247 Government-Run Nursing Homes in Texas

Nurse hours

3.62 /day

Staff turnover

34%

Serious cites

0

Sun Valley runs on a hospital district's license in Harlingen, and its inspection record is unusually clean for a 124-bed home: five deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with the most recent survey done in July 2025. The staffing numbers tell a different story. At 3.62 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 16% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover, though, is genuinely low at 33.7% against a national 45.8%, which suggests the aides and nurses who are there tend to stay.

Nurse hours

3.72 /day

Staff turnover

32%

Serious cites

0

McAllen Transitional Care Center runs on thinner nurse coverage than most homes, 3.72 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so a Saturday fall gets less eyes on it than a Tuesday one. Staff turnover sits at 32.1%, which is meaningfully better than the 45.8% national figure, and that steadiness shows in the quality measures, which score at the top of CMS's range. What holds the record back is the inspection side: 16 deficiencies, including one at the harm level and one tied to abuse, plus a fine of $8,827. The county hospital district owns it, and its last state visit was December 2024.

Nurse hours

3.67 /day

Staff turnover

52%

Serious cites

0

Ridgeview is run by a hospital district, which is worth knowing, that public structure can mean steadier oversight than a for-profit chain, and the inspection record backs it up. Twenty deficiencies sounds like a lot until you see none reached the level of actual harm and none involved abuse, and a December 2025 inspection means the findings are recent rather than stale. The staffing side is where the picture softens: at 3.67 nurse hours per resident day, this home sits slightly under the national figure, weekends run noticeably thinner than weekdays, and turnover of 51.6% tops the national rate of 45.8%. Solid surveys, but ask about who's actually on the floor on a Sunday.

Nurse hours

3.56 /day

Staff turnover

29%

Serious cites

0

Westover Hills Rehabilitation And Healthcare runs 124 certified beds in San Antonio under for-profit LLC ownership. Its nurses provide 3.56 hours of care per resident per day, roughly 8% under the national average, and weekend staffing drops about 13% below its own weekday levels, a pattern families should ask about directly. Turnover sits at 29.2%, well below the 45.8% national figure, so the team here is more stable than most. The inspection record is the harder reading: 31 deficiencies, including 4 tied to abuse and 2 serious enough to trigger the harm or jeopardy level, plus two fines totaling $20,156. The last inspection was April 2025.

Nurse hours

3.13 /day

Staff turnover

44%

Serious cites

0

Fairview Healthcare Residence runs on thin nurse coverage, 3.13 hours per resident day, roughly 19 percent under the national average, and weekends drop about 11 percent below its own weekday levels. Turnover sits at 43.6 percent, slightly better than the national figure, so the staff who are there tend to stay. Inspections are recent, and the record holds 11 deficiencies, including one at the harm level and one abuse-related, plus a single $19,412 fine. The quality and inspection ratings hold up at 4 out of 5, but staffing lands at 3, and that gap is what pulls the overall picture down.

Nurse hours

3.28 /day

Staff turnover

35%

Serious cites

0

Mitchell County Nursing and Rehabilitation Center runs on leaner nursing hours than most places, 3.28 per resident day against a national average of 3.86, and weekends get noticeably thinner, with staffing dropping roughly 45% below weekday levels. That pattern matters for families who visit on Saturdays and Sundays. The home is owned by a hospital district, which tends to mean steadier public accountability than a for-profit chain. Staff turnover sits at 35.3%, better than the 45.8% national figure, so the people caring for residents are more likely to stick around. Its inspection record shows 22 deficiencies, none at the harm level, though one is abuse-related, worth asking about directly. The most recent inspection was April 28, 2026, so the picture is current.

Nurse hours

3.48 /day

Staff turnover

27%

Serious cites

0

Cedar Pointe runs lean on the floor: 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage is the main thing pulling its staffing rating down to 2 out of 5, though the staff who are there tend to stay, 27.2% turnover versus 45.8% nationally, which is a real point in its favor. Inspections look solid: 4 out of 5 stars, nine deficiencies on record, one at the harm level and none abuse-related, with the last visit in January 2026. Quality measures also land at 4. Hospital district ownership adds a layer of public accountability.

