247 Government-Run Nursing Homes in Texas

Nurse hours

5.80 /day

Staff turnover

74%

Serious cites

0

Twin Oaks Manor is a 40-bed hospital-district home in Booker, and the staffing numbers are genuinely strong: 5.80 nurse hours per resident day, about half again the national average. Weekends dip roughly 13% below weekdays, which is worth asking about, since that's often when families visit. The bigger concern is turnover, 74.1% versus 45.8% nationally, meaning most of the people caring for residents this year likely won't be there next year. Inspections look solid (4 of 5 stars, 12 deficiencies, none at harm level, none abuse-related) and the most recent visit was April 2025. Quality measure scores sit at 1 of 5, so ask what specifically is driving those.

Nurse hours

3.23 /day

Staff turnover

59%

Serious cites

0

Mesquite Tree runs on 3.23 nurse hours per resident day, roughly 16% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.8%, well above the 45.8% national figure, which means the aides and nurses caring for your relative are often new to the building. The inspection record shows 25 deficiencies, including one at the harm level and one abuse-related, plus a $13,397 fine; the most recent inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are where the real story sits.

Nurse hours

3.15 /day

Staff turnover

31%

Serious cites

0

Hallettsville Nursing and Rehabilitation is run by a hospital district, which usually means steadier oversight than a for-profit chain. The staffing numbers are where it gets shaky: 3.15 nurse hours per resident day, roughly 18% under the national average, with weekends running about 14% thinner than weekdays. That's a 1-out-of-5 staffing rating, and it's the main drag on the scores. Turnover is the bright spot at 31.1%, well below the 45.8% national figure, so the people who are there tend to stay. Inspections turned up 19 deficiencies, one serious enough to involve harm, plus a single $8,824 fine. The most recent visit was January 2026, so the record is current.

Nurse hours

3.45 /day

Staff turnover

60%

Serious cites

0

Villa Haven runs on a hospital district's budget in Breckenridge, and the numbers split sharply depending on where you look. Inspections are a genuine strength, a clean record with zero deficiencies at the harm level, zero abuse findings, and a survey completed in March 2026. Quality measures score at the top of CMS's scale too. Staffing tells the other story. At 3.45 nurse hours per resident day, this home sits about 11% under the national average, and weekends drop roughly 13% below its own weekday coverage. Annual turnover is 60%, well above the 45.8% national figure, which means the people caring for your family member are cycling out faster than they can build familiarity with residents.

Nurse hours

2.72 /day

Staff turnover

40%

Serious cites

0

Greenville Gardens runs on 2.72 nurse hours per resident per day, roughly 29% under the national average of 3.86, and weekends drop about 9% below its own weekday staffing. That thin coverage shows up in the federal staffing rating of 1 out of 5, even as the quality measure rating sits at 5 out of 5. Turnover is 39.6%, better than the 45.8% national average, but the inspection record carries 46 deficiencies, including one at the harm level and four tied to abuse, with $16,206 in fines. The most recent inspection was August 13, 2025. Government hospital district ownership, 103 beds, and staffing that trails the national average by a wide margin, that's the tension here.

Nurse hours

3.39 /day

Staff turnover

22%

Serious cites

0

Briarcliff Health Center Of Greenville runs on thin nurse staffing, 3.39 hours per resident day against a national average of 3.86, and weekends get leaner still, about 12% below its own weekday level. The inspection record is the bigger concern: 38 deficiencies, three at harm or jeopardy level and three tied to abuse, plus two fines totaling $48,100. What works in its favor is workforce stability: turnover sits at 22.2%, well under the 45.8% national figure, and its quality measure rating is strong. That combination, steady staff and poor inspection results, usually points to how care is managed rather than who's giving it.

