247 Government-Run Nursing Homes in Texas

Nurse hours

2.79 /day

Staff turnover

39%

Serious cites

0

Windsor Nursing And Rehabilitation Center Of Segui runs on thin staffing: 2.79 nurse hours per resident day, roughly 28% under the national average, with weekends about 14% below its own weekday levels. That shows up in its staffing rating, which sits at the bottom of CMS's scale. The inspection record is mixed, 33 deficiencies, two at harm or jeopardy level, one abuse-related, and $24,499 in fines across two events, though the most recent inspection came in July 2025 and quality measures score reasonably well. Turnover is 38.9%, better than the 45.8% national figure. Owned by a hospital district, it's not a chain, but the day-to-day nursing hours are the number to weigh hardest here.

Nurse hours

3.50 /day

Staff turnover

42%

Serious cites

0

Barton Valley runs 3.50 nurse hours per resident day, about 9 percent under the national average of 3.86, and weekends drop roughly 14 percent below its own weekday staffing. That pattern matters most on Saturdays and Sundays, when families tend to visit and when care gaps are easiest to miss. The current record shows 24 deficiencies, none flagged at the harm or jeopardy level, but one is abuse-related, which is worth asking about directly. Staff turnover sits at 42.2 percent, slightly better than the 45.8 percent national figure, and the last inspection was in April 2026. As a hospital district home, it answers to a public board, so meeting records and complaint responses are available if you ask.

Nurse hours

3.19 /day

Staff turnover

32%

Serious cites

0

Westpark Rehabilitation and Living runs 140 certified beds in Euless under hospital district ownership, and its inspection record is the part that should worry you. The home carries 55 deficiencies on its current record, including three at the harm or jeopardy level and three tied to abuse. Its health inspection rating sits at 1 out of 5, the lowest CMS assigns, with two fines totaling $26,186. Staffing runs 3.19 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover at 31.8% is genuinely better than the 45.8% national figure, and the quality measure rating is 4 out of 5, though strong self-reported measures are easier to post when inspections are finding this much.

Nurse hours

3.46 /day

Staff turnover

62%

Serious cites

0

Vista Ridge runs lean on nursing hours, 3.46 per resident day against a national average of 3.86, and the gap widens on weekends, when coverage drops roughly 12% below its own weekday level. That thin staffing shows up in the turnover number too: 62.2% of nurses leaving in a year, well above the 45.8% national rate, which means unfamiliar faces are often the ones at the bedside. The inspection record carries 21 deficiencies, including one at the harm level and four tied to abuse, with a single $10,348 fine. A 5/5 on quality measures sits alongside a 2/5 on staffing, and the most recent inspection was December 2024.

Nurse hours

3.06 /day

Staff turnover

51%

Serious cites

0

McKinney Healthcare and Rehabilitation Center sits at 125 certified beds under hospital district ownership, and the inspection record is the bright spot here, a 4-out-of-5 health inspection rating with the most recent survey done in May 2025. The 21 deficiencies on file are mostly low-level, with none rising to harm or jeopardy, though one is abuse-related and worth asking about directly. Staffing is where the numbers get thin. At 3.06 nurse hours per resident day, this home runs roughly 21 percent below the national average, weekends drop about 19 percent below its own weekday coverage, and turnover hits 50.7 percent against a 45.8 percent national figure. Ask how they cover weekends and how long the current director of nursing has been in place.

Nurse hours

3.45 /day

Staff turnover

56%

Serious cites

0

Wedgewood runs on thin staffing, and the numbers show it: 3.45 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14% below its own weekday level. That's the kind of gap families notice on Saturday afternoons. Turnover sits at 56.1%, well above the national 45.8%, so the people caring for your relative keep changing. The health inspection record carries 39 deficiencies, three of them serious enough to put residents at risk of harm, though none involve abuse, and two fines total $31,778. A 5/5 quality measure score stands out, but it sits alongside 2/5 ratings for both staffing and inspections, a split worth asking about directly.

