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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 141 to 160 of 237, best-graded first.

C

67/100

Pine Ridge Health Care Llp

Livingston, TX · Polk County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
58%
Serious cites
0

Pine Ridge runs about 3.72 nurse hours per resident day, roughly 4% under the national average, and weekends dip about 10% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 58.1% against a national average of 45.8%, meaning more than half the nursing staff turns over in a year. On paper, the recent inspection (March 2025) went well enough for a 4-star health inspection rating, and none of the 16 deficiencies on record rose to harm or jeopardy. But two are abuse-related, and for-profit partnership ownership with that kind of churn is worth asking about directly.

C

67/100

Cypress Healthcare And Rehabilitation Center

San Marcos, TX · Hays County

CMS 1/5174 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
45%
Serious cites
0

Cypress Healthcare and Rehabilitation Center runs 174 certified beds in San Marcos under individual for-profit ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average, with weekend coverage about 10 percent thinner than its own weekdays. Turnover lands near the national figure at 44.9 percent, so the bigger concerns are elsewhere: 41 deficiencies on the current record, nine of them serious enough to cause harm or jeopardy, four tied to abuse, and $236,732 in fines across four penalties. The most recent inspection closed in April 2025. Quality measures score well, but that single star on health inspections and the thin weekend staffing are what a family should weigh.

C

67/100

Mustang Park Therapy And Living Center

Carrollton, TX · Denton County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
n/a
Serious cites
0

Mustang Park Therapy and Living Center runs 120 certified beds in Carrollton under corporate, for-profit ownership. Nurse staffing sits at 3.11 hours per resident day against a national average of 3.86, roughly 19% below, and weekends dip another 15% under the home's own weekday numbers, which is usually when families notice. The inspection record is the harder problem: 49 deficiencies, three at harm or jeopardy level, one tied to abuse, plus two fines totaling $18,275. A quality measure score of 4 out of 5 stands out against a 1 out of 5 staffing rating, and the last inspection was April 2026. When survey results and staffing both run thin, the quality numbers rarely tell the whole story.

C

67/100

Ashton Medical Lodge

Midland, TX · Midland County

CMS 2/5144 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
50%
Serious cites
0

Ashton Medical Lodge runs on thinner nursing coverage than most places, 3.39 hours per resident day against a national average of 3.86, with weekends dropping another 12% below its own weekday levels. That shows up in the federal staffing rating, which sits at 1 out of 5, and in a turnover rate of 49.6% that edges past the national figure. The inspection record carries 29 deficiencies, including one at the harm level and three tied to abuse, along with a single $13,397 fine. A February 2025 inspection is recent, and the quality measure rating of 4 suggests some clinical measures look better than the day-to-day staffing picture. Government hospital district ownership doesn't change what the numbers say about coverage.

C

67/100

Mont Belvieu Rehabilitation & Healthcare Center

Mont Belvieu, TX · Chambers County

CMS 1/5124 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
49%
Serious cites
0

Mont Belvieu Rehabilitation & Healthcare Center runs on less nursing time than most homes, about 3.07 hours per resident per day against a national average near 3.86, and weekends dip roughly 10% below what the building manages on weekdays. That thin margin matters more given a 48.8% annual turnover rate and a staffing rating of 1 out of 5. The record shows 40 deficiencies, including five at the harm or jeopardy level and seven tied to abuse, with three fines totaling $41,789. Its last inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are what a family should weigh here.

C

66.5/100

Sage Park Austin

Austin, TX · Travis County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
n/a
Serious cites
0

Sage Park Austin runs 46 beds under a for-profit partnership, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. That's the good news, and it's real. But weekends run about 13% thinner than weekdays, and the quality measure rating is 2 out of 5, so the care people actually receive doesn't track with the hours on paper. Twelve deficiencies sit on the current record, two of them serious enough to cause harm or jeopardy, plus one fine of $99,713. The last inspection was May 2025, so the picture is recent.

C

66.5/100

Matlock Place Health & Rehabilitation Center

Arlington, TX · Tarrant County

CMS 1/5148 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Matlock Place runs on 2.99 nursing hours per resident day, about a quarter below the national average, and the weekend shift is even thinner than its weekdays. That staffing sits alongside a 54.6% annual turnover rate, higher than the 45.8% national figure, which means the people caring for residents are, more often than not, new to the building. The current record carries 47 deficiencies, five of them at the level where harm or immediate jeopardy was found, and five tied to abuse. Three fines totaling $26,006 are on file, with the most recent inspection in May 2025. The quality measure score sits mid-range, but the inspection and staffing numbers tell the more troubling story.

