942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.08 /day

Staff turnover

39%

Serious cites

0

Focused Care At Westwood runs on thin nursing coverage: 3.08 hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below what the home staffs on weekdays. That gap shows up in the federal staffing rating, which sits at the lowest tier, even as the quality measure score lands at the top. Turnover is 38.9%, actually better than the 45.8% national figure, so the problem isn't churn so much as how few hours each resident gets. Inspections in March 2025 turned up 26 deficiencies, one serious enough to cause harm, though none tied to abuse. The for-profit partnership has real strengths here, consistent staff and strong clinical measures, alongside a staffing level worth asking about directly.

Nurse hours

3.28 /day

Staff turnover

24%

Serious cites

0

Rio Grande City Nursing and Rehabilitation is a 110-bed hospital-district home with a 4/5 inspection rating and a clean record on abuse, no abuse-related deficiencies, just one fine totaling $13,514. The trouble sits in staffing: 3.28 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 10% below the home's own weekday level. That thin coverage is why CMS gives staffing only 2/5. What offsets it is retention, 24.2% turnover against a 45.8% national average means the aides and nurses who are there tend to stay. Its last inspection was September 2025, with 17 deficiencies on record, one serious enough to involve harm or jeopardy.

Nurse hours

3.55 /day

Staff turnover

40%

Serious cites

0

Windsor Atrium runs 120 beds in Harlingen under for-profit LLC ownership, and its staffing sits at 3.55 nurse hours per resident day, roughly 8% under the national average, with weekends about 12% thinner than weekdays. The inspection record is the heavier concern: 37 deficiencies, three of them at harm or jeopardy level and one abuse-related, with two fines totaling $23,154 and a 2/5 inspection rating. Staff turnover at 40.2% actually beats the national 45.8%, and the 5/5 quality measure score shows good clinical documentation, but a 1/5 staffing rating alongside those deficiency numbers is what families should weigh most.

Nurse hours

3.25 /day

Staff turnover

41%

Serious cites

0

Windsor Arbor View runs on thinner nursing hours than most homes, 3.25 per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday levels, which is when families tend to notice. The 19 deficiencies on record, including one at the harm level and one tied to abuse, sit alongside a 41.4% turnover rate that's actually a bit better than the 45.8% national figure. The hospital district ownership is worth noting, and the last inspection was recent, in December 2025, so the record reflects current conditions rather than old ones. Quality measures score well; staffing is where the home is weakest.

Nurse hours

3.12 /day

Staff turnover

38%

Serious cites

0

The Springs Healthcare and Rehabilitation runs 120 certified beds in Cedar Park, and the numbers show a home carried by good clinical outcomes but thin daily staffing. Nurses provide 3.12 hours per resident day, roughly 19% below the national average, and weekends dip about 9% below its own weekday coverage, the stretch when families often notice less attention. Its inspection record lists 23 deficiencies, one serious enough to reach harm or jeopardy level, with two fines totaling $21,258; the last inspection was in April 2026, so the picture is fairly current. What offsets this is a 5/5 quality measure rating and turnover at 38.4%, below the 45.8% national figure, suggesting a steadier workforce than many peers.

Nurse hours

3.32 /day

Staff turnover

45%

Serious cites

0

Mid Valley runs on a thinner nursing crew than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. That staffing shows up in the numbers: 27 deficiencies on the current record, four of them serious enough to cite harm or jeopardy, and three tied to abuse. Turnover sits near the national mark at 45%, and the hospital district ownership doesn't change what families experience day to day. The quality measure score looks strong, but it's the staffing and inspection record that tells you whether help arrives when someone needs it.

Nurse hours

3.45 /day

Staff turnover

18%

Serious cites

0

Mission Valley runs on a non-profit model with remarkably steady staff for the area, 18.3% turnover against a national average near 46% means the people caring for residents tend to stay. But steady isn't the same as sufficient. At 3.45 nurse hours per resident day, this home sits about 11% under the national average, and weekends dip another 11% below its own weekday numbers, so coverage thins exactly when families tend to visit. The inspection record is the harder read: 18 deficiencies, three serious enough to involve harm or jeopardy, one tied to abuse, and a $26,685 fine. Quality measures score well, but that reflects resident outcomes, not the supervision behind them.

