247 Government-Run Nursing Homes in Texas

Nurse hours

3.00 /day

Staff turnover

36%

Serious cites

0

Lexington Medical Lodge runs on 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 12% below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 1 out of 5, even though turnover at 35.8% is actually better than the 45.8% national figure, a stable crew working with fewer hands than most homes. The inspection side tells a different story: a 5/5 health inspection rating, 12 deficiencies on record with none at the harm or jeopardy level and none abuse-related, and a survey as recent as April 2025. This government hospital-district home passes its inspections cleanly; the open question is whether the daily staffing level matches what those inspections suggest.

Nurse hours

2.99 /day

Staff turnover

43%

Serious cites

0

Starr County Nursing And Transitional Care runs on thin nursing hours, 2.99 per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home itself staffs on weekdays. Turnover sits at 42.7%, a bit better than the 45.8% national figure, and the home is government-owned through a hospital district. Inspections look strong on paper: 4 of 5 stars, most recent visit January 13, 2026, and 27 deficiencies with none rising to harm or jeopardy. Three abuse-related citations are on the record, though. The staffing gap is what pulls this home's overall standing down.

Nurse hours

3.85 /day

Staff turnover

n/a

Serious cites

0

Mccamey Convalescent Center is a 30-bed hospital-district home, which means it answers to local government rather than a chain. Its total nurse staffing of 3.85 hours per resident day sits essentially right at the national average of 3.86, but weekends drop about 10% below its own weekday coverage, worth asking about if your family visits or needs help on Saturdays and Sundays. The health inspection side looks solid, with a 4-out-of-5 star rating and a recent survey completed in December 2025, and none of its 14 deficiencies rose to the harm or jeopardy level. One is abuse-related, though, and the quality measure and staffing star ratings both come in at 1 out of 5.

Nurse hours

3.74 /day

Staff turnover

63%

Serious cites

0

Parklane West runs on thin nursing coverage, 3.74 hours per resident day, a bit under the national average, and weekends drop about 17% below what the home staffs on weekdays. That gap matters when someone falls on a Sunday. Annual turnover sits at 63.4% against a national 45.8%, so the aides and nurses caring for your family member are likely newer than the building itself. The record shows 64 deficiencies, none at harm level but one tied to abuse, and the last inspection was May 2025. The hospital district ownership is a steadying factor, and resident outcomes score well even as the staffing and inspection ratings sit at the bottom.

Nurse hours

3.24 /day

Staff turnover

33%

Serious cites

0

Stillhouse Rehabilitation runs on thinner nursing coverage than most homes, 3.24 hours per resident day against a national average of 3.86, and weekends are leaner still, roughly 17% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Turnover is a genuine bright spot at 32.8%, well under the 45.8% national figure, so the staff who are there tend to stay. But the inspection record carries 45 deficiencies, including one at the harm level and three tied to abuse, plus a $8,162 fine. As a hospital district facility, it answers to public ownership, which can mean more stable oversight.

Nurse hours

3.33 /day

Staff turnover

37%

Serious cites

0

Lakeside runs on leaner nurse staffing than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dropping about 19% below its own weekday level. That gap is what drives the low staffing score, even though turnover at 36.8% is better than the 45.8% national figure. The inspection record is more concerning than the stars suggest: 21 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus a $14,611 fine. A recent July 2025 inspection and strong quality measures don't cancel out three harm-level findings. Government hospital-district ownership hasn't kept the care problems off the record.

Nurse hours

3.47 /day

Staff turnover

70%

Serious cites

0

Avir At Pittsburg runs 102 certified beds under a hospital district, and the numbers behind its record are mostly about people, not buildings. Its staffing rating sits at 1 out of 5, and the annual turnover rate is 70.2%, a little over half again the national average of 45.8%, which means the aides and nurses at the bedside keep changing. On the inspection side, there are 31 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, with two fines totaling $106,438; the last inspection was February 11, 2026. The 5/5 quality measure rating stands out, but quality measures are largely self-reported, and it's hard to separate that from the staffing picture.

