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247 Government-Run Nursing Homes in Texas

247 of the 1,179 Medicare-certified nursing homes in Texas (21%) are government-run, and all are listed below. Nurse staff turnover runs 53.7%, 1.6 points lower than the 55.3% across all homes there. 11 of the 246 graded homes earn an A and 15 earn a D or F. Country View Living in Dimmitt grades highest at A (94 out of 100).

How government-run homes in Texas compare

This group set against every nursing home in Texas, from the current CMS release.

Nursing hours per resident per day

3.36

All homes in Texas: 3.39

Worse than the local average

Nurse staff turnover

53.7%

All homes in Texas: 55.3%

Better than the local average

Average ElderGrade score

67.8/100

All homes in Texas: 66.9/100

Better than the local average

Grade spread

B
C

11 grade A, 93 grade B, 127 grade C, 15 grade D,

The best-graded government-run home in Texas is Country View Living in Dimmitt, TX, grade A, 94/100.

Every government-run nursing home in Texas

Showing 1 to 20 of 247, best-graded first.

A

94/100

Country View Living

Dimmitt, TX · Castro County

CMS 5/554 bedsGovernmentMedicaid
Nurse hours
4.63 /day
Staff turnover
38%
Serious cites
0

Country View Living runs on a government hospital district license in Dimmitt, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.63 hours per resident day, roughly a fifth above the national average, and weekends dip only about 10% below its own weekday level, a smaller drop than many homes show. Staff turnover is 37.9%, well under the 45.8% national figure, and its eight deficiencies include nothing at the harm or jeopardy level and nothing abuse-related. A December 2025 inspection is recent, and the five-star marks across health, quality, and staffing come from those same federal figures.

A

90/100

Avir At Hillview

Goldthwaite, TX · Mills County

CMS 5/552 bedsGovernmentMedicaid
Nurse hours
3.10 /day
Staff turnover
30%
Serious cites
0

Hillview Nursing & Rehabilitation runs on a government-hospital-district model in Goldthwaite, and the inspection record is the strongest part of the story: a perfect health inspection score, quality measures to match, and no deficiencies at the harm or jeopardy level. The 14 total deficiencies and one abuse-related finding are worth asking about directly, but none rose to actual harm. Staffing is where the picture gets complicated. At 3.10 nurse hours per resident day, this home sits roughly 20 percent below the national average, and weekends run about 14 percent thinner than weekdays. Turnover, though, is 30.3 percent against a national 45.8, a steadier crew than most. The January 2026 inspection means the record is current.

A

90/100

Richard A. Anderson (State Of Texas Veterans Land

Houston, TX · Harris County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
4.08 /day
Staff turnover
33%
Serious cites
0

Richard A. Anderson, the state veterans home in Houston, runs nurse staffing at 4.08 hours per resident day, about 6% above the national average, and its 33.3% turnover is well below the 45.8% typical elsewhere. Weekend coverage does dip roughly 11% below weekday levels, so ask how that plays out on Saturdays. The record shows 14 deficiencies, one at the harm level and one abuse-related, plus a single $14,730 fine; the most recent inspection was September 2025. State-run ownership and strong quality and staffing ratings sit alongside that deficiency history, which is what pulls the overall picture down despite the numbers that look good on paper.

A

89.5/100

Permian Residential Care Center

Andrews, TX · Andrews County

CMS 5/5112 bedsGovernmentMedicaid
Nurse hours
5.63 /day
Staff turnover
35%
Serious cites
0

Permian Residential Care Center is county-owned and staffed well above average, 5.63 total nurse hours per resident day against a national 3.86. Weekend coverage dips about 15% below its own weekday level, which is common but worth knowing if you'll be visiting Saturdays. Staff turnover sits at 34.9%, lower than the 45.8% national rate, and its last inspection was recent, December 2025. That inspection history isn't spotless: 8 deficiencies on record, one serious enough to reach harm or jeopardy level, plus a single fine of $20,865. The staffing and inspection star ratings both come in at 5, while quality measures land at 3.

