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.
Landmark of Plano runs about 3.42 nursing hours per resident per day, roughly 12% under the national average, and weekend coverage drops another 12% below its own weekday level, so the thinnest staffing lands when families tend to visit. Annual turnover sits at 88.5%, nearly double the national 45.8%, meaning the aides and nurses caring for your relative are likely to change often. On its current record: 42 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $9,240 fine. Inspectors were last on site in August 2025.
Seabreeze runs about 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage drops further, about 7% under its own weekday level. That thin margin shows up in the numbers: 41 deficiencies on the current record, eight of them at the harm or jeopardy level and five abuse-related, plus $254,067 in fines across three penalties. Staff turnover sits at 51%, above the national 45.8%, on a for-profit LLC license. The most recent inspection was January 8, 2026. Federal data puts health inspection and staffing at one star each, with quality measures at three.
Woodland Springs runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and staffing thins out further on weekends. That shortfall shows up in the numbers families can't see at the door: 29 deficiencies on the current record, nine of them serious enough to put residents in harm's way and seven tied to abuse. Inspectors last visited in August 2024 and left five fines totaling $92,215. With 54.7% of staff leaving each year, the aides who know your mother's routines are probably gone within twelve months. The corporate owner has kept the building open at this level for a while.
Avir At Keeneland runs on thin staffing. At 2.59 nurse hours per resident day, it sits about a third below the national average of 3.86, and weekends dip roughly 4% under its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 78.1% means most of the people caring for residents weren't there a year ago, against a national rate near 46%. Inspections look strong on paper: a 5/5 health inspection rating, 13 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent visit was December 2024. But quality measures score 2/5 and staffing 1/5, and that gap between a clean inspection record and day-to-day coverage is what holds the overall picture down.
Knopp Nursing & Rehab Center runs on noticeably thinner nurse coverage than most homes, 3.09 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday level. That shortfall matters more when you consider the staff turnover of 62.5%, well above the 45.8% national figure, meaning the people providing that care are frequently new or on their way out. The record backs it up: 34 deficiencies, two serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $32,094. With a for-profit corporate owner and the most recent inspection in January 2026, this is a home where the numbers themselves tell the story.
Bridgeport Medical Lodge runs 152 certified beds under corporate for-profit ownership, and its staffing sits at 3.35 nurse hours per resident day, roughly 13% under the national average. Weekends drop another 12% below its own weekday levels, and 57.3% of staff turned over in the past year against a 45.8% national rate. The inspection record holds 13 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $24,704 in fines across two penalties. CMS gave it 2 stars for health inspections, 2 for quality measures, and 1 for staffing. The most recent inspection was February 26, 2026.
Parkview Manor runs lean on nurse staffing, 3.19 hours per resident day, well under the national average, and weekends get thinner still, dropping about 8% below its own weekday level. The bigger red flag is turnover: 92.9% of staff left over the past year, roughly double the national rate, which means the people caring for residents are constantly new and unfamiliar. On the inspection side, 19 deficiencies sit on the current record, including one at the harm level and two tied to abuse, with a $15,920 fine and a survey from August 2024. For-profit individual ownership runs the place, and the federal star ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.
Avir At Arbor Terrace runs 126 certified beds in San Angelo, and the staffing numbers are where I'd start. At 3.05 nurse hours per resident day, it sits about 21% under the national average of 3.86, weekends dip roughly 7% below its own weekdays, and turnover hits 75.3% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 38 deficiencies, three at harm or jeopardy level, one abuse-related, and $121,840 in fines across three events. A 2/5 inspection rating and 3/5 on quality measures don't offset a 1/5 staffing score. Ask about weekend coverage and how they hold staff before you tour.
Mineola Gardens runs on thin coverage. At 3.16 nurse hours per resident day, it sits about 18% under the national average, and weekends dip slightly below its own weekday numbers, the sort of gap where a fall or an infection can go unnoticed longer than it should. The bigger flag is turnover: 88.9% annually, roughly double the national rate, meaning most of the people caring for your relative will be gone within the year.
The inspection record backs that up. Twenty-two deficiencies on file, four involving actual harm or jeopardy, six tied to abuse, and three fines totaling $50,527. State inspectors last visited in July 2025 and rated health inspections 2 out of 5. Its quality measure score looks good on paper, but that's family-reported data, the staffing and inspection numbers are the ones to weigh here.
Premier Health Care Center runs on 2.21 nurse hours per resident per day, roughly 43 percent under the national average of 3.86, and weekend coverage dips about 13 percent below its own weekday staffing. Annual turnover sits at 59.1 percent against a national 45.8 percent, so the aides and nurses your relative sees are often new. Inspectors cited 23 deficiencies on the current record, one serious enough to involve harm or jeopardy, with a $14,069 fine attached; the last visit was March 5, 2025. This is a for-profit, individually owned 50-bed home. In plain terms, the people are stretched thin relative to what residents need.
