ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

237 Independent Nursing Homes in Texas

237 of the 1,179 Medicare-certified nursing homes in Texas (20%) are independently owned, and all are listed below. They average 3.8 nursing hours per resident per day, 0.41 hours above the 3.39 for every home in Texas. Nurse staff turnover runs 50.9%, 4.4 points lower than the 55.3% across all homes there. The Legacy At Willow Bend in Plano grades highest at A (99 out of 100).

How independently owned homes in Texas compare

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

Nursing hours per resident per day

3.8

All homes in Texas: 3.39

Better than the local average

Nurse staff turnover

50.9%

All homes in Texas: 55.3%

Better than the local average

Average ElderGrade score

70.7/100

All homes in Texas: 66.9/100

Better than the local average

Grade spread

A
B
C
D

32 grade A, 89 grade B, 83 grade C, 29 grade D,

The best-graded independently owned home in Texas is The Legacy At Willow Bend in Plano, TX, grade A, 99/100.

Every independently owned nursing home in Texas

Showing 61 to 80 of 237, best-graded first.

B

79/100

Morada Temple

Temple, TX · Bell County

CMS 2/560 bedsFor-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
56%
Serious cites
0

Morada Temple runs on thin margins where it counts. The 4.77 nurse hours per resident day beats the national average by roughly a quarter, which sounds good until you notice weekends drop about 12% below the home's own weekday staffing and annual turnover sits at 55.6% against a national 45.8%, that much churn means unfamiliar faces at the bedside. Its inspection record is the real concern: 22 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $14,722 fine. The last inspection was September 2025. For-profit, limited liability ownership, 60 beds. The staffing numbers are better than many homes; the oversight record is not.

B

78/100

Hansford Manor

Spearman, TX · Hansford County

CMS 4/560 bedsGovernmentMedicaid
Nurse hours
4.83 /day
Staff turnover
n/a
Serious cites
0

Hansford Manor runs on a thin staffing margin, the federal data puts it at one star, well below what you'd want for a 60-bed home, and that's the number I'd weigh hardest. The quality measure score is also low at two stars, which tracks with a building that may not be moving residents toward better outcomes. On the other hand, inspections look solid: four stars, ten deficiencies on record, none at the level where someone was harmed or put in immediate danger, and none tied to abuse. The last survey was in September 2025, so the picture is current. Government hospital-district ownership can mean steadier funding than a for-profit chain, but it doesn't fix a direct-care hours problem.

B

78/100

Holiday Hill Inc

Coleman, TX · Coleman County

CMS 4/5106 bedsNon-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
36%
Serious cites
0

Holiday Hill runs on 3.58 nurse hours per resident day, about 7 percent under the national figure, and weekends drop roughly 14 percent below its own weekday staffing. Turnover is 36.4 percent, which is better than the 45.8 percent national average, so people tend to stay. Inspections look solid, a 4-out-of-5 star rating, last survey in September 2024, and none of the 18 deficiencies on record rose to harm or jeopardy. But two are abuse-related, and 17 fines totaling $87,154 is real money. Nonprofit ownership and steady staff are points in its favor; the abuse citations and thin weekend coverage are what a family should ask about directly.

B

78/100

S.p.j.s.t. Rest Home No 2

Needville, TX · Fort Bend County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
45%
Serious cites
0

Spjst Rest Home No 2 runs about 3.72 nurse staffing hours per resident day, roughly 4% under the national average, and weekends drop another 9% below its own weekday numbers, so coverage thins out exactly when families tend to visit. Staff turnover sits at 45.2%, essentially at the national rate. The inspection record is the strongest part of this home: a five-star health inspection rating, last survey in December 2025, and seven deficiencies total, one of them serious enough to reach harm or jeopardy level, with no abuse citations. One fine of $12,649 is on record. Quality measures land mid-range at three stars, which is where the softer spots show up.

B

77.5/100

Homeplace Manor Healthcare Center

Hamlin, TX · Jones County

CMS 2/560 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
n/a
Serious cites
0

Homeplace Manor runs 60 beds in Hamlin under for-profit LLC ownership. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 8% thinner than weekdays, so the coverage dip families notice on Saturdays is real. The record shows 39 deficiencies, none at harm or jeopardy level, but four tied to abuse, which is the number to ask about directly. Health inspection and staffing each came in at 2 out of 5 stars; quality measures scored 4. The most recent inspection was December 18, 2025, so the picture is current. Ask the administrator how four abuse-related citations happened and what changed since.

B

77.5/100

Munday Nursing Center

Munday, TX · Knox County

CMS 4/561 bedsGovernmentMedicaid
Nurse hours
3.37 /day
Staff turnover
n/a
Serious cites
0

Munday Nursing Center runs on a hospital district's budget, and the numbers show a place that inspects well but staffs thin. Its 3.37 nurse hours per resident day sit about 13% under the national average, and weekends drop roughly 14% below its own weekday coverage, a gap families often feel on Saturday and Sunday. The tradeoff looks deliberate: a clean recent inspection with no harm-level or abuse deficiencies among the 12 on record, plus solid marks on health inspections and quality measures. The weak spot is staffing, and that's the thing to ask about directly, who's on the floor, and when.

