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827 For-Profit Nursing Homes in Texas

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.

Nursing hours per resident per day

3.32

All homes in Texas: 3.39

Worse than the local average

Nurse staff turnover

57.7%

All homes in Texas: 55.3%

Worse than the local average

Average ElderGrade score

65.4/100

All homes in Texas: 66.9/100

Worse than the local average

Grade spread

B
C
D

15 grade A, 265 grade B, 438 grade C, 105 grade D,

The best-graded for-profit home in Texas is Laredo Medical Center in Laredo, TX, grade A, 99/100.

Every for-profit nursing home in Texas

Showing 101 to 120 of 827, best-graded first.

B

76/100

Golden Acres Living And Rehabilitation Center

Dallas, TX · Dallas County

CMS 3/5264 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
47%
Serious cites
0

Golden Acres runs 264 beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends run about 9% leaner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Staff turnover is 46.6%, slightly worse than the 45.8% national figure, which usually means less continuity for residents who need consistent caregivers. The current record carries 33 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. The last inspection was January 22, 2026, so the picture is fairly current. Three stars each on health inspections, quality measures, and staffing puts this home squarely in the middle of the pack.

B

76/100

Ft Worth Southwest Nursing Center

Fort Worth, TX · Tarrant County

CMS 3/5198 bedsFor-profitMedicaid
Nurse hours
3.61 /day
Staff turnover
27%
Serious cites
0

Fort Worth Southwest Nursing Center is a 198-bed hospital-district home where the staffing numbers tell a mixed story. Nurses provide 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 10% leaner than weekdays, so coverage thins out exactly when families tend to visit. Retention is the bright spot: 27.2% turnover beats the 45.8% national rate by a wide margin, meaning the people who are there tend to stay. Against that, the current inspection record shows 19 deficiencies, including three at the harm level and three tied to abuse, plus one fine of $23,923. With a February 2025 inspection, the record is recent enough to take seriously. Strong quality scores, but the care environment carries real risk.

B

76/100

San Remo

Richardson, TX · Dallas County

CMS 2/5112 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
47%
Serious cites
0

San Remo runs 112 certified beds in Richardson under corporate for-profit ownership, and its staffing sits at 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends run about 6% leaner than weekdays, and turnover lands at 46.8%, a touch above the 45.8% national figure, so coverage thins out exactly when families tend to visit. The health inspection side is the weak spot: a 2/5 star rating and 34 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy. That record was last reviewed in February 2026. Quality measures score well at 4/5, which pulls the overall picture up, but the inspection history is what a family should weigh hardest.

B

75.5/100

Oakbend Medical Center

Rosenberg, TX · Fort Bend County

CMS 4/536 bedsFor-profit
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Oak Bend Medical Center in Richmond is a small nonprofit home, 36 beds, and its inspection record is genuinely strong: a five-star health inspection rating, five deficiencies on file with none at the harm level and nothing abuse-related, and a survey completed in May 2025. Quality measures also come in at five stars. The problem sits in staffing, which CMS rates at just one star, the lowest tier, meaning nurse coverage here is well below what the federal formula expects for a building this size. That gap is what pulls the overall picture down despite the clean surveys. Three fines totaling $17,560 are also on record. If you tour, ask directly about direct-care hours per resident per day and how often shifts run short.

B

75.5/100

Clyde Nursing Center

Clyde, TX · Callahan County

CMS 5/548 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
38%
Serious cites
0

Clyde Nursing Center runs a tight ship on inspections, a five-star health inspection rating, with the most recent visit in April 2025 turning up seven deficiencies, none of them causing harm or involving abuse. Where it slips is staffing: 3.19 nurse hours per resident day, roughly 17 percent under the national average, and weekends run about a fifth thinner than weekdays. That gap matters more than the raw number, since care doesn't pause on Saturdays. The one bright spot is retention, 38.2 percent turnover beats the national 45.8 percent, so the aides who are there tend to stay. For a 48-bed for-profit home, the pattern is familiar: solid care when inspected, stretched coverage day to day.

B

75.5/100

La Bahia Nursing & Rehabilitation

Goliad, TX · Goliad County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
2.95 /day
Staff turnover
n/a
Serious cites
0

La Bahia runs a lean nursing floor: 2.95 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. The inspection record is strong on paper, a recent February 2026 survey, no deficiencies at the harm or jeopardy level, but 22 total deficiencies sit on the books, two of them abuse-related, and staffing carries just 2 out of 5 stars from CMS. Quality measures score the maximum, which reflects how well residents are being tracked and treated on paper, not how many hands are on the floor at 2 a.m. on a Saturday.

