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82 Non-Profit Nursing Homes That Accept Medicaid in Texas

82 of the 1,179 Medicare-certified nursing homes in Texas (7%) are non-profit Medicaid-certified, and all are listed below. Nurse staff turnover runs 42.7%, 12.6 points lower than the 55.3% across all homes there. 14 of the 81 graded homes earn an A and 1 earn a D or F. The Legacy At Willow Bend in Plano grades highest at A (99 out of 100).

How non-profit Medicaid-certified homes in Texas compare

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

Nursing hours per resident per day

3.59

All homes in Texas: 3.39

Better than the local average

Nurse staff turnover

42.7%

All homes in Texas: 55.3%

Better than the local average

Average ElderGrade score

73.7/100

All homes in Texas: 66.9/100

Better than the local average

Grade spread

A
B
C

14 grade A, 39 grade B, 27 grade C, 1 grade D,

The best-graded non-profit Medicaid-certified home in Texas is The Legacy At Willow Bend in Plano, TX, grade A, 99/100.

Every non-profit Medicaid-certified nursing home in Texas

Showing 21 to 40 of 82, best-graded first.

B

80/100

Cleveland Health Care Center

Cleveland, TX · Liberty County

CMS 4/5142 bedsNon-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
39%
Serious cites
0

Cleveland Health Care Center runs 142 certified beds as a nonprofit corporation, and its last inspection was April 30, 2025. Nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86, but weekends drop about 12% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 39.4%, better than the 45.8% national figure, which suggests some stability in the workforce. What pulls the record down is the inspection history: 12 deficiencies on file, 3 of them serious enough to involve harm or jeopardy, plus two fines totaling $30,198. No abuse citations appear. The day-to-day care measures and inspection scores look decent on their own; the harm-level findings are the part worth asking about directly.

B

80/100

Continuing Care At Eagles Trace

Houston, TX · Harris County

CMS 4/544 bedsNon-profitMedicaid
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.

B

79/100

San Juan Nursing Home, Inc.

San Juan, TX · Hidalgo County

CMS 4/5114 bedsNon-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
45%
Serious cites
0

San Juan Nursing Home runs on more direct nursing time than most places, 4.35 hours per resident day against a national average of 3.86, roughly 13% higher. That staffing edge thins out on weekends, which run about 13% below the home's own weekday level, and turnover sits at 45.1%, essentially right on the national figure. The inspection record shows 10 deficiencies with none at the harm level and none tied to abuse, and the last survey was recent, from December 2025. The nonprofit corporate owner holds a four-star health inspection rating and a four-star quality measure rating, with staffing at three stars.

B

79/100

Windflower Health Center

Amarillo, TX · Potter County

CMS 4/5120 bedsNon-profitMedicaid
Nurse hours
3.68 /day
Staff turnover
54%
Serious cites
0

Windflower Health Center runs on thin staffing. At 3.68 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so the coverage your relative gets on a Saturday won't match a Tuesday. Annual turnover of 53.9% is well above the 45.8% national figure, meaning aides and nurses cycle through faster than average. The inspection record shows 28 deficiencies, none at harm or jeopardy level, though one is abuse-related, with $4,922 in fines across two penalties. A recent April 2025 inspection and solid quality measures count for something, but the staffing pattern is the part worth asking about directly.

B

79/100

Remington Transitional Care Of Richardson

Richardson, TX · Dallas County

CMS 4/590 bedsNon-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
42%
Serious cites
0

Remington Transitional Care of Richardson runs about 3.53 nurse hours per resident per day, roughly 9% under the national average of 3.86, and weekends drop another 7% below its own weekday numbers, so if you're touring, ask how weekend coverage actually looks on the floor. Turnover sits at 42%, slightly better than the 45.8% national figure, which matters because fewer familiar faces usually means more consistent care. The inspection record is clean where it counts: 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in June 2025. As a nonprofit, it has no shareholder pressure driving margins.

