942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.24 /day

Staff turnover

n/a

Serious cites

0

Legacy Rehabilitation And Living runs 150 certified beds in Amarillo under for-profit LLC ownership, and its staffing numbers are the first thing to look at. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The health inspection record shows 23 deficiencies, including one at the harm level and two tied to abuse, with a single $13,070 fine. Its quality measure stars are strong, but that score reflects resident data, not the hands available to help.

Nurse hours

3.29 /day

Staff turnover

39%

Serious cites

0

Will-O-Bell runs lean on direct care: 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though turnover at 38.7% actually beats the national 45.8%. The inspection record is a split picture, a 4/5 health inspection rating and a recent May 2026 survey, but 30 deficiencies on file, including four at harm or jeopardy level and four tied to abuse. One fine totaling $8,279. Hospital district ownership, 90 beds. Strong quality measures, weak daily coverage.

Nurse hours

3.30 /day

Staff turnover

36%

Serious cites

0

Stallings Court runs lean on nurse staffing, 3.30 hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and notice things. The good news: turnover sits at 36%, better than the 45.8% national average, and the inspection record is clean where it counts, 25 deficiencies total, but none at harm or jeopardy level and none abuse-related. A February 2026 inspection is recent enough to trust. For-profit LLC ownership with 120 beds. Families should ask who's on the floor on weekend evenings.

Nurse hours

3.27 /day

Staff turnover

36%

Serious cites

0

Alta Vista runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 12% below what the home staffs on weekdays. That matters because the inspection record carries 26 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, with one $14,433 fine and a survey completed in November 2025. Staff turnover sits at 36.4%, better than the 45.8% national figure, so the same faces tend to stick around. The puzzle is how a home can post top marks on clinical quality measures while its staffing and inspection results sit at the bottom, the answer usually lives in whether there are enough hands on the floor on any given afternoon.

Nurse hours

3.42 /day

Staff turnover

33%

Serious cites

0

Mission Nursing & Rehabilitation Center runs lean on the floor. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so a 170-bed home can feel the difference when families visit Saturday and Sunday. Turnover is the bright spot: 33.3% against a national 45.8% means aides and nurses stick around longer than most. The tradeoff shows up in the record, 24 deficiencies, including one at the harm level and two tied to abuse, with a single $8,190 fine. Inspections are recent, and the for-profit LLC ownership has kept quality measures decent while staffing lags.

Nurse hours

2.80 /day

Staff turnover

33%

Serious cites

0

Focused Care At Clarksville runs lean on nursing hours, 2.80 per resident day against a national average of 3.86, roughly 28% below, and weekends dip about 13% below its own weekday staffing, which matters when families visit and needs don't pause. Turnover at 32.6% is actually better than the 45.8% national figure, so the concern isn't retention; it's raw coverage. The inspection record shows 32 deficiencies, including one at harm or jeopardy level and three tied to abuse, though the most recent inspection was February 2026 and fines total just $5,211. Quality measures score well, but staffing is where the numbers get thin for a 120-bed for-profit.

Nurse hours

3.23 /day

Staff turnover

59%

Serious cites

0

Mesquite Tree runs on 3.23 nurse hours per resident day, roughly 16% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.8%, well above the 45.8% national figure, which means the aides and nurses caring for your relative are often new to the building. The inspection record shows 25 deficiencies, including one at the harm level and one abuse-related, plus a $13,397 fine; the most recent inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are where the real story sits.

Nurse hours

3.15 /day

Staff turnover

31%

Serious cites

0

Hallettsville Nursing and Rehabilitation is run by a hospital district, which usually means steadier oversight than a for-profit chain. The staffing numbers are where it gets shaky: 3.15 nurse hours per resident day, roughly 18% under the national average, with weekends running about 14% thinner than weekdays. That's a 1-out-of-5 staffing rating, and it's the main drag on the scores. Turnover is the bright spot at 31.1%, well below the 45.8% national figure, so the people who are there tend to stay. Inspections turned up 19 deficiencies, one serious enough to involve harm, plus a single $8,824 fine. The most recent visit was January 2026, so the record is current.

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.

Nurse hours

3.45 /day

Staff turnover

60%

Serious cites

0

Villa Haven runs on a hospital district's budget in Breckenridge, and the numbers split sharply depending on where you look. Inspections are a genuine strength, a clean record with zero deficiencies at the harm level, zero abuse findings, and a survey completed in March 2026. Quality measures score at the top of CMS's scale too. Staffing tells the other story. At 3.45 nurse hours per resident day, this home sits about 11% under the national average, and weekends drop roughly 13% below its own weekday coverage. Annual turnover is 60%, well above the 45.8% national figure, which means the people caring for your family member are cycling out faster than they can build familiarity with residents.

