115 Hospital-Based Nursing Homes in Texas

Nurse hours

3.71 /day

Staff turnover

50%

Serious cites

0

Cross Timbers runs 120 certified beds in Flower Mound under corporate for-profit ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average. Weekends dip roughly 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 49.5%, close to four points above the national figure, which means many of the people caring for residents are still learning the building. The current record shows 27 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,281. The most recent inspection was April 16, 2026.

Nurse hours

3.26 /day

Staff turnover

48%

Serious cites

0

Legend Healthcare and Rehabilitation in Greenville runs 126 beds under corporate ownership, and the numbers tell a split story. The health inspection and quality ratings both sit at four out of five stars, and there's nothing on the current record flagged as harm or jeopardy, but 32 deficiencies total, including one tied to abuse, is a lot of paperwork for a home to carry. Nurse staffing lands at 3.26 hours per resident day, roughly 15 percent under the national average, and weekends dip about 10 percent below the home's own weekday levels. Turnover runs slightly above the national rate. Inspectors were last in during August 2025.

Nurse hours

3.29 /day

Staff turnover

39%

Serious cites

0

Will-O-Bell runs lean on direct care: 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though turnover at 38.7% actually beats the national 45.8%. The inspection record is a split picture, a 4/5 health inspection rating and a recent May 2026 survey, but 30 deficiencies on file, including four at harm or jeopardy level and four tied to abuse. One fine totaling $8,279. Hospital district ownership, 90 beds. Strong quality measures, weak daily coverage.

Nurse hours

3.40 /day

Staff turnover

41%

Serious cites

0

Beacon Harbor runs 190 beds in Rockwall under corporate ownership, and its staffing numbers are the first thing to look at: 3.40 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That gap matters more than the headline number, since care needs don't take weekends off. The inspection record shows 25 deficiencies, three of them at the level where harm or jeopardy was possible, plus two fines totaling $21,817. The last inspection was August 2024. Turnover sits at 41%, slightly better than the national 45.8%, so the problem isn't retention so much as how many hands are scheduled. Ask about weekend coverage specifically.

Nurse hours

3.55 /day

Staff turnover

40%

Serious cites

0

Windsor Atrium runs 120 beds in Harlingen under for-profit LLC ownership, and its staffing sits at 3.55 nurse hours per resident day, roughly 8% under the national average, with weekends about 12% thinner than weekdays. The inspection record is the heavier concern: 37 deficiencies, three of them at harm or jeopardy level and one abuse-related, with two fines totaling $23,154 and a 2/5 inspection rating. Staff turnover at 40.2% actually beats the national 45.8%, and the 5/5 quality measure score shows good clinical documentation, but a 1/5 staffing rating alongside those deficiency numbers is what families should weigh most.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Hico Nursing and Rehabilitation is a for-profit LLC home with 80 certified beds, and its numbers tell a split story. The quality measures look strong at 5 out of 5, but staffing sits at the bottom of the national range, 1 out of 5, and that shortfall shows up in the inspection record: 23 deficiencies, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $31,552 is on file. The last inspection was recent, December 3, 2025, so this isn't stale history. A family weighing this home should ask directly how direct-care hours are covered on evenings and weekends, and how the abuse-related findings were resolved.

Nurse hours

3.61 /day

Staff turnover

48%

Serious cites

0

Cheyenne Medical Lodge is a hospital-district home in Mesquite with 139 certified beds, and its numbers tell a mixed story. The clinical record looks strong, 21 deficiencies on file with none at the harm level and nothing abuse-related, plus a recent May 2025 inspection and top marks on CMS quality measures. Staffing is where it thins out: 3.61 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 21% below its own weekday levels, and turnover at 47.7% runs slightly above the national rate. That pattern, solid care outcomes propped up by a workforce stretched thin on weekends and cycling through staff, is the real tension in this home's record.

Nurse hours

3.79 /day

Staff turnover

n/a

Serious cites

0

Caraday of Houston runs 150 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a recent March 2025 survey and 15 deficiencies with none at the harm or jeopardy level. The staffing side tells a different story. At 3.79 total nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 5% below its own weekday coverage, which is where gaps tend to show up. One abuse-related deficiency and three fines totaling $53,518 round out the record. Strong surveys, thinner staffing, that tension is what separates the 5-star inspection rating from the 2-star staffing rating.

Nurse hours

3.98 /day

Staff turnover

39%

Serious cites

0

Eden Home runs a 122-bed for-profit operation in New Braunfels, and the staffing numbers are its strongest suit: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 38.8%, noticeably better than the 45.8% norm. The catch is that weekends run about 13% leaner than weekdays, so coverage thins out exactly when families tend to visit. What pulls the record down is the inspection side: 28 deficiencies on file, including two at the harm level and two abuse-related, plus a $22,205 fine, with the most recent inspection in March 2026. A two-star health inspection rating against a four-star staffing rating tells you the care hours are there, but the compliance history isn't clean.

