942 Chain-Owned Nursing Homes in Texas

Nurse hours

4.11 /day

Staff turnover

30%

Serious cites

0

Trinity Terrace runs on 4.11 nurse hours per resident per day, about 7% above the national average, and its staff turnover of 30.2% is well below the 45.8% national figure, that kind of retention matters more than any single inspection result. Weekend staffing dips about 13% below its own weekday level, which is common but worth asking about if your family member needs more help on Saturdays and Sundays. The home carries eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in March 2025. As a nonprofit, it answers to a board rather than shareholders, and the survey history suggests problems get fixed before they endanger anyone.

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

4.96 /day

Staff turnover

40%

Serious cites

0

The Arbour at Westminster Manor runs about 4.96 nurse staffing hours per resident day, roughly 29 percent above the national average, and its 40.4 percent turnover sits below the national 45.8 percent, meaningful stability for a 90-bed nonprofit in Austin. Weekend staffing dips about 10 percent below its own weekday level, so coverage isn't perfectly even. The inspection record is where it gets complicated: 8 deficiencies, one at harm or jeopardy level and one abuse-related, plus a single $29,085 fine, with the most recent inspection in December 2025. Strong staffing and quality marks don't erase a harm-level finding, so ask specifically what happened and what changed since.

Nurse hours

4.74 /day

Staff turnover

44%

Serious cites

0

Querencia At Barton Creek runs 42 certified beds as a nonprofit, and the staffing number is the one worth noticing: 4.74 nurse hours per resident day, roughly a quarter above the national average. Weekends dip about 12% below its own weekday coverage, so ask how that gap gets covered. Annual turnover sits at 43.6%, slightly better than the national 45.8%, meaningful in a field where replacing nurses constantly tends to show up in daily care. The inspection record isn't spotless: eight deficiencies, one serious enough to involve harm or jeopardy, and one $13,500 fine. No abuse citations. The last inspection was December 2025. Strong staffing, decent turnover, and one incident that deserves a direct question.

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

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

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

3.97 /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.

Nurse hours

4.06 /day

Staff turnover

37%

Serious cites

0

Whispering Oaks runs on more nursing hours than the typical American home, about 4.06 per resident per day, roughly 5% above the national figure, and its staff turnover of 36.6% is notably better than the 45.8% norm, which matters for continuity of care. The tradeoffs are thinner weekend coverage, about 15% below its own weekday level, and a deficiency record of 27 findings, one of them serious enough to involve harm or jeopardy. Inspectors were last on site in July 2025. This is a for-profit LLC with a decent recent inspection history but a real pile of past citations to weigh.

Nurse hours

4.79 /day

Staff turnover

45%

Serious cites

0

The Center at Zaragoza runs 4.79 nursing hours per resident per day, about a quarter more than the national average, which is the number that matters most when you're weighing care. Weekend staffing drops roughly 16% from weekday levels, so ask how that plays out on Saturdays and Sundays. Turnover sits at 44.7%, essentially at the national average, and the home has 31 deficiencies on record, none at harm or jeopardy level, none abuse-related. Its last inspection was July 2025, so the picture is current. Quality measures score 5/5 and inspections 3/5 under a for-profit corporate owner.

Nurse hours

3.04 /day

Staff turnover

41%

Serious cites

0

Avir At Paris runs 98 certified beds under corporate ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. That gap widens on weekends, when coverage drops about 10% below the home's own weekday level. Turnover is 40.7%, a bit better than the 45.8% national figure, but the inspection record carries 40 deficiencies, including five at the harm or jeopardy level and four tied to abuse, plus one fine of $136,756. The most recent inspection was December 2025. Strong marks on inspections and quality measures don't erase what those staffing hours and deficiency counts mean day to day.

Nurse hours

4.72 /day

Staff turnover

52%

Serious cites

0

Pinecrest runs a nonprofit home with 51 beds in Lufkin, and the staffing numbers are the strongest part of the picture: 4.72 nurse hours per resident day, about 22% above the national average, which is a real cushion when someone needs help at 2 a.m. Weekends dip roughly 8% below its own weekday level, so ask how that plays out on Sundays. Turnover sits at 51.5% against a national 45.8%, meaning aides and nurses cycle through faster than average even with the generous hours. The current record shows 11 deficiencies, none at harm level and none abuse-related; the last inspection was June 2025, so the findings are recent, not stale.

