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67 Medicaid Nursing Homes With a Clean Record in Harris County, Texas

67 of the 97 Medicare-certified nursing homes in Harris County, Texas (69%) are Medicaid-certified, clean-record, and all are listed below. They average 3.31 nursing hours per resident per day, 0.23 hours below the 3.54 for every home in Harris County, Texas. 3 of the 67 graded homes earn an A and 4 earn a D or F. The Hallmark in Houston grades highest at A (93 out of 100).

How Medicaid-certified, clean-record homes in Harris County, Texas compare

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

Nursing hours per resident per day

3.31

All homes in Harris County, Texas: 3.54

Worse than the local average

Nurse staff turnover

52.8%

All homes in Harris County, Texas: 53.2%

Better than the local average

Average ElderGrade score

67.4/100

All homes in Harris County, Texas: 67/100

Better than the local average

Grade spread

B
C

3 grade A, 24 grade B, 36 grade C, 4 grade D,

The best-graded Medicaid-certified, clean-record home in Harris County, Texas is The Hallmark in Houston, TX, grade A, 93/100.

Every Medicaid-certified, clean-record nursing home in Harris County, Texas

Showing 61 to 67 of 67, best-graded first.

C

57/100

Avir At Orem

Houston, TX · Harris County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
2.97 /day
Staff turnover
61%
Serious cites
0

Avir At Orem runs lean on nursing staff, 2.97 hours per resident day against a national average of 3.86, with weekends about 11% thinner than weekdays. That gap shows up in the numbers: 61% annual turnover, well above the 45.8% national figure, and a staffing rating of 2 out of 5. The inspection record isn't clean either, with 21 deficiencies including one at the harm level and one abuse-related, and a $34,418 fine. The 4/5 health inspection rating and recent April 2025 survey suggest the home was in decent shape at its last look, and ownership changed within the past year, worth asking what that transition has meant for day-to-day care.

C

57/100

West Houston Rehabilitation And Healthcare Center

Houston, TX · Harris County

CMS 1/5124 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
43%
Serious cites
0

The numbers at West Houston Rehabilitation don't leave much room for interpretation. Nurse staffing sits at 3.26 hours per resident day against a national average of 3.86, and it thins out further on weekends, dropping roughly 15% below the home's own weekday level, so the stretch when families often visit is when coverage is lightest. On the inspection side, the record shows 30 deficiencies, including 7 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling just over $205,000 and a survey as recent as January 2025. Staff turnover, at 43.1%, is actually a touch better than the national rate, which suggests the problems here aren't mainly about keeping people, they're about how the place is run.

C

55/100

Paradigm At Westbury

Houston, TX · Harris County

CMS 1/5148 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
62%
Serious cites
0

Paradigm At Westbury runs 148 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits roughly 12% under the national average, weekends dip about 9% below its own weekday levels, and annual turnover hits 61.5% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 42 deficiencies, 7 of them serious enough to involve harm or jeopardy, plus four fines totaling $136,414. A recent May 2026 inspection means the record is current, and what it shows is a home where quality scores look decent but the people doing the daily work keep leaving.

D

53/100

Oakmont Healthcare And Rehabilitation Of Humble

Humble, TX · Harris County

CMS 2/5134 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
91%
Serious cites
0

Oakmont Healthcare And Rehabilitation Of Humble runs 134 certified beds under corporate ownership, and the numbers that stand out most are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends run roughly 13% thinner than weekdays, and annual turnover is 91.4%, about double the national rate. That churn matters because it's hard to deliver consistent care when the staff keeps leaving. The inspection record backs that up: 31 deficiencies, 9 of them serious enough to involve harm or jeopardy, plus three fines totaling $418,615. Quality measures score well, but quality scores rest on staffing that clearly isn't stable right now.

D

53/100

Houston Heights Nursing And Rehabilitation Center

Houston, TX · Harris County

CMS 1/5120 bedsNon-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
59%
Serious cites
0

Houston Heights Nursing and Rehabilitation Center runs on 3.03 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 8% below its own weekday level. Staff turnover sits at 59.1% against a national 45.8%, so the people doing the bedside work change often, and a 1-out-of-5 CMS staffing rating reflects that reality. The inspection record shows 23 deficiencies, including six at the harm or jeopardy level and two tied to abuse, with four fines totaling $105,536 and a 2-out-of-5 health inspection rating. The 4-of-5 quality measure score stands out, but it rests on a staffing and inspection foundation that is thin.

D

50/100

Fall Creek Rehabilitation And Healthcare Center

Humble, TX · Harris County

CMS 1/5126 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
66%
Serious cites
0

Fall Creek runs on 3.25 nursing hours per resident day, about 16 percent under the national average, with weekends dropping roughly 14 percent below its own weekday staffing. That thin coverage shows up in the numbers: a 65.6 percent annual turnover rate, well above the 45.8 percent national figure, and a one-star CMS staffing rating. Inspectors have cited 21 deficiencies, seven of them serious enough to put residents in harm's way and three tied to abuse, with two fines totaling $48,555. The last inspection was in May 2025. For a 126-bed for-profit home, the pattern across staffing, turnover, and enforcement history is worth weighing carefully before you decide.

D

47/100

Focused Care At Pasadena

Pasadena, TX · Harris County

CMS 1/5125 bedsFor-profitMedicaid
Nurse hours
2.95 /day
Staff turnover
77%
Serious cites
0

Focused Care At Pasadena runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below what the home staffs on weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, six of them serious enough to put residents in harm's way, three tied to abuse, and $131,012 in fines. Staff turnover sits at 76.6% against a national 45.8%, meaning most of the people caring for your family member this year likely won't be there next year. The corporation that owns it has drawn a 1-star inspection rating and a 1-star staffing rating, with the most recent survey dated February 2026.

Frequently asked questions

How many Medicaid-certified, clean-record nursing homes are there in Harris County, Texas?
There are 67 Medicaid-certified, clean-record Medicare-certified nursing homes in Harris County, Texas, 69% of the 97 nursing homes there.
Are Medicaid-certified, clean-record nursing homes better staffed?
In Harris County, Texas they average 3.31 total nursing hours per resident per day, against 3.54 for all nursing homes in Harris County, Texas, a difference of -0.23 hours. Staff turnover averages 52.8% against 53.2%.
Which Medicaid-certified, clean-record nursing home grades best in Harris County, Texas?
The Hallmark in Houston, TX, grade A, 93 out of 100.
Does being Medicaid-certified, clean-record mean a nursing home is safe?
No. Of the 67 graded Medicaid-certified, clean-record homes in Harris County, Texas, 3 grade A and 4 grade D or F.
Do Medicaid-certified, clean-record nursing homes in Harris County, Texas accept Medicaid?
67 of the 67 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Harris County, Texas