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.
Dayton Nursing and Rehabilitation runs 4.37 nurse hours per resident per day, about 13% above the national average, and that's the best thing in its file. The rest is harder. Weekend staffing drops roughly 16% below its own weekday level, and annual turnover sits at 58.3% against a national 45.8%, so the faces change often. Inspectors have cited 36 deficiencies, four at harm or jeopardy level and three tied to abuse, with three fines totaling $131,714. The last inspection was September 2025. Federal ratings put health inspections and quality measures at 2 of 5 stars each. Individual ownership means one person answers for all of it. If you're considering this home, ask directly what changed after those abuse citations.
Honey Grove Nursing Center runs 102 certified beds under corporate for-profit ownership, and the staffing numbers are where things get uncomfortable. At 3.50 nurse hours per resident per day, it sits roughly 9% under the national average of 3.86, and weekends drop another 8% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record backs that up: 40 deficiencies, four serious enough to reach harm or jeopardy level, and two fines totaling $213,797. No abuse citations appear on the current record, and the most recent inspection was in December 2025, so the picture is current rather than stale.
Heritage Gardens runs on thin staffing: 3.15 nurse hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday levels. That's a real gap when a resident needs help on a Saturday. Annual turnover sits at 59.7%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The current inspection record shows 22 deficiencies, one at harm or jeopardy level and four abuse-related, with a $38,840 fine and the most recent inspection in November 2024. The quality measure score looks strong, but that's built from chart data, not from how the place is actually staffed day to day.
Fair Park runs about 2.97 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 20% beneath its own weekday level. That thin coverage is the big number here: staff turnover sits at 91.8% against a national average near 46%, so nearly the entire nursing staff turns over in a year. The current record shows 29 deficiencies, none at harm level but two tied to abuse, and the last inspection was in May 2025. For-profit corporate ownership and a 1-out-of-5 CMS staffing rating back up what the hours already suggest, ask who's actually on the floor on a Sunday.
San Rafael runs on 3.08 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage shows up in the record: 59 deficiencies, including six at the harm or jeopardy level and five tied to abuse, with four fines totaling $80,132. Turnover at 38.2% is actually better than the 45.8% national average, and the hospital district ownership means public accountability rather than a private operator. But a one-star inspection rating and a March 2025 inspection leave little room to argue the care is well-supervised. If you're considering this one, ask specifically how weekends are covered and how abuse allegations get handled.
Park Place runs lean on the people who actually deliver care. At 3.41 nurse hours per resident day, it sits about 12 percent under the national average, and weekends drop roughly another 18 percent below its own weekday coverage. The staffing picture gets harder when you look at turnover: 63.8 percent of staff left last year, against a national rate near 46 percent, meaning the aides and nurses caring for your relative are, statistically, likely to be new to the building. The government's own inspectors rated staffing and health inspections each 1 out of 5, and the record shows 32 deficiencies, three of them serious enough to put residents in harm's way and three tied to abuse. Two fines total $287,159. Texas corporate ownership, 120 beds, last inspected May 2025.
Vista Hills runs on thin staffing: 3.44 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 15% below what the home manages on weekdays. The bigger problem is retention, 95.8% annual turnover means the aides and nurses caring for residents are, on average, gone within about a year, against a national rate near 46%. Inspectors have cited 72 deficiencies, including five tied to abuse and one at the harm level, and fined the corporate owner $40,465. The quality measure score looks good on paper, but that's family-reported data, and it sits alongside a one-star staffing rating.
Bay Ridge Healthcare Center runs 58 certified beds in La Porte under corporate for-profit ownership, and the numbers on its current record are worth a close look. Nurse staffing sits at 3.71 hours per resident day, a bit under the national average, and weekend coverage drops roughly 13% below the home's own weekday level, the stretch when families often can't visit. Staff turnover runs 57.7% against a national 45.8%, so the people caring for your relative may keep changing. The inspection record shows 32 deficiencies, six at harm or jeopardy level and six abuse-related, with $18,054 in fines. The most recent inspection was February 2025.
Avir At Azalea Heights runs 120 certified beds in Tyler under for-profit LLC ownership, and its nurse staffing sits at 2.60 hours per resident day, roughly a third below the national average of 3.86. Weekends dip about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 25 deficiencies, three of them serious enough to put residents at harm or jeopardy, with two fines totaling $27,550 and a December 2025 inspection. Staff turnover of 43.8% is close to the national 45.8%, so the problem isn't retention so much as how few hands are scheduled per resident.
Ballinger Healthcare and Rehabilitation Center runs on thin staffing. At 3.04 nurse hours per resident per day, it sits about 21% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The bigger flag is turnover: 96.1% annually, meaning the aides and nurses caring for residents are, in large part, new to the building, against a national rate near 46%. Its 13 deficiencies include one abuse-related citation but none at the harm level, and the last inspection was November 2024. For-profit LLC ownership. Ask about weekend coverage and how long current staff have actually been there.
