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115 Hospital-Based Nursing Homes in Texas

115 of the 1,179 Medicare-certified nursing homes in Texas (10%) are hospital-based, and all are listed below. 6 of the 114 graded homes earn an A and 13 earn a D or F. They average 3.5 nursing hours per resident per day, 0.11 hours above the 3.39 for every home in Texas. The Methodist Hospital Snf in Houston grades highest at A (99 out of 100).

How hospital-based homes in Texas compare

This group set against every nursing home in Texas, from the current CMS release.

Nursing hours per resident per day

3.5

All homes in Texas: 3.39

Better than the local average

Nurse staff turnover

56.6%

All homes in Texas: 55.3%

Worse than the local average

Average ElderGrade score

66.8/100

All homes in Texas: 66.9/100

Worse than the local average

Grade spread

B
C
D

6 grade A, 35 grade B, 60 grade C, 13 grade D,

The best-graded hospital-based home in Texas is The Methodist Hospital Snf in Houston, TX, grade A, 99/100.

Every hospital-based nursing home in Texas

Showing 1 to 20 of 115, best-graded first.

A

99/100

Hendrick Skilled Nursing Facility

Abilene, TX · Taylor County

CMS 5/520 bedsNon-profit
Nurse hours
9.65 /day
Staff turnover
34%
Serious cites
0

Hendrick Skilled Nursing Facility is a small nonprofit home in Abilene, just 20 certified beds, and the staffing numbers are the first thing that stands out. At 9.65 nurse hours per resident day, it runs roughly two and a half times the national average, and even with weekends dipping about 12% below its own weekday level, that floor stays unusually high. Staff turnover sits at 34.3%, well under the national 45.8%. The inspection record is current as of December 2025, with eight deficiencies on file but none at the harm level and none abuse-related. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

Laredo Medical Center

Laredo, TX · Webb County

CMS 5/518 bedsFor-profit
Nurse hours
6.27 /day
Staff turnover
30%
Serious cites
0

The numbers at Laredo Medical Center are unusually clean for an 18-bed for-profit home. Nurse staffing sits at 6.27 hours per resident day, roughly 62% above the national average, and the staff turnover rate of 30% beats the national figure of 45.8%. Only two deficiencies show on the current record, neither at the harm level and none abuse-related, following an inspection in December 2025. The one soft spot is weekends, when staffing runs about 12% below the home's own weekday level. That's a common pattern, but with this few beds it's worth asking how coverage holds up on a Saturday.

A

99/100

The Methodist Hospital Snf

Houston, TX · Harris County

CMS 5/525 bedsNon-profit
Nurse hours
10.85 /day
Staff turnover
25%
Serious cites
0

The Methodist Hospital SNF runs 25 certified beds on a church-affiliated nonprofit model, and the staffing numbers reflect that: 10.85 nurse hours per resident day against a national average of 3.86. That's not a rounding error, it's roughly triple the typical home, with weekend coverage dipping only about 7% below its own weekday level, so care doesn't thin out when families visit. Staff turnover sits at 25% versus 45.8% nationally, meaning aides and nurses here tend to stay. The current record shows two deficiencies, neither at harm level and none abuse-related, with an inspection dated August 2025. Small, stable, and recently reviewed.

A

97/100

Baylor Scott & White Continuing Care Hospital Skil

Temple, TX · Bell County

CMS 5/523 bedsNon-profit
Nurse hours
8.51 /day
Staff turnover
34%
Serious cites
0

Nurse staffing here runs about 8.5 hours per resident day, more than double the national average, and it holds up on weekends rather than collapsing the way it does at many homes. Staff turnover sits at 34%, below the 45.8% national figure, and the single deficiency on the current record involves no harm or jeopardy to residents, with nothing abuse-related. The last inspection was in August 2025, so the record is recent. This is a 23-bed nonprofit unit, small enough that staffing ratios matter more than they would in a larger building, and the numbers suggest they're being kept up.

A

87/100

Avir At Paris

Paris, TX · Lamar County

CMS 5/598 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
41%
Serious cites
0

Avir At Paris runs 98 certified beds under corporate ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. That gap widens on weekends, when coverage drops about 10% below the home's own weekday level. Turnover is 40.7%, a bit better than the 45.8% national figure, but the inspection record carries 40 deficiencies, including five at the harm or jeopardy level and four tied to abuse, plus one fine of $136,756. The most recent inspection was December 2025. Strong marks on inspections and quality measures don't erase what those staffing hours and deficiency counts mean day to day.

A

87/100

Hca Houston Healthcare Southeast

Pasadena, TX · Harris County

CMS 5/530 bedsFor-profit
Nurse hours
6.90 /day
Staff turnover
n/a
Serious cites
0

Hca Houston Healthcare Southeast runs a small 30-bed unit in Pasadena under corporate for-profit ownership, and the staffing numbers stand out: about 6.90 nurse hours per resident day, roughly 79% above the national average of 3.86. That is a lot of nursing time for a home this size. Weekend coverage drops about 18% below its own weekday level, which is worth asking about if your family visits or calls primarily on Saturdays and Sundays. The current record shows zero deficiencies, none at the harm or jeopardy level, and no abuse-related citations, with the last inspection dated April 12, 2024.

