39 Medicaid Nursing Homes With a Clean Record in Houston, TX

Nurse hours

5.33 /day

Staff turnover

51%

Serious cites

0

The Hallmark runs about 5.33 nurse hours per resident day, roughly 38% above the national average, and weekends dip only about 14% below its own weekday level, a modest drop by nursing home standards. Staff turnover sits at 51.3%, higher than the 45.8% national figure, so the people caring for residents do change fairly often. Its inspection record shows 16 deficiencies, none at the harm level and none abuse-related, with the most recent visit in January 2025; both its inspection and quality measure ratings come in at 5 out of 5. For a 32-bed nonprofit home, the numbers describe steady care with a staffing churn worth asking about directly.

Nurse hours

4.08 /day

Staff turnover

33%

Serious cites

0

Richard A. Anderson, the state veterans home in Houston, runs nurse staffing at 4.08 hours per resident day, about 6% above the national average, and its 33.3% turnover is well below the 45.8% typical elsewhere. Weekend coverage does dip roughly 11% below weekday levels, so ask how that plays out on Saturdays. The record shows 14 deficiencies, one at the harm level and one abuse-related, plus a single $14,730 fine; the most recent inspection was September 2025. State-run ownership and strong quality and staffing ratings sit alongside that deficiency history, which is what pulls the overall picture down despite the numbers that look good on paper.

Nurse hours

4.09 /day

Staff turnover

29%

Serious cites

0

Seven Acres runs a nonprofit shop in Houston with 144 certified beds, and the staffing picture is genuinely solid: 4.09 nurse hours per resident day, roughly 6% above the national average, with weekend coverage dipping only about 8% below weekdays. Turnover sits at 29.3%, well under the 45.8% national figure, which matters because steady aides know the residents. What pulls the record down is the inspection side, 10 deficiencies on file, one serious enough to reach harm or jeopardy level, and a $25,454 fine. No abuse citations, and the last inspection was recent (May 2025), so the picture is current rather than stale. Strong daily care, but the survey history is where a family should ask questions.

Nurse hours

4.36 /day

Staff turnover

n/a

Serious cites

0

Treemont Health Care Center runs 4.36 nurse hours per resident day, about 13% above the national average, though weekend staffing dips roughly 9% below its own weekday level. The inspection record shows 12 deficiencies, none at the harm or jeopardy level, with one abuse-related finding and a survey dated September 2024. State inspectors gave it 4 out of 5 stars, and quality measures scored 5 out of 5, but the staffing star rating sits at just 2 out of 5 under CMS's own formula despite that above-average raw number. The limited liability for-profit owner and that staffing split are worth asking about directly before you decide.

Nurse hours

5.08 /day

Staff turnover

53%

Serious cites

0

Continuing Care at Eagles Trace is a small nonprofit home in west Houston with 44 beds, and its staffing is genuinely above average, 5.08 nurse hours per resident day against a national figure of 3.86. Weekends run about 14 percent thinner than weekdays, though, and turnover sits at 53.3 percent, higher than the 45.8 percent national rate, so that strong average masks real churn. Nine deficiencies are on the current record, two of them serious enough to involve harm or jeopardy, with $22,486 in fines across two penalties. Inspections are recent, from August 2024, and there's nothing abuse-related. The staffing and inspection stars look good; the harm-level findings and turnover are what pull the overall picture down.

Nurse hours

4.74 /day

Staff turnover

59%

Serious cites

0

Holly Hall runs a for-profit operation under a limited liability company with 62 certified beds in Houston. The staffing numbers look solid on paper, 4.74 nurse hours per resident day, well above the national average, but that average hides a drop on weekends, and nearly three in five employees left over the past year, which is higher than the typical nursing home. State inspectors visited in October 2025 and logged 24 deficiencies, though none involved actual harm or abuse, so the problems are mostly procedural rather than dangerous. The quality and staffing ratings both land at 4 out of 5, while inspections sit at 3, which is roughly what a B grade reflects here.

