115 Hospital-Based Nursing Homes in Texas

Nurse hours

3.36 /day

Staff turnover

38%

Serious cites

0

Legend Oaks Healthcare and Rehabilitation Garland runs 132 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends get thinner still, dropping about 13% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. The current inspection record shows 29 deficiencies, none at the harm or jeopardy level, though three are abuse-related. Staff turnover is 38.1%, better than the 45.8% national figure. The most recent inspection was February 2025, so the picture is fairly current. Ask about weekend coverage and what those three abuse deficiencies involved before deciding.

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

3.17 /day

Staff turnover

54%

Serious cites

0

Rowlett Health and Rehabilitation Center runs 163 beds under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, 16 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related, and a recent survey from July 2025. Staffing is where the picture dims. At 3.17 nurse hours per resident day, this home sits roughly 18% under the national average of 3.86, and weekends run about 9% thinner than its own weekdays. Annual turnover of 53.9% tops the national 45.8% average, which means the people at the bedside keep changing. Plenty of homes with worse inspection records have better staffing math than this.

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

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

3.12 /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.

Nurse hours

3.31 /day

Staff turnover

58%

Serious cites

0

Pleasant Manor runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover sits at 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $29,011 in fines across two penalties. Its quality measure score looks strong on paper, but that reflects charted clinical data, not the staffing and safety picture. The most recent inspection was March 2026. For-profit, LLC-owned, 132 beds.

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

3.02 /day

Staff turnover

n/a

Serious cites

0

Northern Oaks runs a 96-bed for-profit operation in Abilene, and the staffing numbers are where you'll want to focus. At 3.02 nurse hours per resident day, it sits about 22% below the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels. That thin coverage is likely why CMS gives it a single star for staffing. The health inspection record shows 30 deficiencies, none at the harm level but one tied to abuse, and the most recent inspection was October 2024. Quality measures score well at four stars, so the clinical tracking looks fine on paper, but the day-to-day hands available to residents tell a different story.

Nurse hours

3.04 /day

Staff turnover

39%

Serious cites

0

Palo Duro Nursing Home runs 66 certified beds in Claude, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. Weekends drop about 8% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is 39.1%, which is actually better than the 45.8% national figure, and the inspection record is recent and clean where it counts: 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in August 2025. The tension here is between a decent inspection history and thin daily staffing, which is what pulls the staffing measure down to one star.

Nurse hours

3.63 /day

Staff turnover

57%

Serious cites

0

Bluebonnet Rehab At Ennis runs 136 certified beds under for-profit LLC ownership, and its staffing is the first thing that stands out: 3.63 nurse hours per resident day, about 6% under the national average of 3.86, with weekend coverage dropping roughly 8% below its own weekday levels. Turnover sits at 56.9% against a national 45.8%, so that thinner staffing keeps getting rebuilt. The inspection record is comparatively clean, 17 deficiencies, none at harm or jeopardy level, none abuse-related, and a recent April 2026 survey. The split is real, though: steady survey results alongside staffing hours and retention that trail what most homes manage.

Nurse hours

n/a /day

Staff turnover

85%

Serious cites

0

Park Plaza runs 90 certified beds in San Angelo under corporate for-profit ownership, and its most recent inspection in March 2025 left 28 deficiencies on the record, none at the harm level, but one tied to abuse. That's a lot of paperwork findings for a single survey, even without immediate jeopardy attached. The bigger issue sits in the staffing numbers: a 1-out-of-5 CMS staffing rating and 85% annual turnover, nearly double the national rate of about 46%. High turnover means the aide helping your mother today may be gone in a few months. Inspections and quality measures both scored 4 out of 5, so care planning looks solid on paper, but consistent staffing is what actually delivers it.

Nurse hours

2.83 /day

Staff turnover

51%

Serious cites

0

Southpark Meadows runs lean on nurses, 2.83 hours per resident day, roughly a quarter below the national average, and weekends dip even further, about 10% under its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at the lowest tier, and in turnover: just over half the nursing staff leaves each year, above the national rate of 45.8%. The record isn't purely negative. State inspectors last visited in December 2025 and cited 22 deficiencies, three serious enough to risk harm, though none involved abuse, and fines total $10,998. Quality measures score well, but with a nonprofit owner and this staffing pattern, the daily care depends heavily on who's still on the floor.

Nurse hours

3.39 /day

Staff turnover

50%

Serious cites

0

Ashton Medical Lodge runs on thinner nursing coverage than most places, 3.39 hours per resident day against a national average of 3.86, with weekends dropping another 12% below its own weekday levels. That shows up in the federal staffing rating, which sits at 1 out of 5, and in a turnover rate of 49.6% that edges past the national figure. The inspection record carries 29 deficiencies, including one at the harm level and three tied to abuse, along with a single $13,397 fine. A February 2025 inspection is recent, and the quality measure rating of 4 suggests some clinical measures look better than the day-to-day staffing picture. Government hospital district ownership doesn't change what the numbers say about coverage.

Nurse hours

3.31 /day

Staff turnover

35%

Serious cites

0

Las Alturas De Penitas runs lean on nursing hours, 3.31 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, so coverage loosens exactly when families tend to visit. The inspection record is the bigger concern: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $166,236. Turnover at 35.1% actually beats the national 45.8%, and the quality measure score is strong, but a 2/5 inspection rating and 2/5 staffing rating carry more weight for daily safety. The most recent inspection was May 2026, so the record is current, not stale.

Nurse hours

3.19 /day

Staff turnover

50%

Serious cites

0

Oak Park runs on 3.19 nursing hours per resident each day, roughly 17% under the national average of 3.86, and weekends dip even below its own weekday numbers. Staff turnover sits at 50% against a national rate near 46%, so the people caring for residents keep changing. Behind those numbers is an inspection record with 53 deficiencies, including one at the harm level and two tied to abuse, plus a $9,280 fine. All three CMS star ratings, health inspections, quality measures, staffing, come in at 2 out of 5. Ownership is for-profit and individual. The last inspection was March 13, 2026, so the record is recent, not stale.