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.
Greenbrier runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% under its own weekday level. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale. Annual turnover of 96.6%, more than double the national figure, means the people caring for residents are constantly new. Its current record carries 28 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was March 2026. For-profit corporate ownership rounds out the picture. Ask about actual weekend coverage and how long aides tend to stay.
Avir At Heritage Oaks runs 159 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.21 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 67.2% against a national 45.8% means many of the people caring for residents are still learning the building. The current record carries 28 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last inspection was in May 2026.
Lake Village runs on 3.07 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop about 18% below what the home staffs on weekdays. That thin coverage shows up in the inspection record: 33 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a $24,585 fine and a two-out-of-five health inspection rating. The four-out-of-five quality measure score reflects resident care metrics, but it sits alongside a one-out-of-five staffing rating, and the most recent inspection was in May 2026. For-profit corporate ownership out of Lewisville.
Avir At Adams runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop about 12% below its own weekday coverage. That thin margin shows up in the numbers that matter most: a 66.2% annual turnover rate against a 45.8% national figure, meaning most of the people caring for your relative are new to the building. The current record carries 46 deficiencies, five at harm or jeopardy level and three tied to abuse, plus $24,819 in fines. The most recent inspection was June 19, 2025. For-profit corporate ownership, 118 certified beds, and a staffing rating that matches what those hours suggest.
Stonebridge Health Rehab runs 116 beds in Austin under for-profit LLC ownership, and its staffing sits about 15% under the national average at 3.28 nurse hours per resident day, with weekends roughly 10% thinner than weekdays. That thin coverage is the main story here. The current inspection record carries 20 deficiencies, two serious enough to involve harm or jeopardy, plus $39,258 in fines across two penalties. Turnover, at 35.3%, actually beats the national 45.8%, so retention isn't the problem, hours are. The most recent inspection was April 2026. If you're weighing this one, ask how they staff weekends and what those two harm-level citations involved.
Harmony Care At Stamford runs on a thin staffing margin, and that's the main thing to know. Nurses give residents about 3.69 hours of care per day, roughly 5% under the national average, and weekend coverage drops nearly 29% below what the home staffs on weekdays. Turnover sits at 65.6%, well above the 45.8% national figure, so the people showing up are often new. Inspections look better: a 4-star health inspection rating, no deficiencies at the harm level, though 19 total deficiencies include 2 tied to abuse, and one fine of $36,875 is on record. The most recent inspection was April 30, 2025, and this for-profit partnership is licensed for 112 beds.
Edgemere Estates runs 138 beds in El Paso under corporate ownership, and the staffing numbers are where I'd start. At 3.34 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly 14 percent below its own weekday level, so the coverage you see midweek isn't what your family member gets on a Saturday. Turnover is 52.6 percent against a national 45.8. The inspection record carries 67 deficiencies, including four at harm or jeopardy level and five tied to abuse, with three fines totaling $49,292. The last inspection was April 30, 2025. Quality measures score well; staffing and inspections don't.
Birchwood runs 3.11 nurse hours per resident day, roughly a fifth under the national average, and weekends drop about 12% below its own weekday levels. Annual turnover is 93.6% against a national average near 46%, meaning most of last year's caregivers are gone. Inspections, though, are a different story: a 5/5 health inspection rating with 13 deficiencies on record, none causing harm or involving abuse, and the last visit was June 2025. Cooper's home is clean on paper but thin on the floor, and a C reflects that split.
Lakeridge Nu runs on thin nursing coverage, 2.97 nurse hours per resident day against a national average of 3.86, and weekends dip below even that. Staff turnover sits at 61.5% while the national figure is 45.8%, which means the aides and nurses your family member sees are cycling out faster than at most homes. The inspection record shows 31 deficiencies, including one at the harm level and one tied to abuse, plus a $30,561 fine. Ownership is for-profit corporate. The most recent inspection was in March 2026, so the picture is current.
Mexia Ltc Nursing And Rehab runs 66 certified beds under corporate for-profit ownership, and its nurses put in 4.11 hours per resident day, about 6% above the national average. That staffing edge comes with a catch: weekends run roughly 12% thinner than weekdays, and annual turnover sits at 61.9% against a national 45.8%, so the faces change often. The inspection history is recent, December 2025, and 16 deficiencies are on record, including one at the harm level and one tied to abuse, plus a single $19,822 fine. Quality measure scores land at the bottom of CMS's scale while inspections sit near the top, a split worth asking about directly.
