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.
The Plaza At Richardson runs on 3.02 nurse hours per resident per day, about a fifth below the national average, which is thin enough that the 1-out-of-5 staffing rating is no surprise. Turnover tells the bigger story: 95.3% of nursing staff left over the past year, roughly double the national rate, so the people caring for your relative are likely new to the building and still learning it. The 39 deficiencies on record include two tied to abuse, though none rose to the level of actual harm, and the most recent inspection was in June 2025. Weekend coverage also dips below its own weekday level.
Wells LTC Nursing & Rehabilitation has a staffing story that looks better than most, 4.82 nurse hours per resident day, roughly a quarter above the national average, but the rest of the record undercuts it. The home carries 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Staff turnover sits at 52%, higher than the 45.8% national figure, and weekend coverage runs about 7% thinner than weekdays. Three fines totaling $34,428 are on record, with the last inspection in December 2025.
Misty Willow runs 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The inspection record is the harder problem: 30 deficiencies, 8 of them at harm or jeopardy level, 3 tied to abuse, and $79,412 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care, and its health inspection rating sits at 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Deerbrook runs on about 3.35 nursing hours per resident per day, roughly 13 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That thin coverage shows up in the inspection record: 35 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $196,911 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover sits at 60.7 percent against a 45.8 percent national average, so the people providing care keep changing. The 4/5 quality measure score reflects reported clinical data; the 1/5 inspection and staffing ratings reflect what surveyors actually found.
If you're considering Epic Nursing & Rehabilitation in Corsicana, the numbers are hard to get around. Nurse staffing sits at 2.89 hours per resident per day, roughly a quarter below the national average, and it thins out further on weekends, not what you want at a 119-bed home. The record shows 45 deficiencies, five of them serious enough to involve harm or jeopardy, eight tied to abuse. Staff turnover runs 54.5%, well above the national figure, which means the people caring for residents are often new. CMS has placed this home in its Special Focus Facility program, reserved for the poorest performers. Two fines totaling $31,233 are on file, with the most recent inspection in February 2025.
Brenham Healthcare Center is a 62-bed for-profit home in Washington County, and the numbers behind its record tell a story worth slowing down for. Nurse staffing sits at 3.56 hours per resident per day, about 8% under the national average, and weekends run roughly 14% thinner than weekdays. The bigger flag is turnover: 95.2% annually, more than double the national rate of 45.8%, which means the people caring for residents are constantly changing. On inspections, CMS has cited 51 deficiencies, 11 at harm or jeopardy level and 7 abuse-related, with five fines totaling $113,796, and the home currently sits in the federal Special Focus Facility program, a designation reserved for the most persistently troubled homes. The last inspection was December 2025.
Legend Oaks Healthcare and Rehabilitation - Fort W runs 132 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average. Weekends drop about 13% below its own weekday coverage, and annual turnover hits 67.8% against a national 45.8%, so the people providing care keep changing. The current inspection record shows 23 deficiencies, five at harm or jeopardy level, one abuse-related, with five fines totaling $65,583. Quality measures score well, but staffing and inspection results tell the harder story: thin coverage, high churn, and recent serious findings at a home where families should ask direct questions about who is on the floor at night and on weekends.
Ignite Medical Resort El Paso runs 60 certified beds under corporate for-profit ownership, and the numbers worth knowing sit in two places. Nurse staffing averages 3.24 hours per resident day against a national average of 3.86, and weekends run about 12% thinner than the home's own weekdays, so the thinnest coverage lands when families tend to visit. The inspection record carries 45 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $67,425 fine. CMS has placed this home in its Special Focus Facility program, a designation reserved for the poorest performers, and the most recent inspection dates to June 2024. Ask about weekend coverage and the correction plan before deciding.
Thrive Rehabilitation of Pearland runs a for-profit shop under limited liability ownership, and its nurse staffing is genuinely high: 5.67 hours per resident day, roughly 47% above the national average of 3.86. That's the one clear strength. The rest of the record reads differently. Staff turnover sits at 68.3% against a national average of 45.8%, so the people providing that care are largely cycling through. Inspections turned up 35 deficiencies, including 5 at the harm or jeopardy level and one tied to abuse, with six fines totaling $61,623. Both the health inspection and quality measure ratings land at 1 out of 5. A recent inspection date doesn't erase a pattern like that.
Terra Bella runs about 3.36 nurse staffing hours per resident day, roughly 13 percent under the national average, and it leans thinner on weekends than weekdays. Staff turnover sits at 61.6 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. On inspections, CMS has cited 44 deficiencies, including 12 at the harm or jeopardy level and 3 tied to abuse, with six fines totaling $181,644 and a spot in the Special Focus Facility program, which CMS reserves for homes with a persistent record of serious problems. The most recent inspection was March 26, 2026.
Mission Ridge runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip about 9% below its own weekday numbers. That's thin coverage even before you factor in turnover near 97%, more than double the national rate, meaning most of the people caring for your family member probably weren't there a year ago. The inspection record backs this up: 25 deficiencies, three of them serious enough to put residents in harm's way, one abuse-related, and $37,698 in fines. A for-profit LLC in Refugio County, 90 beds, last inspected February 2026. The quality measures look average on paper, but staffing is where this home falls apart.
