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.
Focused Care At Summer Place runs on thin staffing. At 2.95 nurse hours per resident day, it sits about 24% under the national average of 3.86, and weekends drop roughly another 13% below its own weekday levels. That gap shows up in a 1-out-of-5 CMS staffing rating and a 63.2% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are often new and frequently leaving. The inspection record lists 36 deficiencies, including one at the harm level and two tied to abuse. A for-profit corporation owns the 132-bed home. Its 4-out-of-5 quality measure score stands out against the weaker staffing and inspection marks, but quality measures alone don't cover a resident's daily care.
Hewitt Nursing and Rehabilitation runs 140 beds under for-profit LLC ownership, and the numbers families tend to care about most don't line up well. Nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average, and weekend coverage drops another 14% below the home's own weekday level, so the thinnest shifts land exactly when families often visit. Annual turnover of 62.5% means most of the people caring for your relative in any given year will be new, against a national rate of 45.8%. The inspection record shows 30 deficiencies, six serious enough to involve harm or jeopardy, one tied to abuse, and $33,539 in fines. Quality measures score well; staffing and inspections don't.
Brentwood Place Four runs on 3.19 nurse hours per resident per day, about 17% under the national average of 3.86, and weekend coverage dips roughly another 10% below its own weekday numbers. That thin staffing shows up in the turnover figure: 65.2% annually against a national 45.8%, meaning most of the people caring for residents were not there a year ago. The health inspection record carries 30 deficiencies, none at harm or jeopardy level, but 3 tied to abuse. Its quality measure score is perfect, which tends to reflect charted care rather than the hands available to deliver it. A June 2025 inspection is recent, so the picture is current, not stale.
Ignite Medical Resort Katy runs 4.05 nurse hours per resident day, about 5% above the national average, and weekend staffing holds steady rather than dropping off. That's the good news. The rest is harder to ignore: staff turnover sits at 71.4% against a national average of 45.8%, which means most of the people caring for residents this year likely won't be there next year. Inspectors have logged 24 deficiencies, two serious enough to put residents at risk of harm, and fined the home five times for $51,914 total. The last inspection was in May 2025. Family surveys look strong, but stable hands matter more day to day. Ask who's actually on the floor.
Park Valley Inn runs on thin staffing. At 3.28 nurse hours per resident day, it sits about 15% under the national average, weekends drop roughly 13% below its own weekday coverage, and more than half the nursing staff turns over each year, 55.3% against a national 45.8%. The inspection record backs that up: 35 deficiencies, three serious enough to put residents in harm's way, six tied to abuse, and $97,032 in fines. The 5/5 quality measure score looks good on paper, but quality measures are largely self-reported, and a home can chart well while running short-staffed. Williamson County families comparing options should weigh the 1/5 staffing rating and the March 2026 inspection against that number, not instead of it.
The Estates at Shavano Park runs on thinner nursing coverage than most homes nationally, 3.67 nurse hours per resident day against a 3.86 average, and weekends get leaner still, dropping roughly 12% below its own weekday pace. That gap matters most when families visit on Saturdays and Sundays. Staff turnover sits at 63.4%, well above the 45.8% national figure, so the aides and nurses caring for residents are changing often. Inspectors cited 32 deficiencies, two tied to abuse, though none rose to the harm level; the most recent visit was March 2026, so the record is current. The for-profit LLC ownership structure adds no care capacity on its own.
Mesa Vista Inn Health Center runs 144 certified beds in San Antonio under corporate for-profit ownership, and its nurse staffing sits at 2.59 hours per resident day, about a third below the national average of 3.86. Weekends drop roughly another 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 44 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,160. CMS gives the home one star for staffing and two for health inspections, though its quality measure score is a middle-of-the-road three. The most recent inspection was April 24, 2026.
Richardson Nursing and Rehabilitation runs 280 certified beds under a hospital district, and the staffing numbers are the first thing you should notice. At 2.60 nurse hours per resident day, it's about a third below the national average of 3.86, and weekends drop roughly another 14% from its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record shows 47 deficiencies, including two at the harm level and two tied to abuse; a single fine of $8,977 is on file, and the last inspection was December 2024. CMS rates the home 1 out of 5 on staffing and 2 out of 5 on health inspections, which tells you the quality measure score isn't the whole picture here.
Parkview runs about 2.87 nurse hours per resident day, roughly a quarter below the national average, and weekends drop another 19% under its own weekday numbers. That thin coverage shows up in the inspection record: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $64,967 and a two-star health inspection rating. Staff turnover sits at 47.5%, slightly above the national figure. The quality measure score of 4/5 is the one bright spot, but it reflects reported care measures rather than the staffing and safety problems regulators have actually cited here.
