountain View runs 3.31 nurse staffing hours per resident day, roughly 14% under the national average of 3.86, and weekends drop about 9% below its own weekday levels. That matters when you consider the record: 36 deficiencies, four of them at the harm or jeopardy level, one tied to abuse, plus three fines totaling $33,580. Staff turnover sits at 48.3%, a few points above the national 45.8%, and the most recent inspection was May 2025. Ownership is for-profit corporate, with 120 certified beds. The quality measure score looks strong on paper, but the staffing and inspection numbers describe a building where care depends heavily on who happens to be working that day.
Meridian Care of Hebbronville runs 60 certified beds in Jim Hogg County, and its strongest numbers come from inspections: a clean recent record with nine deficiencies, none at the harm or jeopardy level and none related to abuse. The tradeoff shows up in daily staffing, which sits at 3.35 nurse hours per resident, roughly 13 percent under the national average, and thins out further on weekends. That's partly offset by turnover of 40.5 percent, better than the 45.8 percent national figure, meaning fewer caregivers cycling out than elsewhere. Quality measures hold at four stars. For a small rural home, the care outcomes look steady even though the day-to-day coverage runs lighter than average.
River City Care Center runs 92 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average, with weekends about 13% thinner than weekdays. That shortfall shows up in the federal staffing rating, which lands at the lowest tier. The inspection record is the heavier concern: 36 deficiencies on file, including two at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse, and $23,410 in fines across two penalties. Its quality measure score looks good on paper, but that's largely self-reported data, and the last full inspection was in July 2025. The families I'd tell to look hardest at this one are those needing consistent hands-on care, especially on weekends.
Avir At Dripping Springs runs 60 certified beds under corporate ownership, and the staffing numbers are the part that should get your attention. At 2.80 nurse hours per resident day, it sits about 27% under the national average of 3.86, and weekend coverage dips roughly 9% below its own weekday level. Annual turnover hits 68.6% against a national 45.8%, so the people caring for residents are cycling through fast. The inspection record is genuinely strong, a 5/5 star rating and a clean December 2025 survey, with no deficiencies at the harm level. But 13 deficiencies on file, one abuse-related, plus a 1/5 staffing star, means the day-to-day coverage is where the risk lives.
Avir At Magnolia runs on 2.86 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further from an already thin weekday floor. That staffing gap sits behind 37 deficiencies on record, seven of them involving harm or jeopardy and three tied to abuse, plus five fines totaling $50,906, a pattern worth asking the administrator about directly. Nearly six in ten staff left over the past year, well above the 45.8% national rate, and with the last inspection in August 2025, the record is current rather than dated. The quality measure score looks better than the rest, but quality numbers reflect resident assessments, not whether enough hands are on the floor.
Avir At Texarkana runs a for-profit LLC with 110 certified beds, and the numbers pull in different directions. Nurse staffing sits at 4.56 hours per resident day, roughly 18% above the national average of 3.86, but weekend coverage drops about 7% below its own weekday level, and annual turnover hits 61.7% against a national 45.8%, so the hours are there, the consistency isn't. What drags the record down is the inspection history: 33 deficiencies, three at harm or jeopardy level and five abuse-related, with two fines totaling $146,860 and a health inspection rating of 1 out of 5. Ownership changed within the last 12 months, and the most recent inspection was June 11, 2025.
Providence Park runs 3.24 nurse hours per resident per day, about 16 percent under the national average, and weekends drop another 13 percent below its own weekday staffing. The 125-bed for-profit has 23 deficiencies on its current record, two of them at the harm or jeopardy level, with two fines totaling $188,361. Its most recent inspection was June 18, 2025, and the health inspection rating sits at 2 of 5 stars. Staff turnover of 40.9 percent is slightly better than the 45.8 percent national figure, but a 2-star staffing rating paired with that many deficiencies is the real story here.
Heritage Park Of Katy runs on 2.86 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 7% below its own weekday staffing. That thin coverage sits behind a two-star CMS staffing rating, even though turnover at 43.5% is slightly better than the 45.8% national figure. The inspection record shows 17 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with one fine of $25,508; the last inspection was November 2024. Owned by a hospital district, this home carries three stars each for health inspections and quality measures, middling marks that don't offset the low staffing.
Champions Healthcare At Willowbrook runs on tighter staffing than most Texas homes, and the numbers show it: 3.52 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That thin weekend margin matters in a 98-bed building, and a 51.9% annual turnover rate, well above the 45.8% national figure, means the aides and nurses on that floor are often new to the job. The inspection record carries 19 deficiencies, three serious enough to reach harm or jeopardy, one tied to abuse, and $44,335 in fines across two penalties. The most recent inspection closed in April 2026, so the record is current rather than stale. For-profit individual ownership rounds out the picture.
