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.
Eagle Crest Rapid Recovery runs 125 beds in Houston under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag. At 3.17 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly 16% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 75.2% against a national 45.8%, meaning most of the people caring for your relative are new and likely to leave. The inspection record backs that up: 31 deficiencies, 8 at harm or jeopardy level, one abuse-related, and four fines totaling $54,252, with the last inspection in September 2025.
Bayou Pines Care Center runs 120 certified beds in La Marque, and the staffing numbers are where a family should focus first. At 3.03 nurse hours per resident day, it sits about 22 percent under the national average, and weekend coverage drops roughly 16 percent below what the home itself staffs on weekdays. Turnover tells a similar story: 68.1 percent of nursing staff leaving annually, against a national norm near 46 percent, which matters because unfamiliar caregivers mean less continuity for residents who need consistent attention. The current record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a $14,069 fine. Its last inspection was August 2025. Ownership is for-profit, through a limited liability company.
Five Points Nursing & Rehabilitation Of College St runs 130 certified beds in College Station under corporate for-profit ownership, and the nurse staffing number is the first thing to know: 2.69 hours per resident day, roughly 30 percent under the national average of 3.86. Weekends drop about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit.
The inspection record carries 29 deficiencies, six of them at harm or jeopardy level, with one abuse-related finding and four fines totaling $49,016. The most recent inspection was April 23, 2025, so the record is current rather than stale. Low staffing and a heavy deficiency load tend to reinforce each other; here both are documented.
Ennis Care Center runs on thin staffing: 3.23 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below what the home itself manages Monday through Friday. That shortfall shows up in turnover too, 58.2% of staff leave each year, well above the 45.8% national rate, which means caregivers are constantly new to residents who need consistency. The inspection record backs this up: 21 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and $187,220 in fines across three penalties. Corporate ownership is for-profit. The most recent inspection was March 2025, so the picture is current, not stale, and it's a hard one.
Heritage at Longview runs 140 certified beds under corporate ownership, and its nurse staffing sits at 2.81 hours per resident each day, roughly 27 percent under the national average of 3.86. Weekends are thinner still, about 21 percent below what the home staffs on weekdays. The inspection record shows 26 deficiencies, including two at the level where harm or jeopardy occurred, one tied to abuse, and $81,752 in fines across two penalties. Its last inspection was June 5, 2024, so that record is recent. Staffing carries the lowest federal mark at 1 out of 5 stars, while inspections and quality measures each land at 3. The gap between those quality scores and the day-to-day staffing numbers is the thing worth asking about directly.
Heritage at Turner Park runs 146 beds in Grand Prairie under for-profit LLC ownership, and the numbers that stand out most are about the people doing the work. Nurse staffing sits at 3.41 hours per resident day, roughly 12 percent under the national average, with weekends dipping about 10 percent below the home's own weekday levels, and annual turnover hitting 94.1 percent against a national rate near 46 percent. That churn means aides and nurses are constantly being replaced. The inspection record shows 17 deficiencies, three of them at harm or jeopardy level and one abuse-related, plus three fines totaling $31,873. The most recent inspection was July 31, 2025, so the record is current.
Northgate runs on 3.10 nurse hours per resident per day, about a fifth below the national average, and weekends dip even further. Three in four employees left last year, against a national rate around 46%, which means the people at the bedside keep changing. Inspectors have written 54 deficiencies, including one at the harm level and three tied to abuse, with a $27,710 fine on record from a July 2025 visit. The quality star is high, but that measure leans on self-reported data. Licensed staffing and inspection results are where this home sits at the bottom.
Paradigm At First Colony runs about 3.36 nursing hours per resident per day, roughly 13% under the national average, and weekend coverage drops another 14% below its own weekday levels. That thin margin shows up in the workforce itself: 67% of staff turned over in a year, against a national rate near 46%. The inspection record is harder to explain away, 41 deficiencies, eight serious enough to put residents in harm's way, four tied to abuse, and three fines reaching $211,113. A 150-bed for-profit LLC in Missouri City, recently inspected in January 2026. Whatever the quality measures suggest, the staffing and survey history carry more weight when you're choosing care for someone you love.
Five Points At Lake Highlands runs 280 certified beds in Dallas under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends dip roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 64% 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 is heavier still: 53 deficiencies, five at harm or jeopardy level, one abuse-related, and $58,149 in fines across five penalties. The most recent inspection was March 31, 2026, so the picture is current, not stale.
Sabine Heights runs on thin staffing: 3.47 nurse hours per resident day, about 10% under the national average, and weekends drop roughly 9% below its own weekday levels. Turnover sits at 63.1% against a 45.8% national figure, meaning most of the people caring for residents are still learning the building. The current inspection record shows 42 deficiencies, including 10 at the harm or jeopardy level and 2 tied to abuse, with six fines totaling $287,581. This is a 150-bed for-profit corporate home whose last inspection was January 7, 2026, and whose CMS staffing and health inspection ratings both sit at one star out of five.
