237 Independent Nursing Homes in Texas

Nurse hours

3.75 /day

Staff turnover

45%

Serious cites

0

West Rest Haven runs 120 certified beds under corporate ownership, and its staffing sits at 3.75 nurse hours per resident day, roughly 3% under the national average of 3.86. Weekends are the bigger problem: coverage drops about 15% below what the home staffs on weekdays, so a fall or an infection on a Saturday lands on a thinner floor. Turnover is 45.1%, essentially level with the national rate. The inspection record is where this home separates from the pack. Thirty-two deficiencies stand on the current record, four of them serious enough to involve harm or jeopardy, and one tied to abuse. State inspectors were last in on June 27, 2025, and have fined the home once for $14,069.

Nurse hours

3.12 /day

Staff turnover

n/a

Serious cites

0

Grace Care Center Of Nocona runs on nurse staffing of 3.12 hours per resident day, roughly 19% under the national average, and weekends dip about 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The current record carries 28 deficiencies, including two at the harm or jeopardy level and one tied to abuse. Inspectors were last on site in November 2024. It's a for-profit LLC with 89 certified beds, and its staffing star sits at 1 out of 5 while quality measures come in at 3. If you're weighing this one, ask specifically how weekends and abuse-prevention are staffed.

Nurse hours

3.37 /day

Staff turnover

46%

Serious cites

0

Paradigm At Stevens runs 106 beds in Yoakum under corporate for-profit ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, with weekend coverage dropping another 8% below its own weekday levels. The staffing star rating comes in at 1 out of 5, and turnover is 46.2%, essentially matching the national rate, so this isn't a retention crisis so much as a thin bench. Inspections tell a similar story: 35 deficiencies on record, four tied to abuse, though none reached harm or jeopardy. The last inspection was March 2025, and quality measures score well, but that gap between good clinical numbers and weak staffing is worth asking about directly.

Nurse hours

3.18 /day

Staff turnover

46%

Serious cites

0

Town Hall Estates Keene runs 126 certified beds as a nonprofit, and its nursing hours come in at 3.18 per resident day, roughly 18% under the national average of 3.86. That shortfall is the main reason its staffing rating sits at the bottom of CMS's scale, and weekends dip about 10% below what the home itself staffs on weekdays. Turnover is 45.6%, essentially level with the national figure, so retention isn't the standout problem here; coverage is. The inspection record shows 23 deficiencies, two of them serious enough to reach harm or jeopardy level, with no abuse citations, and $16,209 in fines across two penalties. Its most recent inspection came in July 2025.

Nurse hours

3.30 /day

Staff turnover

51%

Serious cites

0

Windcrest runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends drop roughly another 9% below its own weekday pace. Turnover sits at 50.5%, above the 45.8% national figure, so the staff covering those shifts is changing fairly often. The record shows 15 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $26,364; the most recent inspection was in May 2026. Quality measures score well, inspections and staffing land mid-range, and hospital-district ownership means public accountability rather than a chain. Ask how they staff weekends and what changed after those two harm-level citations.

Nurse hours

4.78 /day

Staff turnover

n/a

Serious cites

0

Reagan County Care Center runs on unusually heavy staffing for a small Texas home, 4.78 nurse hours per resident day, roughly a quarter above the national average, though weekends dip about 9% below its own weekday levels. The tradeoff shows up elsewhere: a 1-out-of-5 quality measure rating and 12 deficiencies on record, none tied to harm, jeopardy, or abuse. Inspectors last visited in May 2025, and 19 fines totaling $123,755 have accumulated. The staffing number is real and worth asking about directly. So are the quality measures and that fine history.

Nurse hours

3.75 /day

Staff turnover

60%

Serious cites

0

Denison Nursing and Rehab runs 71 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, but the bigger issue is consistency: weekends run about 28% below the home's own weekday level, and annual turnover hits 60% against a national 45.8%. Inspections are recent (July 2025) but the record shows 32 deficiencies, including one at the harm level and one abuse-related, plus an $8,281 fine. The five-star quality measure score stands out against a one-star staffing rating and a two-star inspection rating. Ask about weekend coverage and how they've addressed that abuse citation.

Nurse hours

3.13 /day

Staff turnover

34%

Serious cites

0

Spanish Meadows runs 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 9% below its own weekday staffing. That thin coverage shows up in the results: 31 deficiencies on the current record, including one at the harm level and three tied to abuse. Turnover is the one bright spot, 33.8% against a national 45.8%, but steady staff can only do so much when there aren't enough of them. The last inspection was January 29, 2026, and fines total $14,790 across two events. For a 119-bed for-profit home, staffing is the number worth asking about directly.

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

3.23 /day

Staff turnover

70%

Serious cites

0

Care Inn Of La Grange runs on thin staffing. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 12% below its own weekday levels, so the hours when families visit most are often the leanest. That shows up in the one-star staffing rating, and in turnover: 70% of staff leave each year against a national rate near 46%, meaning many of the people caring for residents are still learning the building. The good news is the clinical picture. A five-star quality measure rating and a clean inspection record, 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last survey in March 2026. Government hospital district ownership adds some stability. The tradeoff is real: strong outcomes, strained hands.