B

75.5/100

Treasure Hills Healthcare And Rehabilitation Cente

Harlingen, TX · Cameron County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
38%
Serious cites
0

Treasure Hills runs leaner on nursing hours than the typical American nursing home, about 3.59 hours per resident per day against a national average near 3.86. Weekends are where that gap widens most: staffing drops roughly 16% below the home's own weekday level, so Saturday and Sunday coverage looks noticeably thinner than midweek. Turnover sits at 37.7%, which is actually better than the 45.8% national figure, meaning the crew it does have sticks around longer than most. The inspection record is mixed, a recent December 2025 survey, no deficiencies flagged at harm or jeopardy level, but 24 total findings and five tied to abuse. Corporate-owned, 120 beds.

B

75.5/100

Goldthwaite Health & Rehab Center

Goldthwaite, TX · Mills County

CMS 2/594 bedsFor-profitMedicaid
Nurse hours
2.80 /day
Staff turnover
40%
Serious cites
0

Goldthwaite Health & Rehab runs on a limited liability company that operates for profit, and the numbers show where the pressure lands. Nurse staffing sits at 2.80 hours per resident day, roughly 28 percent under the national average, and weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 39.5 percent is better than the national 45.8 percent, which matters for continuity, but the inspection record carries 19 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus a $32,545 fine. The most recent inspection was May 2026.

B

75.5/100

Legend Oaks Healthcare And Rehabilitation - Ennis

Ennis, TX · Ellis County

CMS 5/5124 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
36%
Serious cites
0

Legend Oaks in Ennis is run by the local hospital district and holds a five-star health inspection rating, which tells you the building itself is well-kept and the last inspection, in February 2025, went well. The trouble sits in the day-to-day staffing: 3.18 nurse hours per resident, roughly 18% under the national average, with weekends about 20% thinner than weekdays. That's a real gap when a resident needs help. Turnover is 36%, better than the national 45.8%, so the aides who are there tend to stay. Thirteen deficiencies on record, one at harm level, and a single $13,275 fine. Good oversight, thin coverage.

B

75.5/100

Park Manor Of The Woodlands

The Woodlands, TX · Montgomery County

CMS 4/5124 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

Park Manor Of The Woodlands runs 124 certified beds under corporate for-profit ownership, and the numbers here are mostly steady. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, though weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.6%, slightly better than the national rate, and the home's 12 deficiencies include none at the harm or jeopardy level and none related to abuse. Its last inspection was in November 2025, so the record is recent. Nothing here screams trouble; the main thing to watch is whether weekend coverage holds up.

B

75.5/100

Heritage House At Paris Rehab & Nursing

Paris, TX · Lamar County

CMS 2/590 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
46%
Serious cites
0

Heritage House runs about 3.40 nurse hours per resident day, roughly 12% under the national average, and weekend coverage drops another 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. The 46 deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, sit alongside a 2-out-of-5 inspection rating, though the quality measure score of 4 suggests the clinical numbers they report look better than the inspection history does. Turnover at 46.3% is essentially the national rate, meaning staffing churn isn't unusually bad here, just the raw hours that fall short.

B

75.5/100

The Center At Grande

Tyler, TX · Smith County

CMS 5/596 bedsFor-profit
Nurse hours
4.19 /day
Staff turnover
54%
Serious cites
0

The Center At Grande has a clean recent inspection record, 9 deficiencies, none at the harm level, with the most recent survey in March 2025. Its 5-star inspection and quality ratings back that up. But look at staffing: the 1-star rating reflects 54.2% annual turnover, well above the 45.8% national average, and weekend coverage drops about 20% below weekday levels even though overall nurse hours (4.19 per resident day) sit above the national figure. One abuse-related deficiency is on the record too. For-profit, LLC-owned. The care may be decent on paper, but consistent staffing is the question worth asking when you visit.

B

75/100

Schulenburg Regency Nursing Center

Schulenburg, TX · Fayette County

CMS 3/5146 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
41%
Serious cites
0

Schulenburg Regency runs 146 beds under corporate ownership, and its state inspection record is the strongest part of the picture, a recent survey, a four-star health inspection rating, and modest fines totaling under $9,000. The trouble sits in the day-to-day staffing. At 3.71 nurse hours per resident day, it falls short of the national average, weekend coverage drops about 14% below its own weekday levels, and the two-star staffing rating reflects that gap. Sixteen deficiencies are on the current record, including one at the harm level and two tied to abuse. Turnover, at least, runs below the national figure.

