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
Towers Nursing Home in Smithville runs a nonprofit operation with 120 certified beds, and its inspection record looks solid on paper, a 4-out-of-5 health inspection rating and a recent survey from July 2025. But the staffing numbers tell a different story. At 2.59 nurse hours per resident per day, this home sits about a third below the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. Staff turnover is 58.8%, well above the 45.8% national figure, which matters when you're counting on consistent caregivers. Fifteen deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, and CMS has fined the home $15,239. Ask about weekend coverage and how they keep CNAs.
Kendall House runs 40 certified beds as a nonprofit operation, and its most recent inspection in January 2026 earned four stars for health inspections and three for quality measures. The staffing picture is a different story: a one-star rating and 68.1% annual turnover, well above the 45.8% national average, meaning nearly seven in ten staff left within the year. The current record shows 22 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a single fine of $88,390. Turnover that high with a harm-level deficiency is what pulls the overall picture down despite decent inspection scores.
Windsor Nursing and Rehabilitation Center of Morga runs 176 certified beds under nonprofit ownership, and the staffing numbers are the first thing to notice. At 2.91 nurse hours per resident per day, it sits about 25% under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 45.5%, essentially the national rate, so that's not the outlier here. The inspection record is heavier: 26 deficiencies, 7 at harm or jeopardy level, 5 tied to abuse, and three fines totaling $32,353. The most recent inspection was July 8, 2025. Quality measures score well; staffing and inspections are where the concerns sit.
Conroe Health Care Center runs 108 certified beds as a nonprofit, and the numbers tell a mixed story. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 5% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Staff turnover is 52.6%, notably worse than the 45.8% national figure, which matters because constant churn makes consistent care harder. The current inspection record shows 20 deficiencies, two serious enough to involve harm or jeopardy, plus one fine of $12,860; the most recent inspection was April 11, 2025. Quality measures rate mid-range, but inspections and staffing are the weaker spots here.
Brenham Nursing and Rehabilitation Center runs on 2.71 nurse hours per resident day, roughly 30 percent under the national average of 3.86, and weekend coverage drops about 10 percent below its own weekday level. Staff turnover sits at 44.3 percent, close to the national figure of 45.8 percent, so this isn't a retention crisis so much as a thin floor of coverage that thins further on Saturdays and Sundays. The inspection record is where the real trouble shows: 28 deficiencies, two at harm or jeopardy level, one abuse-related, and two fines totaling $29,353. The most recent inspection was February 19, 2026. A five-star quality measure score doesn't offset a one-star inspection history at a home this size.
Maverick Nursing and Rehabilitation Center runs on a thin margin of nursing hours: 2.93 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday coverage. That staffing picture, not the inspection record, is what drags the home down, CMS gives it just one star for staffing even though inspections earned four and quality measures three. Turnover sits at 47.1%, slightly above the 45.8% national figure. Twenty-six deficiencies are on file, one serious enough to reach harm or jeopardy level, with a single fine of $15,642; the most recent inspection was December 12, 2025. If you're weighing this one, ask how they cover weekends.
St. Dominic Village runs on a church-affiliated nonprofit model, and its quality scores are actually decent, four stars on CMS measures. The problem is the people side. Staffing sits at one star, well below what you'd want for 158 beds, and that gap shows up in the inspection record: 13 deficiencies, including one serious enough to reach harm or jeopardy level and two tied to abuse. Five fines totaling $42,031 have accumulated. The last inspection was in May 2025, so this isn't stale history. A nonprofit with good clinical metrics but thin staffing and abuse findings is a specific kind of risk, ask directly about direct-care hours per resident and how they've addressed those abuse citations.
The Villages On Macarthur runs leaner than most: 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays. That matters because its inspection record carries 29 deficiencies, two of them at the harm or jeopardy level and one tied to abuse, with $25,259 in fines across two penalties. The health inspection rating sits at 2 out of 5, though quality measures score 4 and staffing 3. Turnover is 43%, slightly better than the 45.8% national figure, and the most recent inspection was July 2025. A nonprofit with recent eyes on it, but the harm-level findings are the part to ask about directly.
The Healthcare Resort Of Plano runs 70 certified beds as a nonprofit, and its staffing sits just under the national average at 3.82 nurse hours per resident day. The bigger issue is consistency: weekends drop about 9% below its own weekday coverage, and annual turnover hits 54.8% against a national 45.8%, meaning more than half the nursing staff turns over each year. That churn shows up on the inspection side too, 25 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $16,438 in fines across two events, with the most recent inspection in June 2025. Nothing here is catastrophic, but the pattern is a home running thin on staff and paying for it in citations.
Highland Park Care Center is a 120-bed nonprofit home in Houston where the direct-care numbers are thin. Nurses and aides give residents 3.65 hours of care per resident day, under the national average, and weekends drop about 15% below the home's own weekday staffing, so the coverage your family sees on a Tuesday isn't what shows up on a Saturday. Staff turnover sits at 56.9% against a national 45.8%, meaning more than half the workforce leaves each year. Eighteen deficiencies sit on the current record, two serious enough to involve harm or jeopardy, with one fine of $40,186. The quality measure score looks strong, but quality measures reflect resident health outcomes, not whether enough hands are present.