Nurse hours

3.56 /day

Staff turnover

75%

Serious cites

0

Bremond Nursing and Rehabilitation Center runs 82 certified beds under hospital district ownership in Robertson County. The staffing numbers are the part to watch: 3.56 nurse hours per resident per day sits about 8% under the national average, weekend coverage dips roughly 5% below its own weekday level, and annual turnover hits 75% against a national 45.8%. That churn matters more than any single shift count, since new aides rarely know residents' routines. The inspection record shows 26 deficiencies, one serious enough to involve harm or jeopardy, plus a $24,369 fine; the last survey was August 2025. Quality measures score well, but the 2/5 inspection and staffing ratings point to a home where care depends heavily on who happens to be working that day.

Nurse hours

3.38 /day

Staff turnover

54%

Serious cites

0

Avir At Elkhart runs 98 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.38 hours per resident per day, roughly 13% under the national average of 3.86. Weekends drop another 13% below its own weekday level, which matters because that's often when families visit and when problems surface. Staff turnover is 54.3%, well above the 45.8% national figure, so caregivers are cycling through faster than average. The current record shows 26 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $65,397 fine. Its last inspection was April 9, 2025. Ask about weekend coverage and how they screen staff before you decide.

Nurse hours

2.95 /day

Staff turnover

n/a

Serious cites

0

Deleon Nursing and Rehabilitation is run by a hospital district, and its inspection record is genuinely strong, a 5/5 on health inspections with 14 deficiencies on file, none of them causing harm or involving abuse, and the most recent visit was in November 2025. The catch is on the floor: total nurse staffing sits at 2.95 hours per resident per day against a national average of 3.86, roughly a quarter less, and weekends run about 10% thinner than weekdays. Quality measures also score 5/5. So the picture is a home that documents care well and inspects cleanly, but asks families to weigh that against fewer nursing hours than most places provide.

Nurse hours

2.78 /day

Staff turnover

47%

Serious cites

0

Pleasanton South runs on a government hospital district license with 88 certified beds, and the staffing numbers are the first thing to notice: 2.78 nurse hours per resident per day, roughly 28% under the national average, with weekends running about 23% below its own weekday level. That thin coverage shows up in the staffing star rating and in 47.3% annual turnover, slightly above the national rate. The inspection record carries 33 deficiencies, three at harm or jeopardy level and two abuse-related, plus $24,653 in fines; the most recent inspection was December 10, 2025. Quality measures score well, but a 3/5 inspection rating and low staffing tell you where the risk sits.

Nurse hours

3.17 /day

Staff turnover

39%

Serious cites

0

Country Care Manor runs lean on the floor. At 3.17 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly another 21% below its own weekday pace, the gap families feel most on Saturday and Sunday. Turnover is the brighter spot: 38.5% against a national 45.8% means the staff who are there tend to stay, which matters for consistency even when the numbers are thin. On paper, inspections and quality measures both rate well, with no harm-level or abuse-related deficiencies among the 12 on record and $22,143 in fines across two events. A hospital district runs it, and the last inspection was recent.

Nurse hours

3.73 /day

Staff turnover

n/a

Serious cites

0

Oak Grove Nursing Home runs on thin staffing. Its CMS staffing rating sits at 1 out of 5, meaning nurse hours per resident fall well below what most Texas homes report, and that's the number that shapes daily life, not the inspection sheet. The health inspection side looks better, a 4 out of 5 with 14 deficiencies on record and none at harm level, though three abuse-related citations are worth asking about directly. Quality measures come in at 2 out of 5. Government hospital district ownership is stable, and the most recent inspection was September 2025, so the record is current. Weigh the low staffing against the recent clean inspection before deciding.