C

66.5/100

Clarendon Nursing Home

Clarendon, TX · Donley County

CMS 3/561 bedsFor-profitMedicaid
Nurse hours
2.36 /day
Staff turnover
22%
Serious cites
0

Clarendon Nursing Home runs lean on nursing staff, 2.36 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday coverage. That thin floor is the real story behind its staffing grade. Turnover at 22.2% is genuinely low compared to the 45.8% national average, so the people who are there tend to stay, which matters for continuity. But the record shows 23 deficiencies, including one at the harm level and two tied to abuse, plus a $7,551 fine. Its last inspection was January 2026, and the health inspection rating sits at 4 of 5. Ownership is corporate, for-profit.

C

66/100

Olney Rehabilitation And Care Center

Olney, TX · Young County

CMS 4/599 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
46%
Serious cites
0

Olney Rehabilitation And Care Center runs 99 certified beds under corporate for-profit ownership, and its inspection record is the bright spot: a four-out-of-five health inspection rating, with the most recent visit in December 2025 and 20 deficiencies on file, none of them tied to harm, jeopardy, or abuse. Staffing is where it gets thinner. At 3.16 nurse hours per resident day, this home sits roughly 18% under the national average, weekend coverage drops about 10% below its own weekday level, and turnover of 46.4% edges just past the national figure. Quality measures land mid-range. The inspection side looks steady; the day-to-day coverage is the part worth asking about directly.

C

66/100

Oak Park Nursing And Rehabilitation Center

San Antonio, TX · Bexar County

CMS 2/5170 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
50%
Serious cites
0

Oak Park runs on 3.19 nursing hours per resident each day, roughly 17% under the national average of 3.86, and weekends dip even below its own weekday numbers. Staff turnover sits at 50% against a national rate near 46%, so the people caring for residents keep changing. Behind those numbers is an inspection record with 53 deficiencies, including one at the harm level and two tied to abuse, plus a $9,280 fine. All three CMS star ratings, health inspections, quality measures, staffing, come in at 2 out of 5. Ownership is for-profit and individual. The last inspection was March 13, 2026, so the record is recent, not stale.

C

66/100

St. Anthony's Care Center

Waco, TX · Mc Lennan County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
63%
Serious cites
0

St. Anthony's runs about 4.31 nurse hours per resident per day, roughly 12% above the national average, so there's real coverage on weekdays. Weekends run about 13% thinner, and annual turnover sits at 62.8% against a national 45.8%, meaning that staffing edge is being delivered by a constantly changing crew, which is hard on residents who need consistency. The health inspection side looks solid at 4 of 5 stars with no abuse findings, but 16 deficiencies, 2 of them at harm level, plus a recent ownership change, suggest the operation is still settling in. Quality and staffing measures both land at 2 of 5, and that gap between inspection results and daily care measures is the real story here.

C

65.5/100

Community Care Center Of Hondo

Hondo, TX · Medina County

CMS 1/575 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
n/a
Serious cites
0

The staffing numbers at Community Care Center of Hondo are the first thing I'd want you to see: CMS gives it a single star there, against a national average that sits around three. That's the weakest possible rating, and it shows up alongside a two-star inspection history with 22 deficiencies on the current record, three serious enough to reach harm or jeopardy level, one tied to abuse. The quality measure score looks good at four stars, but that's built from resident assessment data the facility reports itself, and it doesn't offset what surveyors actually found in the building. Two fines totaling $19,096 are on file from a 75-bed for-profit home owned by an individual, last inspected in September 2025.

C

65.5/100

Prairie Acres

Friona, TX · Parmer County

CMS 4/583 bedsGovernmentMedicaid
Nurse hours
3.32 /day
Staff turnover
53%
Serious cites
0

Prairie Acres runs on a hospital district's budget in Friona, and the numbers show a home that inspects well but staffs thin. Its last inspection came back in mid-2025 with a four-star health rating, yet the record still carries 16 deficiencies, including one that put a resident in harm's way and two tied to abuse. Nurse coverage sits at 3.32 hours per resident day, roughly 14% under the national figure, and weekends drop about 19% below the home's own weekday staffing. With turnover at 52.5%, well above the 45.8% national average, consistent caregivers are hard to keep. One fine of $10,033 rounds out the picture.

