86 Nursing Homes That Accept Medicaid in Harris County, Texas
86 of the 97 Medicare-certified nursing homes in Harris County, Texas (89%) are Medicaid-certified, and all are listed below. 3 of the 86 graded homes earn an A and 12 earn a D or F. They average 3.31 nursing hours per resident per day, 0.23 hours below the 3.54 for every home in Harris County, Texas. The Hallmark in Houston grades highest at A (93 out of 100).
How Medicaid-certified 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
54.4%
All homes in Harris County, Texas: 53.2%
Worse than the local average
Average ElderGrade score
65.1/100
All homes in Harris County, Texas: 67/100
Worse than the local average
Grade spread
B
C
D
3 grade A, 24 grade B, 47 grade C, 12 grade D,
The best-graded Medicaid-certified home in Harris County, Texas is
The Hallmark
in Houston, TX, grade A, 93/100.
Every Medicaid-certified nursing home in Harris County, Texas
Tomball Rehab & Nursing runs on 2.77 nurse hours per resident day, roughly 28% under the national average, and weekends drop another 8% below its own weekday coverage. That thin staffing shows up in the numbers: 68% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. The hospital district ownership doesn't change what the payroll looks like day to day.
Inspectors cited 26 deficiencies on the current record, two serious enough to involve harm or jeopardy, with $110,495 in fines across two penalties. The most recent inspection was February 2026. Quality measures score well at four stars, but that's a self-reported side of the ledger, and it sits against a two-star inspection history and staffing that's the real story here.
Focused Care At Webster runs a 120-bed for-profit operation in Harris County, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.56 hours per resident day, about 8% under the national average, and it thins out further on weekends. Annual turnover hits 66.3% against a national 45.8%, so you're looking at a building where two out of three caregivers left within the year.
The inspection record backs that up: 32 deficiencies on file, three at harm or jeopardy level, five tied to abuse, and $34,665 in fines across two penalties. The last inspection was January 30, 2025. Quality measure scores look strong, but that's largely charting, the direct-care hours and the harm-level findings are what a family will actually feel.
Park Manor Of Cypress Station runs on thin nursing coverage: 3.09 hours per resident per day against a national average of 3.86, and weekends dip about 14% below its own weekday level. That staffing shortfall shows up in a 61% annual turnover rate, well above the 45.8% national figure, and in a one-out-of-five CMS staffing star. The inspection record is harder to look past: 27 deficiencies, seven at harm or jeopardy level, three tied to abuse, and $29,517 in fines, with the most recent inspection dated June 2025. Owned by a for-profit limited liability company, its quality measure star of four out of five stands out against everything else, though strong chart numbers don't change what happens on the floor.
Avir At Houston runs 148 certified beds as a for-profit corporation, and the numbers that matter most here are thin. Nurse staffing sits at 2.79 hours per resident day against a national average of 3.86, roughly 28% below, and weekends drop about 19% below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. The inspection record carries 35 deficiencies, six of them serious enough to involve harm or jeopardy, plus four fines totaling $178,352. The most recent inspection was May 8, 2026. Federal quality measures score well, but that sits against a 1/5 staffing rating and a 1/5 inspection rating. If you're weighing this one, ask specifically how weekend coverage is handled.
Magnolia Crossing runs on a government-hospital-district license and 128 beds, and its last inspection wrapped in May 2025 with a four-star health inspection rating, genuinely the strongest number here. The staffing numbers tell a different story. At 3.26 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 58.9% against a 45.8% national figure. Twenty deficiencies sit on record, none at harm level, though three are abuse-related. A strong inspection record is carrying a lot of weight for a building where people keep leaving.
The Suites Pasadena runs on thinner nurse staffing than most homes nationally, 3.66 hours per resident day against a 3.86 average, and weekends drop about 13% below its own weekday coverage, which matters when a resident needs help on a Sunday. Turnover sits at 75.5% against a 45.8% national figure, so the people caring for your family member are likely to keep changing. Behind the numbers: 46 deficiencies on the current record, five at harm or jeopardy level and two tied to abuse, plus nine fines totaling $324,713. State inspectors were last in on January 16, 2026.
Bay Ridge Healthcare Center runs 58 certified beds in La Porte under corporate for-profit ownership, and the numbers on its current record are worth a close look. Nurse staffing sits at 3.71 hours per resident day, a bit under the national average, and weekend coverage drops roughly 13% below the home's own weekday level, the stretch when families often can't visit. Staff turnover runs 57.7% against a national 45.8%, so the people caring for your relative may keep changing. The inspection record shows 32 deficiencies, six at harm or jeopardy level and six abuse-related, with $18,054 in fines. The most recent inspection was February 2025.
Regency Village runs 122 certified beds in Webster under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 68.8% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are often new to the building.
