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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 141 to 160 of 827, best-graded first.

B

74/100

The Atrium Rehabilitation Center

San Antonio, TX · Bexar County

CMS 4/587 bedsFor-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
64%
Serious cites
0

The Atrium Rehabilitation Center runs 87 beds on San Antonio's for-profit circuit, and the numbers tell a mixed story. Nurse staffing sits at 4.31 hours per resident day, about 12% above the national average, and weekend coverage barely dips below weekday levels, a good sign, since weekend gaps are where problems often hide. But that staffing comes with churn: 64% annual turnover against a national 45.8% means aides and nurses are cycling through constantly, which undercuts consistency of care even when raw hours look fine. The inspection record shows 35 deficiencies, none at harm or jeopardy level, one abuse-related, and a single $9,600 fine, with the last survey in May 2025. Quality and inspection scores hold at 4 stars; staffing earns 2.

B

74/100

Legend Healthcare And Rehabilitation - Greenville

Greenville, TX · Hunt County

CMS 4/5126 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
48%
Serious cites
0

Legend Healthcare and Rehabilitation in Greenville runs 126 beds under corporate ownership, and the numbers tell a split story. The health inspection and quality ratings both sit at four out of five stars, and there's nothing on the current record flagged as harm or jeopardy, but 32 deficiencies total, including one tied to abuse, is a lot of paperwork for a home to carry. Nurse staffing lands at 3.26 hours per resident day, roughly 15 percent under the national average, and weekends dip about 10 percent below the home's own weekday levels. Turnover runs slightly above the national rate. Inspectors were last in during August 2025.

B

74/100

Teague Nursing And Rehabilitation

Teague, TX · Freestone County

CMS 5/576 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
47%
Serious cites
0

Teague Nursing And Rehabilitation runs a 76-bed for-profit operation in Freestone County, and the numbers pull in two directions. On paper, the place just cleared a federal inspection in February 2026 with no deficiencies at the harm or jeopardy level, a genuinely good sign, and its five-star health inspection rating reflects that. But look at staffing: 3.07 nurse hours per resident per day against a national average of 3.86, with weekends running about 9% thinner than weekdays, and that two-star staffing rating starts to make sense. Eight deficiencies sit on the current record, two tied to abuse. Turnover lands at 46.7%, roughly where the national average sits. The care may be sound, but the people delivering it are stretched.

B

74/100

Briarcliff Skilled Nursing Facility

Carthage, TX · Panola County

CMS 3/591 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
39%
Serious cites
0

Briarcliff runs on thinner nursing coverage than most homes, 3.26 nurse hours per resident day against a national average of 3.86, and it gets thinner on weekends, when staffing drops about 8% below its own weekday level. Turnover sits at 39%, which is better than the 45.8% national figure, so the people who stay tend to stay. What pulls the record down is the inspection side: 28 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $151,713. The most recent inspection was April 2026, so that picture is recent, not stale.

B

74/100

Avir At Waco

Waco, TX · Mc Lennan County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
43%
Serious cites
0

Avir At Waco runs 120 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.50 nurse hours per resident day sits about 9% under the national average of 3.86, with weekends running roughly 10% thinner than weekdays. Turnover lands at 42.9%, a touch better than the 45.8% national figure, so the people who stay are reasonably stable even if the floor is lean. A recent February 2026 inspection and a four-star health inspection record support that, though 20 deficiencies sit on file, one tied to abuse and none flagged at harm or jeopardy level. Quality measures come in at three stars while staffing rates two.

B

74/100

Silver Spring

Abilene, TX · Taylor County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
49%
Serious cites
0

Silver Spring runs on thinner staffing than most Texas homes its size, 3.19 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 13% below its own weekday coverage. That gap shows up in the numbers that matter: 34 deficiencies on the current record, seven serious enough to put residents in harm's way and three tied to abuse, plus a $25,974 fine. Annual turnover sits at 49.4%, meaning half the nursing staff leaves within a year. The corporate owner holds a 1-out-of-5 inspection rating, despite a 4-out-of-5 on quality measures. Whatever the quality data suggests, the inspection history and thin weekend coverage are what a family should weigh before choosing this one.