A

89/100

Shinnery Oaks Community

Denver City, TX · Yoakum County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
5.19 /day
Staff turnover
40%
Serious cites
0

Shinnery Oaks runs on nurse staffing of 5.19 hours per resident day, about a third more than the national average, and it shows in the metrics: five stars for staffing, five for health inspections, four for quality measures. Weekend coverage dips only modestly below weekdays, so care doesn't thin out as much as it does at many homes. Staff turnover sits at 39.7%, better than the national figure, which matters for whether residents see the same faces. The caution is in the record: ten deficiencies, one serious enough to involve harm or jeopardy, and a $26,120 fine. County-owned, sixty beds, inspected as recently as December 2025.

A

88/100

Robert Lee Care Center

Robert Lee, TX · Coke County

CMS 5/570 bedsGovernmentMedicaid
Nurse hours
3.73 /day
Staff turnover
26%
Serious cites
0

Robert Lee Care Center is a 70-bed hospital-district home, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.73 hours per resident day, roughly 3% under the national average, and weekends run about 9% lighter than weekdays, so coverage does thin out on Saturdays and Sundays. What stands out instead is retention: turnover is 25.6%, well below the national 45.8%, meaning the people caring for residents tend to stay. The inspection record shows 11 deficiencies with none at the harm level and none abuse-related, and the most recent survey was in late 2025.

A

87/100

Memorial Nursing And Rehabilitation Center

Dumas, TX · Moore County

CMS 5/546 bedsGovernmentMedicaid
Nurse hours
4.59 /day
Staff turnover
n/a
Serious cites
0

Memorial Nursing And Rehabilitation Center in Dumas runs on 4.59 total nurse hours per resident day, roughly 19% above the national average of 3.86, and weekend coverage drops about 20% from its own weekday level. That gap matters if you're looking at a Saturday admission or a family member who needs help on Sundays. The current record shows five deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in June 2025. Hospital district ownership means public accountability rather than a chain's bottom line.

A

86/100

Texhoma Christian Care Center Inc

Wichita Falls, TX · Wichita County

CMS 5/5234 bedsGovernmentMedicaid
Nurse hours
3.93 /day
Staff turnover
41%
Serious cites
0

Texhoma Christian Care Center runs 234 beds in Wichita Falls under hospital district ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, though weekend coverage drops roughly 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 41.1%, better than the national 45.8%, which suggests people tend to stay. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection and an inspection as recent as December 2025. The weaker spot is staffing star rating at three.

A

85.5/100

Crockett County Care Center

Ozona, TX · Crockett County

CMS 5/550 bedsGovernmentMedicaid
Nurse hours
5.23 /day
Staff turnover
51%
Serious cites
0

Crockett County Care Center runs on a county government budget in Ozona, and the staffing reflects it, 5.23 nurse hours per resident day, roughly a third more than the national average. Weekends dip about 17% below its own weekday coverage, so ask how that plays out on a Sunday shift. The six deficiencies on record carry zero harm or jeopardy findings and no abuse citations, and the last full inspection was in June 2025. Staff turnover sits at 51.1%, a bit above the national 45.8%, worth asking who's been there longest and whether the director of nursing is new.

A

85/100

Denton Rehabilitation And Nursing Center

Denton, TX · Denton County

CMS 5/594 bedsGovernmentMedicaid
Nurse hours
4.29 /day
Staff turnover
42%
Serious cites
0

Denton Rehabilitation and Nursing Center runs on 4.29 nurse hours per resident per day, about 11% above the national average, and its staff turnover of 41.8% sits slightly below the national figure, both signs of a steadier floor than many homes manage. The trade-off shows up in the inspection record: 29 deficiencies on file, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A government hospital district owns the 94-bed building, and the most recent state visit came in May 2025. Weekend staffing drops roughly 14% below weekday levels, so ask how that gap gets covered.