The inspection record is heavier still: 28 deficiencies, including 5 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $22,718. State inspectors last visited in May 2025.
Focused Care At Cedar Bayou carries 23 deficiencies on its current record, and 9 of those reached harm or jeopardy level, one tied to abuse. That's the kind of inspection history that put this for-profit, limited-liability home into CMS's Special Focus Facility program, a designation reserved for the homes regulators watch most closely. The health inspection rating sits at 1 out of 5, and the last full look came in February 2024. Staffing tells its own story: 3.01 nurse hours per resident day, about 22% under the national average, with weekends running roughly 7% thinner than weekdays. Turnover is 47.2%, slightly above the national 45.8%. Four fines total $99,485. The 4/5 quality measure rating reflects resident assessments, but it doesn't offset what inspections and staffing show.
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.
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.
Sylan Shores runs on 3.00 nursing hours per resident day, roughly 22% under the national average of 3.86, and weekends drop about 14% below what it manages during the week. That thin coverage shows up in the numbers: a 69.5% annual turnover rate against a national 45.8%, and 16 deficiencies on the current record, including one at the harm level and two tied to abuse. The last inspection was July 2025, so the findings are recent rather than stale. Government hospital-district ownership doesn't change what the staffing star says. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.
Eagle Crest Rapid Recovery runs 125 beds in Houston under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag. At 3.17 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly 16% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 75.2% against a national 45.8%, meaning most of the people caring for your relative are new and likely to leave. The inspection record backs that up: 31 deficiencies, 8 at harm or jeopardy level, one abuse-related, and four fines totaling $54,252, with the last inspection in September 2025.
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.
Afton Oaks is a 169-bed for-profit home in Houston that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The numbers back that up: 37 deficiencies on the current record, 16 of them at the harm or jeopardy level and 5 tied to abuse, plus four fines totaling $115,512. Nurse staffing runs about 7% below the national average, and weekends drop roughly 8% below the home's own weekday levels, when residents still need care. Its last inspection was in April 2025. If you're considering this one, ask directly what's changed since CMS flagged it.
The numbers out of Fallbrook Rehabilitation and Care Center are hard to get past. With 202 beds and government hospital district ownership, it runs 3.33 nursing hours per resident day against a national average of 3.86, weekend coverage drops about 12% below its own weekdays, and nearly 60% of staff turn over each year. A 1/5 staffing rating and 1/5 health inspection rating sit alongside 56 deficiencies, 11 of them at harm or jeopardy level, plus $83,678 in fines and a spot in CMS's Special Focus Facility program. The 3/5 quality measure score doesn't offset what inspectors and payroll records show. The most recent inspection was April 2025, so the record is current.
Avir At Arden Wood runs 174 certified beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average, with weekends about 12% thinner than its own weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, 12 of them at harm or jeopardy level, 2 abuse-related, and $130,388 in fines across two events, with the most recent inspection dated May 2026. The one clear strength is retention, where 25.6% turnover beats the 45.8% national figure, so the staff who are there tend to stay. Whether that offsets the survey history is the question a family has to weigh.
Misty Willow runs 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The inspection record is the harder problem: 30 deficiencies, 8 of them at harm or jeopardy level, 3 tied to abuse, and $79,412 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care, and its health inspection rating sits at 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Deerbrook runs on about 3.35 nursing hours per resident per day, roughly 13 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That thin coverage shows up in the inspection record: 35 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $196,911 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover sits at 60.7 percent against a 45.8 percent national average, so the people providing care keep changing. The 4/5 quality measure score reflects reported clinical data; the 1/5 inspection and staffing ratings reflect what surveyors actually found.
Terra Bella runs about 3.36 nurse staffing hours per resident day, roughly 13 percent under the national average, and it leans thinner on weekends than weekdays. Staff turnover sits at 61.6 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. On inspections, CMS has cited 44 deficiencies, including 12 at the harm or jeopardy level and 3 tied to abuse, with six fines totaling $181,644 and a spot in the Special Focus Facility program, which CMS reserves for homes with a persistent record of serious problems. The most recent inspection was March 26, 2026.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Harris County, Texas?
There are 86 Medicaid-certified Medicare-certified nursing homes in Harris County, Texas, 89% of the 97 nursing homes there.
Are Medicaid-certified 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 54.4% against 53.2%.
Which Medicaid-certified nursing home grades best in Harris County, Texas?
The Hallmark in Houston, TX, grade A, 93 out of 100.
Does being Medicaid-certified mean a nursing home is safe?
No. Of the 86 graded Medicaid-certified homes in Harris County, Texas, 3 grade A and 12 grade D or F.
Do Medicaid-certified nursing homes in Harris County, Texas accept Medicaid?