Lakeside Health and Wellness runs 124 certified beds in Kemp under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. Total nurse staffing sits at 2.66 hours per resident day, roughly a third below the national average, and weekends run thinner still. Annual turnover of 75.4% means most of the people caring for residents weren't there a year ago, compare that to the national rate of about 46%.
Then there's the inspection record: 59 deficiencies, including 8 at the harm or jeopardy level and 10 tied to abuse, with five fines totaling $195,593. The most recent inspection was in January 2026.
The quality measure score is high, but strong numbers on paper don't fix a thin, constantly changing staff.
Texoma Healthcare Center runs 179 certified beds in Sherman under corporate for-profit ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.24 hours per resident per day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Annual turnover is 93.7 percent, more than double the national rate of 45.8 percent, which means the aides and nurses caring for residents are, on average, not there for long. The inspection record shows 36 deficiencies, including two at harm or jeopardy level and one tied to abuse, with $16,441 in fines. The last inspection was March 19, 2026; the health and quality ratings each land at 3 out of 5, staffing at 1.
Longmeadow Healthcare Center runs on 2.70 nurse hours per resident day, roughly 30% under the national average of 3.86, and weekends drop about 17% below its own weekday staffing. That thin coverage shows up in the numbers: 85.9% annual turnover, nearly double the national rate, plus 35 deficiencies on record, eight serious enough to cause harm or jeopardy and five tied to abuse, with $50,595 in fines across three penalties. The 120-bed for-profit home, owned by a limited liability company, was last inspected May 6, 2025, and its health inspection score sits at the bottom of CMS's scale. Ask about weekend nurse coverage and how they've corrected the abuse-related findings before you decide.
Lytle Nursing Home runs about 2.84 nurse staffing hours per resident day, roughly a quarter below the national average, and the weekend gap makes that thin coverage thinner. The inspection record shows 43 deficiencies, including two at harm or jeopardy level and one abuse-related citation, plus a $55,904 federal fine, and weekend staffing drops about 8% below its own weekday level. A 1-out-of-5 staffing rating alongside 2-out-of-5 marks for inspections and quality measures tells you the shortfalls show up across the board, not in one bad survey. With the most recent inspection in July 2025, the record is current, and it's a for-profit limited liability company.
The Oaks At Radford Hills runs a 116-bed for-profit operation in Abilene, and the numbers that matter most here are staffing and turnover. Nurses provide 2.82 hours of care per resident per day against a national average of 3.86, and weekend coverage drops roughly another 17% below the home's own weekday level. Staff turnover sits at 79.7%, more than seven in ten workers leaving annually, compared with 45.8% nationally. On the inspection side, the record shows 53 deficiencies, four at harm or jeopardy level and four tied to abuse, with $163,651 in fines across two penalties. The most recent inspection was March 2026. Low staffing and high turnover tend to matter more day to day than a favorable quality-measure score.
Castle Pines runs 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in the federal ratings: one star for staffing, two for quality measures, three on health inspections. The current record carries 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, along with three fines totaling $53,155. The last inspection was May 2025, so the picture is recent. Corporate-owned and certified for 120 beds, this is a home where the numbers point to a persistent staffing gap rather than a one-time slip.
Oakmont Healthcare And Rehabilitation Of Humble runs 134 certified beds under corporate ownership, and the numbers that stand out most are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends run roughly 13% thinner than weekdays, and annual turnover is 91.4%, about double the national rate. That churn matters because it's hard to deliver consistent care when the staff keeps leaving. The inspection record backs that up: 31 deficiencies, 9 of them serious enough to involve harm or jeopardy, plus three fines totaling $418,615. Quality measures score well, but quality scores rest on staffing that clearly isn't stable right now.
Avir At Burkburnett runs a 60-bed for-profit home where the nurse staffing line sits at 3.30 hours per resident day, roughly 14% under the national average of 3.86, and it thins out further on weekends, dropping about 14% below its own weekday level. That thin coverage shows up in the staffing star rating, and the 64.9% annual turnover means aides and nurses are cycling through faster than the 45.8% national rate, so the people at the bedside keep changing. The inspection record carries 28 deficiencies, three of them serious enough to put a resident in harm's way, plus two fines totaling $64,646, with the most recent inspection in December 2024.
Llano Nursing and Rehabilitation Center runs on 3.00 nurse staffing hours per resident per day, roughly 22% under the national average of 3.86, and weekends drop about 10% below its own weekday levels. That thin coverage shows up in the numbers: 70.4% annual staff turnover against a national average of 45.8%, and 27 deficiencies on the current record, four serious enough to cause harm or jeopardy and two tied to abuse, with one fine totaling $40,170. The most recent inspection was September 2025. The 4/5 quality measure rating reflects resident care data, but it sits alongside a 1/5 staffing rating, and that gap is worth asking about directly.
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?