A

85/100

Trucare Living Centers

Palestine, TX · Anderson County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
3.59 /day
Staff turnover
25%
Serious cites
0

Trucare Living Centers runs on a hospital district's license in Palestine, and the numbers suggest steady hands more than flash. Ten deficiencies on the current record sounds like a lot until you see none of them reached harm or jeopardy, and none involved abuse, that's a clean complaint history where it matters most. Staff turnover sits at 25%, well under the 45.8% national average, which means familiar faces on the floor. The tradeoff is coverage: 3.59 nurse hours per resident day lands about 7% under the national figure, and weekends dip roughly 11% below the home's own weekday pace. Inspectors visited in December 2025 and came away satisfied.

B

84.5/100

Memorial Health Care Center

Seminole, TX · Gaines County

CMS 4/540 bedsGovernmentMedicaid
Nurse hours
4.30 /day
Staff turnover
n/a
Serious cites
0

Memorial Health Care Center runs on county money in Seminole, and that shows in the numbers: 4.30 nurse hours per resident day, roughly 11% above the national average. Weekend staffing dips about 13% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The home carries 14 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and it was inspected as recently as August 2025. A 4-out-of-5 on health inspections, quality measures, and staffing across the board is a steady, unremarkable record, the kind you want from a small county home.

B

84/100

Coldwater Manor

Stratford, TX · Sherman County

CMS 5/526 bedsGovernmentMedicaid
Nurse hours
5.99 /day
Staff turnover
83%
Serious cites
0

Coldwater Manor runs on a hospital district's budget out in Sherman County, and the staffing numbers show it: 5.99 nurse hours per resident day, roughly 55% above the national average of 3.86. That's real coverage for a 26-bed home, though weekends dip about 11% below its own weekday level, worth asking about if your family visits Saturdays or Sundays. The bigger flag is turnover, 82.6% against a national 45.8%, meaning most of the people caring for residents are relatively new. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, June 2025. Quality measures score well. The care seems steady; the question is whether it stays that way as staff cycle through.

B

83/100

Stevens Nursing And Rehabilitation Center Of Halle

Hallettsville, TX · Lavaca County

CMS 5/5144 bedsGovernmentMedicaid
Nurse hours
3.43 /day
Staff turnover
30%
Serious cites
0

Stevens Nursing and Rehabilitation Center of Halle in Hallettsville runs on a hospital district's license, and its inspection record is genuinely strong, a 4/5 health inspection rating with 19 deficiencies on file and none at the harm or jeopardy level. Four of those are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.43 nurse hours per resident day sits about 11% under the national figure, weekends run roughly 9% below its own weekdays, and the staffing rating lands at 2/5. Turnover is 30.2%, better than the 45.8% national average, so people tend to stay. The last inspection was recent, in May 2026.

B

82.5/100

Sterling Nursing And Rehab

Sterling City, TX · Sterling County

CMS 4/544 bedsGovernmentMedicaid
Nurse hours
5.35 /day
Staff turnover
53%
Serious cites
0

Sterling Nursing and Rehab is county-owned, and the staffing reflects that: 5.35 nurse hours per resident day, roughly 39% above the national average. That's the strongest thing in the numbers, though weekends run about 19% lighter than weekdays, and turnover sits at 53.3% against a national 45.8%, people are cycling through here faster than average. The inspection record shows 13 deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. The last state visit was September 2025. Four stars on inspections, quality measures, and staffing put this home solidly above middle ground, with the open question being whether that staffing cushion holds up when turnover keeps grinding.

B

82/100

Sulphur Springs Health And Rehabilitation

Sulphur Springs, TX · Hopkins County

CMS 3/5128 bedsGovernmentMedicaid
Nurse hours
3.38 /day
Staff turnover
45%
Serious cites
0

Sulphur Springs Health and Rehabilitation runs on a hospital-district ownership, which is a little unusual for a Texas nursing home, and its 128 beds are staffed at about 3.38 nurse hours per resident day, roughly 12% under the national average, with weekends thinner still. The inspection record is where you'll want to slow down: 50 deficiencies on file, one of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $44,044 fine. Turnover sits near the national norm at 44.9%, and the last survey was March 2026, so the picture is recent. Resident care measures score well; the staffing and inspection side is doing the dragging.