Nurse hours

4.56 /day

Staff turnover

33%

Serious cites

0

Marshall Manor West runs a government hospital district home with 118 certified beds, and the staffing numbers are stronger than most: 4.56 nurse hours per resident day, roughly 18% above the national average, with turnover at 32.8% compared to 45.8% nationally. That retention matters, since consistent caregivers know residents' routines. The catch is the inspection record. The current file holds 31 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, and state surveyors were last in the building on February 4, 2026. Weekend staffing drops about 23% below weekday levels, which is when families tend to visit and notice. Their quality scores look strong, but quality measures come from the home's own reporting, the surveyor findings are the harder evidence.

Nurse hours

3.39 /day

Staff turnover

39%

Serious cites

0

Groesbeck LTC runs on leaner nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday coverage. The tradeoff shows up in its CMS staffing rating of 2 out of 5. What offsets that is a clean inspection record: six deficiencies total, none involving harm or abuse, and a May 2025 survey that's still recent. Staff turnover sits at 38.9%, better than the 45.8% national figure, which suggests people tend to stay. County hospital district ownership adds a layer of public accountability. The practical question for your family is whether the weekday staffing level is enough for the care your relative needs, because weekends will be thinner.

Nurse hours

3.34 /day

Staff turnover

34%

Serious cites

0

Heritage Park is a hospital-district home in Austin with 197 beds, and the numbers pull in opposite directions. Its quality measure score is perfect, but the health inspection side is where the trouble sits: 49 deficiencies on the current record, including five at the harm or jeopardy level and three tied to abuse, with $56,007 in fines across five penalties and a February 2026 inspection that keeps those findings current. Nurse staffing runs 3.34 hours per resident day, about 13 percent under the national average, and weekends drop roughly 14 percent below the home's own weekday coverage. Turnover is 33.6 percent, which actually beats the 45.8 percent national figure, one real bright spot, though steady staff can't offset inspection findings this serious.

Nurse hours

4.83 /day

Staff turnover

n/a

Serious cites

0

Hansford Manor runs on a thin staffing margin, the federal data puts it at one star, well below what you'd want for a 60-bed home, and that's the number I'd weigh hardest. The quality measure score is also low at two stars, which tracks with a building that may not be moving residents toward better outcomes. On the other hand, inspections look solid: four stars, ten deficiencies on record, none at the level where someone was harmed or put in immediate danger, and none tied to abuse. The last survey was in September 2025, so the picture is current. Government hospital-district ownership can mean steadier funding than a for-profit chain, but it doesn't fix a direct-care hours problem.

Nurse hours

3.15 /day

Staff turnover

26%

Serious cites

0

Grapevine Medical Lodge runs on leaner nursing hours than most homes, about 3.15 per resident day against a national average of 3.86, and weekends dip another 13% below its own weekday coverage. The good news is that this isn't a churn problem: turnover sits at 26.3%, well under the 45.8% national figure, which suggests the staff who are there tend to stay. The home's inspection record backs that up, with a 4-star health inspection rating, eight total deficiencies and none at the harm or jeopardy level, most recently surveyed in April 2025. Where it gives ground is daily staffing depth, even as its quality measures score at the top of the scale.

Nurse hours

2.89 /day

Staff turnover

31%

Serious cites

0

Pflugerville Nursing and Rehabilitation Center runs 120 certified beds as a nonprofit corporation, and its strongest numbers come from resident outcomes, the federal quality measure rating sits at 5 out of 5. The staffing side tells a different story: 2.89 nurse hours per resident day, about a quarter below the national average of 3.86, with weekends roughly 14% thinner than weekdays already are. Turnover at 31.3% is better than the national 45.8%, so the workers who stay seem to stay, but there aren't enough of them on the floor. The inspection record carries 30 deficiencies, including one at harm or jeopardy level and three tied to abuse, with the most recent inspection in April 2025.

