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.
Traymore Nursing Center runs on thinner staffing than most homes its size. At 3.44 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 14% below what the home itself staffs on weekdays. Turnover is 54.9%, well above the 45.8% national figure, so the people providing care keep changing.
The inspection record is mixed. Eleven deficiencies, three of them at the level where residents were actually harmed or put in jeopardy, plus two fines totaling $30,113. The most recent inspection was July 2025, so the picture is current.
What stands out is the gap: inspectors rated the care environment 4 out of 5, yet the staffing rating is 1 out of 5. Good survey results are hard to sustain when there aren't enough consistent hands on the floor.
Ridgmar Medical Lodge runs on 3.27 nurse hours per resident day, about 15% under the national average, and weekends dip another 13% below its own weekday coverage. That thin staffing shows up in the numbers: 52.7% annual turnover, meaning more than half the nursing staff leaves each year. The inspection record carries 32 deficiencies, including four at the harm or jeopardy level and four tied to abuse, with three fines totaling $29,598. The hospital district owns the building, so it isn't a chain cutting corners for profit, but ownership type doesn't change what families have to weigh here. Quality measures score well; staffing and inspections don't. If you're considering it, ask specifically how weekends are covered.
Fairfield Nursing & Rehabilitation Center is run by a hospital district, and its inspectors clearly find little to fault: a five-star health inspection record, 10 deficiencies with none rising to harm or jeopardy, and a visit as recent as December 2025. Where the numbers turn is staffing. At 3.09 nurse hours per resident day, this home sits about 20% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday level. Turnover tells the same story, 96.7% annually against a national 45.8%, meaning nearly the whole nursing staff cycles through in a year. Good inspections, thin and unstable coverage.
Songbird Lodge runs on thin staffing: 3.06 nurse hours per resident per day against a national average of 3.86, and weekends drop about 16% below its own weekday levels. The bigger red flag is turnover, 98.8% annually, more than double the national 45.8%, which means the aides and nurses who know your mother's routines are largely gone within a year. Brownwood's hospital district owns the place, and the inspection record is recent (December 2025) with 18 deficiencies, none at harm level, plus one fine of $10,210. Its quality scores look strong and inspections are middling, but the staffing numbers tell you what day-to-day coverage probably feels like.
Avir At Sealy runs on 2.91 nurse hours per resident per day, roughly a quarter below the national average, and weekends dip about 16% below its own weekday levels. Staff turnover sits at 78.9% against a national figure near 46%, which means many of the people caring for residents are still learning the building. The inspection record is thinner than those numbers might suggest: 18 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. CMS rates the quality measures 5 out of 5 and inspections 4 out of 5, but staffing 1 out of 5. A for-profit corporation owns the 90-bed home.
Laredo West runs on 3.12 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends drop about 13% below what the home itself staffs on weekdays. Turnover sits at 47.3%, slightly above the national 45.8%. Those numbers sit behind a one-star health inspection rating and a record of 31 deficiencies, three of them at harm or jeopardy level and four tied to abuse, with two fines totaling $49,719. The most recent inspection was April 2025, so the record is current, not stale. Government hospital district ownership doesn't change what the staffing and inspection data show. Families should ask direct questions about weekend coverage and the abuse-related findings before deciding.
Eagle Pass Nursing and Rehabilitation runs on 3.08 nurse staffing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs during the week. The record shows 26 deficiencies, three of them serious enough to reach harm or jeopardy, plus three abuse-related citations and $17,419 in fines. A recent inspection in May 2025 and a strong health inspection star rating suggest the home does get looked at closely, which makes the thin staffing harder to explain. Government hospital district ownership doesn't change the arithmetic here: fewer hands per resident, especially on weekends, is the number families will feel.
Memphis Convalescent Center runs on 3.39 nursing hours per resident day, roughly 12% under the national average, and weekends dip about 9% below its own weekdays, so the thinnest coverage lands when families tend to visit. Every aide and nurse on staff turned over last year, against a national rate near 46%, which means the people caring for residents are largely new to the building and to each other. The record shows 20 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus one fine of $19,754; the last inspection was November 2025. Hospital-district ownership doesn't change what those numbers say about daily care.
Bastrop Lost Pines is run by a hospital district, which you might expect to mean steadier resources, but the numbers don't show that. Nurses give about 3.10 hours of care per resident each day against a national average of 3.86, and weekends run roughly 13 percent thinner than weekdays, so coverage depends heavily on when you visit. The current inspection record carries 27 deficiencies, three of them serious enough to put residents in harm's way and two tied to abuse, with $101,156 in fines across three cases. Turnover sits at 46.8 percent, slightly worse than the national figure, and the most recent inspection was January 30, 2026.
High Hope Care Center of Brenham is run by the local hospital district, which in theory can mean steadier resources than a for-profit chain. The numbers don't show that advantage. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 12% thinner than weekdays. Staff turnover is 62.2%, well above the national 45.8%, so the people caring for residents change often. Inspections turned up 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $20,699 fine. The last inspection was March 2026, and the quality and staffing ratings both sit at 2 out of 5.