B

78/100

Pearsall Nursing And Rehabilitation Center

Pearsall, TX · Frio County

CMS 4/5150 bedsNon-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
27%
Serious cites
0

Pearsall Nursing and Rehabilitation Center runs 150 certified beds under nonprofit corporate ownership, and its strongest numbers are in inspections and quality measures, both rated 4 out of 5 by CMS, with the most recent inspection completed in May 2025. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse, though one fine totaling $14,255 has been assessed. Where the home gives ground is staffing: 3.29 nurse hours per resident day sits roughly 15% under the national average, and weekends run about 11% thinner than its own weekdays. Staff turnover, at 27.2%, is well below the national 45.8%, people tend to stay here.

B

78/100

Windsor Nursing And Rehabilitation Center Of Harli

Harlingen, TX · Cameron County

CMS 5/5154 bedsNon-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
23%
Serious cites
0

Windsor Nursing and Rehabilitation Center of Harlingen runs on a non-profit corporate model with 154 certified beds, and its inspection record is solid, a 4/5 health inspection rating with a recent June 2025 survey and no deficiencies at the harm or jeopardy level. That's meaningful. But the staffing picture is thinner than it looks: 3.29 nurse hours per resident day sits roughly 15% below the national average, weekends run about 11% below the home's own weekday coverage, and CMS gives it just 2/5 for staffing. The one abuse-related deficiency on record is worth asking about directly. Turnover at 23.1% is notably better than the national 45.8%, which suggests some stability in the workforce even if raw hours are low.

B

78/100

Ebony Lake Nursing And Rehabilitation Center

Brownsville, TX · Cameron County

CMS 4/5122 bedsNon-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
31%
Serious cites
0

Ebony Lake runs on 3.32 nurse hours per resident day, about 14% under the national average, and weekends dip roughly 11% below its own weekday staffing. Turnover sits at 31.4%, well under the national 45.8%, which suggests the people who do show up tend to stay. The health inspection record shows 24 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. Quality measures score 5 out of 5 even as staffing scores 2. That gap is the whole story here: good care outcomes, thin coverage, stable workforce.

B

78/100

Holiday Hill Inc

Coleman, TX · Coleman County

CMS 4/5106 bedsNon-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
36%
Serious cites
0

Holiday Hill runs on 3.58 nurse hours per resident day, about 7 percent under the national figure, and weekends drop roughly 14 percent below its own weekday staffing. Turnover is 36.4 percent, which is better than the 45.8 percent national average, so people tend to stay. Inspections look solid, a 4-out-of-5 star rating, last survey in September 2024, and none of the 18 deficiencies on record rose to harm or jeopardy. But two are abuse-related, and 17 fines totaling $87,154 is real money. Nonprofit ownership and steady staff are points in its favor; the abuse citations and thin weekend coverage are what a family should ask about directly.

B

78/100

Weslaco Nursing And Rehabilitation Center

Weslaco, TX · Hidalgo County

CMS 3/5120 bedsNon-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
24%
Serious cites
0

Weslaco Nursing and Rehabilitation runs lean on direct care: 3.30 nurse hours per resident day, about 14 percent under the national average, and weekends dip roughly 11 percent below its own weekday staffing. That thin coverage is the main reason the federal staffing rating sits at 1 out of 5, even though the same data shows turnover at 23.8 percent, well below the national 45.8 percent, meaning the aides and nurses who are there tend to stay. Inspections tell a steadier story: 26 deficiencies on record, none at the harm level, though two are abuse-related, and the most recent visit was May 2025. Ask about weekend coverage and how those abuse citations were resolved.

B

78/100

S.p.j.s.t. Rest Home No 2

Needville, TX · Fort Bend County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
45%
Serious cites
0

Spjst Rest Home No 2 runs about 3.72 nurse staffing hours per resident day, roughly 4% under the national average, and weekends drop another 9% below its own weekday numbers, so coverage thins out exactly when families tend to visit. Staff turnover sits at 45.2%, essentially at the national rate. The inspection record is the strongest part of this home: a five-star health inspection rating, last survey in December 2025, and seven deficiencies total, one of them serious enough to reach harm or jeopardy level, with no abuse citations. One fine of $12,649 is on record. Quality measures land mid-range at three stars, which is where the softer spots show up.