Riverside Nursing and Rehabilitation Center is a 122-bed for-profit in Austin where the staffing numbers are the first thing to notice. At 3.38 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly 17 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 52.5 percent against a national 45.8 percent, which means caregivers cycle through faster than average. The inspection record backs that up: 28 deficiencies, five at harm or jeopardy level, two tied to abuse, and $88,227 in fines. The most recent inspection was January 15, 2026.
The Pavilion At Creekwood runs 126 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national average of 3.86. Weekends are thinner still, about 13% below its own weekday level, and turnover lands at 47%, slightly above the 45.8% national figure. The inspection record shows 24 deficiencies, four of them at harm or jeopardy level, with three fines totaling $39,674 and a 2/5 health inspection star. Quality measures score 4/5, but that doesn't offset the staffing and inspection picture. The most recent inspection was April 14, 2026, so the record is current.
Fox Hollow Post Acute runs 126 beds in Brownsville under for-profit LLC ownership, and its nurse staffing sits at 3.02 hours per resident day, roughly 22% under the national average, with weekend coverage dropping another 14% below its own weekday level. The inspection record shows 28 deficiencies, including three at the harm or jeopardy level and one tied to abuse, plus four fines totaling $77,232 and a recent inspection date of January 22, 2026. Staff turnover lands at 47%, just above the 45.8% national figure. The quality measure rating of 4 out of 5 stands out against a 1 out of 5 on both health inspections and staffing, worth asking what's driving that gap before you decide.
Palomino Place runs 120 beds in Mesquite, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 52.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. The inspection record shows 32 deficiencies, five serious enough to involve harm or jeopardy, plus one tied to abuse, and $165,086 in fines across three penalties. The last inspection was December 11, 2025, so the record is current. For-profit corporate ownership rounds out the picture.
Cypress Springs runs 95 certified beds in Mount Vernon as a for-profit LLC, and the numbers a family should sit with are the workforce ones. Total nurse staffing sits at 3.57 hours per resident day, about 8% under the national figure, and weekends drop roughly another 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 81.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Inspections in June 2025 turned up 22 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a $29,438 fine on record. Quality measures score well; consistent hands-on care is the open question.
Harbor Valley runs leaner on nursing hours than most homes in the country, 3.58 per resident day against a national average of 3.86, and weekends get thinner still, with about 12% less coverage than weekdays. That matters, because 40 deficiencies sit on the current record, including two at the harm level and three tied to abuse, and the last inspection was in December 2025. Staff turnover at 43.8% is actually slightly better than the typical home, which suggests the problem isn't retention so much as how many hands are scheduled. For-profit, individually owned, 120 beds. Ask about weekend staffing and how the abuse citations were resolved.
The Brixton at Horseshoe Bay runs 3.69 nurse hours per resident day, about 4% under the national average, and weekend coverage drops roughly 13% below its own weekday level, so the thinnest staffing tends to land when families visit. Annual turnover sits at 57.8%, well above the 45.8% national figure, which at 120 beds means a lot of unfamiliar faces. Inspectors cited 10 deficiencies on the current record, one serious enough to involve harm or jeopardy, and a single fine of $85,007. The most recent inspection was June 26, 2025. A for-profit LLC operates the home.
Falcon Point Post Acute runs 130 beds in Katy under for-profit limited liability ownership, and the numbers tell you where the strain sits: 3.22 nurse hours per resident day against a national average of 3.86, with weekends running about 15% thinner than weekdays. Annual turnover hits 58.8%, well above the 45.8% national figure, which matters because 31 deficiencies sit on the current record, including one abuse-related citation, though none reached harm or jeopardy level. A single fine of $19,684 has been levied, and the last inspection was January 10, 2025. The staffing star comes in at 1 out of 5, and that's the piece to weigh hardest when you visit.
The Heights of Bulverde runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and weekends drop about 17% below its own weekday staffing, so the days families visit most are often the leanest. Turnover sits at 55.9% against a national 45.8%, which means many of the aides and nurses on the floor are still learning the building. That inspection record carries 47 deficiencies, including one at the harm level and four tied to abuse, though the most recent visit was in June 2025 and quality measures scored well.
The Lakes at Texas City runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 12% below its own weekday levels. That thin coverage sits alongside a 62% annual turnover rate, well above the 45.8% norm, so the aides and nurses in the building are often new to the job. Inspectors have logged 29 deficiencies, one serious enough to reach harm or jeopardy, though none abuse-related, with the most recent visit in December 2025 and $8,410 in fines. The quality measure score looks strong on paper, but it's built on top of staffing that CMS itself rates at the bottom.
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?