237 Independent Nursing Homes in Texas

Nurse hours

3.08 /day

Staff turnover

36%

Serious cites

0

Wheeler Nursing & Rehabilitation runs lean on direct care: 3.08 nurse hours per resident per day, roughly a fifth under the national average of 3.86, with weekends about 10% thinner than weekdays. The inspection record shows 15 deficiencies, including two at the harm or jeopardy level and two tied to abuse. Turnover sits at 35.7%, better than the 45.8% national figure, which suggests less churn than many homes its size. The last inspection was in August 2025. The quality measures look strong, but those come from resident assessments the home reports, while staffing and inspections are observed independently. Weigh those two against each other before deciding.

Nurse hours

4.32 /day

Staff turnover

n/a

Serious cites

0

Sage Park San Antonio runs 46 certified beds under a for-profit partnership, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average of 3.86. That headline number comes with a catch: weekend staffing drops about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the harder part to swallow. Twenty-seven deficiencies, one of them serious enough to reach harm or jeopardy level, plus a single fine of $121,976. The most recent inspection was January 9, 2026. Quality measures score well, but a recent inspection with that many findings and a six-figure penalty tells you the day-to-day care has had real problems.

Nurse hours

1.98 /day

Staff turnover

26%

Serious cites

0

Houston County Nursing Home runs on about 1.98 nurse hours per resident per day, roughly half the national figure of 3.86, and weekend coverage slips about 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 26.1%, well under the 45.8% national average, which means the people who are there tend to stay. Inspectors visited in June 2025 and found 15 deficiencies, none rising to harm or jeopardy, though two are abuse-related. The 5-star inspection and 4-star quality scores sit alongside a 1-star staffing rating, a split worth understanding before you decide.

Nurse hours

3.00 /day

Staff turnover

43%

Serious cites

0

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.

Nurse hours

3.78 /day

Staff turnover

49%

Serious cites

0

Rising Star Nursing Center runs 60 certified beds in Eastland County under for-profit LLC ownership, and its inspection record is the strongest part of the story: 13 deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with a December 2025 inspection that's recent enough to trust. What holds it back is staffing. Total nurse hours come in at 3.78 per resident day, roughly 2% under the national average, and weekend coverage drops about 19% below the home's own weekday level, so the hours thin out exactly when families tend to visit. Annual turnover sits at 48.6%, a few points above the national 45.8%. Clean inspections, but watch the weekends.

Nurse hours

4.08 /day

Staff turnover

n/a

Serious cites

0

Coryell Health Rehab Living At The Meadows is run by the local hospital district, and its 106 beds get more nursing time than most Texas homes, 4.08 hours per resident day against a national average of 3.86. Weekends dip about 6% below weekday staffing, so ask how coverage holds up on Saturdays. The inspection record is the strong part: 17 deficiencies, none at harm or jeopardy level, though two are abuse-related and one fine of $20,622 is on file. Quality measure scores sit at 2 out of 5, which tracks with the lower marks there. Recent inspection in February 2026.

Nurse hours

4.16 /day

Staff turnover

47%

Serious cites

0

Capstone Healthcare of Hughes Springs runs on 4.16 nurse hours per resident day, about 8% above the national average, that's the strongest thing in its file. But weekends drop roughly 21% below its own weekday staffing, so the coverage your family sees on a Saturday won't match a Tuesday. Turnover sits at 47.1%, slightly worse than the national 45.8%, and the current record carries 30 deficiencies, including one tied to abuse, though none reached harm or jeopardy level. The last inspection was April 2025, and all three CMS star ratings land at 3 out of 5. Limited liability ownership, for-profit. Solid weekday staffing, real weekend gaps, and a deficiency history worth asking about directly.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Harmonee House is a 35-bed for-profit home in Amherst with a decent inspection history and a serious staffing problem. The health inspection rating sits at 3 out of 5, and the 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, which matters, because it means the problems found were mostly paperwork and process, not residents getting hurt. But the staffing rating is 1 out of 5, and that's the number a family should sit with. Quality measures come in at 4 out of 5, which suggests the care itself is tracking well when it happens. The last inspection was in September 2024, so the record is recent. A B grade here reflects a home that inspects fine but may not have enough hands on deck.

Nurse hours

2.73 /day

Staff turnover

34%

Serious cites

0

Lone Star Rehabilitation & Wellness Center runs about 2.73 nurse hours per resident per day, roughly 29% under the national average of 3.86, and weekends dip another 14% below its own weekday level. That staffing pattern matters more than the 13 deficiencies on record, none of which involved harm or jeopardy, though one was abuse-related. Turnover sits at 33.8%, better than the national 45.8%, and the last inspection was recent, in September 2025. With 122 certified beds under for-profit LLC ownership, the inspection record looks solid enough, it's the daily nurse coverage, especially on weekends, that families should ask about directly.

Nurse hours

3.76 /day

Staff turnover

84%

Serious cites

0

Mabee Health Care Center runs 44 beds in Midland as a nonprofit, and its quality measure score is genuinely strong, 5 out of 5. The trouble sits on the staffing side. At 3.76 nurse hours per resident day, it's slightly under the national average, and weekend coverage actually holds above weekday levels, which is unusual and worth something. What stands out more is turnover: 83.8% annually, nearly double the national 45.8%. Fourteen deficiencies sit on the current record, none at harm level, one abuse-related, and the last inspection was February 2026, so the picture is fairly fresh. Clinical outcomes look good; keeping caregivers is the open question.