B

75/100

Avir At Beeville

Beeville, TX · Bee County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
30%
Serious cites
0

Avir At Beeville runs a 120-bed for-profit home in Bee County, and its numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, and weekends drop roughly 12% below the home's own weekday coverage, worth asking about if your family visits or needs care on Saturdays and Sundays. Staff turnover is genuinely low at 29.7% against a national 45.8%, which suggests people stay. But the inspection record carries 13 deficiencies, including one at the harm level and three tied to abuse, plus a $38,687 fine. The most recent inspection was August 2025. Ask directly about those abuse deficiencies and what changed since.

B

75/100

San Jose Nursing Center

San Antonio, TX · Bexar County

CMS 3/555 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
33%
Serious cites
0

San Jose Nursing Center runs lean on bedside staff, 3.16 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday numbers. That thin coverage shows up in the staffing star rating, though the home holds onto workers better than most, with turnover at 33.3% compared to 45.8% nationally. The current inspection record lists 32 deficiencies, none at harm or jeopardy level, but three tied to abuse, and the last full inspection came in April 2025. Quality measures score well; the hands-on care hours are where this San Antonio for-profit falls short.

B

75/100

Azalea Trail Nursing And Rehabilitation Center

Grand Saline, TX · Van Zandt County

CMS 4/572 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
27%
Serious cites
0

Azalea Trail runs lean on nursing hours, 3.35 per resident per day against a national average of 3.86, with weekends about 12% thinner than weekdays. That's the trade-off behind its numbers: staff stick around far longer than is typical in this industry, and its inspection record is about as clean as they come, one minor deficiency with nothing tied to harm or abuse and a visit from surveyors as recent as May 2025. The weak spot sits in the quality measures, where resident outcomes lag despite the strong oversight. For a 72-bed for-profit in Grand Saline, you're looking at a home that passes its tests but may not always have enough hands on deck.

B

75/100

Willowbend Nursing And Rehabilitation Center

Mesquite, TX · Dallas County

CMS 3/5162 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
53%
Serious cites
0

Willowbend runs 162 certified beds in Mesquite under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop another 11% below its own weekday coverage, and annual turnover hits 52.9% against a national 45.8%. The inspection record is where things get serious: 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, plus four fines totaling $94,394. Its last inspection was January 22, 2026. The 5/5 quality measure rating reflects resident assessment data, but the 2/5 staffing and 2/5 inspection ratings describe what families actually encounter day to day.

B

75/100

Pleasant Valley Healthcare And Rehabilitation Cent

Garland, TX · Dallas County

CMS 2/5124 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
33%
Serious cites
0

Pleasant Valley runs lean on nursing hours, 3.36 per resident per day, roughly 13 percent under the national average, and weekends get thinner still, dropping about 11 percent below its own weekday coverage. That staffing picture sits behind 20 deficiencies on the current record, three of them serious enough to put residents at risk of harm or jeopardy and two tied to abuse. Staff turnover is 33.3 percent, better than the national 45.8, and the quality measure score of 4 out of 5 suggests clinical metrics look decent on paper. But a 2-out-of-5 inspection rating and $53,393 in fines point to a gap between how care is measured and how it's actually delivered.

B

75/100

Mill Creek

Silsbee, TX · Hardin County

CMS 3/567 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
55%
Serious cites
0

Mill Creek runs lean on nursing staff, 3.16 hours per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday coverage. That thinness shows up in the numbers: staff turnover sits at 54.7% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The 25 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with one fine of $13,232. Quality measures score well and the last inspection was recent, but a for-profit partnership operating 67 beds at this staffing level leaves little margin when problems surface.

B

75/100

Oakwood Manor Nursing Home

Vidor, TX · Orange County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
38%
Serious cites
0

Oakwood Manor runs a corporation-owned, 100-bed home in Vidor, and the numbers pull in different directions. Nurse staffing sits around 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday level, so care gets thinnest exactly when families tend to visit. Turnover is 37.8%, which is actually better than the 45.8% national figure, meaning the staff who are there tend to stay. Inspections are recent (December 2025) and turned up 21 deficiencies, none at harm or jeopardy level, though two are abuse-related. Quality measures score well; staffing is where it's weakest.

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?
Laredo Medical Center in Laredo, TX, grade A, 99 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 823 graded for-profit homes in Texas, 15 grade A and 105 grade D or F.
Do for-profit nursing homes in Texas accept Medicaid?
808 of the 827 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Texas