Nurse hours

3.39 /day

Staff turnover

54%

Serious cites

0

Avir At Bay City runs on thin staffing: 3.39 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays already are. Annual turnover of 54.2% sits well above the 45.8% national figure, so the people providing that care keep changing. The current record shows 28 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $23,689; the most recent inspection was February 26, 2026. Hospital district ownership is a steadying factor, and the 3/5 inspection and quality ratings are middling rather than alarming. The staffing number is the one to press on when you visit.

Nurse hours

2.57 /day

Staff turnover

55%

Serious cites

0

Monument Rehabilitation and Nursing Center is a 104-bed hospital-district home in La Grange, and its numbers pull in different directions. The clinical quality measures look solid at 4 out of 5 stars, but staffing sits at just 1 star with an annual turnover rate of 54.5 percent, nearly nine points above the national average of 45.8 percent. That churn matters. Twenty-one deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, with $8,281 in fines. The last inspection was September 11, 2025, so the record is recent enough to take seriously. Quality marks alone don't tell you who's showing up to provide the care.

Nurse hours

3.50 /day

Staff turnover

46%

Serious cites

0

Gracy Woods II runs on 3.50 nurse hours per resident per day, about 9% under the national average, and weekends dip roughly 7% below its own weekday staffing. That thin margin is the main reason it lands where it does, despite steady turnover at 45.5%, essentially the national rate. What keeps it from sliding further is an inspection record with no harm-level or abuse-related deficiencies among its 16, and recent federal surveys from March 2025 that rated four out of five stars for health inspections and quality measures. The staffing star tells the more honest story. If your family member needs frequent hands-on help, ask how weekends are covered before deciding.

Nurse hours

2.67 /day

Staff turnover

43%

Serious cites

0

Avir At Kingsland runs on thin nursing coverage: 2.67 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home manages on weekdays. That staffing level is the main reason the federal staffing rating lands at 1 out of 5, even though turnover at 42.5% is slightly better than the 45.8% national figure. The inspection record shows 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated May 2026. It's a hospital-district home with 122 certified beds, and its health inspection and quality measure ratings both sit at 3 out of 5.

Nurse hours

3.30 /day

Staff turnover

51%

Serious cites

0

Windcrest runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends drop roughly another 9% below its own weekday pace. Turnover sits at 50.5%, above the 45.8% national figure, so the staff covering those shifts is changing fairly often. The record shows 15 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $26,364; the most recent inspection was in May 2026. Quality measures score well, inspections and staffing land mid-range, and hospital-district ownership means public accountability rather than a chain. Ask how they staff weekends and what changed after those two harm-level citations.

Nurse hours

2.98 /day

Staff turnover

52%

Serious cites

0

The Lev At Winchester is run by a hospital district, and its inspection record is the strongest thing going for it, a four-star health inspection score, no deficiencies at the harm or jeopardy level, no abuse citations, and a recent survey from August 2025. On the floor, though, the numbers tell a different story: 2.98 nurse hours per resident per day against a national average of 3.86, with weekends running roughly 12% thinner than weekdays. Staff turnover sits at 52.1%, above the 45.8% national figure, which matters most when the same aides aren't there week to week. Quality measures score well at four stars, and there's just one fine on record, $3,174. If your family member needs steady hands nearby, ask specifically about weekend coverage and how long the current staff have been there.

Nurse hours

3.06 /day

Staff turnover

51%

Serious cites

0

Princeton Medical Lodge runs on a government hospital district license with 138 certified beds, and its inspection record is genuinely clean, a five-star health inspection rating, 11 deficiencies with none at harm or jeopardy level and nothing abuse-related, and a survey as recent as March 2026. Where the picture changes is daily care capacity. Nurse staffing sits at 3.06 hours per resident day against a national average of 3.86, roughly a fifth below it, and weekends drop about 15% below the home's own weekday coverage. Staff turnover of 51.1% tops the 45.8% national figure. Strong surveys, thin staffing, and a workforce that keeps cycling through, that combination is what pulls the overall grade down.