Nurse hours

3.49 /day

Staff turnover

34%

Serious cites

0

The Reserve At Richardson runs on leaner nurse staffing than most homes, 3.49 hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekday coverage. Turnover sits at 34.4%, better than the 45.8% national figure, so the people who are there tend to stay. What stands out is the inspection record: 35 deficiencies, including one at the harm level and three tied to abuse, plus a $14,069 fine, with the most recent inspection dated May 2026. A 4/5 on quality measures and 3/5 on inspections don't cancel that out. Government hospital district ownership doesn't change the arithmetic on the floor.

Nurse hours

3.37 /day

Staff turnover

n/a

Serious cites

0

Munday Nursing Center runs on a hospital district's budget, and the numbers show a place that inspects well but staffs thin. Its 3.37 nurse hours per resident day sit about 13% under the national average, and weekends drop roughly 14% below its own weekday coverage, a gap families often feel on Saturday and Sunday. The tradeoff looks deliberate: a clean recent inspection with no harm-level or abuse deficiencies among the 12 on record, plus solid marks on health inspections and quality measures. The weak spot is staffing, and that's the thing to ask about directly, who's on the floor, and when.

Nurse hours

3.01 /day

Staff turnover

41%

Serious cites

0

Clarksville Nursing Home is run by the local hospital district, and its last inspection was in December 2025, recent enough that you're not looking at stale findings. The record shows 34 deficiencies, but none at the harm or jeopardy level, and two tied to abuse, which is worth asking about directly. Staffing is the weaker spot: 3.01 nurse hours per resident day, roughly 22% under the national average, and weekends run about 12% lighter than weekdays, so coverage thins out exactly when families tend to visit. Turnover at 40.5% is better than the 45.8% national figure, and the 4/5 quality measure rating suggests clinical outcomes hold up despite the thin staffing.

Nurse hours

3.24 /day

Staff turnover

45%

Serious cites

0

Royse City Medical Lodge runs on leaner nursing hours than most homes, 3.24 per resident day against a national average of 3.86, roughly 16 percent below, and weekends dip another 13 percent under its own weekday pace. That gap is what pulls its CMS staffing rating down to 1 out of 5, even though inspections and quality measures both come in at 4 out of 5. Turnover sits at 44.9 percent, right in line with the national 45.8, so the issue here isn't churn so much as raw coverage. The current record shows 17 deficiencies, none involving harm or jeopardy and none abuse-related, with the last inspection dated February 12, 2026. Hospital district ownership is worth noting: public accountability instead of a chain.

Nurse hours

3.37 /day

Staff turnover

38%

Serious cites

0

Broadmoor Medical Lodge runs 140 certified beds in Rockwall under for-profit LLC ownership, and the staffing picture is the main thing to understand here. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, which is actually better than the 45.8% national figure. The current record shows 28 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in December 2024. Quality measures score well; staffing is the weaker spot.

Nurse hours

2.95 /day

Staff turnover

37%

Serious cites

0

Del Rio Nursing and Rehabilitation Center is run by a hospital district, and its inspection record is strong, four stars, with the most recent survey in May 2025. Quality measures also score five stars. The tradeoff sits in direct care: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends run about 19% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. Eighteen deficiencies are on file, including one at the harm level and two tied to abuse, plus an $8,018 fine. Turnover, at 36.7%, is better than the national 45.8%, which suggests a steadier crew than most.

Nurse hours

3.63 /day

Staff turnover

54%

Serious cites

0

Bronte Health and Rehab Center runs on thinner nursing coverage than most homes in the country, 3.63 hours per resident day against a national average of 3.86, with weekends dipping roughly 18% below its own weekday levels. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. The hospital district ownership is a point in its favor, and a 4-star health inspection rating reflects real strength in how the place is run day to day. But 23 deficiencies on the current record, including one at the harm level and three tied to abuse, is a lot to carry, and 54.3% annual turnover means the staff who know your parent may not be there next year.