942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.55 /day

Staff turnover

n/a

Serious cites

0

Great Plains Nursing and Rehabilitation runs a tight ship on inspections, a five-star health inspection rating and just seven deficiencies on record, none of them causing harm and none tied to abuse. That's a clean paper trail, and the most recent survey was in May 2025, so it's current. Where the home gives ground is staffing: 3.55 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 18% below its own weekday coverage. The quality measure rating sits at three stars, middling. For a 120-bed for-profit LLC, the pattern is clear enough, good care when inspectors look, thinner coverage when they don't, especially on Saturdays and Sundays. Ask how they staff weekends before you decide.

Nurse hours

3.49 /day

Staff turnover

44%

Serious cites

0

Woodville Health and Rehabilitation Center runs 89 certified beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average, with weekends running about 12 percent leaner than weekdays, a pattern families often notice when they visit on Saturdays and Sundays. Turnover lands at 44.4 percent, essentially in line with the national figure. The inspection record is the strongest part: a clean four-star health inspection score, 22 deficiencies but none at the harm or jeopardy level. That one abuse-related citation is worth asking about directly.

Nurse hours

3.18 /day

Staff turnover

45%

Serious cites

0

Heritage House at Keller runs on 3.18 total nurse hours per resident day, roughly 18 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5 even as quality measures score 5 out of 5, a gap worth asking about, since strong outcomes can reflect careful documentation as much as daily care. Turnover is 45.3 percent, essentially level with the national 45.8 percent. The inspection record is more concerning: 20 deficiencies, including 2 at the harm level and 2 abuse-related, plus $22,608 in fines. It's hospital-district owned and last inspected in December 2025.

Nurse hours

3.05 /day

Staff turnover

47%

Serious cites

0

Pampa Nursing Center runs 88 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.05 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 46.9%, close to the 45.8% national figure, so retention isn't the problem here, raw hours are. The inspection record is genuinely decent: 21 deficiencies, none at harm or jeopardy level, one abuse-related, and a single fine of $4,085, with the most recent inspection in July 2025. Ask about weekday versus weekend nurse coverage before you decide.

Nurse hours

2.99 /day

Staff turnover

51%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Edinburg runs on noticeably thin staffing, 2.99 nurse hours per resident day against a national average of 3.86, roughly a quarter below it, and weekends dip about 13% under its own weekday levels. The 51% annual turnover means more than half the nursing staff leaves within a year, which matters when the people providing daily care keep changing. What pulls the record up is that state inspectors, most recently in August 2025, gave it 4 out of 5 stars, and its quality measures score 5 out of 5, with 16 deficiencies on file but none involving harm, jeopardy, or abuse. So the care processes look sound on paper while the day-to-day workforce that delivers them is stretched and unstable.

Nurse hours

3.37 /day

Staff turnover

25%

Serious cites

0

West Oaks runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, and weekends dip about 15% below what the home staffs on weekdays, so a Saturday or Sunday shift may feel thinner than a Tuesday. What works in its favor is stability: turnover sits at 24.7%, well under the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. Its inspection record is current as of January 2025, with 11 deficiencies and none tied to harm, jeopardy, or abuse. Corporate-owned and 136 beds; a decent record, but ask about weekend coverage.

Nurse hours

3.28 /day

Staff turnover

41%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Raymondville runs on thinner nursing hours than most: 3.28 per resident day against a national average of 3.86, and weekends drop about 14 percent below its own weekday levels. That staffing number earned a 1 out of 5 from CMS, and the health inspection record sits at 2 out of 5, with 33 deficiencies on file, seven tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was in February 2026. Turnover is 41.3 percent, slightly better than the 45.8 percent national figure, and the hospital district ownership is worth noting. Quality measures scored 4 out of 5, but that's where the strengths end.

Nurse hours

2.61 /day

Staff turnover

41%

Serious cites

0

Focused Care At Fort Stockton runs on thin nursing coverage: 2.61 nurse hours per resident per day, roughly a third below the national average of 3.86, and weekends dip about 10% below its own weekday level. That gap is the main story here, and it's why the staffing rating sits at 1 out of 5 even though the quality measure score is 4 out of 5. The inspection record shows 19 deficiencies, including three at the harm level and three tied to abuse, with one fine of $7,105. Turnover at 40.5% is slightly better than the 45.8% national figure. Owned by a hospital district, it was last inspected in March 2026.

Nurse hours

3.65 /day

Staff turnover

34%

Serious cites

0

The Phoenix Post-Acute runs 134 certified beds in Texas City under corporate ownership, and its staffing sits about 5% under the national average at 3.65 nurse hours per resident day. Weekends dip roughly 7% below its own weekday coverage, so the quietest shifts are the thinnest. Turnover is the brighter spot at 34.4%, well under the 45.8% national figure, which suggests some continuity in who's actually at the bedside. The concern is the record itself: 9 deficiencies, 4 of them serious enough to involve harm or jeopardy, and two fines totaling $90,049. Its last inspection was May 2026. Families should ask specifically about those harm-level findings and how weekend coverage gets filled.

Nurse hours

3.36 /day

Staff turnover

63%

Serious cites

0

Avir At Lancaster runs on thinner nursing hours than most homes, 3.36 per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday coverage. Staff turnover sits at 63.2%, well above the 45.8% national figure, so familiar faces are not the norm here. The federal inspection record shows 26 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $49,281 in fines across three penalties. A recent inspection in January 2026 and a federal government owner round out the picture. The quality measure score looks strong on paper, but the staffing and inspection numbers are the ones to weigh.