Nurse hours

2.68 /day

Staff turnover

37%

Serious cites

0

Mesquite Village Wellness & Rehabilitation runs 149 certified beds under corporate ownership, and its strongest numbers sit on the clinical side, the 5/5 quality measure rating says residents' care outcomes track well against federal benchmarks. Staffing is where the picture changes: 2.68 nurse hours per resident day lands roughly 31% under the national average, weekend coverage dips about 6% below its own weekday levels, and that staffing rating comes in at 1/5. Turnover at 36.6% is actually better than the 45.8% national figure, so retention isn't the problem, raw hours are. The inspection record shows 21 deficiencies, including one at harm or jeopardy level and one abuse-related, with a single fine of $8,021 and a survey completed in August 2025.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Hico Nursing and Rehabilitation is a for-profit LLC home with 80 certified beds, and its numbers tell a split story. The quality measures look strong at 5 out of 5, but staffing sits at the bottom of the national range, 1 out of 5, and that shortfall shows up in the inspection record: 23 deficiencies, including three at the harm or jeopardy level and three tied to abuse. One fine totaling $31,552 is on file. The last inspection was recent, December 3, 2025, so this isn't stale history. A family weighing this home should ask directly how direct-care hours are covered on evenings and weekends, and how the abuse-related findings were resolved.

Nurse hours

3.19 /day

Staff turnover

n/a

Serious cites

0

Legend Healthcare and Rehabilitation in Paris runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 43 deficiencies, one serious enough to involve harm or jeopardy, and one fine of $16,149. CMS rated its staffing 2 out of 5 stars and its inspection history 3, though quality measures scored higher at 4. The last inspection was February 5, 2026, so the record is recent.

Nurse hours

4.43 /day

Staff turnover

46%

Serious cites

0

Garrison Nursing Home reports nurse staffing of 4.43 hours per resident day, roughly 15% above the national average, but the weekend tells a different story, running about 20% thinner than its own weekday coverage. That gap matters because weekends are when families often visit and when problems tend to surface. The inspection record shows 13 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with three fines totaling $52,951. Staff turnover sits at 45.7%, essentially matching the national rate, so continuity of caregivers isn't a strength here either. The most recent inspection was July 30, 2025, so the picture is current. The quality measure rating is solid, but the staffing rating and that deficiency history are what pull the overall picture down.

Nurse hours

3.61 /day

Staff turnover

48%

Serious cites

0

Cheyenne Medical Lodge is a hospital-district home in Mesquite with 139 certified beds, and its numbers tell a mixed story. The clinical record looks strong, 21 deficiencies on file with none at the harm level and nothing abuse-related, plus a recent May 2025 inspection and top marks on CMS quality measures. Staffing is where it thins out: 3.61 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 21% below its own weekday levels, and turnover at 47.7% runs slightly above the national rate. That pattern, solid care outcomes propped up by a workforce stretched thin on weekends and cycling through staff, is the real tension in this home's record.

Nurse hours

3.41 /day

Staff turnover

50%

Serious cites

0

Creekside Terrace runs about 3.41 nurse hours per resident per day, roughly 12% under the national average, and weekend coverage dips another 10% below its own weekday levels, so the thinnest staffing tends to land when families visit. Staff turnover sits at 50%, above the 45.8% national figure. Inspections are a different story: a 5/5 health inspection rating, and the 16 deficiencies on record include none at the harm or jeopardy level, though one is abuse-related, and the home has paid a single $13,070 fine. The most recent inspection was March 26, 2026. For-profit corporate ownership, 126 certified beds. Strong survey results, lighter day-to-day staffing.

Nurse hours

3.56 /day

Staff turnover

52%

Serious cites

0

Western Hills runs leaner on nursing hours than the typical American nursing home, about 3.56 per resident day against a national average near 3.86, and weekends get thinner still, roughly 12% below its own weekday coverage. Staff turnover sits at 52.1%, well above the 45.8% norm, which matters because new faces cycling through a 158-bed building rarely know residents' routines. The inspection record is the harder read: 29 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus a $62,078 fine. Ownership is a for-profit LLC, and the last full inspection came in May 2025. Quality measures score well, but quality scores are self-reported.

