247 Government-Run Nursing Homes in Texas

Nurse hours

3.79 /day

Staff turnover

n/a

Serious cites

0

Legacy Estate Long Term Care runs 100 certified beds in Comanche, owned by a hospital district rather than a for-profit chain. Its last inspection was July 2025, and the record shows three deficiencies with none at the harm level and nothing abuse-related, which is a fairly clean sheet. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, worth asking about if your family member needs help most on Saturdays and Sundays. Quality measures come in lower than the inspection and staffing ratings suggest.

Nurse hours

4.31 /day

Staff turnover

55%

Serious cites

0

Electra Healthcare Center runs on more nursing hours than most places, 4.31 per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday levels, so coverage thins when families tend to visit. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters for whether you'll see the same faces month to month. The inspection record is clean where it counts most: 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. Hospital district ownership and a recent March 2026 inspection round out a picture of a home that's well-staffed on paper but cycling through caregivers.

Nurse hours

3.48 /day

Staff turnover

33%

Serious cites

0

Harlingen Nursing and Rehabilitation Center is a 120-bed hospital-district home where the clinical quality measures look strong, but the inspection record tells a more mixed story. Nineteen deficiencies, including two at the level that caused actual harm or put residents in jeopardy, and a one-time fine of just over $6,000. Nurse staffing sits about 10% under the national average, and weekends run roughly 11% thinner than weekdays, that's when families tend to notice. Turnover is the bright spot: 32.9% against a national 45.8%, meaning fewer unfamiliar faces. The last inspection was February 2026, so the record is current.

Nurse hours

3.59 /day

Staff turnover

35%

Serious cites

0

Southeast Nursing & Rehabilitation Center is run by a hospital district, which usually signals a public safety-net mission rather than a profit motive. But the inspection record is the story here: 53 deficiencies, five of them serious enough to cause harm, and three tied to abuse, with $204,738 in fines and a one-star health inspection rating. Staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 9% thinner than weekdays. Turnover at 35.4% is actually better than the 45.8% national figure, meaning workers tend to stay, the problem isn't retention, it's how many hands are on deck and how the place performs when regulators show up.

Nurse hours

3.00 /day

Staff turnover

31%

Serious cites

0

Windsor Calallen runs lean on nursing hours, 3.00 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, so the gap families notice most may show up on Saturdays and Sundays. The trade-off is stability: turnover sits at 30.8%, well under the 45.8% national figure, which matters when you're counting on familiar faces. Its inspection record shows 29 deficiencies, one tied to abuse and none at the harm level, with a single $4,823 fine. Quality measures score well; staffing does not. This is a government hospital-district home that was inspected in May 2025.

Nurse hours

2.71 /day

Staff turnover

43%

Serious cites

0

Plainview Healthcare Center is a 93-bed hospital-district home, and the numbers that stand out most are on the staffing side. At 2.71 nurse hours per resident day, it runs roughly 30% below the national average of 3.86, and weekends dip about 7% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover sits at 43.2%, slightly better than the national 45.8%, so the problem isn't retention so much as raw hours on the floor. The inspection record shows 30 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $19,190. Clinical quality measures score well, but the two-star inspection and staffing ratings tell you where the gaps are.

Nurse hours

3.45 /day

Staff turnover

50%

Serious cites

0

The Woodlands Nursing And Rehabilitation Center runs 214 certified beds under nonprofit corporate ownership, and the staffing numbers tell a mixed story. At 3.45 total nurse hours per resident day, it sits roughly 11% under the national average of 3.86, and weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.6% also runs above the 45.8% national figure. The inspection record is the bigger concern: 23 deficiencies, four at harm or jeopardy level, one abuse-related, and two fines totaling $23,977. Quality measures score well, but staffing and health inspections both land at 2 out of 5 stars.

Nurse hours

3.37 /day

Staff turnover

32%

Serious cites

0

Live Oak Nursing and Rehabilitation runs 96 beds in George West under individual for-profit ownership, and its staffing sits at 3.37 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 10 percent below its own weekday coverage, so the thinnest shifts come when families often visit. Turnover is genuinely better than average at 32.2 percent against 45.8 nationally. What pulls the record down is the inspection side: 17 deficiencies, one at harm or jeopardy level and two tied to abuse, plus a $56,980 fine. The most recent inspection was May 2025, so that picture is current, not stale. Quality measures score well; the hands-on and oversight numbers are where the caution lives.

Nurse hours

3.25 /day

Staff turnover

42%

Serious cites

0

Windsor Nursing and Rehabilitation Center of San Diego runs on 3.25 nurse hours per resident per day, roughly 16 percent under the national average of 3.86, and weekends dip about 11 percent below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 2 out of 5, even though the home posts perfect marks on health inspections and quality measures. Turnover lands at 42.4 percent, a touch better than the national 45.8 percent, and its record shows 7 deficiencies with nothing at the harm or jeopardy level and no abuse citations. Inspectors were last on site in April 2026, which is recent. The hospital district ownership and clean inspection history are real strengths; the daily coverage numbers are where a family should ask questions.

Nurse hours

2.97 /day

Staff turnover

27%

Serious cites

0

Prairie House Living Center runs on a leaner nursing crew than most homes, about 2.97 nurse hours per resident each day against a national average near 3.86, and weekends dip roughly 12 percent below its own weekday coverage. That thin margin is the main reason its staffing rating sits at 2 out of 5, even though staff stick around: turnover of 26.7 percent is well below the national 45.8 percent, which suggests people aren't fleeing. Inspections look solid, a 4 out of 5 health inspection rating, nine deficiencies on record with none at the harm level and none abuse-related, and a visit as recent as November 2024. Owned by a hospital district, it's not chasing private-equity returns.