Focused Care At Crane runs light on nursing staff, 3.16 hours per resident day against a national average of 3.86, with weekends about 14 percent thinner than weekdays. That earned a 1-out-of-5 staffing rating from CMS, and turnover sits at 47.3 percent, slightly above the national rate of 45.8 percent. The inspection record shows 33 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $42,357 fine. A 4-out-of-5 quality measure rating and a June 2025 inspection suggest some things are being tracked, but the staffing numbers and the deficiency history are what a family should weigh hardest here.
The Carlyle at Stonebridge Park runs a 112-bed for-profit building in Southlake, and the staffing numbers are where I'd start. At 3.30 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly another 12% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover is 60.9% against a national 45.8%, which means the aides and nurses who know your mother may not be there in six months. The current record shows 35 deficiencies, including two at harm or jeopardy level and one abuse-related, plus $125,895 in fines. The last inspection was January 2026.
Avir At Veterans Memorial runs 120 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average, with weekends about 10% leaner than weekdays. Annual turnover is 52.8% against a national rate of 45.8%, so aides and nurses are cycling out faster than usual. The inspection record is where the real weight sits: 27 deficiencies, five at harm or jeopardy level, two tied to abuse, and $22,840 in fines, with the most recent inspection dated April 2026. Quality measure scores look strong, but staffing and inspection results pull hard in the other direction.
Midlothian Healthcare Center runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average, with weekends dropping another 11% below its own weekday level. That thin coverage shows up in a 64.1% annual turnover rate, well above the 45.8% national figure, meaning the people caring for your relative are often new and still learning the building. The record carries 17 deficiencies, including 5 at the harm or jeopardy level and 2 tied to abuse, plus four fines totaling $50,830. Its last inspection was December 2024. Before you decide, ask how they're addressing turnover and weekend coverage.
Le Reve runs on 3.06 nurse hours per resident day, roughly a fifth under the national average, and weekend coverage drops about 11% below what it manages on weekdays. Staff turnover sits at 64.7% against a national 45.8%, so the people caring for residents are, more often than not, new, and the health inspection record is where that shows: 26 deficiencies on the current record, six of them at harm or jeopardy level and three tied to abuse. Three fines totaling $120,553. Ownership is corporate and for-profit. One thing the numbers don't capture: CMS scored the quality measures 4 out of 5, which suggests some clinical care is being tracked well even as staffing and inspection results lag badly behind.
Avir At Kaufman runs about 3.07 nurse hours per resident day, roughly a fifth under the national average, and weekends dip another 16% below its own weekday staffing. That thin coverage shows up in the numbers: 59.5% annual turnover against a national 45.8%, and a staffing star rating of just 1 out of 5. The inspection record carries 41 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $8,021. A recent January 2026 inspection and a 4/5 quality measure score suggest some clinical care is tracked, but the for-profit limited liability ownership has not bought enough hands on the floor.
Oasis Nursing & Rehabilitation Center runs 130 certified beds in El Paso under corporate ownership, and its last inspection wrapped up in April 2025 with no harm-level or abuse-related deficiencies on the books. That's the good news. The staffing picture is where things get shaky: 3.40 nurse hours per resident day sits about 12% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover hit 94.8%, more than double the national rate. So you have a home that scores well on quality measures and inspection history, but with a workforce cycling through fast enough that consistent care is hard to guarantee. Ask how they cover weekends before you decide.
San Saba Nursing & Rehabilitation runs on 2.26 nursing hours per resident per day, roughly 41 percent below the national average, and the staff it does have turns over at more than double the typical rate. Weekends are thinner still, about 17 percent leaner than weekdays. What keeps this home from looking worse on paper is its inspection record: three deficiencies, none involving harm or abuse, and a clean five-star history on health inspections and quality measures as recently as the end of 2025. That gap matters. The clinical care being documented looks steady, but the people delivering it keep leaving, and there simply aren't enough of them.
Fort Worth Wellness & Rehabilitation runs on 2.80 nurse hours per resident day, roughly 27% under the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage is the main thing behind its one-star staffing rating, and it shows up alongside 19 deficiencies on the current record, including one at the harm level, plus a single fine of $122,336. The inspection history sits at two stars, most recently surveyed July 17, 2025, so nothing here is stale. Turnover of 46.7% is close to the national 45.8%, but with this staffing level, even average churn means less continuity for residents.
Heritage Convalescent Center runs 116 certified beds in Amarillo under corporate for-profit ownership, and its overall nurse staffing sits at 4.00 hours per resident day, modestly above the national average. That top-line number hides a couple of things worth knowing, though. Weekend staffing drops roughly 13% below its own weekday level, and annual turnover lands at 57% against a national rate of 45.8%, so the people covering those shifts are changing often. The current record shows 27 deficiencies, none at the harm or jeopardy level but one tied to abuse, and the last inspection was in December 2025. Federal ratings put staffing at 1 out of 5 stars and quality measures at 2.
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?