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.
Amistad Nursing and Rehabilitation Center runs on thin staffing. At 2.77 nurse hours per resident day, it sits roughly 28% under the national average of 3.86, and weekends drop about 16% below its own weekday level. The bigger red flag is turnover: 97.1% of staff leave each year, more than double the national rate of 45.8%. That churn matters because consistent caregivers know residents' routines and catch changes early.
The hospital district ownership and a clean inspection record help, 14 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in April 2025. But inspectors only see a snapshot. Daily care depends on who's actually on the floor, and here that's a revolving door.
Memorial Medical Nursing Center runs on 2.60 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekends drop about 19% below what the home already provides on weekdays. The inspection record shows 57 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $35,396 in fines across two penalties. Staff turnover sits at 51.4%, above the 45.8% national figure. It's a hospital-district home, so public ownership doesn't automatically mean better oversight here. The most recent inspection was June 11, 2025, so the picture is current, not stale. Ask direct questions about weekend coverage and how the abuse-related findings were resolved.
Wellington Rehabilitation and Healthcare runs on 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekends drop about 20% below its own weekday staffing. That thin coverage shows up in the workforce itself: 78.4% annual turnover against a national 45.8%, meaning most of the people caring for your family member are new to the building. The current inspection record carries 28 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and $32,275 in fines across three penalties. The most recent inspection was June 5, 2025. It's owned by a hospital district, and the quality measures score well, but measure scores don't staff a night shift.
Liberty Health Care Center runs on thin nursing coverage, 3.76 hours per resident day, just under the national figure, and weekends drop roughly 16% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays. Staff turnover sits at 69.7%, well above the 45.8% national average, so the people caring for residents change often. Inspectors cited 20 deficiencies on the current record, five at the harm or jeopardy level and five abuse-related, with two fines totaling $225,774. The hospital district owns it, and the last inspection was August 2025. Ask about weekend coverage and how they retain aides.
Whitney Nursing and Rehabilitation Center runs on a government-hospital-district license with 88 certified beds, and nurse staffing sits at 2.88 hours per resident day, roughly a quarter below the national average of 3.86. Weekends drop about 14% below the home's own weekday coverage, so the thinnest shifts land when oversight is lightest. The current inspection record carries 15 deficiencies, four of them at harm or jeopardy level and two tied to abuse; one fine totaling $45,435 has been levied. The most recent inspection was December 4, 2025. With a 1-out-of-5 staffing rating and a 2-out-of-5 quality measure rating, the numbers point to a home where care capacity is stretched and problems have recurred.
Pine Tree Lodge runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 93.8%, more than double the national figure, which means the aide who knows your mother's routine this month may be gone the next. The current record carries 43 deficiencies, four of them serious enough to endanger residents, plus $244,330 in fines. The hospital district that owns it isn't chasing profit, but that hasn't translated into stable hands-on care.
Wharton Nursing and Rehabilitation Center runs on 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 14% below its own weekday level. That thin margin shows up in the numbers: 18 deficiencies on the current record, four serious enough to put residents in harm's way, one tied to abuse, and two fines totaling $62,525. Staff turnover sits at 65.3% against a national 45.8%, which means the aides and nurses who know your mother's routines are leaving faster than replacements learn them. The hospital district ownership doesn't change what the staffing data says. The last inspection was May 28, 2026.
Advanced Rehabilitation and Healthcare of Athens carries 120 certified beds and is run by a hospital district, which you might expect to mean steadier oversight. The numbers say otherwise. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 8% below the home's own weekday levels. Staff turnover hits 58% against a national 45.8%. The inspection record shows 31 deficiencies, seven at harm or jeopardy level and seven abuse-related, with two fines totaling $210,588, and CMS has placed the home in its Special Focus Facility program. Its last inspection was March 2026. Quality measures score well; staffing and inspections do not.
The Atrium of Bellmead runs on 3.25 nursing hours per resident day, roughly 16% under the national average, and weekends drop about 14% below its own weekday numbers. Staff turnover is the number that should stop you: 95.3% a year against a national average of 45.8%, meaning the aides and nurses at the bedside are largely new faces. Inspections look strong on paper, a recent February 2026 survey and no deficiencies at the harm level, but six deficiencies are on record, two of them abuse-related, and the government's own staffing rating lands at the bottom. Government hospital district ownership doesn't change any of that arithmetic.
La Hacienda De Paz is a 104-bed hospital-district home in Eagle Pass, and the numbers that stand out most are about who's there to care for residents. Nurse staffing runs 3.12 hours per resident day, roughly 19 percent under the national average, and weekends drop about 12 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 95.1 percent against a national 45.8 percent, meaning the aides and nurses you meet may not be there in six months. The inspection record shows 24 deficiencies, one at harm or jeopardy level and four tied to abuse, with a $14,069 fine. Ownership is government, through a hospital district.