C

65.5/100

Legacy At Corsicana Rehabilitation And Healthcare

Corsicana, TX · Navarro County

CMS 3/5148 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
n/a
Serious cites
0

Legacy At Corsicana runs on 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends dip about 12% below its own weekday coverage. That thin staffing shows up in the CMS staffing rating, 1 out of 5, even though the inspection record is perfect at 5 out of 5 with the most recent survey just completed in February 2026. Nine deficiencies sit on the current record, none at harm or jeopardy level, but two are abuse-related, which families should ask about directly. Quality measures land at 2 out of 5. The corporate for-profit owner runs 148 beds; ask how nurse coverage holds up on Saturday nights.

C

65.5/100

Falcon Lake Nursing Home, Llc

Zapata, TX · Zapata County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
42%
Serious cites
0

Falcon Lake runs lean on nursing hours, 3.26 per resident day against a national average of 3.86, and weekends drop roughly another 15% below its own weekday coverage. Turnover sits at 41.7%, a bit better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The health inspection side looks solid, with a 4-out-of-5 star rating and a recent August 2025 survey, and none of the 18 deficiencies on record rose to harm or jeopardy, with no abuse citations. Where it slips is quality measures at 1 star, and that gap between clean inspections and weak clinical outcomes is worth asking the administrator about directly.

C

65.5/100

Trucare Living Centers - Selma

Selma, TX · Guadalupe County

CMS 2/5128 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
66%
Serious cites
0

Trucare Living Centers - Selma runs 128 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 16% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 66.3% is well above the national 45.8%, meaning many of the aides and nurses your relative sees may be fairly new. The current record shows 25 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was February 2026. Quality measures score well; staffing is where this home falls short.

C

65/100

Knopp Healthcare And Rehab Center Inc

Fredericksburg, TX · Gillespie County

CMS 3/5119 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
48%
Serious cites
0

Knopp Healthcare and Rehab Center runs 119 certified beds in Fredericksburg under corporate for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19% under the national average of 3.86, with weekend coverage dipping about 3% below its own weekday levels. Staff turnover is 47.8%, a couple points above the national figure. The current record shows 25 deficiencies, none at the harm or jeopardy level but three tied to abuse, and the most recent inspection was January 9, 2026. What stands out is the split: a four-star health inspection rating next to a one-star quality measure score, meaning the care process itself is where the numbers look weakest.

C

65/100

Farwell Care And Rehabilitation Center

Farwell, TX · Parmer County

CMS 1/575 bedsGovernmentMedicaid
Nurse hours
3.04 /day
Staff turnover
61%
Serious cites
0

Farwell Care and Rehabilitation Center runs on thin nursing coverage: 3.04 hours per resident day against a national average of 3.86, and weekends dip about 10% below what the home already provides on weekdays. Staff turnover sits at 60.9% while the national figure is 45.8%, so residents see a lot of new faces. The inspection record shows 31 deficiencies, including two at the harm level and four related to abuse, plus one fine of $13,397; the last inspection was in December 2025. Government hospital district ownership doesn't change what those numbers say about daily staffing and oversight.

C

65/100

Sunset Home

Clifton, TX · Bosque County

CMS 3/5128 bedsGovernmentMedicaid
Nurse hours
2.65 /day
Staff turnover
37%
Serious cites
0

Sunset Home is run by the local hospital district, and its 128 beds are staffed at 2.65 nurse hours per resident day, roughly 31% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so if your family visits on a Saturday, expect less coverage than a Tuesday. Turnover sits at 37.2%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Inspectors were last in on May 29, 2025, and found 13 deficiencies, one serious enough to put a resident in harm's way, no abuse citations, and fines total $14,020.

C

65/100

Azle Manor Health Care, L.l.l.p.

Azle, TX · Tarrant County

CMS 2/5142 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
61%
Serious cites
0

Azle Manor runs 142 certified beds under for-profit LLC ownership, and its nursing hours come in around 3.32 per resident day, roughly 14% under the national average. Weekends dip about 13% below the home's own weekday staffing, and annual turnover sits at 61.3% against a national figure near 45.8%, meaning a large share of the people caring for your relative are new to the building. The current inspection record shows 13 deficiencies, five serious enough to involve harm or jeopardy, with four fines totaling $44,548 and a February 2026 inspection. Resident outcome measures score better than the staffing or inspection picture suggests, so the question worth asking on a tour is who's actually on the floor, especially Saturday and Sunday.

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