Ridgewood At The Woodlands is owned by a hospital district and holds 126 certified beds, but the numbers on its current record are hard to ignore. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and the gap widens on weekends, when coverage drops roughly 16% below its own weekday level. Annual turnover of 70.8% is well above the national 45.8%, which matters because constant churn makes consistent care harder to deliver.
The inspection history backs that up: 21 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, plus a $14,020 fine. Its last inspection was June 2025.
Tomball Rehab & Nursing runs on 2.77 nurse hours per resident day, roughly 28% under the national average, and weekends drop another 8% below its own weekday coverage. That thin staffing shows up in the numbers: 68% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. The hospital district ownership doesn't change what the payroll looks like day to day.
Inspectors cited 26 deficiencies on the current record, two serious enough to involve harm or jeopardy, with $110,495 in fines across two penalties. The most recent inspection was February 2026. Quality measures score well at four stars, but that's a self-reported side of the ledger, and it sits against a two-star inspection history and staffing that's the real story here.
Reunion Plaza is run by a hospital district, and its inspection record is genuinely clean, five deficiencies on the books, none causing harm or involving abuse, and a recent survey from August 2025. The problem sits elsewhere. Nurse staffing runs 3.20 hours per resident day against a national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage, so the hours thin out exactly when families tend to visit. Annual turnover of 66.3% is well above the 45.8% national figure, which means aides and nurses are cycling through regularly. Good inspections, thin and unsettled staffing, that combination is what a C reflects here.
Focused Care at Hogan Park runs on 2.37 nurse hours per resident day, well under the national average of 3.86, and weekend coverage drops further below its own weekday level. Staff turnover sits at 63% against a national 45.8%, so the people showing up are often new. The current inspection record carries 45 deficiencies, one serious enough to reach harm or jeopardy level, and a $9,110 fine; the last inspection was in January 2025. The government-hospital-district owner is a real distinction from a for-profit chain, but it hasn't translated into steady hands or enough of them. Ask how they hold staffing together on weekends before you decide.
Magnolia Crossing runs on a government-hospital-district license and 128 beds, and its last inspection wrapped in May 2025 with a four-star health inspection rating, genuinely the strongest number here. The staffing numbers tell a different story. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 58.9% against a 45.8% national figure. Twenty deficiencies sit on record, none at harm level, though three are abuse-related. A strong inspection record is carrying a lot of weight for a building where people keep leaving.
Kent County Nursing Home runs on thinner staffing than most: 3.56 nurse hours per resident day against a national average of 3.86, with weekends dropping about 9% below its own weekday coverage. That matters in a 60-bed county-run home, because turnover sits at 55.1% while the national figure is 45.8%, more than half the nursing staff cycling out in a year. The inspection record is heavier still: 27 deficiencies, four serious enough to reach harm or jeopardy, five tied to abuse, and seven fines adding up to $187,081. The most recent inspection was December 2025. If you're weighing this one, ask about weekend coverage and how they've addressed the abuse findings.
Lakeshore Village runs on thinner staffing than most Texas nursing homes can claim as an excuse. At 3.19 nurse hours per resident day, it sits about 17% under the national average, and weekends drop roughly 15% below what the building itself manages Monday through Friday. That matters more than the quality measure score suggests, because 52 deficiencies sit on the current record, seven at harm or jeopardy level, two tied to abuse, with $107,407 in fines and a one-star inspection rating. Annual turnover of 52.1% means more than half the nursing staff leaves each year, against 45.8% nationally. Hospital district ownership hasn't translated into stability here, and the April 2026 inspection is the only recent look regulators have taken.
Longview Hill is a hospital-district home with 198 beds, and the numbers show a building under real strain. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly another 10% below what the home itself provides on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover near 50% means the aides and nurses caring for residents are often new to the job. The inspection record backs that up: 60 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and more than $225,000 in fines.
Gainesville Convalescent Center runs on thin nurse staffing, 3.08 hours per resident day against a national average near 3.86, and weekends are roughly 11% leaner than weekdays, so coverage thins exactly when families tend to visit. The county hospital district owns the 112-bed home, and its inspection record shows 50 deficiencies, four at harm or jeopardy level and four tied to abuse; two fines total $99,075. Staff turnover of 73.8% sits well above the 45.8% norm, meaning many caregivers are new. Quality measures score well, but surveys and staffing don't, which is where the trouble actually lives.
Highland Pines is run by a hospital district, and its 171 beds get 3.70 nursing hours per resident day, about 4% under the national average, with weekends running roughly 16% lighter than weekdays. Staff turnover sits at 46.2%, right at the national figure, so this isn't a retention crisis; it's thin coverage that thins further when you're most likely to visit. The inspection record is the harder read: 48 deficiencies, including one at harm or jeopardy level and four tied to abuse, with a $17,629 fine and a survey completed January 14, 2026. Two stars on health inspections and one on staffing tell you where the weight lands.
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?