Nurse hours

3.45 /day

Staff turnover

42%

Serious cites

0

Northeast Rehabilitation runs on 3.45 nursing hours per resident day, about 11% under the national average, and weekends drop roughly 15% below its own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure, but the inspection record is where the real trouble shows: 45 deficiencies, two at harm or jeopardy level, and five tied to abuse. Fines total $16,449 across two penalties, and the last inspection was March 2025. It's a government hospital-district home, so ownership isn't the issue here, the staffing shortfall and that deficiency count are what a family should weigh before deciding.

Nurse hours

4.78 /day

Staff turnover

n/a

Serious cites

0

Reagan County Care Center runs on unusually heavy staffing for a small Texas home, 4.78 nurse hours per resident day, roughly a quarter above the national average, though weekends dip about 9% below its own weekday levels. The tradeoff shows up elsewhere: a 1-out-of-5 quality measure rating and 12 deficiencies on record, none tied to harm, jeopardy, or abuse. Inspectors last visited in May 2025, and 19 fines totaling $123,755 have accumulated. The staffing number is real and worth asking about directly. So are the quality measures and that fine history.

Nurse hours

3.20 /day

Staff turnover

34%

Serious cites

0

West Oaks runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 16% below its own weekday coverage. That staffing pattern sits behind a 2-star rating from CMS, and the inspection record shows 32 deficiencies, five of them serious enough to put residents at harm or jeopardy, plus two fines totaling $39,527. What cuts the other way: staff turnover is 34.1%, well below the 45.8% national figure, and the quality measures score 4 out of 5. It's a hospital-district home with a recent February 2026 inspection, so the picture is current. The tradeoff is real, stable caregivers, but not enough of them on the floor.

Nurse hours

3.20 /day

Staff turnover

32%

Serious cites

0

Mason Creek runs on 3.20 nurse hours per resident day, roughly 17 percent under the national figure of 3.86, and weekends drop about 16 percent below its own weekday staffing. That thinner coverage sits alongside 15 deficiencies on the current record, three of them at harm or jeopardy level and one abuse-related, plus two fines totaling $16,175. Turnover is the bright spot: 31.9 percent against a national 45.8 percent, and the hospital district ownership means no corporate chain pulling the strings. Last inspection was December 12, 2024, and its three CMS star ratings each sit at three out of five.

Nurse hours

3.12 /day

Staff turnover

n/a

Serious cites

0

El Paso Health & Rehabilitation Center runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday staffing. That thin coverage sits behind a one-star CMS staffing rating and 55 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Inspectors were last in on August 7, 2025, so the findings are recent, and the home carries one fine of $20,312. It's a 150-bed hospital-district facility, which can mean public oversight, but the numbers here don't show it translating into safer care.

Nurse hours

5.17 /day

Staff turnover

98%

Serious cites

0

Mesa View Senior Living in Canadian runs on a hospital district's license and staffs at 5.17 nurse hours per resident day, roughly a third more than the national average of 3.86, with weekends dipping only slightly below weekdays. That kind of coverage is hard to find. The complications sit elsewhere: staff turnover hits 98.2% against a national 45.8%, meaning the people providing that generous coverage are largely new faces. Sixteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in December 2025. Quality measure scores land at 1 out of 5 stars, which reflects resident-level clinical outcomes rather than the staffing numbers.

Nurse hours

3.36 /day

Staff turnover

31%

Serious cites

0

Renaissance Rehabilitation runs on a government hospital district's license in Italy, Texas, with 74 certified beds. The inspection record is the standout: a five-star federal rating, 11 deficiencies on file and none of them at the harm or jeopardy level, with the most recent survey done in September 2025. Staffing tells a different story. At 3.36 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, weekends run roughly a tenth thinner than weekdays, and the government's staffing rating lands at two stars. Turnover, though, is genuinely low at 31.1 percent against a 45.8 percent national figure. Quality measures rate two stars.