B

84.5/100

Memorial Health Care Center

Seminole, TX · Gaines County

CMS 4/540 bedsGovernmentMedicaid
Nurse hours
4.30 /day
Staff turnover
n/a
Serious cites
0

Memorial Health Care Center runs on county money in Seminole, and that shows in the numbers: 4.30 nurse hours per resident day, roughly 11% above the national average. Weekend staffing dips about 13% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. The home carries 14 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and it was inspected as recently as August 2025. A 4-out-of-5 on health inspections, quality measures, and staffing across the board is a steady, unremarkable record, the kind you want from a small county home.

B

82/100

Beaumont Health Care Center

Beaumont, TX · Jefferson County

CMS 5/582 bedsNon-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
43%
Serious cites
0

Beaumont Health Care Center runs about 3.67 nurse hours per resident per day, roughly 5% under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. Turnover sits at 43.4%, marginally better than the 45.8% national figure, though that's still a lot of churn. The inspection record is cleaner than most: 10 deficiencies, none at the harm level and none abuse-related, with a survey as recent as May 2025. What holds this home back isn't safety or quality measures, it's the day-to-day staffing margin, which runs thin and thins out further on weekends.

B

82/100

Crown Point Health Suites

Lubbock, TX · Lubbock County

CMS 5/5108 bedsGovernmentMedicaid
Nurse hours
5.01 /day
Staff turnover
52%
Serious cites
0

Crown Point Health Suites runs on a hospital district's license in Lubbock, and the staffing numbers are the first thing worth knowing: 5.01 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekends drop about 14% below its own weekday level, and annual turnover sits at 52.3%, higher than the 45.8% national figure. Inspections tell a mixed story, 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse, and a single fine of $8,281. The last inspection was April 2026. Strong daily coverage and quality scores, but that turnover and those deficiencies are what hold the grade down.

B

80/100

Avir At Haskell

Haskell, TX · Haskell County

CMS 5/568 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
39%
Serious cites
0

Avir At Haskell runs lean on nurse hours, 3.23 per resident day against a national average of 3.86, with weekends dropping roughly 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. Turnover sits at 39.4%, better than the 45.8% national figure, so the crew here is steadier than most. Eighteen deficiencies appear on the current record, though none rise to harm or jeopardy, and none involve abuse, with the last inspection in July 2025. Corporate for-profit ownership, 68 beds, and strong marks on quality measures round out a picture of a home that's safe and well-observed but thinly staffed.

B

80/100

Midwestern Healthcare Center

Wichita Falls, TX · Wichita County

CMS 3/5121 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
45%
Serious cites
0

Midwestern Healthcare Center runs 121 certified beds in Wichita Falls under corporate for-profit ownership. Its nurse staffing sits at 3.86 hours per resident day, which is roughly the national average, but weekends run about 13% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 44.9%, close to the national 45.8%, meaning nearly half the workforce is replaced each year. The inspection record is the real concern: 23 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus one fine totaling $29,884. The most recent inspection was August 28, 2025. Quality measure scores look strong, but the health inspection side tells a different story.

B

80/100

Mitchell County Nursing And Rehabilitation Center

Colorado City, TX · Mitchell County

CMS 3/554 bedsGovernmentMedicaid
Nurse hours
3.28 /day
Staff turnover
35%
Serious cites
0

Mitchell County Nursing and Rehabilitation Center runs on leaner nursing hours than most places, 3.28 per resident day against a national average of 3.86, and weekends get noticeably thinner, with staffing dropping roughly 45% below weekday levels. That pattern matters for families who visit on Saturdays and Sundays. The home is owned by a hospital district, which tends to mean steadier public accountability than a for-profit chain. Staff turnover sits at 35.3%, better than the 45.8% national figure, so the people caring for residents are more likely to stick around. Its inspection record shows 22 deficiencies, none at the harm level, though one is abuse-related, worth asking about directly. The most recent inspection was April 28, 2026, so the picture is current.

B

77/100

Broadmoor Medical Lodge

Rockwall, TX · Rockwall County

CMS 3/5140 bedsGovernmentMedicaid
Nurse hours
3.37 /day
Staff turnover
38%
Serious cites
0

Broadmoor Medical Lodge runs 140 certified beds in Rockwall under for-profit LLC ownership, and the staffing picture is the main thing to understand here. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, which is actually better than the 45.8% national figure. The current record shows 28 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in December 2024. Quality measures score well; staffing is the weaker spot.