B

74/100

Forum Parkway Health & Rehabilitation

Bedford, TX · Tarrant County

CMS 3/5139 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
49%
Serious cites
0

Forum Parkway runs 139 beds in Bedford under corporate ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average. Weekends dip roughly 8% below its own weekday coverage, and annual turnover is 49.1%, higher than the 45.8% national figure, so the faces here change often. The current record shows 23 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $19,083. Inspectors were last out in March 2026. Quality measures score well, and that's genuinely worth something for a family weighing rehab or long-term care here. But thinner weekend coverage and steady staff churn are the things to ask about directly when you tour.

B

73.5/100

Riverside Oaks

Victoria, TX · Victoria County

CMS 5/5108 bedsFor-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
39%
Serious cites
0

Riverside Oaks runs a 108-bed for-profit operation in Victoria, and the numbers pull in two directions. Its inspection record is genuinely clean, a recent visit in August 2025, ten deficiencies on the books, none of them causing harm or involving abuse. Quality measures also score at the top of the federal scale. The staffing side is where it gets thin. At 3.02 nurse hours per resident day, this home sits roughly 22 percent under the national average, and weekends drop about 15 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover at 39.4 percent is better than the 45.8 percent national figure, which suggests some stability in who's actually on the floor. Ask about weekend coverage specifically.

B

73.5/100

Veranda Rehabilitation And Healthcare

Harlingen, TX · Cameron County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
40%
Serious cites
0

Veranda runs lean on nursing hours, 3.35 per resident day against a national average of 3.86, with weekends dropping about 20% below its own weekday coverage. That thin weekend staffing matters because the home's record shows 18 deficiencies, including one at the harm level and four tied to abuse, though a June 2025 inspection means the picture is recent. Turnover at 39.7% is actually better than the 45.8% national figure, and the 5/5 quality measure rating suggests clinical outcomes are being tracked well. The tension here is a corporation-owned building with strong inspection and quality marks but staffing that trails what residents may need, especially on weekends.

B

73.5/100

Hays Nursing And Rehabilitation Center

San Marcos, TX · Hays County

CMS 3/5116 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
38%
Serious cites
0

Hays Nursing and Rehabilitation Center runs 116 certified beds in San Marcos under corporate for-profit ownership. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average, and weekends drop about 17% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover at 37.9% actually beats the national 45.8%, which is worth noting, but the inspection record carries 26 deficiencies, including two at the harm or jeopardy level and three tied to abuse. One fine totaling $8,226 is on file, and the most recent inspection was March 2026.

B

73.5/100

Focused Care At Hamilton

Hamilton, TX · Hamilton County

CMS 5/578 bedsFor-profitMedicaid
Nurse hours
2.77 /day
Staff turnover
41%
Serious cites
0

Focused Care At Hamilton runs on a thin nursing staff: 2.77 hours per resident per day, roughly 28 percent below the national average, and weekends drop about 20 percent below what the home itself staffs on weekdays. That's the number that matters most, and it's why the federal staffing rating comes in at 1 out of 5. What keeps the place from looking worse is its record elsewhere, a 5/5 inspection rating with the most recent survey in September 2025, only 8 deficiencies on file and none involving harm, jeopardy, or abuse. Annual turnover of 41.4 percent actually sits below the national rate, so the problem isn't churn so much as how few hours each resident gets.

B

73.5/100

Gulf Pointe Plaza

Rockport, TX · Aransas County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
39%
Serious cites
0

Gulf Pointe Plaza in Rockport runs lean on nursing hours, 3.13 per resident day, roughly 19% under the national average, and weekends drop about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 1 out of 5, even though turnover of 38.7% actually beats the national 45.8%, meaning the aides who are there tend to stay. The clinical side looks steadier: a 5/5 quality measure rating and a 4/5 inspection rating, with 12 deficiencies on record, none involving harm or abuse, and the last inspection was March 2026. For-profit corporate ownership, 120 beds. The tradeoff is clear, good outcomes and recent, clean inspections, but fewer hands per resident than most homes.

B

73.5/100

Legacy Rehabilitation And Living

Amarillo, TX · Randall County

CMS 2/5150 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
n/a
Serious cites
0

Legacy Rehabilitation And Living runs 150 certified beds in Amarillo under for-profit LLC ownership, and its staffing numbers are the first thing to look at. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The health inspection record shows 23 deficiencies, including one at the harm level and two tied to abuse, with a single $13,070 fine. Its quality measure stars are strong, but that score reflects resident data, not the hands available to help.

