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827 For-Profit Nursing Homes in Texas

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.

Nursing hours per resident per day

3.32

All homes in Texas: 3.39

Worse than the local average

Nurse staff turnover

57.7%

All homes in Texas: 55.3%

Worse than the local average

Average ElderGrade score

65.4/100

All homes in Texas: 66.9/100

Worse than the local average

Grade spread

B
C
D

15 grade A, 265 grade B, 438 grade C, 105 grade D,

The best-graded for-profit home in Texas is Laredo Medical Center in Laredo, TX, grade A, 99/100.

Every for-profit nursing home in Texas

Showing 41 to 60 of 827, best-graded first.

B

80/100

Carriage House Manor

Sulphur Springs, TX · Hopkins County

CMS 4/5144 bedsFor-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
47%
Serious cites
0

Carriage House Manor runs 144 certified beds in Sulphur Springs under individual for-profit ownership. Its 4.29 nurse staffing hours per resident day sit about 11% above the national average of 3.86, and weekends dip roughly 13% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 46.9%, essentially tracking the national 45.8%. The inspection record shows 26 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. CMS gives it 4 stars for health inspections and 4 for staffing, 3 for quality measures.

B

80/100

Beacon Hill

Denison, TX · Grayson County

CMS 4/5150 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
35%
Serious cites
0

Beacon Hill runs 150 certified beds in Denison under corporate ownership, and its numbers are a mixed bag worth sorting through. Nurse staffing sits at 3.27 hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below what the home staffs on weekdays, that gap matters when families visit and see who's actually on the floor. Turnover is the brighter spot: 34.9 percent against a national 45.8 percent, which suggests people stay. Inspections in December 2025 turned up 21 deficiencies, none at harm or jeopardy level and none abuse-related.

B

80/100

Hereford Nursing & Rehabilitation

Hereford, TX · Deaf Smith County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
33%
Serious cites
0

Hereford Nursing & Rehabilitation runs 120 certified beds under individual for-profit ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average, with weekends running about 13% below its own weekday levels. Turnover is the bright spot: 32.6% against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record shows 14 deficiencies, none at the harm or jeopardy level, though three are abuse-related, which is worth asking about directly. A 4/5 on health inspections and quality measures, plus a recent August 2025 survey, suggests the care itself holds up, the thin weekend coverage is the piece to watch.

B

80/100

Avir At Grand Saline

Grand Saline, TX · Van Zandt County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.68 /day
Staff turnover
42%
Serious cites
0

Avir At Grand Saline runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average, with weekends dipping about 8% below its own weekday coverage. That thin margin shows up in a 2-star staffing rating, even though turnover at 42% is actually a bit better than the 45.8% national figure. The inspection record carries 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,281. A 4-star quality measure score and a February 2026 inspection round out a mixed picture: adequate clinical metrics, but real gaps in daily staffing and past safety findings worth asking about directly.

B

80/100

Avir At Knox City

Knox City, TX · Knox County

CMS 3/566 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
39%
Serious cites
0

Avir At Knox City runs on 3.24 nurse hours per resident per day, about 16% under the national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. Turnover sits at 39.3%, better than the 45.8% national figure, so the people who do stay tend to stick around. The current record carries 24 deficiencies, including one at the harm or jeopardy level and one tied to abuse, along with a single $8,018 fine. The last inspection was December 18, 2025, so the picture is recent. For-profit corporate ownership, 66 certified beds, and a quality measure score that outpaces its staffing and inspection results.

B

80/100

St James House Of Baytown

Baytown, TX · Harris County

CMS 5/5105 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
46%
Serious cites
0

St. James House of Baytown runs 105 certified beds under corporate ownership, and its inspection record is genuinely strong, a 4-out-of-5 health inspection score, with the most recent survey completed in August 2025. The catch is what that record contains: 10 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $14,901. Staffing tells a similar story. Total nurse hours sit right at the national average, but weekend coverage drops about 10% below the home's own weekday level, and turnover runs slightly above the national rate. Quality measures score well; direct care staffing does not. Worth asking about weekend shifts and staff retention before you decide.

B

80/100

Brady West Rehab & Nursing

Brady, TX · Mc Culloch County

CMS 5/5106 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
46%
Serious cites
0

Brady West Rehab & Nursing runs 106 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, no abuse-related deficiencies, and one harm-level finding among 23 total citations. The last survey was recent, in September 2025. Where it slips is staffing. At 3.33 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly 12% below its own weekday coverage. Turnover lands at 45.7%, essentially matching the national rate. Nothing here suggests danger, but the margin for error on a bad weekend is thinner than the quality scores alone would tell you.