Mesquite Post Acute Care runs on thin nursing coverage, 2.94 nurse hours per resident per day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. That shortfall shows up in a licensed staff turnover rate of 79.7%, well above the 45.8% national figure, and in a staffing rating of 1 out of 5. The inspection record is the heavier concern: 41 deficiencies, including 9 tied to abuse and 5 at the harm or jeopardy level, plus three fines totaling $132,185. Ownership is for-profit, through a limited liability company, and the most recent inspection was May 21, 2026. Quality measures score mid-range at 3 out of 5, but that sits alongside a 1-out-of-5 inspection rating.
Accel At College Station runs on 3.18 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 13 percent below its own weekday level. That thin coverage shows up in turnover: 67 percent of staff leave annually, against a national 45.8 percent. Inspections tell a harder story, 49 deficiencies on the current record, 10 of them at harm or jeopardy level, one abuse-related, and five fines totaling $137,611, with the most recent inspection in May 2025. The quality measure score looks strong, but that reflects charted care, not the staffing and inspection record underneath it.
Avir At Kerrville runs 130 certified beds under for-profit corporate ownership, and the staffing numbers are the first thing I'd flag: 3.37 nurse hours per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday level. That shortfall shows up in turnover too, 64.4% annually, well above the 45.8% national figure, meaning the aides and nurses your family gets to know are likely to change often. The inspection record carries 62 deficiencies, four at harm or jeopardy level and five abuse-related, plus $20,293 in fines across two penalties. CMS rated its health inspection, staffing, and quality measures at 1, 2, and 1 stars respectively, with the most recent inspection dated June 2025.
Lubbock Health Care Center runs a tight ship on inspections, a 4 out of 5 there, with 21 deficiencies on record and none at the harm or jeopardy level. That's the good news, and it's real. The trouble sits in the day-to-day: 3.12 nurse hours per resident, roughly a fifth below the national average, with weekends dipping another 18% below its own weekday staffing. And that 96.8% turnover means the aides and nurses caring for your relative are, statistically, likely to be gone within a year, more than double the national rate. Two abuse-related deficiencies also appear on the current record. Inspections tell you what was caught on one day; staffing tells you what most days probably look like.
Avir At Kennedale runs 58 certified beds and reports 2.92 total nurse hours per resident per day, about a quarter below the national average of 3.86, with weekends dropping roughly 16% below its own weekday staffing. That thin coverage shows up in the numbers: staff turnover is 72.2% against a national average of 45.8%, so the people caring for residents change constantly, and CMS gives staffing a single star. The inspection record is heavier than most: 28 deficiencies, three at harm or jeopardy level, three abuse-related, and one fine of $16,437. Its last inspection was September 2025. For-profit corporate ownership. The quality measure score is middling, but that's self-reported data. The staffing and inspection record is what families should weigh.
Brownwood Nursing and Rehabilitation runs 128 certified beds under corporate for-profit ownership, and the staffing numbers are where your attention should go. At 2.79 nurse hours per resident day, it sits roughly 28% under the national average, and weekend coverage drops about 19% below its own weekday level, so the thinnest shifts land exactly when families tend to visit. Annual turnover of 96.9% means nearly the entire nursing staff turns over in a year, against a national rate of 45.8%, which is hard on continuity of care. The health inspection record is genuinely solid: 14 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent inspection is recent.
Greenbrier's inspection record looks strong on paper, a five-star health inspection rating and no deficiencies at the harm or jeopardy level, out of 12 total. The trouble sits with staffing. At 3.18 nurse hours per resident day, this home runs about 18 percent under the national average, and weekends drop another 16 percent below its own weekday coverage. That gap matters more when you consider turnover: 97.9 percent of staff leave within a year, against a national rate of 45.8, which means the people showing up are often new to the building. One abuse-related deficiency also appears on the current record. Inspections can miss what thin, constantly changing coverage hides.
Park Place Care Center runs 116 certified beds in Georgetown under corporate ownership, and the staffing numbers are where the trouble starts. At 3.06 nurse hours per resident day it sits about 21% under the national average, weekends drop roughly 15% below its own weekday level, and annual turnover hits 86.8% against a national 45.8%, that's a new face on the floor almost every year. Its inspection record shows 37 deficiencies, nine at harm or jeopardy level and seven tied to abuse, with five fines totaling $142,439 and CMS placement in the Special Focus Facility program. The quality measure score looks good on paper, but staffing and inspection results are what a family actually lives with.
Northgate Plaza runs thin on nursing staff, 3.19 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. The 66.1% annual turnover means most of the people caring for your relative are new, still learning the building, or already halfway out the door.
Behind the staffing numbers sits a 1-out-of-5 health inspection rating and 65 deficiencies on the current record, including two at the harm level and two tied to abuse. Two fines total $55,697. Ownership is a for-profit corporation, and the most recent inspection was in December 2024.
Kenedy Health & Rehabilitation runs on 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekend coverage dips about 8% below its own weekday level. That thin staffing shows up in the federal star ratings, where both staffing and quality measures sit at 1 out of 5, even though the inspection history earned 4 out of 5. The record isn't clean: 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a single $8,173 fine, with the most recent inspection in December 2025. No abuse citations appear. A corporation owns the 60-bed home. Families weighing this one should ask how the low weekday staffing and thinner weekend shifts get covered on nights and weekends.
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?