247 of the 1,179 Medicare-certified nursing homes in Texas (21%) are government-run, and all are listed below. Nurse staff turnover runs 53.7%, 1.6 points lower than the 55.3% across all homes there. 11 of the 246 graded homes earn an A and 15 earn a D or F. Country View Living in Dimmitt grades highest at A (94 out of 100).
How government-run homes in Texas compare
This group set against every nursing home in Texas, from the current CMS release.
Nursing hours per resident per day
3.36
All homes in Texas: 3.39
Worse than the local average
Nurse staff turnover
53.7%
All homes in Texas: 55.3%
Better than the local average
Average ElderGrade score
67.8/100
All homes in Texas: 66.9/100
Better than the local average
Grade spread
B
C
11 grade A, 93 grade B, 127 grade C, 15 grade D,
The best-graded government-run home in Texas is
Country View Living
in Dimmitt, TX, grade A, 94/100.
Concho Health & Rehabilitation Center runs on 3.15 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop another 8 percent below its own weekday coverage. Inspectors visited recently, in July 2025, and found 14 deficiencies on the current record, none rising to harm or jeopardy, but one tied to abuse, which families should ask about directly. The staffing star comes in at 1 out of 5 while quality measures sit at 2, even as the inspection star reads 5. Hospital district ownership doesn't change the math: thin daily coverage is the pattern here, and it's what pulls the overall picture down.
Prairie Acres runs on a hospital district's budget in Friona, and the numbers show a home that inspects well but staffs thin. Its last inspection came back in mid-2025 with a four-star health rating, yet the record still carries 16 deficiencies, including one that put a resident in harm's way and two tied to abuse. Nurse coverage sits at 3.32 hours per resident day, roughly 14% under the national figure, and weekends drop about 19% below the home's own weekday staffing. With turnover at 52.5%, well above the 45.8% national average, consistent caregivers are hard to keep. One fine of $10,033 rounds out the picture.
McGregor Wellness & Rehabilitation runs 186 certified beds under hospital district ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 9% below the home's own weekday coverage, and annual turnover hit 100% against a national rate of 45.8%, meaning the whole nursing staff effectively turned over within the year. The current inspection record carries 20 deficiencies, six of them serious enough to involve harm or jeopardy, with two fines totaling $49,443. Its last inspection was March 2026. Resident outcome measures look strong, but consistent staffing and a clean survey record are what keep people safe day to day.
Avir At Graham runs on 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage drops another 10% below its own weekday levels. Turnover sits at 38.9%, better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is the strongest part of the picture: a 5/5 health inspection rating with 15 deficiencies on file, none at the harm level and none abuse-related, and the most recent visit was in August 2025. What pulls the overall picture down is the staffing rating of 2/5 and a quality measure rating of 2/5, which sit alongside that clean inspection history and government hospital district ownership.
Seymour Rehabilitation and Healthcare is run by a hospital district, and its inspection record is genuinely strong, a recent April 2025 survey with no deficiencies at the harm or jeopardy level and none related to abuse. The trouble sits elsewhere. Nurse staffing runs about 3.27 hours per resident day, roughly 15% under the national average, and weekend coverage dips below its own weekday level. Annual turnover of 67.9% means most of the people caring for residents are relatively new, against a national rate near 46%. Twenty deficiencies sit on the current record, none serious. Good inspections paired with thin, churning staff is the whole story here.
Farwell Care and Rehabilitation Center runs on thin nursing coverage: 3.04 hours per resident day against a national average of 3.86, and weekends dip about 10% below what the home already provides on weekdays. Staff turnover sits at 60.9% while the national figure is 45.8%, so residents see a lot of new faces. The inspection record shows 31 deficiencies, including two at the harm level and four related to abuse, plus one fine of $13,397; the last inspection was in December 2025. Government hospital district ownership doesn't change what those numbers say about daily staffing and oversight.
Sunset Home is run by the local hospital district, and its 128 beds are staffed at 2.65 nurse hours per resident day, roughly 31% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so if your family visits on a Saturday, expect less coverage than a Tuesday. Turnover sits at 37.2%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Inspectors were last in on May 29, 2025, and found 13 deficiencies, one serious enough to put a resident in harm's way, no abuse citations, and fines total $14,020.
Los Arcos Del Norte runs on lean nursing hours, 3.31 per resident day, roughly 14% under the national average, and weekends are thinner still, about 7% below its own weekday pace. That shows up in the staffing rating, which sits at the bottom of CMS's scale. The inspection record is heavy: 72 deficiencies, including one at the harm level and two tied to abuse, with a $14,130 fine. Turnover at 40.8% is actually a little better than the 45.8% national figure, so the problem looks less like a churning workforce than like not enough hands on shift. A hospital district owns it, and its last inspection was March 2025, so the record is current.
Rollingbrook is owned by a hospital district, and its inspection record is genuinely solid, a 4/5 on health inspections, with the most recent visit in March 2026 and no abuse-related deficiencies. But the staffing side tells a different story. At 3.35 nurse hours per resident day, it runs about 13% under the national average, weekends dip roughly 10% below its own weekday levels, and annual turnover sits at 70.1% against a national average of 45.8%. Ten deficiencies are on the current record, one serious enough to involve harm or jeopardy, plus a $23,676 fine. Good inspections mean the home generally gets things right when surveyors arrive; thin, churning staffing is what families live with between visits.