Nurse hours

3.59 /day

Staff turnover

49%

Serious cites

0

Park Bend runs below the national average on nurse staffing, and its own weekend hours drop about 13% below weekdays, so the coverage gap widens exactly when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, seven of them at harm or jeopardy level, one abuse-related, and $65,855 in fines across three events. Staff turnover sits at 49.4%, meaning roughly half the nursing team leaves each year, which makes consistent care hard to sustain. What lifts the numbers is the quality measure score, but that reflects resident outcomes on paper, not the hands available each shift. Hospital district ownership doesn't change any of this.

Nurse hours

2.55 /day

Staff turnover

45%

Serious cites

0

Sweetwater Healthcare Center runs on thin staffing. At 2.55 nurse hours per resident per day, it sits about 34% under the national average of 3.86, and weekends are roughly 12% leaner than weekdays, meaning the thinnest coverage lands when families tend to visit. Turnover, at 44.8%, is basically in line with the national figure, so the issue isn't churn so much as how few hands are scheduled at once. On paper the home looks strong elsewhere: four stars each for health inspections and quality measures, with 16 deficiencies on record, none rising to harm or jeopardy and none abuse-related, from an inspection dated March 2026. A for-profit LLC with 79 certified beds, it's a place where the clinical record reads better than the daily coverage.

Nurse hours

3.79 /day

Staff turnover

52%

Serious cites

0

Pecan Creek passed its most recent inspection in April 2025 with six deficiencies on record, none of them causing harm or involving abuse, that's a genuinely clean inspection sheet, and the health inspection rating reflects it. The staffing numbers tell a different story. At 3.79 nurse hours per resident day, it runs slightly under the national average, and weekends drop about 11% below its own weekday coverage. Annual turnover sits at 52.3%, well above the 45.8% national figure, which matters when aides are the people who notice a resident's change in condition first. Quality measures land at 2 out of 5. A for-profit corporation operates the 76-bed home.

Nurse hours

3.07 /day

Staff turnover

41%

Serious cites

0

Rockport Nursing and Rehabilitation Center runs 3.07 nurse staffing hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip another 11% below its own weekday level. That thin coverage shows up in its CMS staffing rating and in a record of 18 deficiencies, three of them at the harm or jeopardy level and five tied to abuse. Turnover sits at 41%, actually a bit better than the 45.8% national figure, and the quality measure score is strong at 4 out of 5. The inspection was recent, April 2026. If you're weighing this one, ask how they cover weekends and what's changed since that survey.

Nurse hours

3.23 /day

Staff turnover

39%

Serious cites

0

Port Lavaca Nursing and Rehabilitation runs 148 certified beds as a nonprofit corporation, and its inspection record is genuinely clean, 20 deficiencies on file, none of them causing harm or involving abuse, with the most recent state visit in April 2025. The staffing numbers are where it gets thinner. At 3.23 nurse hours per resident day, this home sits about 16 percent below the national average of 3.86, and weekends drop roughly 12 percent below its own weekday coverage. Turnover, at least, runs better than most: 38.6 percent against a national 45.8 percent. So you're looking at a home that treats people safely and keeps its workers longer than average, but runs leaner on daily nursing hours than the typical facility.

Nurse hours

2.97 /day

Staff turnover

44%

Serious cites

0

Crowell Nursing Center runs on thin staffing: 2.97 nurse hours per resident per day, roughly a quarter below the national average, with weekends about 12 percent lighter than weekdays. That gap is worth asking about directly, since it's the kind of thing families notice on a Sunday afternoon. The inspection record is cleaner than that number might suggest, a recent April 2026 survey and no deficiencies at the harm or jeopardy level, though three of the 15 total deficiencies are abuse-related, which deserves a pointed question about what happened and what changed. Turnover sits at 43.9 percent, essentially at the national average. Corporate-owned, 67 beds, and quality measures score well even as staffing drags.