Texas Best Medicaid Nursing Homes 2026

Nurse hours

5.58 /day

Staff turnover

27%

Serious cites

0

The Legacy At Willow Bend runs on about 5.58 nurse hours per resident day, roughly 45% more staffing than the typical American nursing home. That's the kind of margin that shows up in daily care, and it's backed by a 26.7% annual staff turnover rate, well below the 45.8% national figure, meaning fewer unfamiliar faces. The trade-off: 16 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy level. The most recent inspection was in December 2025, so the picture is current. Weekend staffing dips about 8% below its own weekday level, a small but real gap. Nonprofit ownership, strong inspection and quality ratings, and no harm-level findings round out the record.

Nurse hours

5.71 /day

Staff turnover

43%

Serious cites

0

Longhorn Village runs on a nonprofit model with 60 certified beds in Austin, and the staffing numbers are where it separates itself: 5.71 nurse hours per resident day against a national average of 3.86. Weekends dip roughly 12% below its own weekday coverage, so ask how that gap gets covered. Turnover sits at 43.4%, slightly better than the 45.8% national figure but still worth understanding, since seven deficiencies appear on the current record, none at harm or jeopardy level, though three are abuse-related. The last inspection was March 2025, so the record is fairly fresh. All three CMS star ratings land at 5/5.

Nurse hours

4.63 /day

Staff turnover

38%

Serious cites

0

Country View Living runs on a government hospital district license in Dimmitt, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.63 hours per resident day, roughly a fifth above the national average, and weekends dip only about 10% below its own weekday level, a smaller drop than many homes show. Staff turnover is 37.9%, well under the 45.8% national figure, and its eight deficiencies include nothing at the harm or jeopardy level and nothing abuse-related. A December 2025 inspection is recent, and the five-star marks across health, quality, and staffing come from those same federal figures.

Nurse hours

4.73 /day

Staff turnover

16%

Serious cites

0

Sagecrest runs about 4.73 nurse hours per resident day, roughly 22% above the national average of 3.86, and that staffing holds up beyond the weekday, with weekends dipping only about 10% below its own weekday level. Turnover sits at 15.9% against a national average of 45.8%, which matters for dementia care, where unfamiliar faces can unsettle residents. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its last inspection was September 2024. As a nonprofit in San Angelo, it isn't chasing quarterly returns. The numbers point to steady, well-attended care rather than anything flashy.

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

3.58 /day

Staff turnover

34%

Serious cites

0

Lamun-Lusk-Sanchez Texas State Veterans Home runs 160 certified beds in Big Spring under for-profit corporate ownership. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage. Staff turnover is 33.6%, which is meaningfully better than the 45.8% national figure, though the inspection record carries 20 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a $21,252 fine. The most recent inspection was July 11, 2024. CMS rates quality measures and staffing at 5 stars each, but health inspections at 3, and that gap between strong day-to-day metrics and a longer-than-ideal deficiency history is what pulls the overall picture down.

Nurse hours

4.35 /day

Staff turnover

39%

Serious cites

0

Mrc The Crossings runs a tight ship on nearly every measure that matters. The nonprofit home puts 4.35 nursing hours behind each resident daily, roughly 13% above the national average, and its staff turnover of 39.1% sits well under the typical 45.8%, a signal that caregivers tend to stay. One deficiency on the current record, none involving harm or abuse, and a December 2024 inspection round out the picture. The one soft spot: weekend staffing dips about 8% below its own weekday level, so ask how coverage looks on Saturdays and Sundays. Otherwise, the numbers here are about as clean as they come.

Nurse hours

4.29 /day

Staff turnover

10%

Serious cites

0

Crestview runs on nonprofit ownership in Bryan, and the numbers behind its A grade start with staff who stay. Annual turnover of 10% is remarkably low next to the 45.8% national figure, and total nurse staffing of 4.29 hours per resident day sits about 11% above the national average. The catch is weekends, when coverage drops roughly 18% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Eight deficiencies on record, one at the harm level, none abuse-related, with the most recent inspection in August 2025.