B

80/100

Harbor Lakes Nursing And Rehabilitation Center

Granbury, TX · Hood County

CMS 5/5142 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
39%
Serious cites
0

Harbor Lakes runs on a paradox: excellent inspections and quality scores, but thin staffing. At 3.30 nurse hours per resident day, it sits about 15% below the national average, and weekends drop roughly 13% below its own weekday level, so the coverage you see on a Tuesday isn't what you get on a Sunday. Turnover is 38.5%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. Sixteen deficiencies sit on the current record with none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A recent September 2025 inspection and five stars each for health inspections and quality measures explain the solid grade despite the staffing score.

B

80/100

Bel Air At Teravista

Round Rock, TX · Williamson County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
43%
Serious cites
0

Bel Air At Teravista runs 112 certified beds in Round Rock under corporate ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 11% below the home's own weekday coverage, so the thinnest shifts land exactly when families tend to visit. Turnover is 42.9%, a touch better than the 45.8% national figure, and the quality measure rating is a perfect 5 out of 5. The inspection record is the weaker side: 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus $19,188 in fines, with the most recent inspection in April 2025.

B

80/100

Ignite Medical Resort San Antonio, Llc

San Antonio, TX · Bexar County

CMS 3/5105 bedsFor-profit
Nurse hours
4.05 /day
Staff turnover
45%
Serious cites
0

Ignite Medical Resort San Antonio runs 105 certified beds as a for-profit corporation, and its staffing sits at 4.05 nurse hours per resident day, about 5% above the national average. That headline number looks fine until you see weekends drop roughly 13% below weekday coverage, and the staffing star rating land at 2 out of 5. Turnover is 44.7%, essentially matching the national rate. The health inspection side is the real weak spot: 36 deficiencies on the current record, though none at harm or jeopardy level and none abuse-related. The most recent inspection was December 8, 2025. Quality measures score 5 out of 5, which is a genuine bright spot, but strong outcome data doesn't erase thin weekend coverage or a long deficiency list.

B

79/100

Brookdale Westlake Hills

Austin, TX · Travis County

CMS 2/590 bedsFor-profit
Nurse hours
4.46 /day
Staff turnover
36%
Serious cites
0

Brookdale Westlake Hills runs 4.46 nursing hours per resident day, comfortably above the national average, and its 35.7% turnover beats the typical home, staffing isn't the problem here. The trouble sits in inspections: 32 deficiencies on the current record, seven serious enough to involve harm or jeopardy, three tied to abuse, and six fines totaling just over $300,000. A 2-out-of-5 inspection rating with a April 9, 2026 survey suggests recent problems rather than old ones. Weekend coverage also dips about 15% below weekday levels, so care may thin out when families visit. For-profit corporate ownership, and a record that outweighs the staffing numbers.

B

79/100

Highland Nursing Center

San Antonio, TX · Bexar County

CMS 1/553 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
42%
Serious cites
0

Highland Nursing Center is a 53-bed for-profit in San Antonio where the clinical quality scores look better than the inspection history. The staffing picture is mixed: 3.81 nurse hours per resident day sits just under the national average, and weekends run about 7% thinner than weekdays, but turnover at 42.4% is actually a bit better than the national 45.8%. What pulls the record down is the deficiency list, 39 total, including one at the harm or jeopardy level and six tied to abuse. The last inspection was in late March 2026, so the findings are recent enough to matter. If you're considering this home, ask directly how those abuse-related deficiencies were resolved.

B

79/100

Avir At Pasadena

Pasadena, TX · Harris County

CMS 4/5131 bedsFor-profitMedicaid
Nurse hours
3.08 /day
Staff turnover
26%
Serious cites
0

Avir At Pasadena runs lean on nursing hours, 3.08 per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts are the ones families visit. Turnover is genuinely better than average at 25.7%, meaning the caregivers who are there tend to stay. What pulls the record down is the inspection side: 13 deficiencies, four serious enough to put residents at risk of harm, one tied to abuse, and two fines totaling $30,361. The current owner took over within the last year, so this record reflects a mix of old and new management. Worth asking which deficiencies were corrected and when.

