247 Government-Run Nursing Homes in Texas

Nurse hours

3.42 /day

Staff turnover

98%

Serious cites

0

Avalon Place Kirbyville runs on thin staffing: 3.42 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. The bigger red flag is turnover, 97.8% annually, meaning the whole nursing workforce essentially turns over every year, more than double the national rate. Inspections look solid on paper (4 stars, most recent visit December 2025), but the record carries 17 deficiencies, including one at harm level and one abuse-related, plus $9,113 in fines. Government hospital-district ownership hasn't translated into stable caregivers. Families should ask hard questions about who's actually on the floor, especially Saturdays and Sundays, and how often the staff you meet will still be there in six months.

Nurse hours

3.23 /day

Staff turnover

70%

Serious cites

0

Care Inn Of La Grange runs on thin staffing. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 12% below its own weekday levels, so the hours when families visit most are often the leanest. That shows up in the one-star staffing rating, and in turnover: 70% of staff leave each year against a national rate near 46%, meaning many of the people caring for residents are still learning the building. The good news is the clinical picture. A five-star quality measure rating and a clean inspection record, 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last survey in March 2026. Government hospital district ownership adds some stability. The tradeoff is real: strong outcomes, strained hands.

Nurse hours

2.96 /day

Staff turnover

58%

Serious cites

0

Keller Oaks runs on thin staffing. At 2.96 nurse hours per resident per day, it sits well under the national average of 3.86, and weekends drop about 12% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover is 58.3%, noticeably above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. Inspections look better: a May 2025 survey, 19 deficiencies with none at harm or jeopardy level and no abuse findings. The hospital-district ownership is unusual for a Texas nursing home. Clinical quality measures score well; direct care hours don't. That gap is the whole story here.

Nurse hours

2.85 /day

Staff turnover

80%

Serious cites

0

Emory Health And Rehab is a 68-bed hospital-district home in Rains County, and its inspection record is genuinely strong, four out of five stars, with the most recent visit in August 2025 and no abuse deficiencies. The problem sits in the staffing numbers. At 2.85 nurse hours per resident day, it runs about 26% below the national average, and weekends dip another 5% below its own weekday levels. Annual turnover of 80% means most of the aides and nurses on a given shift are relatively new. Twenty-eight deficiencies are on record, one serious enough to cause harm. A hospital district can be a steady owner, but steady ownership doesn't staff the floor.

Nurse hours

3.11 /day

Staff turnover

62%

Serious cites

0

Windmill Village runs 3.11 nurse hours per resident per day, about 20% under the national average of 3.86, and weekends dip another 11% below its own weekday levels. Staff turnover is 61.6%, well above the 45.8% national figure, so the people caring for residents change often. The 27 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, which matters. Inspectors last visited in May 2025 and the health inspection rating sits at 3 out of 5. Ownership changed hands in the past year, so current management is still new to this building.

Nurse hours

2.90 /day

Staff turnover

41%

Serious cites

0

McAllen Nursing Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 10% below its own weekday level. The 2/5 inspection rating reflects 28 deficiencies on the current record, three of them at harm or jeopardy level, plus two abuse-related citations, and the state has fined the home twice, totaling $17,459. Staff turnover at 40.7% is actually a little better than the national 45.8%, though that is the one number here that leans your way. The limited liability company operating it last faced inspection in April 2025, so the record is recent.

Nurse hours

2.92 /day

Staff turnover

53%

Serious cites

0

Hearthstone runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 13% below its own weekday coverage. Staff turnover sits at 53.3% against a national 45.8%, which matters when the same short-staffed floor keeps training replacements. The current inspection record carries 26 deficiencies, including 6 at harm or jeopardy level and 3 tied to abuse, with $152,617 in fines across three penalties. Quality measures score well, but that's resident outcome data, not a picture of the hands available daily. Hospital district ownership doesn't offset what the staffing and inspection numbers show. If you're weighing this one, ask directly how weekend coverage is filled.

Nurse hours

2.92 /day

Staff turnover

42%

Serious cites

0

The Lev At Town Park runs on thin nursing coverage: 2.92 hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday levels. Its inspection record is the bigger problem, 29 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a $31,031 fine, all from a June 2025 inspection. Turnover at 42.4% is slightly better than the 45.8% national figure, and resident outcome measures score well, but the staffing rating is 2/5 and inspections 1/5. Government hospital district ownership hasn't translated into stronger oversight here.

Nurse hours

3.34 /day

Staff turnover

41%

Serious cites

0

Lakeview runs lean on nursing hours, 3.34 per resident day against a national average of 3.86, and weekends are thinner still, about 12% below its own weekday coverage. Staff turnover sits at 41.3%, a bit better than the 45.8% national figure, so the people who are there tend to stay. But 31 deficiencies on the current record, including six at the harm or jeopardy level and five tied to abuse, is a lot for a 60-bed home, and the two fines total $47,253. The hospital district that owns it isn't a for-profit chain, which matters, but ownership alone doesn't staff a Saturday shift.

Nurse hours

3.20 /day

Staff turnover

41%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Alice runs on 3.20 nurse hours per resident per day, roughly 17 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5, even as the quality measure score reaches 4 out of 5. The inspection record is the harder read: 25 deficiencies, three at harm or jeopardy level and two abuse-related, across three fines totaling $31,463, with the last inspection dated April 2026. Turnover at 41.4 percent is slightly better than the 45.8 percent national figure, and hospital district ownership means public accountability.