Avir At Winnsboro runs a 112-bed for-profit home, and its nurse staffing sits at 2.71 hours per resident day, roughly 30 percent under the national average. Weekends drop another 14 percent below its own weekday levels, and staff turnover hits 59.4 percent against a national figure of 45.8. That combination matters more than any single number here, because thin coverage and constant turnover tend to reinforce each other. The current inspection record carries 50 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with $21,554 in fines. The most recent inspection was June 25, 2025. If you're considering this one, ask directly how they cover weekends and what they've changed since that inspection.
Regency Village runs 122 certified beds in Webster under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 68.8% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are often new to the building.
The inspection record is heavier still: 28 deficiencies, including 5 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $22,718. State inspectors last visited in May 2025.
Winfield Rehab & Nursing runs about 3.2 nurse hours per resident per day, roughly 17% under the national average, and weekend coverage dips another 11% below its own weekday level. Staff turnover sits at 62.1%, well above the 45.8% national figure, that's a lot of unfamiliar faces cycling through an 83-bed building. The inspection record is where things get serious: 48 deficiencies, nine at harm or jeopardy level, ten tied to abuse, and five fines totaling $355,773. The quality measure score looks fine on paper, but that reflects charted care processes, not the staffing and safety problems inspectors keep documenting. For-profit individual ownership, and the last inspection was December 2025.
Arbor Grace runs on thinner staffing than most homes, about 3.08 nurse hours per resident day against a national average near 3.86, and weekends dip roughly 6% below its own weekday levels. That shortfall shows up in the numbers: 58.6% annual turnover, well above the 45.8% national figure, plus 38 deficiencies on record, four serious enough to involve harm or jeopardy and one tied to abuse. Two fines totaling $44,434 round out the picture. The last inspection was February 2026, so the record is current, this isn't stale history. A for-profit LLC operating 80 beds with a 1/5 quality measure rating is a home where you'd want to ask hard questions about who's actually on the floor.
Groveton Nursing Home is a 47-bed for-profit in Trinity County, and the split in its federal ratings is the whole story. Inspectors rate it well, four stars, six deficiencies total, only one serious enough to cause harm, none tied to abuse, and the most recent visit was in September 2025. But staffing sits at one star, and that gap matters: a home can pass inspection on any given day while running thin the rest of the year. One fine has been levied, $56,378, which isn't small for a building this size. If you're considering it, ask how many direct-care hours residents actually get per day and how often they use agency or temporary staff.
Caprock Nursing & Rehabilitation runs on 2.82 nurse hours per resident per day, roughly 27% under the national average, and weekends dip about 9% below its own weekday staffing. That thin coverage meets a workforce where 93.3% of staff turn over each year, more than double the national rate, so the people providing care keep changing. The current record holds 27 deficiencies, three at harm or jeopardy level and four abuse-related, plus one fine of $10,145. The most recent inspection was May 21, 2025. Quality scores look strong on paper, but the staffing and inspection record is where the real story sits.
Twin Pines North runs on 3.20 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends dip about 11 percent below its own weekday levels. That thin coverage shows in the numbers: 96.3 percent annual staff turnover, more than double the national rate, which means the aide or nurse caring for your relative this month is likely gone within the year. Twenty-six deficiencies sit on the current record, including two tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was April 2025. Corporate-owned and for-profit, the home rates one star for staffing and two for quality measures.
The Enclave runs on thinner nursing coverage than most homes, 3.63 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 15% below what it manages on weekdays, so the thinnest shifts land when families tend to visit. Staff turnover sits at 60.9%, well above the 45.8% national figure, which means the people caring for residents keep changing. Inspectors cited 46 deficiencies on the current record, including three tied to abuse and one at the harm level, and the last inspection was in August 2025. That combination of low staffing, high turnover, and repeat citations is what drives the low rating here.
Avir At Patriot runs 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends dip about 8% below its own weekday staffing. That thin coverage shows up in the numbers: a 52.7% annual turnover rate, more than 45.8% nationally, and a one-star CMS staffing rating. The inspection record carries 77 deficiencies, four of them at harm or jeopardy level and four abuse-related, with $153,192 in fines across three penalties. The most recent inspection was August 2025. Quality measures score better, but the staffing and inspection picture is what a family should weigh.
Willow Ridge runs 265 beds in Fort Worth under a for-profit LLC, and the staffing numbers are the first thing that stands out: 3.05 nurse hours per resident day, roughly a fifth below the national average, with weekends dipping about 13% below its own weekday coverage. The inspection record backs that up, 39 deficiencies in total, 14 at harm or jeopardy level and 5 abuse-related, plus seven fines adding to $321,244. Quality measures score well, but the health inspection and staffing ratings both sit at the bottom of the federal scale, and the most recent survey was July 2025.
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?