B

77/100

John Paul Ii Nursing Home

Kenedy, TX · Karnes County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
24%
Serious cites
0

John Paul II Nursing Home runs a lean nursing floor, 3.30 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday coverage. Where it separates itself is stability: 24.1% annual turnover, roughly half the national rate, which matters more than raw hours when aides actually know the residents. The inspection record is genuinely strong, a 5/5 star rating with nine deficiencies on file, none reaching harm or jeopardy. Two abuse-related citations are worth asking about directly. At 58 beds under nonprofit ownership with a recent September 2025 survey, this is a smaller home whose numbers point to careful management rather than heavy staffing.

B

77/100

Runningwater Draw Care Center, Inc.

Olton, TX · Lamb County

CMS 3/575 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
49%
Serious cites
0

Runningwater Draw Care Center is a nonprofit home in Olton with 75 certified beds, and its record splits sharply depending on what you look at. The quality measure rating is 5 out of 5, meaning resident outcomes like falls and infections look good on paper, but staffing sits at 1 out of 5 and annual turnover runs 49.2%, higher than the 45.8% national average, which matters because consistent caregivers are what hold quality together. The inspection history shows 23 deficiencies, three of them at the harm or jeopardy level and two tied to abuse, plus one fine of $15,672. The last inspection was recent, in May 2026, so this is a current picture, not an old one.

B

77/100

Settlers Ridge Care Center

Celina, TX · Collin County

CMS 4/5128 bedsNon-profitMedicaid
Nurse hours
3.20 /day
Staff turnover
43%
Serious cites
0

Settlers Ridge runs on thinner nurse coverage than most homes, 3.20 hours per resident day against a national average of 3.86, and weekends dip another 10% below its own weekday pace. That gap is the main thing pulling its staffing rating down to 2 out of 5. The inspection record tells a steadier story: a 4 out of 5 health inspection rating, recency on its side with a February 2025 survey, and zero deficiencies at the harm or jeopardy level. One abuse-related citation out of 25 total is worth asking about directly. Staff turnover at 43.2% is slightly better than the national 45.8%, which matters for consistency of care. Nonprofit ownership under a corporation, 128 beds.

B

76/100

Collinwood Nursing And Rehabilitation

Plano, TX · Collin County

CMS 2/5120 bedsNon-profitMedicaid
Nurse hours
3.20 /day
Staff turnover
23%
Serious cites
0

Collinwood runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip even further below its own weekday coverage. That thin floor shows up in the inspection record: 24 deficiencies, three at harm or jeopardy level and five tied to abuse, with a $51,113 fine. Staff turnover of 23.1% is genuinely better than the 45.8% national figure, which matters for continuity of care, and the 4/5 quality measure rating suggests clinical outcomes aren't the weak spot. The church-affiliated nonprofit ownership is a plus. But the last inspection was August 2025, and the staffing math combined with that deficiency count is what drives the low grade.

B

75/100

Silver Pines Nursing And Rehabilitation Center

Bastrop, TX · Bastrop County

CMS 4/5114 bedsNon-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
44%
Serious cites
0

Silver Pines runs a 114-bed nonprofit home in Bastrop, and its numbers split in two directions. The care side looks strong: a four-star health inspection record, a top quality-measure score, and a recent June 2025 inspection with no deficiencies at the harm or jeopardy level, though one abuse-related citation does appear among the 31 on file. Staffing is the weak spot. At 3.05 nurse hours per resident day, it sits about 21% under the national average, weekends run roughly 7% thinner than weekdays, and turnover of 44.3% is essentially the national rate. Nonprofit ownership and good survey results are real strengths, but the day-to-day nurse coverage is thin enough to ask about directly.