Nurse hours

2.85 /day

Staff turnover

80%

Serious cites

0

Emory Health And Rehab is a 68-bed hospital-district home in Rains County, and its inspection record is genuinely strong, four out of five stars, with the most recent visit in August 2025 and no abuse deficiencies. The problem sits in the staffing numbers. At 2.85 nurse hours per resident day, it runs about 26% below the national average, and weekends dip another 5% below its own weekday levels. Annual turnover of 80% means most of the aides and nurses on a given shift are relatively new. Twenty-eight deficiencies are on record, one serious enough to cause harm. A hospital district can be a steady owner, but steady ownership doesn't staff the floor.

Nurse hours

3.78 /day

Staff turnover

51%

Serious cites

0

Spjst Rest Home 1 runs 96 certified beds in Taylor under corporate for-profit ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.78 hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 8% below what the home staffs on weekdays. Annual turnover of 50.6% means about half the nursing staff leaves each year, against a national rate near 46%. The inspection history is the heavier concern: 33 deficiencies on the current record, 7 of them serious enough to involve harm or jeopardy, 4 tied to abuse. Three fines total $122,722. The last inspection was January 16, 2026.

Nurse hours

3.24 /day

Staff turnover

n/a

Serious cites

0

Oakmont Guest Care Center runs 3.24 nurse hours per resident per day, about 16% under the national average, and weekend staffing drops roughly 12% below its own weekday level, meaning the thinnest coverage hits when families tend to visit. The inspection record is the bigger issue: 50 deficiencies, five serious enough to put residents in harm's way, two tied to abuse, plus $28,792 in fines across three penalties. A 4/5 on quality measures doesn't offset a 1/5 on both health inspections and staffing, especially at 161 beds under for-profit ownership. The April 2025 inspection is recent enough that this reflects current conditions, not old problems.

Nurse hours

3.95 /day

Staff turnover

71%

Serious cites

0

Van Healthcare runs about 60 beds under a for-profit LLC, and the staffing picture is where it gets uneven. Total nurse hours sit at 3.95 per resident day, just above the national average, but weekends drop roughly 17% below the home's own weekday coverage, and annual turnover hits 70.8% against a national 45.8%. That churn matters more than the headline staffing number, because it's a two-star staffing rating underneath. The inspection record is the stronger side: ten deficiencies on file, none involving harm or abuse, and a January 2026 inspection. Quality measures land mid-range. If you're weighing this one, ask how they cover weekends and how long the current director of nursing has been in place.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Post Nursing & Rehab Center runs on 2.54 nurse hours per resident per day, roughly a third below the national average of 3.86, and weekends drop about 6% below what the home itself staffs on weekdays. That thin coverage is the main thing dragging its profile down, and it lines up with 11 deficiencies on the current record, though none reached harm or jeopardy level and none were abuse-related. The inspection side is genuinely strong, with a recent December 2025 survey and a 4-star health inspection rating, but quality measures sit at 2 stars and staffing at 1. So you're looking at a home that inspects clean but may not have enough hands on deck day to day, especially Saturdays and Sundays.

Nurse hours

3.27 /day

Staff turnover

n/a

Serious cites

0

The Sarah Roberts French Home runs 3.27 nurse hours per resident day, about 15% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest staffing lands when families tend to visit. Its record shows 32 deficiencies, two at harm or jeopardy level and three abuse-related, with a 3/5 inspection rating and a 4/5 on quality measures. The staffing star sits at 1/5, and the last inspection was February 2026. A for-profit corporation owns the 60-bed home. Quality scores can look fine while daily coverage stays lean, which is the tension running through this record.

Nurse hours

3.10 /day

Staff turnover

66%

Serious cites

0

Chandler Nursing Center runs 90 beds under limited liability ownership, and its inspection record looks better than its day-to-day staffing. A February 2026 inspection with 21 deficiencies, none at harm or jeopardy level and none abuse-related, earned 4 out of 5 stars from CMS on health inspections and the same on quality measures. The staffing side tells a different story: 3.10 nurse hours per resident day, roughly a fifth below the national 3.86 average, with weekends about 13 percent thinner than weekdays. Annual turnover sits at 66.2 percent against a national 45.8. That gap is really what's holding the grade back.

Nurse hours

3.67 /day

Staff turnover

41%

Serious cites

0

Briarcliff Health Center runs 230 beds in Tyler under corporate ownership, and the numbers show a home that's struggling on care quality even where it looks average on paper. Nurse staffing sits at 3.67 hours per resident day, about 5% under the national figure, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 14 deficiencies, five serious enough to put residents at harm or jeopardy, three tied to abuse, and two fines totaling $51,034. Staff turnover at 41% is slightly better than the national rate, but that's small comfort against a quality-measure score at the bottom of the scale and a citation history this recent.

Nurse hours

3.09 /day

Staff turnover

45%

Serious cites

0

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.

Nurse hours

3.22 /day

Staff turnover

65%

Serious cites

0

Cherokee Trails is owned by the local hospital district, and that public ownership hasn't translated into strong staffing. At 3.22 nurse hours per resident day, it sits roughly 16% under the national average, and weekends drop about 13% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover is 65.3%, well above the 45.8% national figure, and the inspection record shows 43 deficiencies, including six at harm or jeopardy level and four tied to abuse, with $85,329 in fines. The quality measure score looks good on paper, but that's largely self-reported data. The recent inspection date means the record is current, not old.