17 Independent Nursing Homes in Harris County, Texas
17 of the 97 Medicare-certified nursing homes in Harris County, Texas (18%) are independently owned, and all are listed below. 6 of the 17 graded homes earn an A and 2 earn a D or F. They average 4.3 nursing hours per resident per day, 0.76 hours above the 3.54 for every home in Harris County, Texas. The Methodist Hospital Snf in Houston grades highest at A (99 out of 100).
How independently owned homes in Harris County, Texas compare
This group set against every nursing home in Harris County, Texas, from the current CMS release.
Nursing hours per resident per day
4.3
All homes in Harris County, Texas: 3.54
Better than the local average
Nurse staff turnover
43.3%
All homes in Harris County, Texas: 53.2%
Better than the local average
Average ElderGrade score
77.1/100
All homes in Harris County, Texas: 67/100
Better than the local average
Grade spread
A
B
C
D
6 grade A, 7 grade B, 2 grade C, 2 grade D,
The best-graded independently owned home in Harris County, Texas is
The Methodist Hospital Snf
in Houston, TX, grade A, 99/100.
Every independently owned nursing home in Harris County, Texas
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.
Bayou Manor runs about 5.28 nurse hours per resident day, roughly 37% above the national average, and its staff turnover sits at 27.9% against a national rate near 46%. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. The home has seven deficiencies on its current record, none at the harm level and none abuse-related, with three fines totaling $22,725. It's nonprofit-owned, holds five stars across all three CMS categories, and was last inspected in December 2025.
The Hallmark runs about 5.33 nurse hours per resident day, roughly 38% above the national average, and weekends dip only about 14% below its own weekday level, a modest drop by nursing home standards. Staff turnover sits at 51.3%, higher than the 45.8% national figure, so the people caring for residents do change fairly often. Its inspection record shows 16 deficiencies, none at the harm level and none abuse-related, with the most recent visit in January 2025; both its inspection and quality measure ratings come in at 5 out of 5. For a 32-bed nonprofit home, the numbers describe steady care with a staffing churn worth asking about directly.
Parkway Place runs about 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 31% sits well below the 45.8% typical elsewhere, both real strengths. The trade-off shows up in its inspection record: 18 deficiencies, three of them serious enough to involve harm or jeopardy, plus a $45,741 fine. The last inspection was recent, in May 2025. With 42 beds and nonprofit ownership, this is a small home where consistent staffing helps, but the harm-level findings and the fine are the kind of thing worth asking about directly before you decide.
The Buckingham runs 5.66 nurse hours per resident day, roughly 47% above the national average, and its turnover of 30.3% sits well below the 45.8% norm, that combination usually signals a home that can actually keep the aides and nurses it hires. Weekends thin out about 14% against its own weekdays, so if you're visiting or calling on a Saturday, expect a lighter floor. The softer numbers are on the record itself: 25 deficiencies, two of them serious enough to reach harm or jeopardy, plus $32,418 in fines across three penalties. Quality measure scores land at 2 of 5, and the last inspection was August 2025. Staffing is the strong suit; the compliance history is what's weighing things down.
Seven Acres runs a nonprofit shop in Houston with 144 certified beds, and the staffing picture is genuinely solid: 4.09 nurse hours per resident day, roughly 6% above the national average, with weekend coverage dipping only about 8% below weekdays. Turnover sits at 29.3%, well under the 45.8% national figure, which matters because steady aides know the residents. What pulls the record down is the inspection side, 10 deficiencies on file, one serious enough to reach harm or jeopardy level, and a $25,454 fine. No abuse citations, and the last inspection was recent (May 2025), so the picture is current rather than stale. Strong daily care, but the survey history is where a family should ask questions.
Treemont Health Care Center runs 4.36 nurse hours per resident day, about 13% above the national average, though weekend staffing dips roughly 9% below its own weekday level. The inspection record shows 12 deficiencies, none at the harm or jeopardy level, with one abuse-related finding and a survey dated September 2024. State inspectors gave it 4 out of 5 stars, and quality measures scored 5 out of 5, but the staffing star rating sits at just 2 out of 5 under CMS's own formula despite that above-average raw number. The limited liability for-profit owner and that staffing split are worth asking about directly before you decide.
St. James House of Baytown runs 105 certified beds under corporate ownership, and its inspection record is genuinely strong, a 4-out-of-5 health inspection score, with the most recent survey completed in August 2025. The catch is what that record contains: 10 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $14,901. Staffing tells a similar story. Total nurse hours sit right at the national average, but weekend coverage drops about 10% below the home's own weekday level, and turnover runs slightly above the national rate. Quality measures score well; direct care staffing does not. Worth asking about weekend shifts and staff retention before you decide.