Nurse hours

3.59 /day

Staff turnover

48%

Serious cites

0

The Clyde W Cosper Texas State Veterans Home in Bonham runs 160 certified beds under state government ownership, and its numbers pull in different directions. Staffing sits at 3.59 nurse hours per resident day, about 7% under the national average, and weekends run roughly 13% thinner than weekdays, a pattern families often feel before they see it on paper. Turnover is 48.3%, a few points above the national rate. What stands out more is the inspection record: 47 deficiencies, four at harm or jeopardy level, three tied to abuse, and two fines totaling $216,749. The last inspection was April 2026. Quality and staffing both score 4 out of 5, but a 1-out-of-5 health inspection rating with that deficiency history is the part worth asking about directly.

Nurse hours

2.93 /day

Staff turnover

40%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Duval runs on thinner nursing hours than most places, about 2.93 per resident per day against a national average near 3.86, and weekends dip roughly 9% below its own weekday coverage. That staffing picture shows up in the federal stars too, where the home earns just 2 out of 5, even as its quality measures come in at a perfect 5. The inspection record is the harder read: 29 deficiencies, two serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $23,341, with the most recent inspection in April 2025. Turnover, at 40.2%, is actually better than the 45.8% national figure.

Nurse hours

3.28 /day

Staff turnover

24%

Serious cites

0

Rio Grande City Nursing and Rehabilitation is a 110-bed hospital-district home with a 4/5 inspection rating and a clean record on abuse, no abuse-related deficiencies, just one fine totaling $13,514. The trouble sits in staffing: 3.28 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 10% below the home's own weekday level. That thin coverage is why CMS gives staffing only 2/5. What offsets it is retention, 24.2% turnover against a 45.8% national average means the aides and nurses who are there tend to stay. Its last inspection was September 2025, with 17 deficiencies on record, one serious enough to involve harm or jeopardy.

Nurse hours

3.25 /day

Staff turnover

41%

Serious cites

0

Windsor Arbor View runs on thinner nursing hours than most homes, 3.25 per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday levels, which is when families tend to notice. The 19 deficiencies on record, including one at the harm level and one tied to abuse, sit alongside a 41.4% turnover rate that's actually a bit better than the 45.8% national figure. The hospital district ownership is worth noting, and the last inspection was recent, in December 2025, so the record reflects current conditions rather than old ones. Quality measures score well; staffing is where the home is weakest.

Nurse hours

3.32 /day

Staff turnover

45%

Serious cites

0

Mid Valley runs on a thinner nursing crew than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. That staffing shows up in the numbers: 27 deficiencies on the current record, four of them serious enough to cite harm or jeopardy, and three tied to abuse. Turnover sits near the national mark at 45%, and the hospital district ownership doesn't change what families experience day to day. The quality measure score looks strong, but it's the staffing and inspection record that tells you whether help arrives when someone needs it.

Nurse hours

3.59 /day

Staff turnover

49%

Serious cites

0

Park Bend runs below the national average on nurse staffing, and its own weekend hours drop about 13% below weekdays, so the coverage gap widens exactly when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, seven of them at harm or jeopardy level, one abuse-related, and $65,855 in fines across three events. Staff turnover sits at 49.4%, meaning roughly half the nursing team leaves each year, which makes consistent care hard to sustain. What lifts the numbers is the quality measure score, but that reflects resident outcomes on paper, not the hands available each shift. Hospital district ownership doesn't change any of this.

Nurse hours

3.18 /day

Staff turnover

45%

Serious cites

0

Heritage House at Keller runs on 3.18 total nurse hours per resident day, roughly 18 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5 even as quality measures score 5 out of 5, a gap worth asking about, since strong outcomes can reflect careful documentation as much as daily care. Turnover is 45.3 percent, essentially level with the national 45.8 percent. The inspection record is more concerning: 20 deficiencies, including 2 at the harm level and 2 abuse-related, plus $22,608 in fines. It's hospital-district owned and last inspected in December 2025.

