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.
Richland Hills runs about 22% leaner on nursing hours than the typical American nursing home, and weekends drop roughly another 15% below its own weekday pace. That staffing math matters most when you consider the 72% annual turnover, nearly three-quarters of the nursing staff cycling out each year against a national average of 45.8%, on a corporate-owned, 92-bed building. The health inspection history shows 37 deficiencies, including two at the harm level and one abuse-related, with $8,190 in fines. CMS quality scores look strong, but those rely heavily on self-reported measures, while the staffing and inspection numbers reflect what surveys actually found.
Ridgecrest runs 90 certified beds in Waco under for-profit LLC ownership, and the numbers families tend to ask about first are staffing and turnover. Staff turnover here sits at 82.1 percent against a national average of 45.8, meaning most of the people caring for residents in a given year are new to the building. The staffing star rating of 1 out of 5 reflects that churn, and the health inspection record shows 27 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Quality measures score 4 out of 5, so clinical metrics look better than the day-to-day picture. One fine totaling $14,267 is on record, and the last inspection was June 15, 2025.
Ashford Hall runs 206 certified beds in Irving under corporate ownership, and the numbers behind its record are worth sitting with. State inspectors have logged 35 deficiencies, six of them serious enough to put residents in immediate harm or jeopardy, and six tied to abuse. Fines total $301,255 across four penalties. Staff turnover sits at 77.1%, well above the 45.8% national average, which means the people caring for residents are constantly changing. Nurse staffing runs 3.71 hours per resident day, slightly under the national figure, and weekends dip about 8% below the home's own weekday levels. Low turnover and steady weekend coverage are what keep residents safe; here, neither is holding.
Westward Trails runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends drop roughly 21% below its own weekday coverage. That's the kind of gap that shows up when a resident needs help on a Saturday afternoon. Inspectors gave the place solid marks in June 2025, but the record still carries 24 deficiencies, including two tied to abuse and two serious enough to put residents in harm's way, plus $25,036 in fines across three penalties. Corporate ownership means decisions about staffing levels get made somewhere other than Nacogdoches. Ask about weekend coverage and how those abuse deficiencies were resolved before you decide.
Cedar Hill Healthcare Center runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 6% below its own weekday numbers. The inspection record shows 27 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $22,503 in fines across two penalties; the last inspection was July 2, 2025. Staff turnover sits at 44.3%, slightly under the national 45.8%, so retention isn't the outlier here, thin daily staffing and the harm-level findings are. Corporate for-profit ownership, 110 certified beds in Dallas County.
Balch Springs Nursing Home runs on 2.72 nurse hours per resident day, roughly 29% under the national average, and weekend coverage drops about 15% below its own weekday level. That thin margin shows up in the numbers: a 1-out-of-5 staffing rating, 56.5% annual turnover against a national 45.8%, and 21 deficiencies on the current record, two of them serious enough to reach harm or jeopardy. Ownership is for-profit corporate, and there's one fine totaling $43,095. The last inspection was May 2026. Resident outcome measures look strong at 5 out of 5, which suggests the clinical care itself isn't the problem, the question is whether the staffing can hold that up.
The Homestead of Denison runs 140 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekend coverage drops about 11% below its own weekday level, and annual turnover hits 58.3% against a national 45.8%, meaning the aides and nurses your family member sees are likelier than average to be new or on their way out. The inspection record backs that up: 29 deficiencies, two at harm or jeopardy level and three abuse-related, with $29,991 in fines and a 2-out-of-5 inspection rating. Strong quality-measure scores don't offset thin, churning staffing.
Seven Oaks runs on 2.81 nurse hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 10% below its own weekday staffing. That thin coverage lines up with a 100% annual turnover rate, more than double the national 45.8%, so the aide or nurse your family meets in January may be gone by summer. Inspections tell a different story: a 4/5 health inspection rating, a clean record on harm and abuse, and a visit as recent as July 2025, though 30 deficiencies sit on file. Ownership is corporate, for-profit. Strong clinical quality marks and weak staffing don't cancel each other out; they describe two different parts of the same building.
Homestead Nursing and Rehabilitation of Baird runs on thin staffing. At 2.88 nurse hours per resident per day, it sits about a quarter below the national average of 3.86, and weekends drop roughly another 13 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger tell: 85.7 percent annually, nearly double the national rate, meaning most of the people caring for your relative will likely be gone within a year. The good news is real: a four-star health inspection with 14 deficiencies, none causing harm or involving abuse, five stars on quality measures, and a recent May 2025 inspection. Ask how the home holds those quality numbers with so much churn.
Parkview runs about 3.55 nurse hours per resident day, roughly 8% under the national average, and weekends dip another 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover sits at 57.6% against a national 45.8%, meaning more than half the nursing staff leaves in a year. The health inspection record is the strongest part here, a recent June 2025 survey with 18 deficiencies and none at harm or jeopardy level, though 5 are abuse-related and worth asking about directly. The 2/5 quality measure rating is where the day-to-day care concerns show up.