B

73.5/100

Stallings Court Nursing And Rehabilitation

Nacogdoches, TX · Nacogdoches County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
36%
Serious cites
0

Stallings Court runs lean on nurse staffing, 3.30 hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and notice things. The good news: turnover sits at 36%, better than the 45.8% national average, and the inspection record is clean where it counts, 25 deficiencies total, but none at harm or jeopardy level and none abuse-related. A February 2026 inspection is recent enough to trust. For-profit LLC ownership with 120 beds. Families should ask who's on the floor on weekend evenings.

B

73.5/100

Rambling Oaks Courtyard Extensive Care Community

Highland Village, TX · Denton County

CMS 3/570 bedsFor-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
61%
Serious cites
0

Rambling Oaks Courtyard runs 70 certified beds in Highland Village, and the staffing numbers tell the clearest story: 3.67 nurse hours per resident day, about 5% under the national figure, with weekends running roughly 16% thinner than weekdays. That gap matters because weekends are when families often can't visit and problems go unnoticed. Annual turnover sits at 61.4% against a national average of 45.8%, meaning most of the people caring for your relative will likely be gone within a year. The current record shows 32 deficiencies, one serious enough to involve harm or jeopardy, and a $21,640 fine. Ownership is for-profit corporate. Quality measures score well; consistent hands-on care is the weaker part.

B

73/100

Alta Vista Rehabilitation And Healthcare

Brownsville, TX · Cameron County

CMS 2/5100 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
36%
Serious cites
0

Alta Vista runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 12% below what the home staffs on weekdays. That matters because the inspection record carries 26 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, with one $14,433 fine and a survey completed in November 2025. Staff turnover sits at 36.4%, better than the 45.8% national figure, so the same faces tend to stick around. The puzzle is how a home can post top marks on clinical quality measures while its staffing and inspection results sit at the bottom, the answer usually lives in whether there are enough hands on the floor on any given afternoon.

B

73/100

Mission Nursing And Rehabilitation Center

Mission, TX · Hidalgo County

CMS 4/5170 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
33%
Serious cites
0

Mission Nursing & Rehabilitation Center runs lean on the floor. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so a 170-bed home can feel the difference when families visit Saturday and Sunday. Turnover is the bright spot: 33.3% against a national 45.8% means aides and nurses stick around longer than most. The tradeoff shows up in the record, 24 deficiencies, including one at the harm level and two tied to abuse, with a single $8,190 fine. Inspections are recent, and the for-profit LLC ownership has kept quality measures decent while staffing lags.

B

73/100

Focused Care At Clarksville

Clarksville, TX · Red River County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
2.80 /day
Staff turnover
33%
Serious cites
0

Focused Care At Clarksville runs lean on nursing hours, 2.80 per resident day against a national average of 3.86, roughly 28% below, and weekends dip about 13% below its own weekday staffing, which matters when families visit and needs don't pause. Turnover at 32.6% is actually better than the 45.8% national figure, so the concern isn't retention; it's raw coverage. The inspection record shows 32 deficiencies, including one at harm or jeopardy level and three tied to abuse, though the most recent inspection was February 2026 and fines total just $5,211. Quality measures score well, but staffing is where the numbers get thin for a 120-bed for-profit.

B

73/100

Golden Years Nursing And Rehabilitation Center

Marlin, TX · Falls County

CMS 5/586 bedsFor-profitMedicaid
Nurse hours
2.96 /day
Staff turnover
27%
Serious cites
0

Golden Years runs a five-star health inspection record, with its most recent survey done in August 2025, and the twelve deficiencies on file include one that caused actual harm and one tied to abuse, isolated problems rather than a pattern of poor care. Staffing is where the tradeoff shows: 2.96 nurse hours per resident day sits about 23% under the national average, weekends run roughly 14% thinner than weekdays, and CMS rates staffing 2 out of 5. Turnover of 26.9% is well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay. For-profit corporate ownership, one fine of $8,021.

B

73/100

Beacon Harbor Healthcare And Rehabilitation

Rockwall, TX · Rockwall County

CMS 3/5190 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
41%
Serious cites
0

Beacon Harbor runs 190 beds in Rockwall under corporate ownership, and its staffing numbers are the first thing to look at: 3.40 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That gap matters more than the headline number, since care needs don't take weekends off. The inspection record shows 25 deficiencies, three of them at the level where harm or jeopardy was possible, plus two fines totaling $21,817. The last inspection was August 2024. Turnover sits at 41%, slightly better than the national 45.8%, so the problem isn't retention so much as how many hands are scheduled. Ask about weekend coverage specifically.

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