Nurse hours

3.28 /day

Staff turnover

41%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Raymondville runs on thinner nursing hours than most: 3.28 per resident day against a national average of 3.86, and weekends drop about 14 percent below its own weekday levels. That staffing number earned a 1 out of 5 from CMS, and the health inspection record sits at 2 out of 5, with 33 deficiencies on file, seven tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was in February 2026. Turnover is 41.3 percent, slightly better than the 45.8 percent national figure, and the hospital district ownership is worth noting. Quality measures scored 4 out of 5, but that's where the strengths end.

Nurse hours

2.61 /day

Staff turnover

41%

Serious cites

0

Focused Care At Fort Stockton runs on thin nursing coverage: 2.61 nurse hours per resident per day, roughly a third below the national average of 3.86, and weekends dip about 10% below its own weekday level. That gap is the main story here, and it's why the staffing rating sits at 1 out of 5 even though the quality measure score is 4 out of 5. The inspection record shows 19 deficiencies, including three at the harm level and three tied to abuse, with one fine of $7,105. Turnover at 40.5% is slightly better than the 45.8% national figure. Owned by a hospital district, it was last inspected in March 2026.

Nurse hours

3.36 /day

Staff turnover

63%

Serious cites

0

Avir At Lancaster runs on thinner nursing hours than most homes, 3.36 per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday coverage. Staff turnover sits at 63.2%, well above the 45.8% national figure, so familiar faces are not the norm here. The federal inspection record shows 26 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $49,281 in fines across three penalties. A recent inspection in January 2026 and a federal government owner round out the picture. The quality measure score looks strong on paper, but the staffing and inspection numbers are the ones to weigh.

Nurse hours

3.43 /day

Staff turnover

43%

Serious cites

0

Advanced Rehabilitation and Healthcare of Wichita runs 180 certified beds as a for-profit corporation, and its inspection record is its strongest suit, a 4/5 health inspection rating with 20 deficiencies on file, none at the harm or jeopardy level. Two of those are abuse-related, which is worth asking about directly. Where the numbers get thinner is staffing: 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop about 13% below its own weekday level. Annual turnover sits at 42.6%, a bit better than the 45.8% national figure. Last inspection was December 6, 2024.

Nurse hours

2.82 /day

Staff turnover

41%

Serious cites

0

Avir At Pilot Point runs on leaner nurse staffing than most homes, 2.82 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. Turnover sits at 40.9%, a bit better than the 45.8% national figure, and the home is government-owned by a hospital district. Its inspection record shows 14 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent visit was June 5, 2025. Quality measures and health inspections both rate well; staffing is where the gap shows. If your relative needs frequent hands-on help, ask how afternoons and weekends are actually covered.

Nurse hours

3.38 /day

Staff turnover

51%

Serious cites

0

The Waterton is a hospital-district home in Tyler, and its inspection record is its strongest feature, a four-star health inspection rating, with the most recent visit in May 2026. But ten deficiencies sit on the current record, two of them serious enough to reach harm or jeopardy level, and CMS has fined the home twice for a combined $23,389. The bigger issue is the floor. At 3.38 nurse hours per resident day, staffing falls about 13 percent under the national average, weekend coverage drops roughly 11 percent below the home's own weekday level, and turnover runs near 51 percent against a national 45.8. A hospital district can bring stability that for-profit chains often can't, but the numbers here still point to a thin, churning direct-care staff.

Nurse hours

3.07 /day

Staff turnover

49%

Serious cites

0

Park Manor Bee Cave is a hospital-district home with 140 beds, and its numbers point in two directions at once. The quality measures look good, but staffing runs about 3.07 nurse hours per resident day against a national average of 3.86, weekends drop roughly 14% below its own weekday levels, and turnover sits at 48.5%. The inspection record is the real concern: 36 deficiencies currently on file, 7 of them at the harm or jeopardy level, one abuse-related, and $19,608 in fines across two cases. The most recent inspection was September 2025, so that record is recent, not stale. Good clinical scores on paper don't offset thin weekend coverage and a serious deficiency history.