Nurse hours

3.31 /day

Staff turnover

69%

Serious cites

0

Avir At Commerce runs on thinner nursing coverage than most homes, about 3.31 nurse hours per resident each day against a national figure near 3.86, with weekends dipping roughly another 10% below its own weekday level. Staff turnover sits at 69.2%, well above the 45.8% national average, so the people around your family member change often. The inspection record shows 42 deficiencies, none flagged at the harm or jeopardy level and none abuse-related, and the most recent look came in February 2026. Quality measures score well here, but staffing and inspections are where the gaps show. It's a federal-government-operated home, which is unusual, and worth asking about directly when you visit.

Nurse hours

3.32 /day

Staff turnover

46%

Serious cites

0

Victoria Gardens of Frisco runs 118 certified beds under corporate ownership, and its nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip even further, about 14 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 46.3 percent, essentially tracking the national rate. Inspections look strong on paper, with a recent May 2025 survey, yet the record still carries 15 deficiencies, two at harm or jeopardy level and one tied to abuse, plus two fines totaling $23,546. High marks from CMS on inspection and quality measures coexist here with weak staffing scores and real, recent citations.

Nurse hours

3.22 /day

Staff turnover

65%

Serious cites

0

Cherokee Trails is owned by the local hospital district, and that public ownership hasn't translated into strong staffing. At 3.22 nurse hours per resident day, it sits roughly 16% under the national average, and weekends drop about 13% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover is 65.3%, well above the 45.8% national figure, and the inspection record shows 43 deficiencies, including six at harm or jeopardy level and four tied to abuse, with $85,329 in fines. The quality measure score looks good on paper, but that's largely self-reported data. The recent inspection date means the record is current, not old.

Nurse hours

3.00 /day

Staff turnover

54%

Serious cites

0

The Garrison center runs 3.00 nursing hours per resident per day, about a fifth below the national average, and weekend coverage drops roughly 11% below its own weekday level, thin staffing that gets thinner when families tend to visit. Inspectors have logged 42 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $37,020 in fines across three penalties. Staff turnover sits at 53.8%, above the 45.8% national figure. The hospital district ownership and recent June 2026 inspection don't offset a record that includes abuse findings alongside persistent short staffing.

Nurse hours

3.19 /day

Staff turnover

61%

Serious cites

0

Avir At Borger runs on 3.19 nursing hours per resident per day, about 17% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. That thin coverage matters more given 60.7% annual turnover, well above the 45.8% national figure, so the people providing care are often new to the building. The record shows 34 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus $40,307 in fines across two penalties. The most recent inspection was September 12, 2025. Hospital district ownership doesn't erase any of that; it just means the accountability runs to a public board rather than a private chain.

Nurse hours

3.13 /day

Staff turnover

n/a

Serious cites

0

Franklin Nursing Home runs on thin staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends drop roughly another 17 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. That shows up in its one-star staffing rating, even as inspections and quality measures each earn four stars. The current record carries 19 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in September 2025. It's a hospital-district home, which may explain the stable oversight despite the lean floor. Ask how many nurses are actually on duty on a Saturday evening.

Nurse hours

2.79 /day

Staff turnover

57%

Serious cites

0

Autumn Leaves is run by the hospital district in Henderson, and its clinical quality scores look strong on paper. The problem is who's there to deliver that care: 2.79 nurse hours per resident day, roughly 28% under the national average, with weekends running about 12% thinner than weekdays. Staff turnover sits at 56.8%, well above the 45.8% national figure, which means residents see a rotating cast of caregivers. The inspection record backs that up, 42 deficiencies, including one at the harm level and one tied to abuse, plus a $22,925 fine. The last inspection was May 2026. A hospital district can be a stable owner; here the staffing numbers are doing the talking.

Nurse hours

2.95 /day

Staff turnover

50%

Serious cites

0

Legacy Nursing and Rehabilitation runs on thin staffing. At 2.95 nurse hours per resident day, it sits about 24% under the national average of 3.86, and weekends drop roughly another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% tops the national 45.8%, meaning the aides at the bedside are often the newest hires. The 23 deficiencies on record include zero at harm or jeopardy level, but two are abuse-related, and the most recent inspection came in February 2026. Government hospital district ownership doesn't change the math; the staffing star of 1 out of 5 tells you where the pressure is.

Nurse hours

3.36 /day

Staff turnover

47%

Serious cites

0

Mabank Nursing Center runs on thin staffing. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% turnover rate is roughly in line with the national figure, but combined with 33 deficiencies on record, including 2 at the harm or jeopardy level and 2 tied to abuse, the picture is not comforting. Two fines total $31,234. A May 2026 inspection is recent, and the county hospital district that owns it isn't a for-profit chain, which may help explain the 3-star middle ground across inspections, quality, and staffing.

Nurse hours

3.46 /day

Staff turnover

50%

Serious cites

0

Cedar Hollow is hospital-district owned, which usually means steadier public funding than a for-profit chain, but the numbers here don't show that advantage paying off. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gap isn't just theoretical, it's baked into the schedule. Turnover at 50.4% tops the national 45.8%, and the inspection record carries 30 deficiencies, including three at harm or jeopardy level and one tied to abuse, plus two fines totaling $39,697. The most recent inspection was May 2026, so that record is current.