Legend Oaks in Gladewater runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs on weekdays. Turnover sits at 42.6%, a touch better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled to begin with. The inspection record is where it gets harder to explain away: 39 deficiencies, 7 of them at harm or jeopardy level, 8 abuse-related, and six fines totaling $124,559, with the most recent inspection on April 15, 2026. Hospital district ownership doesn't change what those numbers describe.
Avir At Beaumont runs 214 certified beds under hospital district ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends run about 9 percent thinner than weekdays, so coverage gaps tend to land when families visit most. Staff turnover of 49.5 percent tops the national rate, which means the people caring for residents are often new to the job.
The current inspection record carries 41 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $39,563 in fines across three penalties. The most recent inspection was June 20, 2025.
Legacy Nursing and Rehabilitation runs about 3.00 nurse hours per resident day, roughly 22% under the national average, and weekends dip about 15% below what the home staffs on weekdays. That thin coverage shows up in the federal staffing rating, which sits at the lowest mark, while annual turnover of 46.8% means close to half the nursing staff leaves each year, a bit above the national rate. Inspectors cited 38 deficiencies on the current record, including one at the harm level and one abuse-related, with a single fine of $12,375. The most recent inspection was in May 2025. Brazos County families comparing options should weigh that record against the home's mid-range quality scores.
Colonial Manor runs about 3.78 nursing hours per resident per day, a bit under the national average, and weekends drop roughly 11% below its own weekday staffing. That thinner weekend coverage matters more when turnover sits at 52.8%, well above the 45.8% national figure, because a changing roster makes it harder to know who's on the floor. The record shows 26 deficiencies, including three at harm or jeopardy level and three tied to abuse, with $51,594 in fines and a February 2025 inspection. The quality measure stars look strong, but the inspection and staffing numbers tell a different story.
Skyline Nursing Center is a 204-bed hospital-district home in Dallas, and the numbers behind its federal record are hard to read kindly. Nurse staffing runs about 3.05 hours per resident day, roughly a fifth below the national average, and it drops another 10% on weekends, when families often visit and coverage matters most. Annual turnover sits at 50%. The inspection history is heavier still: 39 deficiencies on the current record, including 5 at the level where residents were actually harmed or put in jeopardy, plus 6 tied to abuse. One fine of $96,817 has been levied, and the most recent inspection was April 2026.
Advanced Health & Rehab Center of Garland runs on 2.97 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 10% below its own weekday staffing. That thin coverage shows up in the inspection record: 41 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and three fines totaling $237,224. Staff turnover of 43.5% is slightly better than the national 45.8%, and the quality measure score is strong, but the staffing and inspection scores sit at the bottom. It's hospital-district owned and was inspected in April 2025. Ask about weekend nurse coverage and what changed since that inspection.
Colonial Manor runs on 3.42 nurse hours per resident per day, roughly 11% under the national average, and weekends dip another 7% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The inspection record is the harder problem: 43 deficiencies, six serious enough to reach harm or jeopardy, six tied to abuse, and four fines totaling $87,564, all from a for-profit LLC operating 123 beds. Staff turnover at 39.2% actually beats the national 45.8%, which tells you the building can hold workers, the trouble is how few of them there are and what inspectors keep finding.
Val Verde runs lean on direct care: 3.24 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday staffing. That's a real gap, not a rounding error, and it likely shows up on Saturday afternoons. Turnover is the bright spot, 31.1% versus 45.8% nationally, so the people who are there tend to stay. But the record holds 30 deficiencies, including two at harm level and three tied to abuse, plus a $138,908 fine. Inspectors were last in on June 6, 2025. Nonprofit ownership doesn't erase those numbers; staffing and past problems both matter when you weigh this one.
Avir At Monahans runs on a government-hospital-district license and 92 certified beds, and its nursing hours come in at 2.74 per resident day, roughly 29% under the national average of 3.86. That thin coverage thins further on weekends, when staffing drops about 9% below its own weekday level, and the aide and nurse turnover rate sits at 74% against a national 45.8%. The record shows 35 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. Quality measures score well, but the staffing picture is what shapes daily life here.
The state veterans home in Temple is a 160-bed for-profit operation, and its inspection record is the first thing to look at: 32 deficiencies on the current record, seven of them serious enough to cause harm or put residents in jeopardy, and five tied to abuse. Three fines totaling $53,476 followed. Staffing is the other concern, CMS rates it at the bottom of its scale, meaning the hours of direct care per resident fall well below what most Texas homes provide, even though the home's own quality measures score well. The last full inspection was March 2025, so the findings are recent. Ownership is a limited liability company. Families with a choice should ask hard questions here.
Avir At Park Bend runs on thinner nursing coverage than most homes, 3.18 nurse hours per resident day against a national average of 3.86, and weekends drop another 12% below its own weekday levels. That's the kind of gap families feel on a Saturday afternoon when call lights take longer to answer. Turnover sits at 46.1%, essentially matching the national rate, so staffing instability here isn't an outlier problem. The inspection record is more concerning: 28 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with $38,155 in fines. A June 2025 inspection is recent, and the 3/5 health inspection rating reflects real citations. Government hospital district ownership doesn't erase any of this.
Frequently asked questions
How many government-run nursing homes are there in Texas?
There are 247 government-run Medicare-certified nursing homes in Texas, 21% of the 1,179 nursing homes there.
Are government-run nursing homes better staffed?
In Texas they average 3.36 total nursing hours per resident per day, against 3.39 for all nursing homes in Texas, a difference of -0.03 hours. Staff turnover averages 53.7% against 55.3%.
Which government-run nursing home grades best in Texas?