47 of the 60 Medicare-certified nursing homes in Houston, TX (78%) are chain-owned, and all are listed below. 1 of the 47 graded homes earn an A and 7 earn a D or F. They average 3.37 nursing hours per resident per day, 0.26 hours below the 3.63 for every home in Houston, TX. Richard A. Anderson (State Of Texas Veterans Land in Houston grades highest at A (90 out of 100).
How chain-owned homes in Houston, TX compare
This group set against every nursing home in Houston, TX, from the current CMS release.
Cypress Pointe runs on 2.43 nurse hours per resident day, roughly 37% under the national average, and that thinness gets worse on weekends, when staffing drops about 12% below its own weekday level. Annual turnover sits at 61.1% against a national 45.8%, so the aides and nurses your family would see are cycling through faster than at the typical home. The 14 deficiencies on record, including two at the harm level, came out of a March 2026 inspection, and $8,018 in fines has been assessed. Corporate-owned and certified for 124 beds, it earns top marks on quality measures but the staffing side is where the risk lives.
Focused Care At Beechnut carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a pattern of persistent problems. Its record shows 27 deficiencies, 11 of them serious enough to cause harm or put residents in jeopardy, plus four fines totaling $90,403. Nurse staffing runs about 2.96 hours per resident day, roughly a quarter below the national average, and weekends drop further. Turnover at 36.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as having enough hands on shift.
Avir At Golfcrest runs 200 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.06 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 42.9%, slightly better than the 45.8% national figure, but the inspection record is the harder read: 21 deficiencies, five at harm or jeopardy level, one abuse-related, and $43,799 in fines across three penalties. The last inspection was April 2025. Federal stars put quality measures at 4 out of 5 but staffing and health inspections at 2, a split that says the care processes may look fine on paper while the hands-on coverage and survey history raise real questions.
Legend Oaks runs 3.32 nurse hours per resident day, roughly 14% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage shows up in the staffing rating: 1 out of 5. Annual turnover hits 70.9% against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. Inspections tell a similar story, 20 deficiencies on record, two serious enough to involve harm or jeopardy, and a $39,045 fine. The quality measures look strong at 5 out of 5, but those are self-reported numbers, and the last inspection was June 2025. Ask what changed since.
Solera At West Houston runs 112 certified beds under for-profit LLC ownership, and its nurses deliver 3.41 hours per resident day, roughly 12% below the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 43.6%, slightly better than the 45.8% national figure, but that's about the only number here that isn't working against the home. The current record carries 34 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus three fines totaling $87,386. A 5/5 quality measure score exists, but with a 2/5 inspection rating and a 2/5 staffing rating, the pattern is consistent: thin floor coverage, a long citation history, and compliance problems serious enough to draw federal penalties.
Champions Healthcare At Willowbrook runs on tighter staffing than most Texas homes, and the numbers show it: 3.52 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That thin weekend margin matters in a 98-bed building, and a 51.9% annual turnover rate, well above the 45.8% national figure, means the aides and nurses on that floor are often new to the job. The inspection record carries 19 deficiencies, three serious enough to reach harm or jeopardy, one tied to abuse, and $44,335 in fines across two penalties. The most recent inspection closed in April 2026, so the record is current rather than stale. For-profit individual ownership rounds out the picture.
Memorial City runs on 3.20 nurse hours per resident day, about 17% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin schedule sits behind 32 deficiencies on the current record, six of them at harm or jeopardy level, one abuse-related, plus four fines totaling $70,554. Annual turnover of 53.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The hospital district ownership is worth noting, but it hasn't kept the inspection record clean, the last survey was April 28, 2026, and the health inspection side scored 2 out of 5. Quality measures look strong at 5 out of 5, which raises the question of whether the day-to-day staffing can carry that.
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.
Harmony Care At Golfcrest runs on 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in the inspection record: 23 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and $71,472 in fines across three penalties. Staff turnover sits at 51.5%, well above the 45.8% national figure, which matters for a 120-bed for-profit where familiarity with residents is part of the safety net. The most recent inspection was July 2025, so the record is current. Ask the administrator what specifically has changed since then.
Avir At Veterans Memorial runs 120 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average, with weekends about 10% leaner than weekdays. Annual turnover is 52.8% against a national rate of 45.8%, so aides and nurses are cycling out faster than usual. The inspection record is where the real weight sits: 27 deficiencies, five at harm or jeopardy level, two tied to abuse, and $22,840 in fines, with the most recent inspection dated April 2026. Quality measure scores look strong, but staffing and inspection results pull hard in the other direction.
Paradigm Northwest runs 148 beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 2.96 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 11% below its own weekday levels, and annual turnover of 52.3% outpaces the national 45.8%, so the aides and nurses your family would see are cycling through steadily. Its inspection record carries 33 deficiencies, five serious enough to involve harm or jeopardy and one tied to abuse, with four fines totaling $51,400. The most recent inspection was December 2025, so that picture is current. CMS rates staffing and health inspections 1 out of 5; quality measures land at 3.
Villa Toscana At Cypress Woods runs on 3.30 nurse hours per resident day, roughly 14 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. The bigger problem is turnover: 91.4 percent of staff leave within a year, double the national rate, which means whoever is at the bedside is often new to the building. Inspectors have cited 39 deficiencies on the current record, including four at the harm level and four related to abuse, with $37,827 in fines across three penalties. The 4/5 quality measure score reflects resident care measures, not the safety record or the thin staffing that surrounds it.
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.
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.
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.
Frequently asked questions
How many chain-owned nursing homes are there in Houston, TX?
There are 47 chain-owned Medicare-certified nursing homes in Houston, TX, 78% of the 60 nursing homes there.
Are chain-owned nursing homes better staffed?
In Houston, TX they average 3.37 total nursing hours per resident per day, against 3.63 for all nursing homes in Houston, TX, a difference of -0.26 hours. Staff turnover averages 53.6% against 51.2%.
Which chain-owned nursing home grades best in Houston, TX?