West Janisch runs on thin staffing margins, and it shows in the numbers. Nurse coverage sits just under the national average, but weekends drop about 11 percent below what the home manages on weekdays, and turnover runs at 69 percent against a national rate near 46 percent, meaning many of the people caring for residents are still learning the building. The inspection record is heavier: 22 deficiencies, three serious enough to put residents in harm's way, two tied to abuse, and one fine on file. A 1-out-of-5 inspection rating and a recent October 2025 survey give a current picture rather than an old one. Nonprofit ownership doesn't change what the data says about care.
If you're weighing Jefferson Nursing and Rehabilitation Center, start with the staffing math, because it drives everything else here. At 3.30 nurse hours per resident per day, this nonprofit runs about 15% under the national average, and weekends dip roughly 8% below its own weekday level, meaning the thinnest coverage lands exactly when families tend to visit. Turnover sits at 52.2% against a national 45.8%, so the aides and nurses on the floor are changing often. The inspection record shows 20 deficiencies, three at harm or jeopardy level and three abuse-related, with a single $194,652 fine. One recent inspection doesn't erase a pattern; ask what's changed since July 2025.
Huntsville Health Care Center runs 3.50 nurse hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday staffing. That thin weekend coverage matters more when turnover sits at 63.8%, well above the 45.8% national figure, because replacements are constantly learning the residents. The inspection record is a mixed picture: a June 2025 survey, 18 deficiencies total, including one at the harm level and two tied to abuse, plus a $14,069 fine. Four stars on health inspections shows the home can pass a survey, but two stars on staffing and 18 open deficiencies suggest the day-to-day care depends heavily on who shows up.
Guadalupe Valley runs 148 certified beds in Seguin under nonprofit ownership, which often signals stability, but the numbers here tell a more mixed story. Nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 48.1%, a bit above the national rate, while the inspection record shows 50 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one $75,450 fine. The most recent inspection, in March 2026, is recent enough to reflect current conditions rather than old ones.
Briarcliff runs on about 3.25 nurse hours per resident per day, roughly 16% under the national average, and the weekend gap is real, weekends come in around 12% below what the building staffs on weekdays. Turnover sits at 53% against a national 45.8%, so nearly half the nursing staff leaves each year. The inspection record shows 46 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with four fines totaling $63,129. The last inspection was May 2026. Ownership is a nonprofit corporation, and with 194 beds, there's plenty of room for the numbers to move. Right now, though, they aren't moving in the right direction.
Town Hall Estates runs on thinner nursing coverage than most homes, about 3.07 nurse hours per resident day against a national average near 3.86, with weekends dipping below its own weekday levels. That shortfall shows up in the staffing rating and in a turnover rate of 62.2%, well above the 45.8% national figure. The inspection record is the bigger concern: 29 deficiencies, five serious enough to involve harm or jeopardy, and one tied to abuse, plus eight fines totaling $83,494. A recent September 2025 inspection means the picture is current, not stale. Quality measures score well, but that's the one bright spot in an otherwise difficult record.
Richmond Health Care Center runs about 3.66 nurse hours per resident day, roughly 5% under the national average, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 65.5%, well above the 45.8% national figure, which is a lot of churn for a 92-bed nonprofit home. Its inspection record shows 23 deficiencies, including one at the harm level and one abuse-related, plus two fines totaling $78,036. Inspections were current as of September 2025, and the health and quality ratings hold at 4 stars each. The staffing number is where this one separates from the pack.
If you're weighing Brownsville Nursing and Rehabilitation Center for someone you love, the staffing numbers are the thing to sit with. Nurses provide 2.88 hours of care per resident per day, roughly a quarter below the national average, and weekends run about 13 percent thinner than weekdays. Staff turnover sits at 62 percent, well above the 45.8 percent national figure, which means caregivers cycle through fast and familiarity suffers. The inspection record is heavier still: 42 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, plus $63,287 in fines. A recent August 2025 inspection and a strong quality-measure score don't offset a 1-out-of-5 staffing rating and a 1-out-of-5 inspection rating. Ask hard questions before choosing this one.
Corpus Christi Nursing and Rehabilitation Center runs on 3.00 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips about 11% below its own weekday level. That thin margin matters because turnover sits at 59.8% against a national 45.8%, close to six in ten staff leaving in a year, which makes consistent care hard to hold onto. The inspection record shows 31 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with one fine of $13,397 and a survey dated June 2025. Nonprofit ownership hasn't translated into stronger staffing here.
Spindletop Hill runs on 3.26 nurse hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. Annual turnover sits at 60.6 percent against a national 45.8, so the aides and nurses in the building keep changing. The inspection record shows 34 deficiencies, six at harm or jeopardy level and six tied to abuse, with $128,948 in fines across three penalties and a survey as recent as June 2025. The quality measure score looks strong on paper, but that's resident data, not the building's own practices. Nonprofit ownership hasn't shielded this one.
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?