La Vida Serena runs thin on nursing staff, 2.87 hours per resident per day against a national average of 3.86, roughly a quarter below it. Weekends are lighter still, about 11% under the home's own weekday coverage, so the thinnest shifts come when families often visit. The inspection record is a mixed picture: a four-star health inspection rating and a recent survey in September 2024, but 17 deficiencies on file, two of them at harm or jeopardy level and three tied to abuse. A single fine of $8,404 has been levied. The staffing star sits at one out of five, which tells you where the trouble concentrates.
Sonterra Health Center runs on thin nursing coverage, 3.53 hours per resident day, roughly 9% under the national average, and weekends are leaner still, about 19% below its own weekday level. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale, and in a turnover rate of 54.6%, nearly nine points above the national figure. Its current record carries 50 deficiencies, including five at the harm or jeopardy level and five tied to abuse, along with three fines totaling $80,964. A May 2025 inspection is recent, but the inspection rating is still below average. It's owned by a hospital district, which may explain some stability, but the numbers here are hard to read as reassuring.
Madison Medical Resort runs 3.57 nursing hours per resident day, roughly 8% under the national average of 3.86, and weekends drop about 16% below its own weekday staffing. That thin weekend coverage matters more than the overall number, since gaps show up when fewer people are watching. The 44.8% turnover rate is basically in line with the national 45.8%, so retention isn't the standout problem here. What is: ten deficiencies on the current record, two of them at harm or jeopardy level, plus a $32,445 fine. A 3/5 on health inspections and quality measures is middling, and the 1/5 staffing rating reflects the hours above. Ownership is for-profit corporate.
Rosewood Heights runs 64 beds in Killeen under corporate ownership, and its staffing is the number that stands out. At 3.81 nurse hours per resident day it sits just under the national average, but weekends drop roughly 12% below its own weekday level, and turnover runs 67.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 15 deficiencies, 5 of them at harm or jeopardy level, plus $42,298 in fines across three penalties. A recent August 2025 inspection and no abuse citations are the bright spots. Ask about weekend coverage and how they keep CNAs.
Magnolia Manor runs on 2.92 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 11% below its own weekday level. That thin coverage is where the real trouble sits: 24 deficiencies on the current record, four at harm or jeopardy level, three tied to abuse, and two fines totaling $230,279. Turnover at 39.7% is actually better than the national 45.8%, so the problem isn't retention, it's how few hands are on deck when they are there. The last inspection was July 2025, so the picture is current, not stale. For-profit corporate ownership, and a staffing star of 1 out of 5, tell you where the money goes.
Avir At Weatherford runs lean on nursing hours: 3.32 per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday level, so the thinnest coverage lands when families typically visit. Staff turnover sits at 70.4% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 18 deficiencies, two of them at harm or jeopardy level and three tied to abuse, with $22,356 in fines across two penalties. Ownership is a for-profit corporation, and the last inspection was in February 2026.
Palo Pinto Nursing Center runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below what the home itself staffs on weekdays. Turnover sits at 45.6%, essentially the national rate, so the staffing shortfall isn't an exodus problem, it's how many hours the building puts on the floor. The inspection record shows 22 deficiencies, including two at the harm level and two tied to abuse, with a $41,036 fine and a survey completed in September 2025. The corporate owner operates it for profit across 106 certified beds. Families weighing this one against others nearby should ask how the weekend shifts are actually covered.
Greenville Health & Rehabilitation Center runs 120 certified beds under corporate ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends drop about 8% below what the home staffs on weekdays, so coverage thins out exactly when families tend to show up. Half the staff turned over in the past year, above the 45.8% national rate.
The inspection history is heavier: 68 deficiencies on the current record, including 5 at the harm or jeopardy level and 10 tied to abuse. Five fines total $96,065, and the last inspection was March 27, 2024.
Avir At Gonzales runs on 2.65 nursing hours per resident day, roughly a third below the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in the federal staffing rating: 1 out of 5. Annual turnover sits at 61.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 39 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last survey was July 2025, so that picture is current. A for-profit corporation owns the 80-bed home. Inspection and quality scores land mid-range; the staffing numbers are where the concern sits.
Avir At Burleson runs a 120-bed for-profit building in Johnson County, and the split in its record is worth understanding before you tour. Inspectors have found this place in good shape, a 4-out-of-5 health inspection rating, 19 deficiencies on the current record with none reaching harm or jeopardy level and nothing abuse-related, and a survey as recent as November 2025.
The staffing side tells a different story. At 2.87 nurse hours per resident day, it sits roughly 26 percent under the national average of 3.86, and weekend coverage drops about 11 percent below its own weekday level. Annual turnover of 56.4 percent runs well above the 45.8 percent national figure. Good inspections, thin coverage, ask how they staff weekends.
Harmony Care At Golfcrest runs on 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in the inspection record: 23 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and $71,472 in fines across three penalties. Staff turnover sits at 51.5%, well above the 45.8% national figure, which matters for a 120-bed for-profit where familiarity with residents is part of the safety net. The most recent inspection was July 2025, so the record is current. Ask the administrator what specifically has changed since then.
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?