Nurse hours

3.10 /day

Staff turnover

45%

Serious cites

0

Park Manor of Cyfair runs lean on direct care. At 3.10 nurse hours per resident day it sits about a fifth under the national figure, and weekends drop roughly another 14% below its own weekday coverage, so the thinnest shifts are the ones when families tend to visit. Turnover, at 44.8%, is essentially the national rate. What pulls this Houston home up is its record: a five-star health inspection rating, no deficiencies flagged at harm or jeopardy level, nothing abuse-related, and an inspection as recent as August 2025. The tradeoff is clear, strong oversight and quality marks, lighter day-to-day staffing.

Nurse hours

3.08 /day

Staff turnover

39%

Serious cites

0

Focused Care At Westwood runs on thin nursing coverage: 3.08 hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below what the home staffs on weekdays. That gap shows up in the federal staffing rating, which sits at the lowest tier, even as the quality measure score lands at the top. Turnover is 38.9%, actually better than the 45.8% national figure, so the problem isn't churn so much as how few hours each resident gets. Inspections in March 2025 turned up 26 deficiencies, one serious enough to cause harm, though none tied to abuse. The for-profit partnership has real strengths here, consistent staff and strong clinical measures, alongside a staffing level worth asking about directly.

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.

Nurse hours

3.37 /day

Staff turnover

25%

Serious cites

0

West Oaks runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, and weekends dip about 15% below what the home staffs on weekdays, so a Saturday or Sunday shift may feel thinner than a Tuesday. What works in its favor is stability: turnover sits at 24.7%, well under the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. Its inspection record is current as of January 2025, with 11 deficiencies and none tied to harm, jeopardy, or abuse. Corporate-owned and 136 beds; a decent record, but ask about weekend coverage.

Nurse hours

3.22 /day

Staff turnover

45%

Serious cites

0

Park Manor Of South Belt runs 3.22 nursing hours per resident day, about 17 percent under the national average of 3.86, and weekends drop roughly 15 percent below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 2 out of 5 even though inspections and quality measures both come in at 4 out of 5. Turnover is 45.4 percent, basically level with the national figure. The current record shows 9 deficiencies, none at the harm level, though one is abuse-related. A June 2025 inspection means the picture is recent. For-profit limited liability ownership. Families should ask how weekend coverage is handled on the specific unit their relative would live on.

Nurse hours

0.41 /day

Staff turnover

50%

Serious cites

0

Clarewood House runs on a fraction of the nursing hours you'd expect. Its 0.41 hours per resident day sits far under the national average of 3.86, roughly a tenth of it, and that thin coverage is why the staffing rating lands at the bottom. Weekend staffing actually runs higher than its own weekday level, which is unusual and suggests the weekday numbers are the real problem. Turnover sits at 50%, a bit above the national 45.8%. The inspection record is clean where it counts: five deficiencies, none at harm or jeopardy level, no abuse findings, and the most recent look was December 2025. Quality measures score well. The gap between how this place documents care and how much staff it actually has is the thing to press on.

Nurse hours

3.24 /day

Staff turnover

55%

Serious cites

0

Copperfield Healthcare and Rehabilitation runs 124 certified beds in Houston under corporate for-profit ownership, and its staffing is the first thing to look at: 3.24 nurse hours per resident per day, roughly 16% under the national average. Weekends drop about 15% below its own weekday level, and annual turnover sits at 55% against a national 45.8%, so the aides and nurses who remain are stretched thinner on Saturdays and Sundays. The inspection record backs that up: 28 deficiencies, three of them at harm or jeopardy level, and a two-star health inspection rating despite strong quality measure scores. One fine of $23,029 is on file, with the last inspection dated September 2025. The low staffing rating tells you where the risk sits.

Nurse hours

3.07 /day

Staff turnover

36%

Serious cites

0

Sharpville Residence runs lean on nursing hours, 3.07 per resident day, roughly a fifth below the national figure, and weekends dip about 8% below its own weekday coverage, which is when gaps tend to show up. Turnover works in its favor: 35.9% against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Its inspection record backs that up, with 12 deficiencies on file, none involving harm or abuse, and one fine of $8,431. The hospital district ownership and a clean June 2024 inspection suggest steady management. Go in asking how the weekend floor actually gets covered.