Holly Hall runs a for-profit operation under a limited liability company with 62 certified beds in Houston. The staffing numbers look solid on paper, 4.74 nurse hours per resident day, well above the national average, but that average hides a drop on weekends, and nearly three in five employees left over the past year, which is higher than the typical nursing home. State inspectors visited in October 2025 and logged 24 deficiencies, though none involved actual harm or abuse, so the problems are mostly procedural rather than dangerous. The quality and staffing ratings both land at 4 out of 5, while inspections sit at 3, which is roughly what a B grade reflects here.
Baywood Crossing runs 3.00 nurse hours per resident per day, about 22% under the national average of 3.86, and weekends dip roughly 9% below its own weekday level. That low staffing shows in the one-star staffing rating, though turnover at 43.3% is slightly better than the 45.8% national figure. The record is otherwise clean: a recent May 2025 inspection, 16 deficiencies with none at harm or jeopardy level and none abuse-related, plus four stars on health inspections and five on quality measures. If you're weighing this one, the question is whether the floor coverage on weekends works for your family member's needs.
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.
Clarewood House runs on a fraction of the nursing hours you'd expect. Its 0.41 hours per resident day sits far under the national average of 3.86, roughly a tenth of it, and that thin coverage is why the staffing rating lands at the bottom. Weekend staffing actually runs higher than its own weekday level, which is unusual and suggests the weekday numbers are the real problem. Turnover sits at 50%, a bit above the national 45.8%. The inspection record is clean where it counts: five deficiencies, none at harm or jeopardy level, no abuse findings, and the most recent look was December 2025. Quality measures score well. The gap between how this place documents care and how much staff it actually has is the thing to press on.
Pasadena Post Acute runs 116 certified beds under for-profit partnership ownership, and the staffing picture is the first thing to notice: 3.46 total nurse hours per resident day, roughly 10% under the national average, with weekends about 8% thinner than weekdays. Turnover sits at 43.3%, slightly better than the national 45.8%, but the inspection record carries 14 deficiencies, three of them at harm or jeopardy level, plus two fines totaling $27,254. A recent inspection in May 2026 and a 2/5 staffing rating back up what the hours suggest. The quality measure score of 5/5 stands out against everything else here, worth asking how that's calculated when day-to-day coverage runs lean.
Cascades At Jacinto Rehab runs 148 certified beds in Houston under for-profit LLC ownership, and its staffing is the part I'd want you to sit with. At 3.09 nurse hours per resident per day, it sits about 20% under the national average of 3.86, and weekends drop roughly 11% below its own weekday level, so coverage thins exactly when families tend to visit. Turnover at 44.8% is basically in line with the national 45.8%, so that's not the outlier here; the raw hours are. The current inspection record shows 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with three fines totaling $64,326. CMS gave it 1 out of 5 stars for staffing and 2 for health inspections, and the last inspection was February 2026.
St. Dominic Village runs on a church-affiliated nonprofit model, and its quality scores are actually decent, four stars on CMS measures. The problem is the people side. Staffing sits at one star, well below what you'd want for 158 beds, and that gap shows up in the inspection record: 13 deficiencies, including one serious enough to reach harm or jeopardy level and two tied to abuse. Five fines totaling $42,031 have accumulated. The last inspection was in May 2025, so this isn't stale history. A nonprofit with good clinical metrics but thin staffing and abuse findings is a specific kind of risk, ask directly about direct-care hours per resident and how they've addressed those abuse citations.
The numbers out of Fallbrook Rehabilitation and Care Center are hard to get past. With 202 beds and government hospital district ownership, it runs 3.33 nursing hours per resident day against a national average of 3.86, weekend coverage drops about 12% below its own weekdays, and nearly 60% of staff turn over each year. A 1/5 staffing rating and 1/5 health inspection rating sit alongside 56 deficiencies, 11 of them at harm or jeopardy level, plus $83,678 in fines and a spot in CMS's Special Focus Facility program. The 3/5 quality measure score doesn't offset what inspectors and payroll records show. The most recent inspection was April 2025, so the record is current.
Fall Creek runs on 3.25 nursing hours per resident day, about 16 percent under the national average, with weekends dropping roughly 14 percent below its own weekday staffing. That thin coverage shows up in the numbers: a 65.6 percent annual turnover rate, well above the 45.8 percent national figure, and a one-star CMS staffing rating. Inspectors have cited 21 deficiencies, seven of them serious enough to put residents in harm's way and three tied to abuse, with two fines totaling $48,555. The last inspection was in May 2025. For a 126-bed for-profit home, the pattern across staffing, turnover, and enforcement history is worth weighing carefully before you decide.
Frequently asked questions
How many independently owned nursing homes are there in Harris County, Texas?
There are 17 independently owned Medicare-certified nursing homes in Harris County, Texas, 18% of the 97 nursing homes there.
Are independently owned nursing homes better staffed?
In Harris County, Texas they average 4.3 total nursing hours per resident per day, against 3.54 for all nursing homes in Harris County, Texas, a difference of +0.76 hours. Staff turnover averages 43.3% against 53.2%.
Which independently owned nursing home grades best in Harris County, Texas?