B

75/100

Sugar Land Health Care Center

Sugar Land, TX · Fort Bend County

CMS 4/5150 bedsNon-profitMedicaid
Nurse hours
3.59 /day
Staff turnover
41%
Serious cites
0

Sugar Land Health Care Center runs 3.59 nurse hours per resident day, about 7% under the national average, and weekends dip roughly another 10% below its own weekday coverage. That thin margin shows up in the staffing star rating, which sits at 2 out of 5. Turnover is 41.3%, actually a bit better than the 45.8% national figure, so the problem isn't retention so much as how many hands are on deck per shift. The inspection record carries 17 deficiencies, three of them at the harm or jeopardy level, plus two fines totaling $30,494; the last survey was May 2025. Quality measures score well at 4 out of 5, but quality scores reflect resident outcomes, not whether enough staff are present to catch problems before they become one.

B

74/100

Mabee Health Care Center

Midland, TX · Midland County

CMS 4/544 bedsNon-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
84%
Serious cites
0

Mabee Health Care Center runs 44 beds in Midland as a nonprofit, and its quality measure score is genuinely strong, 5 out of 5. The trouble sits on the staffing side. At 3.76 nurse hours per resident day, it's slightly under the national average, and weekend coverage actually holds above weekday levels, which is unusual and worth something. What stands out more is turnover: 83.8% annually, nearly double the national 45.8%. Fourteen deficiencies sit on the current record, none at harm level, one abuse-related, and the last inspection was February 2026, so the picture is fairly fresh. Clinical outcomes look good; keeping caregivers is the open question.

B

73/100

Cuero Nursing And Rehabilitation Center

Cuero, TX · De Witt County

CMS 4/5120 bedsNon-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
25%
Serious cites
0

Cuero Nursing and Rehabilitation Center runs about 3.03 nurse hours per resident per day, roughly 21% under the national average of 3.86, and weekends dip another 14% below its own weekday staffing. The good news is turnover: at 24.5%, it's well below the national 45.8%, so the people who are there tend to stay. But 23 deficiencies sit on the current record, two of them at the harm or jeopardy level and one abuse-related, plus a $16,801 fine. The most recent inspection was January 23, 2026, so the picture is current. Low staffing combined with that citation history is what drives the weak grade here, despite solid quality scores.

B

73/100

Lawrence Street Health Care Center

Tomball, TX · Harris County

CMS 4/5150 bedsNon-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
64%
Serious cites
0

Lawrence Street Health Care Center runs 150 certified beds in Tomball under nonprofit ownership, and its inspection record looks solid on paper: a four-out-of-five health inspection rating, with the most recent survey completed in October 2025. The trouble sits in the workforce numbers. Nurse staffing comes in at 3.65 hours per resident per day, roughly 5% under the national average, and weekends run about 10% thinner than weekdays. Annual turnover of 63.8% is well above the 45.8% national figure, which means the aides and nurses your family member sees may keep changing. Twelve deficiencies are on record, one serious enough to involve harm, plus a single fine of $12,740.

Frequently asked questions

How many non-profit Medicaid-certified nursing homes are there in Texas?
There are 82 non-profit Medicaid-certified Medicare-certified nursing homes in Texas, 7% of the 1,179 nursing homes there.
Are non-profit Medicaid-certified nursing homes better staffed?
In Texas they average 3.59 total nursing hours per resident per day, against 3.39 for all nursing homes in Texas, a difference of +0.2 hours. Staff turnover averages 42.7% against 55.3%.
Which non-profit Medicaid-certified nursing home grades best in Texas?
The Legacy At Willow Bend in Plano, TX, grade A, 99 out of 100.
Does being non-profit Medicaid-certified mean a nursing home is safe?
No. Of the 81 graded non-profit Medicaid-certified homes in Texas, 14 grade A and 1 grade D or F.
Do non-profit Medicaid-certified nursing homes in Texas accept Medicaid?
82 of the 82 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Texas