B

79/100

Garden Terrace Healthcare Center Of Fort Worth

Fort Worth, TX · Tarrant County

CMS 4/5120 bedsFor-profit
Nurse hours
4.26 /day
Staff turnover
46%
Serious cites
0

Garden Terrace Healthcare Center Of Fort Worth runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday levels, and staff turnover lands at 45.5%, essentially matching the national rate. The 22 deficiencies on its current record are what hold it back: three at harm or jeopardy level and two tied to abuse. One fine totaling $34,405 is on file, and the last inspection was February 2026. Quality measures score well, but the inspection history and those abuse-related findings are the part worth asking about directly.

B

79/100

Avir At Cotulla

Cotulla, TX · La Salle County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
36%
Serious cites
0

Avir At Cotulla runs lean on direct care: 3.28 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends dip another 7% below its own weekday staffing. Turnover sits at 35.9%, which is actually better than the 45.8% national figure, that stability matters, since it means fewer unfamiliar faces at the bedside. The home carries 16 deficiencies on its current record, but none at the harm or jeopardy level and none related to abuse, and its most recent inspection came back in January 2026, so the picture is current. A for-profit corporation owns the 60-bed building, and the four-star health inspection rating is the strongest part of its profile.

B

79/100

Holly Hall

Houston, TX · Harris County

CMS 3/562 bedsFor-profitMedicaid
Nurse hours
4.74 /day
Staff turnover
59%
Serious cites
0

Holly Hall runs a for-profit operation under a limited liability company with 62 certified beds in Houston. The staffing numbers look solid on paper, 4.74 nurse hours per resident day, well above the national average, but that average hides a drop on weekends, and nearly three in five employees left over the past year, which is higher than the typical nursing home. State inspectors visited in October 2025 and logged 24 deficiencies, though none involved actual harm or abuse, so the problems are mostly procedural rather than dangerous. The quality and staffing ratings both land at 4 out of 5, while inspections sit at 3, which is roughly what a B grade reflects here.

B

79/100

Morada Temple

Temple, TX · Bell County

CMS 2/560 bedsFor-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
56%
Serious cites
0

Morada Temple runs on thin margins where it counts. The 4.77 nurse hours per resident day beats the national average by roughly a quarter, which sounds good until you notice weekends drop about 12% below the home's own weekday staffing and annual turnover sits at 55.6% against a national 45.8%, that much churn means unfamiliar faces at the bedside. Its inspection record is the real concern: 22 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $14,722 fine. The last inspection was September 2025. For-profit, limited liability ownership, 60 beds. The staffing numbers are better than many homes; the oversight record is not.

B

79/100

The Heights On Valley Ranch

Porter, TX · Montgomery County

CMS 4/5122 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
39%
Serious cites
0

The Heights On Valley Ranch runs 16 deficiencies on its current record, but none at the harm or jeopardy level and none tied to abuse, a meaningful distinction when you're comparing homes. Its last inspection was in May 2025, so the picture is recent. Nurse staffing sits at 3.74 hours per resident day, about 3% under the national average, and weekends run roughly 11% lighter than weekdays, which is worth asking about if your family member needs help on Saturdays and Sundays. Staff turnover comes in at 39.3%, better than the 45.8% national figure. Corporate-owned, 122 beds.

B

79/100

Methodist Transitional Care Center-Desoto Llc

Desoto, TX · Dallas County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
55%
Serious cites
0

Methodist Transitional Care Center-Desoto runs 100 certified beds under for-profit LLC ownership, and its staffing sits at 4.34 nurse hours per resident day, roughly 12% above the national average of 3.86. That cushion thins on weekends, which run about 12% below the home's own weekday level. Annual turnover is 54.6%, nearly nine points above the national 45.8%, so the people delivering that care change over often. The current inspection record shows 27 deficiencies, four of them at harm or jeopardy level and one abuse-related, with two fines totaling $27,993 and a health inspection rating of 2 out of 5. Quality measures score 5 out of 5, and the last inspection was June 27, 2025.

B

78.5/100

Nazareth Living Care Center

El Paso, TX · El Paso County

CMS 2/5108 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
33%
Serious cites
0

Nazareth Living Care Center runs 108 beds in El Paso under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 16% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover is the brighter spot: 33.3% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. The inspection record is heavier, 60 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent survey was January 2026. Ask about weekend coverage and how the abuse findings were resolved.

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?
Laredo Medical Center in Laredo, TX, grade A, 99 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 823 graded for-profit homes in Texas, 15 grade A and 105 grade D or F.
Do for-profit nursing homes in Texas accept Medicaid?
808 of the 827 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Texas