Nurse hours

3.25 /day

Staff turnover

43%

Serious cites

0

Ashford Gardens runs 202 beds in Houston under corporate ownership, and its nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends are thinner still, about 14 percent below its own weekday coverage, so the gaps families notice tend to show up on Saturdays and Sundays. The inspection record carries 24 deficiencies, including one at the harm level and one abuse-related, with a single fine of $11,009. Staff turnover at 43 percent is slightly better than the 45.8 percent national figure, which is some consolation. Quality measures score well; staffing and inspections do not.

Nurse hours

3.25 /day

Staff turnover

40%

Serious cites

0

Park Manor of Westchase runs 125 beds in Houston under individual for-profit ownership, and its last inspection, in February 2025, turned up 29 deficiencies, seven of them serious enough to cause harm or put residents in jeopardy, four tied to abuse. Staffing sits at 3.25 nurse hours per resident per day, about 16% under the national average, and weekends run thinner still. The one bright spot in the numbers is turnover: 39.6%, lower than the 45.8% national figure, though that matters less when the hours themselves are short. The five-star quality measure score stands out against a one-star inspection record and one-star staffing, but quality measures come from self-reported data. The fines total $136,617 across three cases.

Nurse hours

3.92 /day

Staff turnover

71%

Serious cites

0

North Houston Transitional Care runs 70 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the raw number suggests. Total nurse staffing sits at 3.92 hours per resident day, technically above the national average of 3.86, but a 71.3% annual turnover rate means the people providing that care are constantly changing, and CMS's own staffing rating lands at just 1 out of 5 stars. Weekend coverage drops about 5% below weekday levels, so the hours tend to thin out when families are most likely to visit. The inspection record shows 8 deficiencies, 2 of them serious enough to involve harm or jeopardy, plus one fine of $11,508 from a last survey in April 2025. The 5-star quality measure rating stands out against all of this, but scores like that largely reflect reported clinical data rather than day-to-day staffing stability.

Nurse hours

3.22 /day

Staff turnover

61%

Serious cites

0

East View Healthcare in Houston runs 125 certified beds under for-profit LLC ownership, and the numbers pull in two directions. Inspections are a genuine strength, the most recent one was in December 2025, and its 11 deficiencies include none at the harm level, though one is abuse-related. The concern is staffing: 3.22 nurse hours per resident day sits about 17% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover of 60.6% means most of the aides and nurses your relative meets will likely be gone within a year. Five-star inspection and quality ratings don't offset a one-star staffing picture when direct care hours are what fill the day.

Nurse hours

3.91 /day

Staff turnover

60%

Serious cites

0

Houston Transitional Care sits in Harris County with 70 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a perfect 5/5 health inspection rating with 16 deficiencies on file, none at the harm level and none abuse-related, and its most recent inspection was June 2024. Staffing is where the picture changes. Total nurse coverage of 3.91 hours per resident day barely edges the national average, weekend staffing dips about 4% below its own weekday levels, and annual turnover of 60% runs well above the 45.8% national figure. CMS scores staffing just 1 out of 5. The clinical quality measure rating holds at 4 out of 5, so care results look better than the workforce stability suggests. Worth asking how they keep that up.

Nurse hours

3.45 /day

Staff turnover

59%

Serious cites

0

Avir At Courtyard runs 3.45 nurse hours per resident day, roughly 11% under the national average, and weekend coverage dips about 6% below its own weekday level. Staff turnover sits at 59% against a national 45.8%, so the people caring for residents keep changing. The inspection history is mixed: a five-star health inspection rating, but 18 deficiencies on record, including one at harm level and two abuse-related, with the most recent inspection in September 2025. Ownership changed within the past year, and the one-star staffing rating tells you the hours and retention problems are the real story here.