Nurse hours

3.15 /day

Staff turnover

41%

Serious cites

0

Senior Care Health & Rehabilitation Center in Wichita Falls runs on a government hospital district license and holds a five-star inspection record, with its most recent survey completed in February 2025. That inspection history is clean where it matters most: no deficiencies tied to harm or jeopardy, none related to abuse. Where the home falls short is staffing. At 3.15 nurse hours per resident day, it sits roughly 18% under the national average of 3.86, and weekend coverage drops another 16% below its own weekday levels, a real concern if your family visits or needs help on Saturdays and Sundays. Turnover at 40.7% is better than the 45.8% national figure, so the people who are there tend to stay.

Nurse hours

3.42 /day

Staff turnover

41%

Serious cites

0

The Heights of Atascosa runs lean on nursing hours: 3.42 per resident day against a national average of 3.86, and weekends drop about 16 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems tend to surface. Turnover sits at 41.2 percent, slightly better than the national 45.8 percent, so the staff who are there tend to stay. Inspections look stronger, a 4/5 health inspection rating and no deficiencies at the harm or jeopardy level, though one abuse-related citation appears on the current record among 16 total. The last inspection was in May 2025. The staffing star rating of 2/5 is the weak point; quality measures score 4/5.

Nurse hours

3.39 /day

Staff turnover

n/a

Serious cites

0

River Bend Healthcare runs on thinner nursing coverage than most homes in the country, 3.39 hours per resident day against a national average of 3.86, and weekends drop roughly 13% below what the building staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. The inspection record shows 49 deficiencies, including two at the harm level and two tied to abuse, with $18,225 in fines across two cases; the last survey was February 13, 2026. It's a hospital-district-owned home, which can mean steadier public oversight but doesn't change what the numbers say about daily coverage. The quality measure score runs high, yet staffing sits at the bottom of the federal scale.

Nurse hours

3.14 /day

Staff turnover

55%

Serious cites

0

Parkwood In The Pines runs on thin staffing: 3.14 nurse hours per resident day, about 19% under the national average, and weekends drop roughly 11% below its own weekday levels. That gap shows up in the federal staffing rating, which sits at 1 out of 5 stars, while annual turnover of 54.6% means more than half the nursing staff leaves each year. The inspection record carries 32 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $21,473. Quality measures score 5 stars, but a hospital-district home with this much turnover and this few hands is one to visit unannounced.

Nurse hours

2.71 /day

Staff turnover

53%

Serious cites

0

Robstown Nursing and Rehabilitation Center runs on 2.71 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekends dip about 9% below its own weekday staffing. That thin coverage lines up with a one-star CMS staffing rating, and more than half the nursing staff turned over in a year, 53.1% against a national 45.8%, so the people at the bedside keep changing. The record shows 17 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus a $12,055 fine. It's a hospital-district home with 94 beds, last inspected January 6, 2026; its quality measures score well, but quality scores and daily staffing aren't the same thing.

Nurse hours

2.88 /day

Staff turnover

45%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Bastrop is run by a hospital district, and its inspection record reflects that, a four-star health inspection rating with 13 deficiencies on file, just one at the harm level and none related to abuse. The problem is staffing: 2.88 nurse hours per resident day, roughly 26% under the national average of 3.86, and weekends run about 9% thinner than weekdays. Turnover sits at 45%, basically identical to the national figure. One fine totaling $15,920 is on record, and the last inspection was July 2025. Good surveys don't help much when there are fewer hands on deck each day.

Nurse hours

2.41 /day

Staff turnover

40%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Weslaco is run by a hospital district, and its nurses put in 2.41 hours of care per resident each day. That's about 37 percent under the national average of 3.86, and weekends run roughly 11 percent thinner than weekdays. Staff turnover sits at 40 percent, a bit better than the 45.8 percent national figure, though 26 deficiencies on the current record, two of them at the harm or jeopardy level, suggest the short staffing has real consequences. Two fines total $31,541, and the last inspection was in May 2025. The 4/5 quality measure score reflects good clinical documentation, but quality measures don't capture whether enough hands are present.