North Park runs 140 certified beds in McKinney under corporate ownership, and its most recent inspection in June 2025 found 13 deficiencies, none of them causing harm or tied to abuse, which matters. But look at the workforce: 3.05 nursing hours per resident per day, about a fifth below the national average, with weekends even thinner. Turnover sits at 95.6%, more than double the national rate, meaning the staff caring for residents turns over almost completely each year. The 5-star health inspection rating reflects that clean survey, but a 1-star quality measure score and 1-star staffing suggest the day-to-day care is stretched. Families should ask directly how the home keeps consistent caregivers on weekends and evenings.
Paradigm At Westbury runs 148 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits roughly 12% under the national average, weekends dip about 9% below its own weekday levels, and annual turnover hits 61.5% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 42 deficiencies, 7 of them serious enough to involve harm or jeopardy, plus four fines totaling $136,414. A recent May 2026 inspection means the record is current, and what it shows is a home where quality scores look decent but the people doing the daily work keep leaving.
Paradigm At The Oak runs 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage drops another 9% below its own weekday level. That thin coverage shows up in the inspection record: 60 deficiencies, eight of them at the harm or jeopardy level and eight tied to abuse, with four fines totaling $103,606 and a one-star health inspection rating from CMS. Staff turnover sits at 39%, which is actually below the 45.8% national figure, so the problem here isn't retention so much as how few hands are on the floor. The last inspection was April 2026. For-profit corporate ownership.
The Hills runs lean on nursing care: 2.74 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday level. That thin coverage shows up in the numbers CMS tracks, a one-out-of-five staffing rating, 18 deficiencies on the current record including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $29,325. Annual turnover sits at 93.2%, more than double the national rate, meaning the aides and nurses at the bedside are constantly new. The most recent inspection is dated February 26, 2026, so the record is current, not stale. Ownership is a for-profit limited liability company. Decatur families weighing this one should ask directly how the home covers weekend shifts.
Huntington Health Care & Rehabilitation Center runs 112 certified beds under for-profit partnership ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 8% below the home's own weekday level, so coverage thins exactly when families tend to visit. The bigger number is turnover: 94.8% annually against a national average of 45.8%, meaning most of the staff you meet this year likely won't be there next year. The current record shows 40 deficiencies, none at harm or jeopardy level but one abuse-related, with the last inspection in July 2025. Federal stars land at 3 for health inspections, 2 for staffing, and 1 for quality measures.
Decatur Medical Lodge runs on 3.06 nurse hours per resident day, about a fifth below the national average, and weekends dip roughly 13% under its own weekday pace. Staff turnover sits at 71.3% against a 45.8% national figure, so the people caring for residents are leaving faster than they can be replaced. Inspections have logged 29 deficiencies, including one at the harm level and two tied to abuse, with a $14,518 fine on record. The last inspection was April 2026. For-profit ownership through a limited liability company rounds out the picture. Worth asking direct questions about weekend coverage and how quickly shifts get filled.
St. Teresa runs on thin staffing, and the numbers show it: 3.63 nurse hours per resident day against a national average of 3.86, with weekends dropping about 11% below its own weekday coverage. That's roughly 97% of staff turning over each year, more than double the national rate, which means caregivers are constantly new to residents who need consistency. The inspection record carries 75 deficiencies, including two at the harm level and seven tied to abuse, with $20,730 in fines. Federal inspectors last visited in September 2025. For-profit individual ownership, 124 beds, and a staffing star rating of 1 out of 5 round out a picture worth weighing carefully against other El Paso options.
Ignite Medical Resort Sugar Land runs 90 certified beds and reports 13 deficiencies on its current record, three of them serious enough to involve actual harm or jeopardy. Fines total $155,401 across eight separate penalties, which tells you the problems aren't isolated incidents. Staffing sits slightly under the national average at 3.82 hours per resident day, but the bigger issue is turnover: 62.2% of staff leave each year, well above the 45.8% national rate, and weekend coverage dips below what the home manages on weekdays. The most recent inspection came in December 2025. High turnover with thin weekend staffing is where quality problems tend to surface.
Gilmer Nursing And Rehabilitation runs on thin staffing: 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further, about 12 percent under its own weekday level, when backup is scarcest. The inspection record is heavier than that number alone suggests: 62 deficiencies on file, nine serious enough to reach harm or jeopardy, four tied to abuse, and three fines totaling $218,053. A for-profit limited liability company operates the 93-bed home, and its last inspection was March 2026. Quality measures score mid-range, but the health inspection and staffing ratings both sit at the bottom of the scale.
Afton Oaks is a 169-bed for-profit home in Houston that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The numbers back that up: 37 deficiencies on the current record, 16 of them at the harm or jeopardy level and 5 tied to abuse, plus four fines totaling $115,512. Nurse staffing runs about 7% below the national average, and weekends drop roughly 8% below the home's own weekday levels, when residents still need care. Its last inspection was in April 2025. If you're considering this one, ask directly what's changed since CMS flagged it.
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?