Nurse hours

3.66 /day

Staff turnover

58%

Serious cites

0

A 113-bed for-profit home in Seguin, Avir At Walnut Springs holds a strong recent inspection record, 14 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The weaker signal is staffing: 3.66 nurse hours per resident day sits about 5% under the national average of 3.86, weekend coverage drops roughly a fifth below its own weekday level, and annual turnover runs 57.7% against a national 45.8%. That combination, high marks from surveyors on health and quality measures, low marks from CMS on staffing, is worth understanding before you visit. Ask how the weekend schedule actually looks on the floor, and how long the current director of nursing has been in the role.

Nurse hours

3.38 /day

Staff turnover

n/a

Serious cites

0

Yorktown Nursing and Rehabilitation Center runs 82 certified beds under for-profit LLC ownership, and its inspection record is genuinely better than most, a four-star health inspection rating, 14 deficiencies with just one at the harm level and none tied to abuse. The problem sits with staffing, which CMS rates at one star. At 3.38 nurse hours per resident day, this home runs about 13% under the national average, and weekends drop roughly 14% below its own weekday numbers. One fine of $8,018 is on record, and the last inspection was February 2026. Families should ask how the weekend floor is actually covered, because that gap is where care gets thin.

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

2.92 /day

Staff turnover

48%

Serious cites

0

Avir At Bellville runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 15% below its own weekday coverage. That thin margin is the main story behind its staffing rating of 1 out of 5, and with turnover at 47.5%, slightly above the national 45.8%, the home is regularly refilling positions. The good news is real: a 4/5 inspection rating, a clean record with no harm-level or abuse deficiencies among the 31 cited, and a recent May 2026 inspection. But a corporation-owned home with this few hands on deck asks families to watch the evening and weekend shifts closely.

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

3.13 /day

Staff turnover

36%

Serious cites

0

Wisteria Place runs lean on nursing hours, 3.13 per resident day against a national average of 3.86, and weekends drop roughly 12% below its own weekday coverage, which matters most when families visit and doctors don't. The 19 deficiencies on record include one at the harm level and one tied to abuse, plus a $21,645 fine. Staff turnover sits at 36.4%, better than the national 45.8%, so the people who do show up tend to stay. The last inspection was July 2025, so the record is recent rather than stale. What you have is a 123-bed for-profit that scores well on quality measures but is thin where it counts most: enough hands on deck.

Nurse hours

3.16 /day

Staff turnover

44%

Serious cites

0

Willow Rehab & Nursing is a for-profit LLC home in Kilgore with 118 certified beds, and its record shows real tension between care quality and staffing. The quality measure rating comes in at 5 out of 5, but nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, and weekends run about 11% thinner than weekdays, with a 2 out of 5 staffing rating to match. Its inspection history carries 33 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $219,229. Turnover at 43.8% is slightly better than the 45.8% national figure. The most recent inspection is dated April 1, 2026. Strong clinical measures, thin coverage, and a costly enforcement record.

Nurse hours

3.20 /day

Staff turnover

47%

Serious cites

0

Park Manor Of Tomball runs 125 certified beds under for-profit LLC ownership, and its nursing hours come in at 3.20 per resident day against a national average of 3.86, roughly 17% thinner, with weekends about 9% leaner than its own weekdays. Staff turnover sits at 47.3%, a bit above the 45.8% national mark. The inspection record shows 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a single $14,069 fine and a survey dated March 26, 2026. Its quality measure stars look strong on paper, but those depend on the staffing and inspection results underneath them.

Nurse hours

3.04 /day

Staff turnover

33%

Serious cites

0

Elgin Nursing and Rehabilitation Center runs lean on direct care: 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop another 12% under its own weekday pace. That thin coverage shows up in the federal staffing rating, and it's worth weighing against 27 deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $36,221 fine. Staff turnover at 33.3% is better than the 45.8% national figure, and the quality measure score of 4 out of 5 suggests residents' clinical outcomes aren't the main problem. The last inspection was April 2025, so the record is recent.

Nurse hours

3.24 /day

Staff turnover

30%

Serious cites

0

Canton Oaks runs lean on nursing hours, 3.24 per resident day against a national average of 3.86, and weekends dip about 6% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is the brighter spot: 30.4% is well under the 45.8% national figure, meaning the aides and nurses who are there tend to stay. The trouble sits in the inspection record: four deficiencies, two of them serious enough to rate harm or jeopardy, plus two fines totaling $49,111. A July 2025 inspection is recent, at least. Ask what those two harm-level findings involved and how the home fixed them.

Nurse hours

2.99 /day

Staff turnover

41%

Serious cites

0

Falcon Ridge runs 2.99 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip about 9% below its own weekday staffing. That thin coverage sits behind 33 deficiencies on the current record, including two at the harm level and three abuse-related, with $8,577 in fines. Turnover is 40.8%, a bit better than the 45.8% national figure, and the last inspection was March 20, 2025. The 140-bed corporate-owned home draws a 3 out of 5 on health inspections and 4 on quality measures, but staffing comes in at 1.