B

76.5/100

Del Rio Nursing And Rehabilitation Center

Del Rio, TX · Val Verde County

CMS 4/560 bedsGovernmentMedicaid
Nurse hours
2.95 /day
Staff turnover
37%
Serious cites
0

Del Rio Nursing and Rehabilitation Center is run by a hospital district, and its inspection record is strong, four stars, with the most recent survey in May 2025. Quality measures also score five stars. The tradeoff sits in direct care: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends run about 19% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. Eighteen deficiencies are on file, including one at the harm level and two tied to abuse, plus an $8,018 fine. Turnover, at 36.7%, is better than the national 45.8%, which suggests a steadier crew than most.

B

76/100

Golden Acres Living And Rehabilitation Center

Dallas, TX · Dallas County

CMS 3/5264 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
47%
Serious cites
0

Golden Acres runs 264 beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends run about 9% leaner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Staff turnover is 46.6%, slightly worse than the 45.8% national figure, which usually means less continuity for residents who need consistent caregivers. The current record carries 33 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. The last inspection was January 22, 2026, so the picture is fairly current. Three stars each on health inspections, quality measures, and staffing puts this home squarely in the middle of the pack.

B

75.5/100

Oakbend Medical Center

Rosenberg, TX · Fort Bend County

CMS 4/536 bedsFor-profit
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Oak Bend Medical Center in Richmond is a small nonprofit home, 36 beds, and its inspection record is genuinely strong: a five-star health inspection rating, five deficiencies on file with none at the harm level and nothing abuse-related, and a survey completed in May 2025. Quality measures also come in at five stars. The problem sits in staffing, which CMS rates at just one star, the lowest tier, meaning nurse coverage here is well below what the federal formula expects for a building this size. That gap is what pulls the overall picture down despite the clean surveys. Three fines totaling $17,560 are also on record. If you tour, ask directly about direct-care hours per resident per day and how often shifts run short.

B

75.5/100

Legend Oaks Healthcare And Rehabilitation - Ennis

Ennis, TX · Ellis County

CMS 5/5124 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
36%
Serious cites
0

Legend Oaks in Ennis is run by the local hospital district and holds a five-star health inspection rating, which tells you the building itself is well-kept and the last inspection, in February 2025, went well. The trouble sits in the day-to-day staffing: 3.18 nurse hours per resident, roughly 18% under the national average, with weekends about 20% thinner than weekdays. That's a real gap when a resident needs help. Turnover is 36%, better than the national 45.8%, so the aides who are there tend to stay. Thirteen deficiencies on record, one at harm level, and a single $13,275 fine. Good oversight, thin coverage.

B

75.5/100

Park Manor Of The Woodlands

The Woodlands, TX · Montgomery County

CMS 4/5124 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
44%
Serious cites
0

Park Manor Of The Woodlands runs 124 certified beds under corporate for-profit ownership, and the numbers here are mostly steady. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, though weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.6%, slightly better than the national rate, and the home's 12 deficiencies include none at the harm or jeopardy level and none related to abuse. Its last inspection was in November 2025, so the record is recent. Nothing here screams trouble; the main thing to watch is whether weekend coverage holds up.

B

75/100

Willowbend Nursing And Rehabilitation Center

Mesquite, TX · Dallas County

CMS 3/5162 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
53%
Serious cites
0

Willowbend runs 162 certified beds in Mesquite under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop another 11% below its own weekday coverage, and annual turnover hits 52.9% against a national 45.8%. The inspection record is where things get serious: 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, plus four fines totaling $94,394. Its last inspection was January 22, 2026. The 5/5 quality measure rating reflects resident assessment data, but the 2/5 staffing and 2/5 inspection ratings describe what families actually encounter day to day.

B

75/100

Pleasant Valley Healthcare And Rehabilitation Cent

Garland, TX · Dallas County

CMS 2/5124 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
33%
Serious cites
0

Pleasant Valley runs lean on nursing hours, 3.36 per resident per day, roughly 13 percent under the national average, and weekends get thinner still, dropping about 11 percent below its own weekday coverage. That staffing picture sits behind 20 deficiencies on the current record, three of them serious enough to put residents at risk of harm or jeopardy and two tied to abuse. Staff turnover is 33.3 percent, better than the national 45.8, and the quality measure score of 4 out of 5 suggests clinical metrics look decent on paper. But a 2-out-of-5 inspection rating and $53,393 in fines point to a gap between how care is measured and how it's actually delivered.

Frequently asked questions

How many hospital-based nursing homes are there in Texas?
There are 115 hospital-based Medicare-certified nursing homes in Texas, 10% of the 1,179 nursing homes there.
Are hospital-based nursing homes better staffed?
In Texas they average 3.5 total nursing hours per resident per day, against 3.39 for all nursing homes in Texas, a difference of +0.11 hours. Staff turnover averages 56.6% against 55.3%.
Which hospital-based nursing home grades best in Texas?
The Methodist Hospital Snf in Houston, TX, grade A, 99 out of 100.
Does being hospital-based mean a nursing home is safe?
No. Of the 114 graded hospital-based homes in Texas, 6 grade A and 13 grade D or F.
Do hospital-based nursing homes in Texas accept Medicaid?
109 of the 115 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Texas