Nurse hours

3.67 /day

Staff turnover

61%

Serious cites

0

Rambling Oaks Courtyard runs 70 certified beds in Highland Village, and the staffing numbers tell the clearest story: 3.67 nurse hours per resident day, about 5% under the national figure, with weekends running roughly 16% thinner than weekdays. That gap matters because weekends are when families often can't visit and problems go unnoticed. Annual turnover sits at 61.4% against a national average of 45.8%, meaning most of the people caring for your relative will likely be gone within a year. The current record shows 32 deficiencies, one serious enough to involve harm or jeopardy, and a $21,640 fine. Ownership is for-profit corporate. Quality measures score well; consistent hands-on care is the weaker part.

Nurse hours

3.67 /day

Staff turnover

46%

Serious cites

0

San Pedro Manor runs 3.67 nursing hours per resident day, about 5% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin weekend coverage matters more than the headline number, because 30 deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse. Staff turnover is 45.6%, essentially matching the national rate, so retention isn't the problem here, coverage is. The hospital district ownership hasn't kept the inspection record clean, and two fines totaling $24,285 are on file. The last inspection was August 2025. Quality measures look strong; the staffing and inspection side is where the risk lives.

Nurse hours

5.80 /day

Staff turnover

74%

Serious cites

0

Twin Oaks Manor is a 40-bed hospital-district home in Booker, and the staffing numbers are genuinely strong: 5.80 nurse hours per resident day, about half again the national average. Weekends dip roughly 13% below weekdays, which is worth asking about, since that's often when families visit. The bigger concern is turnover, 74.1% versus 45.8% nationally, meaning most of the people caring for residents this year likely won't be there next year. Inspections look solid (4 of 5 stars, 12 deficiencies, none at harm level, none abuse-related) and the most recent visit was April 2025. Quality measure scores sit at 1 of 5, so ask what specifically is driving those.

Nurse hours

3.39 /day

Staff turnover

22%

Serious cites

0

Briarcliff Health Center Of Greenville runs on thin nurse staffing, 3.39 hours per resident day against a national average of 3.86, and weekends get leaner still, about 12% below its own weekday level. The inspection record is the bigger concern: 38 deficiencies, three at harm or jeopardy level and three tied to abuse, plus two fines totaling $48,100. What works in its favor is workforce stability: turnover sits at 22.2%, well under the 45.8% national figure, and its quality measure rating is strong. That combination, steady staff and poor inspection results, usually points to how care is managed rather than who's giving it.

Nurse hours

3.10 /day

Staff turnover

44%

Serious cites

0

Park Manor Of Conroe runs lean on direct care. At 3.10 nurse hours per resident per day, it sits about 20 percent under the national average of 3.86, and weekends drop roughly another 12 percent below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is 43.5 percent, actually a touch better than the national 45.8, and the inspection history is genuinely strong: a 5/5 health inspection rating, the most recent survey from May 2025, and seven deficiencies on record, just one at harm level and none tied to abuse. A single fine of $13,627 rounds it out. The pattern is a home that inspects well but staffs light, which is where the middling score comes from.

Nurse hours

3.13 /day

Staff turnover

30%

Serious cites

0

Rayburn Health Care & Rehabilitation runs 107 certified beds in Jasper under for-profit partnership ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86. Weekend coverage dips about 7% below what the home staffs on weekdays, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 30.4% against a national average of 45.8%, meaning the aides and nurses here stick around longer than most. The current record shows 24 deficiencies, none at harm or jeopardy level, but one is abuse-related, worth asking about directly. State inspectors were last in on January 21, 2026.

Nurse hours

2.87 /day

Staff turnover

35%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Corpus Christi runs lean on the floor. At 2.87 nurse hours per resident day, it sits about 26 percent under the national average of 3.86, and weekends dip roughly another 10 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The record itself is steadier: 17 deficiencies, none at harm or jeopardy level, though one is abuse-related, plus three fines totaling $12,237 from an inspection dated May 2026. Staff turnover of 34.9 percent actually beats the national 45.8 percent, which matters for consistency of care. This for-profit LLC posts strong marks on health inspections and quality measures, but the staffing number is the one to weigh.

Nurse hours

3.38 /day

Staff turnover

n/a

Serious cites

0

The Village at Heritage Oaks runs a five-star health inspection record and a strong four-star quality measure score, which tells you the care planning and clinical outcomes hold up under federal review. What pulls it down is staffing: 3.38 nurse hours per resident day against a national average of 3.86, and weekends run about 8 percent thinner than weekdays. Five deficiencies on the current record, none at harm or jeopardy level and none abuse-related, and the most recent inspection came in December 2025. The trade-off here is a home that inspects well but runs leaner than average on direct nursing time, especially on Saturdays and Sundays.

Nurse hours

3.10 /day

Staff turnover

n/a

Serious cites

0

Silsbee Oaks runs thin on nursing hours, 3.10 per resident per day against a national average of 3.86, and weekends dip another 11% below what the home staffs on weekdays. That gap is why the federal staffing rating sits at 1 out of 5, even though inspections went well: a 4/5 health inspection score, last survey in January 2026, and 12 deficiencies on record with just one rising to harm or jeopardy level and none involving abuse. The one fine, $8,193, is modest by nursing home standards. What you're looking at is a home that passes its surveys but may leave residents waiting longer for help between shifts, especially Saturdays and Sundays.

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.