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.
Normandy Terrace is a 320-bed for-profit home in San Antonio, and the numbers that stand out are about people. Nurse staffing sits at 3.01 hours per resident day, roughly 22 percent under the national average, and weekends run about 18 percent thinner than weekdays. Staff turnover is 95.8 percent, more than double the national figure, meaning the aides and nurses caring for residents are, in large part, new or on their way out. The inspection record shows 49 deficiencies, six at the harm or jeopardy level and four abuse-related, with five fines totaling $287,359. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating back that up. If you're considering this home, ask hard questions about who's on the floor at night and on weekends.
Rock Creek runs on 2.84 nursing hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 15% below its own weekday staffing. That thin coverage shows up in turnover: 90.3% of staff left over the past year, double the national rate of 45.8%. The current record carries 36 deficiencies, two serious enough to involve harm or jeopardy, plus $82,579 in fines across two events. Inspectors last visited in August 2025. Corporate-owned and Medicare-certified for 120 beds, the home scores 1 out of 5 on CMS staffing and 2 on health inspections, while its quality measure rating sits at 3.
Castle Hills Rehabilitation and Care Center is a for-profit, limited liability operation with 143 certified beds in San Antonio. Nurse staffing runs about 2.96 hours per resident per day, roughly 23 percent below the national average, and weekends fall about 15 percent under its own weekday levels. Every CMS star category here lands at 1 out of 5: health inspections, quality measures, and staffing. The deficiency record shows 72 citations, eight of them at harm or jeopardy level and two tied to abuse, with four fines totaling $112,386 and a recent inspection on September 12, 2025. That combination of thin staffing, low inspection scores, and serious deficiencies is what any family should weigh before choosing this home.
Avir At San Antonio runs on 2.63 nurse staffing hours per resident per day, roughly a third below the national average, and weekends drop about 9% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover sits at 60.7%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The inspection record shows 43 deficiencies, including three at the harm or jeopardy level and four tied to abuse, with $29,494 in fines across three penalties. Its most recent inspection was August 30, 2025, and the corporation that owns it holds a for-profit license.
Austin Wellness & Rehabilitation runs on 2.63 nurse hours per resident each day, roughly a third below the national average of 3.86, and weekend staffing drops another 9% below its own weekday level. That thin coverage sits behind a 1-out-of-5 inspection rating and 62 deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse. Staff turnover is 61.3% against a national 45.8%, meaning the aides and nurses your family member sees may keep changing. Three fines total $166,205, and the last inspection was March 2025. For-profit, individually owned, 120 beds.
Ralls Nursing Home runs on 2.31 nurse hours per resident day, roughly 40% under the national average of 3.86, and weekend coverage drops another 14% below its own weekday levels. That thin staffing sits behind 29 deficiencies on the current record, nine of them at harm or jeopardy level and 13 abuse-related, with five fines totaling $303,179. Annual turnover of 72.4% means most of the aides and nurses working here last year aren't the ones working here now. The last inspection was September 2025, so the record is current, not stale. One bright spot: the quality measure rating is 4 out of 5, but quality scores are largely built from resident assessment data the facility itself reports, and they don't offset a 1-out-of-5 inspection and staffing picture.
Greenhill Villas runs on thin staffing even before the weekend squeeze: 3.10 nurse hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday level. That's the kind of gap families notice as slower call-button response. Staff turnover sits at 95.2%, more than double the national 45.8%, so the aide who knows your mother's routine this month may be gone the next. The current record carries 47 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus $154,116 in fines across three penalties. The last inspection was June 2025. Corporate-owned, 150 beds.
Forest Park runs on 2.92 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips about 8% below its own weekday level. That thin staffing shows up in a 67.8% annual turnover rate, well above the 45.8% national figure. Its inspection record carries 53 deficiencies, eight at the harm or jeopardy level and four tied to abuse, along with four fines totaling $193,834. The most recent inspection was February 2026. A 4/5 quality measure score sits alongside 1/5 ratings for both staffing and health inspections, worth knowing what that quality number actually measures before weighing it against the rest.
Fall Creek runs on 3.25 nursing hours per resident day, about 16 percent under the national average, with weekends dropping roughly 14 percent below its own weekday staffing. That thin coverage shows up in the numbers: a 65.6 percent annual turnover rate, well above the 45.8 percent national figure, and a one-star CMS staffing rating. Inspectors have cited 21 deficiencies, seven of them serious enough to put residents in harm's way and three tied to abuse, with two fines totaling $48,555. The last inspection was in May 2025. For a 126-bed for-profit home, the pattern across staffing, turnover, and enforcement history is worth weighing carefully before you decide.
Focused Care At Sherman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekends drop about 13% below its own weekday staffing. That thin coverage sits behind a 75% annual turnover rate, well above the national 45.8%, so the people caring for residents are often new to the building. Its current record carries 45 deficiencies, including 7 at harm or jeopardy level and 6 tied to abuse, plus one fine of $82,570, with the most recent inspection in May 2025. The quality measure rating of 3/5 is the one area that looks closer to average, but staffing and inspection ratings both sit at 1/5.