Nurse hours

2.72 /day

Staff turnover

40%

Serious cites

0

Greenville Gardens runs on 2.72 nurse hours per resident per day, roughly 29% under the national average of 3.86, and weekends drop about 9% below its own weekday staffing. That thin coverage shows up in the federal staffing rating of 1 out of 5, even as the quality measure rating sits at 5 out of 5. Turnover is 39.6%, better than the 45.8% national average, but the inspection record carries 46 deficiencies, including one at the harm level and four tied to abuse, with $16,206 in fines. The most recent inspection was August 13, 2025. Government hospital district ownership, 103 beds, and staffing that trails the national average by a wide margin, that's the tension here.

Nurse hours

2.96 /day

Staff turnover

27%

Serious cites

0

Golden Years runs a five-star health inspection record, with its most recent survey done in August 2025, and the twelve deficiencies on file include one that caused actual harm and one tied to abuse, isolated problems rather than a pattern of poor care. Staffing is where the tradeoff shows: 2.96 nurse hours per resident day sits about 23% under the national average, weekends run roughly 14% thinner than weekdays, and CMS rates staffing 2 out of 5. Turnover of 26.9% is well below the 45.8% national figure, meaning the aides and nurses who are there tend to stay. For-profit corporate ownership, one fine of $8,021.

Nurse hours

3.40 /day

Staff turnover

41%

Serious cites

0

Beacon Harbor runs 190 beds in Rockwall under corporate ownership, and its staffing numbers are the first thing to look at: 3.40 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That gap matters more than the headline number, since care needs don't take weekends off. The inspection record shows 25 deficiencies, three of them at the level where harm or jeopardy was possible, plus two fines totaling $21,817. The last inspection was August 2024. Turnover sits at 41%, slightly better than the national 45.8%, so the problem isn't retention so much as how many hands are scheduled. Ask about weekend coverage specifically.

Nurse hours

4.07 /day

Staff turnover

59%

Serious cites

0

The Villages of Dallas runs 160 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average of 3.86, though weekends drop about 13% below its own weekday level. The bigger concern is turnover: 58.8% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. That churn shows up in the inspection record, 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $31,303 in fines across two penalties. CMS rated quality measures 5 stars and health inspections 3, but staffing only 2. The last inspection was April 16, 2026.

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.

Nurse hours

2.51 /day

Staff turnover

39%

Serious cites

0

Brentwood Place Two runs 120 certified beds in Dallas under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 2.51 nurse hours per resident day, it sits about 35% under the national average of 3.86, with weekends dropping roughly 15% below its own weekday level. That thin coverage shows up in the inspection record: 33 deficiencies, four at harm or jeopardy level and two tied to abuse, plus a $14,433 fine. The split ratings tell the story plainly, one star for staffing, two for health inspections, yet five for quality measures. Turnover at 39.4% is actually better than the 45.8% national figure, so the problem isn't retention. It's how few hands are scheduled per resident, especially on weekends. Ask about weekend coverage specifically.

Nurse hours

3.45 /day

Staff turnover

61%

Serious cites

0

Stonegate runs 3.45 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly another 12% below its own weekday levels. Staff turnover sits at 61.2% against a national 45.8%, so a lot of the people providing that care are new to the building. The inspection history is more settled, 23 deficiencies on the current record, including three at the harm level and three tied to abuse, plus one fine of $16,801, with the most recent inspection in February 2026. Quality measures look strong on paper, but the daily staffing reality is what families should weigh most.

Nurse hours

3.59 /day

Staff turnover

48%

Serious cites

0

The Clyde W Cosper Texas State Veterans Home in Bonham runs 160 certified beds under state government ownership, and its numbers pull in different directions. Staffing sits at 3.59 nurse hours per resident day, about 7% under the national average, and weekends run roughly 13% thinner than weekdays, a pattern families often feel before they see it on paper. Turnover is 48.3%, a few points above the national rate. What stands out more is the inspection record: 47 deficiencies, four at harm or jeopardy level, three tied to abuse, and two fines totaling $216,749. The last inspection was April 2026. Quality and staffing both score 4 out of 5, but a 1-out-of-5 health inspection rating with that deficiency history is the part worth asking about directly.

Nurse hours

3.31 /day

Staff turnover

41%

Serious cites

0

New Hope Manor runs lean on nursing hours, 3.31 per resident per day, roughly 14% under the national average, and weekends dip about 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. That staffing picture earned only 2 of 5 stars from CMS and sits behind the 21 deficiencies on the current record, three serious enough to involve harm or jeopardy, plus two fines totaling $21,648. Turnover is a relative bright spot at 41.3%, better than the 45.8% national figure. The 5/5 quality measure score and a March 2026 inspection show real clinical strengths, but the limited liability ownership and low nurse hours are what pull the result down.

Nurse hours

2.93 /day

Staff turnover

40%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Duval runs on thinner nursing hours than most places, about 2.93 per resident per day against a national average near 3.86, and weekends dip roughly 9% below its own weekday coverage. That staffing picture shows up in the federal stars too, where the home earns just 2 out of 5, even as its quality measures come in at a perfect 5. The inspection record is the harder read: 29 deficiencies, two serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $23,341, with the most recent inspection in April 2025. Turnover, at 40.2%, is actually better than the 45.8% national figure.