Nurse hours

3.43 /day

Staff turnover

43%

Serious cites

0

Advanced Rehabilitation and Healthcare of Wichita runs 180 certified beds as a for-profit corporation, and its inspection record is its strongest suit, a 4/5 health inspection rating with 20 deficiencies on file, none at the harm or jeopardy level. Two of those are abuse-related, which is worth asking about directly. Where the numbers get thinner is staffing: 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop about 13% below its own weekday level. Annual turnover sits at 42.6%, a bit better than the 45.8% national figure. Last inspection was December 6, 2024.

Nurse hours

3.28 /day

Staff turnover

54%

Serious cites

0

Victoria Gardens of Allen runs a 120-bed for-profit operation in Collin County, and the numbers tell a mixed story. The health inspection side looks solid, a recent February 2026 survey, 23 deficiencies on record but none at the harm or jeopardy level, and nothing abuse-related. That's a clean record where it counts most. Where it slips is staffing: 3.28 nurse hours per resident day, roughly 15 percent under the national average, and weekends drop another 15 percent below its own weekday schedule. Turnover sits at 54.1 percent against a national 45.8 percent, which means a lot of faces cycling through. Quality measures score well and inspections hold up, but thin coverage and heavy turnover are worth asking about directly.

Nurse hours

2.82 /day

Staff turnover

41%

Serious cites

0

Avir At Pilot Point runs on leaner nurse staffing than most homes, 2.82 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. Turnover sits at 40.9%, a bit better than the 45.8% national figure, and the home is government-owned by a hospital district. Its inspection record shows 14 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent visit was June 5, 2025. Quality measures and health inspections both rate well; staffing is where the gap shows. If your relative needs frequent hands-on help, ask how afternoons and weekends are actually covered.

Nurse hours

2.99 /day

Staff turnover

53%

Serious cites

0

La Dora runs a split personality: its inspection and quality scores sit at the top of the federal scale, with ten deficiencies on record and none at the harm or jeopardy level. That's a clean paper trail. Staffing is where it frays. At 2.99 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends drop about 10% below its own weekday level. Annual turnover of 53.4% runs above the 45.8% national figure, which means aides and nurses cycle through faster than average. A non-profit owner and an April 2026 inspection keep the record current. The question for your family is whether the care holds up when the hallway is short-staffed.

Nurse hours

3.26 /day

Staff turnover

45%

Serious cites

0

Avir At Belton runs about 114 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86, with weekends dipping about 8 percent below its own weekday coverage. Turnover lands at 44.9 percent, essentially matching the national 45.8 percent, so the problem here isn't retention so much as raw hours on the floor. The inspection record is where the real weight sits: 33 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $87,661, with the most recent inspection dated January 8, 2026.

Nurse hours

3.71 /day

Staff turnover

28%

Serious cites

0

Green Valley runs 124 beds under corporate ownership, and its inspection history is the hard part: 33 deficiencies on the current record, six of them serious enough to reach harm or jeopardy, plus three fines totaling just under $97,000. The last inspection was in April 2025, so that record is recent, not stale. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, which is when gaps tend to show. One genuine bright spot: turnover is 27.8%, well below the 45.8% national figure, so the people who are there tend to stay.

Nurse hours

3.38 /day

Staff turnover

51%

Serious cites

0

The Waterton is a hospital-district home in Tyler, and its inspection record is its strongest feature, a four-star health inspection rating, with the most recent visit in May 2026. But ten deficiencies sit on the current record, two of them serious enough to reach harm or jeopardy level, and CMS has fined the home twice for a combined $23,389. The bigger issue is the floor. At 3.38 nurse hours per resident day, staffing falls about 13 percent under the national average, weekend coverage drops roughly 11 percent below the home's own weekday level, and turnover runs near 51 percent against a national 45.8. A hospital district can bring stability that for-profit chains often can't, but the numbers here still point to a thin, churning direct-care staff.

Nurse hours

3.09 /day

Staff turnover

43%

Serious cites

0

The Heights on Huebner runs on thinner staffing than most homes, 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the building staffs on weekdays. The two abuse-related deficiencies on record are worth asking about directly, even though none of the 18 total deficiencies rose to harm or jeopardy level, and the most recent inspection in January 2026 is recent enough to reflect current conditions. Turnover at 42.7% is slightly better than the 45.8% national figure, and inspection and quality measure ratings both came in at 4 out of 5. This for-profit corporate home's weak spot is clearly the day-to-day staffing number, not its survey history.

Nurse hours

3.55 /day

Staff turnover

33%

Serious cites

0

Wylie Oaks runs about 8% below the national average on nurse staffing, at 3.55 hours per resident day, and weekends dip roughly 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than average at 32.8%, meaning the aides and nurses you meet are more likely to still be there next year. The inspection record is the harder read: 28 deficiencies logged, two at harm or jeopardy level and two tied to abuse, with $58,390 in fines and a two-star health inspection rating. The most recent inspection was June 2025, so that picture is current, not stale.

Nurse hours

3.41 /day

Staff turnover

48%

Serious cites

0

The Harrison At Heritage runs on 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about another 12% below its own weekday staffing. That thin coverage sits behind a record of 31 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $65,529. Staff turnover is 47.7%, slightly worse than the 45.8% national figure, and the last inspection was December 2025. Quality measure scores look strong, but the inspection rating and the actual staffing numbers are what a family should weigh here.