Avir At Weston runs 120 certified beds in Temple under individual for-profit ownership, and the staffing numbers are where the trouble starts. At 3.03 nurse hours per resident day, it sits roughly 21% below the national average of 3.86, and weekend coverage drops about 12% below its own weekday level, so the thinnest shifts get even thinner. Staff turnover hits 83.3% against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record backs that up: 29 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $154,589. The most recent inspection was June 13, 2025.
Arboretum Nursing And Rehabilitation Center Of Win runs on a nurse staffing level that's about a fifth below the national average, and weekends are thinner still, roughly 14% under its own weekday coverage. The bigger issue is the workforce itself: turnover sits at 98.4% a year, more than double the national rate, which tells you the aides and nurses in this building are largely new to it. On the current record are 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, along with two fines totaling $115,663. For a 120-bed for-profit home in Winnie, the pattern is a constant churn of caregivers paired with serious cited problems.
Peach Tree Place runs on 2.65 nurse hours per resident day, about a third less than the national average, and weekend coverage drops roughly 14% below what it manages on weekdays. Staff turnover hits 92% a year, double the national rate, so the people caring for residents are, more often than not, new to the building. The inspection record shows 29 deficiencies, five involving actual harm or jeopardy to residents and five tied to abuse. One fine on file totals $229,570. Ownership is a for-profit corporation, and the most recent state inspection dates to March 2024.
Estates Healthcare and Rehabilitation Center runs 141 beds in Fort Worth under corporate for-profit ownership, and the numbers that stand out most are its inspection record and its staffing. Nurses provide about 3.08 hours of care per resident per day, roughly 20% below the national average, and weekend coverage drops about 16% below what the home staffs on weekdays. Staff turnover sits at 86.7%, nearly double the national rate of 45.8%.
That instability shows up in the record: 53 deficiencies, 11 of them serious enough to involve harm or jeopardy to residents, and 8 tied to abuse. Eight fines total $159,833. One bright spot is the quality measure rating at 4/5, but with a 1/5 inspection rating and a 1/5 staffing rating, families should ask hard questions before choosing this home.
Paradigm At Woodwind Lakes runs 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekend coverage drops about 12% below its own weekday level. Staff turnover sits at 58.3% against a national 45.8%, so the people providing that thin coverage are also leaving fast. The inspection record shows 44 deficiencies, 12 of them at harm or jeopardy level and 3 abuse-related, with two CMS fines totaling $89,541. This for-profit LLC is in the Special Focus Facility program, meaning federal regulators watch it more closely than most. The most recent inspection was January 9, 2026.
Bluebonnet Nursing and Rehabilitation runs 120 beds in Karnes County under corporate ownership, and the staffing numbers are the first thing to notice. At 3.40 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 23% below its own weekday level, which matters if your family visits on a Saturday. Turnover is the harder number: 91.4% of staff leave each year against a national average of 45.8%, so the people caring for your relative are likely new to the building and still learning it. The current inspection record shows 39 deficiencies, five of them at the harm or jeopardy level, with $125,523 in fines across five penalties. The last inspection was August 2025.
Nurse staffing at Marine Creek works out to 3.47 hours per resident per day, roughly 10 percent under the national average, and weekends drop about 18 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 94.1 percent a year against a national average near 46 percent, meaning most of the people caring for residents are new to the building and still learning it. The current inspection record carries 44 deficiencies, including 6 at the harm or jeopardy level and 5 tied to abuse. Three fines totaling $23,621 are on file, and the most recent inspection was September 18, 2025.
If your family is looking at Sienna Nursing and Rehabilitation in Odessa, the staffing numbers are what you need to sit with. Nurses provide 2.91 hours of care per resident each day, about a quarter below the national average, and weekends run thinner than weekdays. Turnover is the number that should worry you most: 92.3% of staff leave or are replaced annually, roughly double the national rate, meaning the aide who knows your mother's routines today is probably gone within a year. The record shows 28 deficiencies, four of them serious enough to put residents at real risk, plus one abuse-related finding and a $241,722 fine. The state last inspected in January 2025.
Pebble Creek runs on thin staffing, and the numbers show it. At 3.38 nurse hours per resident per day, it sits about 13% under the national average, and weekends drop roughly another 11% below its own weekday level, so care gets thinnest exactly when families tend to visit. Meanwhile, annual turnover hits 97.4%, more than double the national rate, which means the people providing that care are constantly changing.
The inspection record is worse: 65 deficiencies, including 4 at harm or jeopardy level and 5 tied to abuse. Federal fines total $145,184 across two penalties, and the last inspection was May 2024, with a 1/5 health inspection rating and 1/5 staffing rating. For-profit, limited liability ownership. Ask direct questions about weekend coverage and turnover before considering this one.
San Antonio West runs on 2.75 nurse staffing hours per resident day, about 29 percent under the national average, and weekends dip roughly 12 percent below its own weekday levels. Turnover sits at 63.6 percent against a national 45.8, most of the people caring for your family member will be new within a year. The inspection record backs this up: 73 deficiencies, six at harm or jeopardy level, four abuse-related, and $364,695 in fines. Its most recent inspection was April 2026, so the picture is current, and it includes one star each for health inspections and staffing. A for-profit corporation owns the 135-bed building.
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?