B

77.5/100

Menard Manor

Menard, TX · Menard County

CMS 3/540 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
40%
Serious cites
0

Menard Manor runs on 4.15 nurse hours per resident day, which is roughly 7% above the national average, and its staff turnover of 40% sits below the national 45.8%, both signs of a steadier operation than many. The catch is weekend coverage, which drops about 20% below weekday levels, so care may thin out when families tend to visit. On paper, though, 17 deficiencies with one at the harm level and two abuse-related, a 2/5 quality measure rating, and a fine of $8,018 point to real problems that good staffing alone doesn't erase.

B

77.5/100

Matador Health And Rehabilitation Center

Matador, TX · Motley County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
n/a
Serious cites
0

Matador Health And Rehabilitation Center runs about 50 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.77 hours per resident day, roughly 23% above the national average of 3.86. That's a real cushion, though weekends drop about 14% below the home's own weekday levels, so coverage isn't perfectly even across the week. The current record shows 30 deficiencies, none at the harm or jeopardy level, but one is abuse-related. Inspectors were last in on December 3, 2025. The quality measure rating of 2 out of 5 is the soft spot here, clinical outcomes don't track as well as the staffing numbers would suggest.

B

77/100

John Paul Ii Nursing Home

Kenedy, TX · Karnes County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
24%
Serious cites
0

John Paul II Nursing Home runs a lean nursing floor, 3.30 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday coverage. Where it separates itself is stability: 24.1% annual turnover, roughly half the national rate, which matters more than raw hours when aides actually know the residents. The inspection record is genuinely strong, a 5/5 star rating with nine deficiencies on file, none reaching harm or jeopardy. Two abuse-related citations are worth asking about directly. At 58 beds under nonprofit ownership with a recent September 2025 survey, this is a smaller home whose numbers point to careful management rather than heavy staffing.

B

77/100

Runningwater Draw Care Center, Inc.

Olton, TX · Lamb County

CMS 3/575 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
49%
Serious cites
0

Runningwater Draw Care Center is a nonprofit home in Olton with 75 certified beds, and its record splits sharply depending on what you look at. The quality measure rating is 5 out of 5, meaning resident outcomes like falls and infections look good on paper, but staffing sits at 1 out of 5 and annual turnover runs 49.2%, higher than the 45.8% national average, which matters because consistent caregivers are what hold quality together. The inspection history shows 23 deficiencies, three of them at the harm or jeopardy level and two tied to abuse, plus one fine of $15,672. The last inspection was recent, in May 2026, so this is a current picture, not an old one.

B

77/100

The Meridian

Galveston, TX · Galveston County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
53%
Serious cites
0

The Meridian runs 4.47 nurse hours per resident day, about 16% above the national average, and that staffing shows up in a 4-out-of-5 staffing rating. Weekends dip roughly 8% below its own weekday coverage, worth knowing if your visits fall on Saturdays. Turnover sits at 52.7%, higher than the 45.8% national figure, so the people caring for your family member may change often. Inspections from October 2024 produced 14 deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related. The quality measure rating of 1 out of 5 is the weak spot, Texas averages aren't kind on this measure, but that's still low.

B

77/100

Discovery Village At Southlake

Southlake, TX · Tarrant County

CMS 5/541 bedsFor-profit
Nurse hours
3.63 /day
Staff turnover
43%
Serious cites
0

Discovery Village At Southlake runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 9% below its own weekday staffing. Turnover sits at 43.2%, slightly better than the 45.8% national figure, and the staffing star rating comes in at 4 out of 5, so the hours are thinner than average even where the ratings look solid. The inspection history is the real story: 16 deficiencies on record, including one at the harm or jeopardy level, plus a $12,649 fine, with the most recent inspection in April 2025. Ownership is for-profit corporate.

B

76.5/100

Bronte Health And Rehab Center

Bronte, TX · Coke County

CMS 4/555 bedsGovernmentMedicaid
Nurse hours
3.63 /day
Staff turnover
54%
Serious cites
0

Bronte Health and Rehab Center runs on thinner nursing coverage than most homes in the country, 3.63 hours per resident day against a national average of 3.86, with weekends dipping roughly 18% below its own weekday levels. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. The hospital district ownership is a point in its favor, and a 4-star health inspection rating reflects real strength in how the place is run day to day. But 23 deficiencies on the current record, including one at the harm level and three tied to abuse, is a lot to carry, and 54.3% annual turnover means the staff who know your parent may not be there next year.