Harmony Care At Floresville runs 2.90 nursing hours per resident day, roughly a quarter below the national figure of 3.86, and weekends dip about 12% below what the home staffs on weekdays. Turnover sits at 50.8%, above the 45.8% national average. The inspection record shows 39 deficiencies, two of them serious enough to reach harm or jeopardy level, plus one tied to abuse, and $87,066 in fines across three penalties. This is a for-profit corporate home with 144 beds; its most recent inspection was May 8, 2026. Low staffing and a heavy deficiency history are the two things worth weighing hardest if you're deciding.
Hillside Heights runs about 3.09 nurse staffing hours per resident day, roughly 20 percent under the national average of 3.86, and weekends dip another 10 percent below its own weekday levels. Annual turnover sits at 56.5 percent against a national 45.8 percent, so the people around your family member change often. The inspection record shows 30 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a $14,901 fine on file; the most recent inspection was April 29, 2026. The state survey rating reflects that history, even though the quality measure score is stronger. Ownership is a for-profit limited liability company.
Willow Park runs 3.31 nursing hours per resident per day, roughly 14 percent under the national average, and weekends dip another 10 percent below its own weekday levels. The inspection record is the bigger concern: 27 deficiencies, three of them serious enough to put residents in harm's way, and three tied to abuse. Three fines totaling $59,972 have been levied, and the most recent inspection was December 2025, recent enough that the findings aren't stale. One bright spot: staff turnover at 36.9 percent beats the 45.8 percent national figure, which suggests people stay. Corporate-owned, 110 beds, and a one-star health inspection rating. Ask about the abuse citations and who supervises residents on weekends.
Quitman Wellness & Rehabilitation runs 156 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. At 3.40 nurse hours per resident day, it sits about 12% under the national average, with weekends running roughly 9% thinner than weekdays, a pattern that matters most on Saturdays and Sundays when families tend to visit. Annual turnover of 81.1% is nearly double the national rate, meaning the aide or nurse you meet in month one may not be there by month six. Its inspection history shows 28 deficiencies, two serious enough to reach harm or jeopardy level, and $39,049 in fines. Quality measures score well; staffing and consistency do not.
Avir At Seguin runs 2.88 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, with weekends even thinner than weekdays. That shortfall shows up in the staffing rating and in a 60.8% annual turnover rate, well above the 45.8% norm, meaning the aides and nurses your family member sees are cycling out faster than anywhere nearby. The record holds 46 deficiencies, including three at the level that caused actual harm or jeopardy and two tied to abuse, plus one fine of $13,877. The quality measures look good on paper, but staffing is what actually gets someone to the bathroom on time.
Garland Nursing and Rehabilitation runs on thinner staffing than most homes, 3.38 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops about 11% below the home's own weekday level. That gap shows up in the numbers that matter: a one-star health inspection rating, 43 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, plus six tied to abuse. Fines total $91,343 across five penalties. Annual turnover of 50.9% means more than half the nursing staff leaves each year, well above the 45.8% national rate, so residents cycle through caregivers who are still learning the building.
Avante Rehabilitation Center runs on 2.58 nurse staffing hours per resident day, about a third below the national average of 3.86, and weekends dip roughly 9% under its own weekday levels. Staff turnover sits at 66% against a national 45.8%, so the people caring for residents keep changing. The current inspection record shows 19 deficiencies, six of them at harm or jeopardy level and two abuse-related, with two fines totaling $24,542. That 5/5 quality measure rating looks strong, but quality measures come from submitted assessment data, the staffing and inspection numbers describe what's actually happening on the floor. Ask about weekend coverage, turnover, and how those abuse deficiencies were resolved before you decide.
Harker Heights Nursing & Rehabilitation runs 199 certified beds under corporate ownership, and the numbers show a building stretched thin on the clinical side. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover of 55.9% outpaces the 45.8% national figure, which matters because constant churn makes consistent care hard. The inspection record is the harder read: 46 deficiencies, three at harm or jeopardy level, two tied to abuse, plus $64,760 in fines. The last inspection was February 2025. Quality measures score well; staffing and inspections don't.
Stone Oak Care Center runs about 2.88 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 14% below its own weekday levels. That matters because the people in these beds need help every day, not just Monday through Friday. Annual turnover sits at 59.8%, well above the 45.8% national figure, so the staff who are there are often new. The current record includes 39 deficiencies, one at the harm level and three tied to abuse. The last inspection was July 2025, so that record is recent.
Mclean Care Center runs 64 beds under for-profit limited liability ownership, and its inspection record has some real positives: a four-star health inspection rating and a four-star quality measure score, with the most recent survey completed in July 2025. The trouble sits in staffing. At 3.51 nurse hours per resident day, it runs about 9% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage. Annual staff turnover hits 100%, more than double the national 45.8%, which means the people caring for residents are largely new to the building. Thirteen deficiencies are on record, one at the harm or jeopardy level, along with a $13,070 fine.
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?