Nurse hours

6.90 /day

Staff turnover

n/a

Serious cites

0

Hca Houston Healthcare Southeast runs a small 30-bed unit in Pasadena under corporate for-profit ownership, and the staffing numbers stand out: about 6.90 nurse hours per resident day, roughly 79% above the national average of 3.86. That is a lot of nursing time for a home this size. Weekend coverage drops about 18% below its own weekday level, which is worth asking about if your family visits or calls primarily on Saturdays and Sundays. The current record shows zero deficiencies, none at the harm or jeopardy level, and no abuse-related citations, with the last inspection dated April 12, 2024.

Nurse hours

4.09 /day

Staff turnover

42%

Serious cites

0

Crosbyton Nursing and Rehabilitation Center runs 53 certified beds under for-profit LLC ownership, and its staff turnover sits at 42.3%, slightly better than the national average of 45.8%, which matters in a rural Texas facility where finding replacements is hard. The trouble is staffing levels themselves: CMS gives this home 1 out of 5 stars there, even though its quality measures score 4 out of 5. That gap suggests the care processes look good on paper while day-to-day coverage runs thin. The inspection record shows 31 deficiencies, none at harm or jeopardy level, but five tied to abuse, worth asking about directly. The most recent inspection was December 2025, so the picture is current.

Nurse hours

4.81 /day

Staff turnover

43%

Serious cites

0

Parkwood Village runs 107 certified beds in Bedford under for-profit LLC ownership, and its nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average of 3.86. That margin matters, though weekends dip about 14% below the home's own weekday coverage. Staff turnover is 42.6%, a touch better than the 45.8% national figure. The current record shows 16 deficiencies, none at harm or jeopardy level, but one is abuse-related. The last inspection was December 12, 2024, and all three CMS star ratings, health inspections, quality measures, and staffing, land at 4 out of 5.

Nurse hours

5.53 /day

Staff turnover

47%

Serious cites

0

Mrc Creekside runs on a nonprofit corporate model with 66 certified beds, and its staffing sits at 5.53 nurse hours per resident day. That's roughly 43% above the national average of 3.86, a wide margin that shows up in the four-out-of-five staffing rating. Weekends dip about 14% below the home's own weekday coverage, so the weekday-to-weekend difference is worth asking about directly. The health inspection record is where things get interesting: 14 deficiencies on the current record, none at harm or jeopardy level, but one abuse-related citation is there. Staff turnover at 46.8% lands just above the national 45.8%. The last inspection was May 2026.

Nurse hours

4.35 /day

Staff turnover

54%

Serious cites

0

Pure Health Transitional Care sits on the Texas Health Presbyterian campus in Dallas, a 49-bed for-profit run by a limited liability company. The numbers that matter most here are the inspection record: four deficiencies on file, none causing harm or jeopardy, none abuse-related, and a survey completed in July 2025. That's a clean recent look. Staffing runs 4.35 nurse hours per resident day, about 13% above the national average, though weekends dip roughly 9% below the home's own weekday level. Annual turnover is 53.7%, higher than the 45.8% national figure, so you'll want to ask how often residents see the same faces.

Nurse hours

3.40 /day

Staff turnover

23%

Serious cites

0

Avir At Jacksonville runs on 3.40 nurse hours per resident day, about 12 percent under the national average of 3.86, and weekend coverage drops roughly 10 percent below its own weekday level, so the leanest shifts land when families tend to visit. The tradeoff is stability: 23.3 percent annual turnover is roughly half the national rate of 45.8 percent, meaning the aides and nurses your relative sees are more likely to still be there next year. Inspections in April 2025 produced a 5-star health inspection rating, though the current record lists 11 deficiencies, including one at the harm level and one abuse-related. This LLC-owned, 53-bed home scores well overall, but read the actual inspection reports before deciding.