B

82/100

Schleicher County Medical Center

Eldorado, TX · Schleicher County

CMS 4/534 bedsGovernmentMedicaid
Nurse hours
4.37 /day
Staff turnover
38%
Serious cites
0

Schleicher County Medical Center runs on a government hospital-district model, and the staffing numbers reflect that: 4.37 nurse hours per resident day, roughly 13% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, though annual turnover sits at 37.8%, better than the 45.8% national figure, which matters in a 34-bed home where losing even a few nurses is felt. Inspections earned 4 out of 5 stars, and the last visit was December 2025, so the record is current. The catch is 13 deficiencies, 2 of them serious enough to raise harm or jeopardy concerns, with quality measures rating just 2 out of 5.

B

82/100

Crown Point Health Suites

Lubbock, TX · Lubbock County

CMS 5/5108 bedsGovernmentMedicaid
Nurse hours
5.01 /day
Staff turnover
52%
Serious cites
0

Crown Point Health Suites runs on a hospital district's license in Lubbock, and the staffing numbers are the first thing worth knowing: 5.01 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekends drop about 14% below its own weekday level, and annual turnover sits at 52.3%, higher than the 45.8% national figure. Inspections tell a mixed story, 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse, and a single fine of $8,281. The last inspection was April 2026. Strong daily coverage and quality scores, but that turnover and those deficiencies are what hold the grade down.

B

81.5/100

Glen Rose Nursing And Rehab Center

Glen Rose, TX · Somervell County

CMS 5/5118 bedsGovernmentMedicaid
Nurse hours
3.39 /day
Staff turnover
38%
Serious cites
0

Glen Rose Nursing and Rehab Center runs on thinner nurse coverage than most homes, about 3.39 hours per resident day against a national average of 3.86, and weekends dip roughly 18% below its own weekday levels, so the thinnest shifts land when families tend to visit. What sets it apart, though, is stability: staff turnover sits at 37.8%, well under the 45.8% national figure, which matters when residents need consistent faces. Run by the hospital district, it holds decent inspection and quality ratings and was inspected as recently as January 2026. The caveats are real, though: 20 deficiencies on record, including two at harm level and three tied to abuse, plus $17,128 in fines across two cases.

B

81.5/100

Magnolia Place Health Care

Liberty, TX · Liberty County

CMS 4/5118 bedsGovernmentMedicaid
Nurse hours
3.73 /day
Staff turnover
52%
Serious cites
0

Magnolia Place runs 118 beds in Liberty under for-profit partnership ownership, and its numbers are a mixed bag. Nurse staffing sits at 3.73 hours per resident day, a bit under the national figure of 3.86, and weekends drop roughly 21% below what the home staffs on weekdays, worth asking about if your family visits Saturdays or Sundays. Turnover is the bigger flag: 51.8% of staff leaving annually against a national 45.8%, which means caregivers you meet may not be there in a year. The inspection record shows 23 deficiencies, none at harm or jeopardy level but one tied to abuse, with the most recent survey in June 2025.

Frequently asked questions

How many government-run nursing homes are there in Texas?
There are 247 government-run Medicare-certified nursing homes in Texas, 21% of the 1,179 nursing homes there.
Are government-run nursing homes better staffed?
In Texas they average 3.36 total nursing hours per resident per day, against 3.39 for all nursing homes in Texas, a difference of -0.03 hours. Staff turnover averages 53.7% against 55.3%.
Which government-run nursing home grades best in Texas?
Country View Living in Dimmitt, TX, grade A, 94 out of 100.
Does being government-run mean a nursing home is safe?
No. Of the 246 graded government-run homes in Texas, 11 grade A and 15 grade D or F.
Do government-run nursing homes in Texas accept Medicaid?
247 of the 247 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Texas