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

3.10 /day

Staff turnover

30%

Serious cites

0

Hillview Nursing & Rehabilitation runs on a government-hospital-district model in Goldthwaite, and the inspection record is the strongest part of the story: a perfect health inspection score, quality measures to match, and no deficiencies at the harm or jeopardy level. The 14 total deficiencies and one abuse-related finding are worth asking about directly, but none rose to actual harm. Staffing is where the picture gets complicated. At 3.10 nurse hours per resident day, this home sits roughly 20 percent below the national average, and weekends run about 14 percent thinner than weekdays. Turnover, though, is 30.3 percent against a national 45.8, a steadier crew than most. The January 2026 inspection means the record is current.

Nurse hours

5.63 /day

Staff turnover

35%

Serious cites

0

Permian Residential Care Center is county-owned and staffed well above average, 5.63 total nurse hours per resident day against a national 3.86. Weekend coverage dips about 15% below its own weekday level, which is common but worth knowing if you'll be visiting Saturdays. Staff turnover sits at 34.9%, lower than the 45.8% national rate, and its last inspection was recent, December 2025. That inspection history isn't spotless: 8 deficiencies on record, one serious enough to reach harm or jeopardy level, plus a single fine of $20,865. The staffing and inspection star ratings both come in at 5, while quality measures land at 3.

Nurse hours

5.71 /day

Staff turnover

33%

Serious cites

0

The Legacy Midtown Park in Dallas runs a tight ship on the things that matter most: 5.71 nurse staffing hours per resident day, roughly half again the national average, with weekend coverage dipping only about 9% below weekdays. Staff turnover sits at 33.3% against a national 45.8%, so the people caring for residents tend to stay. Inspections back that up, the most recent, in September 2025, produced six deficiencies, none at harm or jeopardy level, though one was abuse-related. Four fines totaling $27,523 have accumulated on the record. As a nonprofit with 54 beds, it's small enough that problems don't hide easily, and the inspection history suggests few serious ones have.

Nurse hours

5.19 /day

Staff turnover

40%

Serious cites

0

Shinnery Oaks runs on nurse staffing of 5.19 hours per resident day, about a third more than the national average, and it shows in the metrics: five stars for staffing, five for health inspections, four for quality measures. Weekend coverage dips only modestly below weekdays, so care doesn't thin out as much as it does at many homes. Staff turnover sits at 39.7%, better than the national figure, which matters for whether residents see the same faces. The caution is in the record: ten deficiencies, one serious enough to involve harm or jeopardy, and a $26,120 fine. County-owned, sixty beds, inspected as recently as December 2025.

Nurse hours

3.97 /day

Staff turnover

44%

Serious cites

0

Lake Forest Village By Purehealth runs 60 certified beds in Denton under for-profit LLC ownership. Nurse staffing sits at 3.97 hours per resident day, modestly above the national average of 3.86, though weekends dip roughly 14% below the home's own weekday coverage, so the aide or nurse you reach on a Saturday may be stretched thinner than on a Tuesday. The 44.2% annual turnover roughly tracks the national 45.8% rate. Twelve deficiencies appear on the current record with none at harm or jeopardy level and none abuse-related; the most recent inspection was September 2025, so the picture is current. CMS gives 5 of 5 stars on quality measures, 4 of 5 on staffing, and 3 of 5 on health inspections.

Nurse hours

4.29 /day

Staff turnover

31%

Serious cites

0

Continuing Care At Highland Springs runs 44 certified beds as a nonprofit, and its staffing is a genuine bright spot: 4.29 nurse hours per resident day, roughly 11% above the national average, with weekend coverage dipping about 10% below its own weekday levels. Turnover sits at 31.4%, well under the 45.8% national figure, so the people caring for residents tend to stay. The friction is on the inspection side, 17 deficiencies on record, two of them serious enough to reach harm or jeopardy, plus one $46,105 fine, with the most recent inspection in September 2025. That combination of strong daily staffing and a troublesome survey history is what pulls the overall picture down.