237 Independent Nursing Homes in Texas

Nurse hours

4.59 /day

Staff turnover

n/a

Serious cites

0

Memorial Nursing And Rehabilitation Center in Dumas runs on 4.59 total nurse hours per resident day, roughly 19% above the national average of 3.86, and weekend coverage drops about 20% from its own weekday level. That gap matters if you're looking at a Saturday admission or a family member who needs help on Sundays. The current record shows five deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in June 2025. Hospital district ownership means public accountability rather than a chain's bottom line.

Nurse hours

4.32 /day

Staff turnover

31%

Serious cites

0

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.

Nurse hours

5.66 /day

Staff turnover

30%

Serious cites

0

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.

Nurse hours

3.93 /day

Staff turnover

41%

Serious cites

0

Texhoma Christian Care Center runs 234 beds in Wichita Falls under hospital district ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, though weekend coverage drops roughly 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 41.1%, better than the national 45.8%, which suggests people tend to stay. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection and an inspection as recent as December 2025. The weaker spot is staffing star rating at three.

Nurse hours

3.34 /day

Staff turnover

23%

Serious cites

0

St. Francis runs a tight ship on retention, 22.9% turnover is roughly half the national rate, which means the aides and nurses you meet on Monday are likely still there in six months. That consistency matters more than headline numbers when you're trusting strangers with daily care. The tradeoff shows up in hours: 3.34 nurse staffing hours per resident day, about 14% under the national average, and weekends dip roughly 4% below the home's own weekday level. State inspectors last visited in January 2026 and logged 20 deficiencies, two serious enough to involve harm or jeopardy. The building is corporate-owned and has solid inspection and quality marks, but the staffing number is the one to ask about on your tour.

Nurse hours

5.28 /day

Staff turnover

31%

Serious cites

0

Buckner Westminster Place runs a small 20-bed home in Longview, and its staffing is the standout: 5.28 nurse hours per resident day, well above the national average, with weekends dipping only slightly. Turnover sits at 30.8%, better than the typical nursing home. What pulls the record down is the inspection side, 15 deficiencies on file, four of them at harm or jeopardy level and one abuse-related, plus two fines totaling $29,716. The most recent inspection was June 2025. So you have a home that's well staffed and stable on paper, but with a history of serious survey findings. Worth asking about those directly.

Nurse hours

3.42 /day

Staff turnover

27%

Serious cites

0

S.p.j.s.t. Rest Home 3 runs lean on nurse staffing, 3.42 hours per resident day, roughly 11 percent under the national average of 3.86, with weekends running about 4 percent below its own weekday level. It offsets that weakness well: state inspectors gave it a 5-star health inspection rating at its most recent survey in September 2025, and the record shows just 7 deficiencies, none at the harm or jeopardy level and none abuse-related. Annual staff turnover is 27.3 percent, well below the national 45.8 percent, so the caregivers who are there tend to stay. Quality measures land at 4 stars. Weekend coverage is the number worth watching.

Nurse hours

5.23 /day

Staff turnover

51%

Serious cites

0

Crockett County Care Center runs on a county government budget in Ozona, and the staffing reflects it, 5.23 nurse hours per resident day, roughly a third more than the national average. Weekends dip about 17% below its own weekday coverage, so ask how that plays out on a Sunday shift. The six deficiencies on record carry zero harm or jeopardy findings and no abuse citations, and the last full inspection was in June 2025. Staff turnover sits at 51.1%, a bit above the national 45.8%, worth asking who's been there longest and whether the director of nursing is new.

Nurse hours

3.84 /day

Staff turnover

44%

Serious cites

0

Grandview Nursing and Rehabilitation Center runs 82 certified beds as a nonprofit, and its record splits sharply depending on where you look. The quality measures that track resident outcomes score at the top of CMS's scale, and staff turnover of 44.3% is actually slightly better than the 45.8% national average. But staffing levels earn only 1 out of 5 stars, and the inspection history shows 13 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $21,125 fine. The last inspection was in May 2025. Read those two facts together: good outcome scores and thin staffing often don't stay compatible for long.

Nurse hours

4.09 /day

Staff turnover

29%

Serious cites

0

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.

Nurse hours

3.59 /day

Staff turnover

25%

Serious cites

0

Trucare Living Centers runs on a hospital district's license in Palestine, and the numbers suggest steady hands more than flash. Ten deficiencies on the current record sounds like a lot until you see none of them reached harm or jeopardy, and none involved abuse, that's a clean complaint history where it matters most. Staff turnover sits at 25%, well under the 45.8% national average, which means familiar faces on the floor. The tradeoff is coverage: 3.59 nurse hours per resident day lands about 7% under the national figure, and weekends dip roughly 11% below the home's own weekday pace. Inspectors visited in December 2025 and came away satisfied.