Avir At Lindale runs on thinner nursing coverage than most homes nationally, 3.60 nurse hours per resident day against a 3.86 average, and weekends dip about 8% below its own weekday level, so the thinnest shifts come when families often visit. Staff turnover sits at 60%, well above the 45.8% national figure, meaning many of the people caring for residents are still new to the building. The inspection record is the sharper concern: 34 deficiencies, 8 of them at harm or jeopardy level and 3 abuse-related, with five fines totaling $754,374 and a February 2026 inspection. Government hospital-district ownership hasn't shielded it from any of that.
Avir At Longview runs on a hospital district's license with 115 certified beds, and the staffing numbers are the first thing to notice: 3.56 nurse hours per resident day, roughly 8% under the national average, with weekends dropping about 9% below its own weekday level. Staff turnover sits at 73.3% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The inspection record backs that up, 55 deficiencies, 8 of them at harm or jeopardy level, 5 tied to abuse, and two fines totaling $262,731. The most recent inspection was May 2025. If you're considering this one, ask hard questions about who's actually on the floor on a Sunday.
Town And Country runs on thinner nursing coverage than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale, and in an annual turnover rate of 65.9% compared with 45.8% nationally: roughly two of every three caregivers left within the year.
The inspection record carries 57 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $150,922 in fines. A 4/5 quality measure score and a May 2025 inspection are the brighter spots, but they sit alongside a 2/5 inspection rating and government hospital-district ownership.
Viridian Wellness & Rehabilitation runs 204 beds in Arlington under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop about 9% below the home's own weekday level, so care thins out exactly when families tend to show up. Every direct-care position turned over in the past year, against a national average near 46%, which means the aides and nurses on any given shift are often new. The current record carries 101 deficiencies, 11 at harm or jeopardy level and 7 tied to abuse, plus five CMS fines totaling $312,466 and placement in the federal Special Focus Facility program. The last inspection was September 16, 2025.
Harmony Care At Beaumont is run by a hospital district, and it has 98 certified beds. The nurse staffing number looks strong on paper, 4.72 hours per resident day, roughly 22% above the national average, but weekends drop about 14% below the home's own weekday level, so coverage isn't steady across the week. The bigger issue sits in the inspection record: 77 deficiencies, 15 of them at harm or jeopardy level, 14 tied to abuse, plus 10 fines totaling $380,812. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The most recent inspection was April 15, 2026.
Trinity Rehabilitation & Healthcare Center in Trinity, Texas, is a 76-bed home run by a hospital district, and the federal numbers on it are grim. The current record shows 66 deficiencies, nine of them at the level where residents were actually harmed or put in immediate jeopardy, and six tied to abuse. On staffing, CMS rates it at the bottom of its scale, while quality measures land below average too. Four fines totaling $275,584 are on file, and the home sits in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Its last inspection was April 15, 2026. That's a lot of documented harm for a building this size.
The nurse staffing numbers at Downtown Health and Rehabilitation Center run about 16% under the national average, and weekends drop roughly another 13% below the home's own weekday level. That matters because more than nine in ten caregivers left over the past year, a 93.6% turnover rate against a national figure near 46%. The current inspection record carries 50 deficiencies, including three at the harm or jeopardy level and 11 tied to abuse; fines total $36,418. Fort Worth's hospital district operates the 161-bed home, and its last inspection was March 12, 2026. Low staffing stars and repeated turnover rarely sit apart from inspection trouble.
Rosenberg Health & Rehabilitation Center runs on 2.99 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops another 13% from its already thin weekday level. That staffing gap shows up in the inspection record: 27 deficiencies, 8 of them serious enough to put residents at harm or jeopardy, with four fines totaling $97,334. Staff turnover sits at 61.7%, well above the 45.8% national figure, meaning the aides and nurses who know your family member are likely to leave within the year. It's hospital-district owned, which sometimes signals stability, but the numbers here say otherwise. The most recent inspection was May 2026, so this is a current picture, not an old one.
Park Highlands is a hospital-district home in Athens, and its inspection record is genuinely strong, five stars, nine deficiencies with none at the harm level and no abuse findings, and a survey done as recently as May 2025. The trouble is what happens between inspections. Nurses give residents 3.05 hours of care per day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Nearly nine in ten employees turned over last year, roughly double the national rate, which means the people at the bedside keep changing. Stable hands matter most in a nursing home, and this one struggles to keep them.
Woodland Park runs a hundred beds in Shepherd under hospital district ownership, and the numbers there deserve a close look. Nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average, and weekends drop about 8% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 57.4%, well above the 45.8% national figure, which usually means less continuity for residents who need consistent hands. The current record carries 31 deficiencies, five of them serious enough to involve harm or jeopardy, plus two fines totaling $41,515. The last inspection was July 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?