Nurse hours

3.55 /day

Staff turnover

41%

Serious cites

0

Georgetown Nursing and Transitional Care is a nonprofit home with 142 beds, and its staffing is the weak spot. At 3.55 nurse hours per resident day, it runs about 8 percent under the national average, and weekends drop roughly 11 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 41.3 percent, a bit better than the national 45.8 percent, which suggests some stability in who's actually on the floor. The inspection record is mixed: 16 deficiencies, including one at the harm level and three related to abuse, with a single $8,281 fine. The most recent inspection was April 30, 2025, so the picture is current. Quality measures score well; staffing is where the concern lies.

Nurse hours

4.08 /day

Staff turnover

n/a

Serious cites

0

Coryell Health Rehab Living At The Meadows is run by the local hospital district, and its 106 beds get more nursing time than most Texas homes, 4.08 hours per resident day against a national average of 3.86. Weekends dip about 6% below weekday staffing, so ask how coverage holds up on Saturdays. The inspection record is the strong part: 17 deficiencies, none at harm or jeopardy level, though two are abuse-related and one fine of $20,622 is on file. Quality measure scores sit at 2 out of 5, which tracks with the lower marks there. Recent inspection in February 2026.

Nurse hours

3.85 /day

Staff turnover

48%

Serious cites

0

Marshall Manor runs 179 certified beds under hospital district ownership, and its staffing sits right at the national average, 3.85 total nurse hours per resident day against 3.86 nationally. That average comes with a catch: weekends run about 13% thinner than weekdays, and turnover is 48.1%, a bit above the 45.8% national figure. The health inspection record shows 25 deficiencies, none at harm or jeopardy level, though six are abuse-related. With a May 2025 inspection and 4/5 stars on both health inspections and quality measures, the clinical picture holds up. The staffing rating tells a different story.

Nurse hours

3.36 /day

Staff turnover

45%

Serious cites

0

Sunny Springs is run by the hospital district, which is worth knowing since government-owned homes often operate differently than chains. The staffing numbers are the real story here: 3.36 nurse hours per resident day puts it about 13% under the national average, and weekends drop roughly 8% below its own weekday levels. That shows up in the staffing rating. The inspection record is heavy, 57 deficiencies, including two at harm or jeopardy level and seven tied to abuse. Turnover at 44.9% is basically the national norm, so that's not the problem. The 4/5 quality measure score suggests some clinical metrics look fine, but staffing and inspections tell a different story.

Nurse hours

3.39 /day

Staff turnover

37%

Serious cites

0

Belterra Health & Rehab runs on leaner nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday. Turnover is the brighter spot: 36.7% versus 45.8% nationally, meaning aides and nurses stick around longer than is typical. The 20 deficiencies on record include none tied to harm or abuse, and the most recent inspection came in April 2026. As a hospital-district home, it answers to public ownership rather than a chain, which tends to show up in how complaints get handled. Ask about weekend staffing specifically before you decide.

Nurse hours

3.30 /day

Staff turnover

50%

Serious cites

0

Legend Oaks in New Braunfels runs a government hospital district operation with 126 certified beds, and the staffing side is where the strain shows. At 3.30 total nurse hours per resident day, it's about 14% under the national average, and weekends drop roughly 13% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover sits at 49.5%, above the national 45.8%. The inspection record holds 38 deficiencies, none at harm level but three tied to abuse, with the last survey dated May 2026. Quality measures score well, but the staffing numbers are what temper the overall picture.

Nurse hours

3.11 /day

Staff turnover

39%

Serious cites

0

Sterling Oaks runs on a thinner nursing floor than most homes its size, about 3.11 nurse hours per resident per day against a national average near 3.86, and weekends drop roughly 8% below its own weekday pace. That gap is the main thing pulling its staffing rating down to 2 out of 5. Where it holds up better: turnover sits at 39.1% against a national 45.8%, and its inspection record shows 18 deficiencies with none at the harm level and none tied to abuse. A recent May 2026 inspection and 4 out of 5 stars on both health inspections and quality measures round it out. If your family member needs heavy day-to-day hands-on care, ask specifically how weekend coverage gets filled.

Nurse hours

2.82 /day

Staff turnover

42%

Serious cites

0

Advanced Rehabilitation and Healthcare of Bowie is a hospital-district home with 180 beds, and its inspection record is genuinely strong. Ten deficiencies on the current record, none causing harm or jeopardy, none abuse-related, and an inspection as recent as February 2026, with 5 out of 5 stars on both health inspections and quality measures. Staffing tells the other story. At 2.82 nurse hours per resident day, it runs roughly 27 percent under the national average of 3.86, and weekends dip about 20 percent below its own weekday level. Turnover at 42.1 percent is slightly better than the 45.8 percent national figure, so the issue isn't churn so much as how few hands are scheduled at any given time.

Nurse hours

3.29 /day

Staff turnover

39%

Serious cites

0

Will-O-Bell runs lean on direct care: 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though turnover at 38.7% actually beats the national 45.8%. The inspection record is a split picture, a 4/5 health inspection rating and a recent May 2026 survey, but 30 deficiencies on file, including four at harm or jeopardy level and four tied to abuse. One fine totaling $8,279. Hospital district ownership, 90 beds. Strong quality measures, weak daily coverage.

Nurse hours

3.67 /day

Staff turnover

46%

Serious cites

0

San Pedro Manor runs 3.67 nursing hours per resident day, about 5% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin weekend coverage matters more than the headline number, because 30 deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse. Staff turnover is 45.6%, essentially matching the national rate, so retention isn't the problem here, coverage is. The hospital district ownership hasn't kept the inspection record clean, and two fines totaling $24,285 are on file. The last inspection was August 2025. Quality measures look strong; the staffing and inspection side is where the risk lives.