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.
Afton Oaks is a 169-bed for-profit home in Houston that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The numbers back that up: 37 deficiencies on the current record, 16 of them at the harm or jeopardy level and 5 tied to abuse, plus four fines totaling $115,512. Nurse staffing runs about 7% below the national average, and weekends drop roughly 8% below the home's own weekday levels, when residents still need care. Its last inspection was in April 2025. If you're considering this one, ask directly what's changed since CMS flagged it.
Avir At Arden Wood runs 174 certified beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average, with weekends about 12% thinner than its own weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, 12 of them at harm or jeopardy level, 2 abuse-related, and $130,388 in fines across two events, with the most recent inspection dated May 2026. The one clear strength is retention, where 25.6% turnover beats the 45.8% national figure, so the staff who are there tend to stay. Whether that offsets the survey history is the question a family has to weigh.
Misty Willow runs 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The inspection record is the harder problem: 30 deficiencies, 8 of them at harm or jeopardy level, 3 tied to abuse, and $79,412 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care, and its health inspection rating sits at 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Terra Bella runs about 3.36 nurse staffing hours per resident day, roughly 13 percent under the national average, and it leans thinner on weekends than weekdays. Staff turnover sits at 61.6 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. On inspections, CMS has cited 44 deficiencies, including 12 at the harm or jeopardy level and 3 tied to abuse, with six fines totaling $181,644 and a spot in the Special Focus Facility program, which CMS reserves for homes with a persistent record of serious problems. The most recent inspection was March 26, 2026.
Houston Heights Nursing and Rehabilitation Center runs on 3.03 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 8% below its own weekday level. Staff turnover sits at 59.1% against a national 45.8%, so the people doing the bedside work change often, and a 1-out-of-5 CMS staffing rating reflects that reality. The inspection record shows 23 deficiencies, including six at the harm or jeopardy level and two tied to abuse, with four fines totaling $105,536 and a 2-out-of-5 health inspection rating. The 4-of-5 quality measure score stands out, but it rests on a staffing and inspection foundation that is thin.
Paradigm At Woodwind Lakes runs 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekend coverage drops about 12% below its own weekday level. Staff turnover sits at 58.3% against a national 45.8%, so the people providing that thin coverage are also leaving fast. The inspection record shows 44 deficiencies, 12 of them at harm or jeopardy level and 3 abuse-related, with two CMS fines totaling $89,541. This for-profit LLC is in the Special Focus Facility program, meaning federal regulators watch it more closely than most. The most recent inspection was January 9, 2026.
Woodway Nursing & Rehab in Houston runs on thinner staffing than most homes, with weekend coverage dropping further below its own weekday levels. The bigger red flag is turnover: 85.3% of nursing staff leaving annually, nearly double the national rate.
That churn shows up in the inspection record, 60 deficiencies, 18 serious enough to endanger residents, three tied to abuse, and four fines totaling more than $303,000. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. Inspectors were last on site in June 2025. For-profit, limited-liability ownership. Families considering this home should ask hard questions about who's actually on the floor nights and weekends.
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?