Nurse hours

3.84 /day

Staff turnover

27%

Serious cites

0

The Village at Incarnate Word runs a tight ship on staffing, with nurse hours per resident day essentially matching the national average and a staff turnover rate of 27%, well below the 45.8% typical elsewhere. That retention matters, because it means the same caregivers are likely still there next year. Weekend coverage dips about 10% below weekday levels, which is worth asking about directly. On the inspection side, 17 deficiencies show up on the current record, but none reached harm or jeopardy and none involved abuse, and the most recent survey is from December 2025. As a nonprofit, it answers to a board rather than shareholders.

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.

Nurse hours

5.99 /day

Staff turnover

83%

Serious cites

0

Coldwater Manor runs on a hospital district's budget out in Sherman County, and the staffing numbers show it: 5.99 nurse hours per resident day, roughly 55% above the national average of 3.86. That's real coverage for a 26-bed home, though weekends dip about 11% below its own weekday level, worth asking about if your family visits Saturdays or Sundays. The bigger flag is turnover, 82.6% against a national 45.8%, meaning most of the people caring for residents are relatively new. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, June 2025. Quality measures score well. The care seems steady; the question is whether it stays that way as staff cycle through.

Nurse hours

4.53 /day

Staff turnover

29%

Serious cites

0

Marbridge Villa runs 4.53 total nurse hours per resident per day, roughly 17% above the national average of 3.86, and its staff turnover of 29.3% sits well below the national 45.8%, both signs of a stable, well-staffed floor. The trade-off shows up in its record: 14 deficiencies and seven fines totaling $45,778, though none of those deficiencies reached harm or jeopardy level and none were abuse-related. Weekend staffing dips about 11% below weekday levels, which is common but worth asking about if your family visits mostly on Saturdays. A May 2025 inspection and 4-star marks across health, quality, and staffing round out a picture that's solid rather than spotless.

Nurse hours

4.48 /day

Staff turnover

35%

Serious cites

0

Villages Of Lake Highlands sits in Dallas with 126 certified beds and a corporate for-profit owner. The staffing numbers are the good news: 4.48 nurse hours per resident day, about 16% above the national average, with turnover at 35.4%, well below the 45.8% national figure. Weekends run roughly 10% leaner than weekdays, so coverage does thin out. The inspection record is where it gets harder. Fourteen deficiencies on the current record, five of them at harm or jeopardy level, plus three fines totaling $29,022 and a recent May 2025 inspection. No abuse citations, which matters. The federal quality measure rating of 5/5 contrasts sharply with a 1/5 on health inspections, a gap worth asking the administrator about directly.

Nurse hours

4.87 /day

Staff turnover

58%

Serious cites

0

The Mission at Blue Skies of Texas East runs 4.87 nurse hours per resident day, about 26 percent above the national average, which is real coverage. But weekends drop roughly 18 percent below its own weekday level, and 57.6 percent of staff left last year against a national 45.8 percent, so the people providing that care keep changing. The current record shows 25 deficiencies, two at harm or jeopardy level and one abuse-related, with a $17,345 fine and an inspection in July 2025. Nonprofit ownership and a 4-star inspection rating suggest decent systems, but the turnover and weekend gaps tell you to ask who's actually on the floor on a Sunday.

Nurse hours

4.46 /day

Staff turnover

43%

Serious cites

0

Presbyterian Village North runs 4.46 nurse hours per resident day, roughly 16% above the national average, with weekend coverage dipping about 11% below its own weekdays. Staff turnover sits at 43%, a little better than the 45.8% national figure, and the nonprofit's last inspection was mid-2025. Against that, the record shows 12 deficiencies, two of them serious enough to involve harm or jeopardy, and two fines totaling $36,505. The staffing and quality ratings both land at 4 out of 5, which is genuinely solid, but inspection history is where families should look closest, a recent visit doesn't erase what regulators already found. Worth asking about those two harm-level citations specifically.

Nurse hours

2.68 /day

Staff turnover

34%

Serious cites

0

Oakcrest runs lean on nursing hours, 2.68 per resident day, roughly a third below the national average, and weekends dip even further, about 7% under its own weekday staffing. That thin coverage shows up in the inspection record: 22 deficiencies, three serious enough to put residents in harm's way, and one tied to abuse, with two fines totaling nearly $32,000. Turnover at 34.1% is actually better than the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was August 2025, so the record is current. If you're weighing this one, ask how they staff weekends and what changed since that abuse finding.

Nurse hours

5.35 /day

Staff turnover

53%

Serious cites

0

Sterling Nursing and Rehab is county-owned, and the staffing reflects that: 5.35 nurse hours per resident day, roughly 39% above the national average. That's the strongest thing in the numbers, though weekends run about 19% lighter than weekdays, and turnover sits at 53.3% against a national 45.8%, people are cycling through here faster than average. The inspection record shows 13 deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. The last state visit was September 2025. Four stars on inspections, quality measures, and staffing put this home solidly above middle ground, with the open question being whether that staffing cushion holds up when turnover keeps grinding.