B

76.5/100

Legacy Estate Long Term Care

Comanche, TX · Comanche County

CMS 4/5100 bedsGovernmentMedicaid
Nurse hours
3.79 /day
Staff turnover
n/a
Serious cites
0

Legacy Estate Long Term Care runs 100 certified beds in Comanche, owned by a hospital district rather than a for-profit chain. Its last inspection was July 2025, and the record shows three deficiencies with none at the harm level and nothing abuse-related, which is a fairly clean sheet. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, worth asking about if your family member needs help most on Saturdays and Sundays. Quality measures come in lower than the inspection and staffing ratings suggest.

B

76/100

Brazos Healthcare Center

Lake Jackson, TX · Brazoria County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
55%
Serious cites
0

Brazos Healthcare Center runs 120 certified beds in Lake Jackson under corporate for-profit ownership, and its nurse staffing sits at 3.95 hours per resident day, a bit above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 13% below the home's own weekday level, so the hours families might visit are the hours with the thinnest staff on hand. Annual turnover is 54.8% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated July 2, 2025.

B

76/100

Electra Healthcare Center

Electra, TX · Wichita County

CMS 5/562 bedsGovernmentMedicaid
Nurse hours
4.31 /day
Staff turnover
55%
Serious cites
0

Electra Healthcare Center runs on more nursing hours than most places, 4.31 per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday levels, so coverage thins when families tend to visit. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters for whether you'll see the same faces month to month. The inspection record is clean where it counts most: 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. Hospital district ownership and a recent March 2026 inspection round out a picture of a home that's well-staffed on paper but cycling through caregivers.

B

75/100

Plainview Healthcare Center

Plainview, TX · Hale County

CMS 2/593 bedsGovernmentMedicaid
Nurse hours
2.71 /day
Staff turnover
43%
Serious cites
0

Plainview Healthcare Center is a 93-bed hospital-district home, and the numbers that stand out most are on the staffing side. At 2.71 nurse hours per resident day, it runs roughly 30% below the national average of 3.86, and weekends dip about 7% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover sits at 43.2%, slightly better than the national 45.8%, so the problem isn't retention so much as raw hours on the floor. The inspection record shows 30 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $19,190. Clinical quality measures score well, but the two-star inspection and staffing ratings tell you where the gaps are.

B

75/100

Schulenburg Regency Nursing Center

Schulenburg, TX · Fayette County

CMS 3/5146 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
41%
Serious cites
0

Schulenburg Regency runs 146 beds under corporate ownership, and its state inspection record is the strongest part of the picture, a recent survey, a four-star health inspection rating, and modest fines totaling under $9,000. The trouble sits in the day-to-day staffing. At 3.71 nurse hours per resident day, it falls short of the national average, weekend coverage drops about 14% below its own weekday levels, and the two-star staffing rating reflects that gap. Sixteen deficiencies are on the current record, including one at the harm level and two tied to abuse. Turnover, at least, runs below the national figure.

B

75/100

San Jose Nursing Center

San Antonio, TX · Bexar County

CMS 3/555 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
33%
Serious cites
0

San Jose Nursing Center runs lean on bedside staff, 3.16 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday numbers. That thin coverage shows up in the staffing star rating, though the home holds onto workers better than most, with turnover at 33.3% compared to 45.8% nationally. The current inspection record lists 32 deficiencies, none at harm or jeopardy level, but three tied to abuse, and the last full inspection came in April 2025. Quality measures score well; the hands-on care hours are where this San Antonio for-profit falls short.

B

75/100

Azalea Trail Nursing And Rehabilitation Center

Grand Saline, TX · Van Zandt County

CMS 4/572 bedsFor-profitMedicaid
Nurse hours
3.35 /day
Staff turnover
27%
Serious cites
0

Azalea Trail runs lean on nursing hours, 3.35 per resident per day against a national average of 3.86, with weekends about 12% thinner than weekdays. That's the trade-off behind its numbers: staff stick around far longer than is typical in this industry, and its inspection record is about as clean as they come, one minor deficiency with nothing tied to harm or abuse and a visit from surveyors as recent as May 2025. The weak spot sits in the quality measures, where resident outcomes lag despite the strong oversight. For a 72-bed for-profit in Grand Saline, you're looking at a home that passes its tests but may not always have enough hands on deck.

Frequently asked questions

How many independently owned nursing homes are there in Texas?
There are 237 independently owned Medicare-certified nursing homes in Texas, 20% of the 1,179 nursing homes there.
Are independently owned nursing homes better staffed?
In Texas they average 3.8 total nursing hours per resident per day, against 3.39 for all nursing homes in Texas, a difference of +0.41 hours. Staff turnover averages 50.9% against 55.3%.
Which independently owned nursing home grades best in Texas?
The Legacy At Willow Bend in Plano, TX, grade A, 99 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 233 graded independently owned homes in Texas, 32 grade A and 29 grade D or F.
Do independently owned nursing homes in Texas accept Medicaid?
218 of the 237 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Texas