942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.55 /day

Staff turnover

48%

Serious cites

0

Legacies Nursing And Rehabilitation runs 90 beds in Hemphill under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating with no deficiencies at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 3.55 nurse hours per resident day, it sits about 8% under the national average, weekend coverage drops roughly 12% below its own weekday level, and turnover at 47.7% edges past the national figure. Twelve deficiencies appear on the current record, none serious. The last inspection was recent, in March 2026. Quality measures land at two stars, so care outcomes documented in the data aren't keeping pace with the clean inspections.

Nurse hours

3.33 /day

Staff turnover

34%

Serious cites

0

Stonemere runs 136 beds in Frisco under corporate ownership, and its last inspection was in April 2025, recent enough that the record reflects current conditions rather than years-old findings. The 20 deficiencies on file include none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.33 nurse hours per resident day sits about 14% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage dips when families tend to visit. Turnover, at 33.8%, actually beats the national 45.8%, a genuine plus. Inspection history grades well; day-to-day staffing is where the tradeoff shows.

Nurse hours

3.68 /day

Staff turnover

52%

Serious cites

0

The Shoal runs 3.68 nurse hours per resident day, about 5% under the national average, and weekend coverage drops roughly 10% below what it manages on weekdays. Staff turnover sits at 52.3% against a national 45.8%, so the people around your family member keep changing. Its record shows 11 deficiencies, including one at the harm level and one tied to abuse, and the last inspection was April 25, 2025. The quality measures look strong, but those come from resident assessments the home reports, while the staffing and inspection ratings, 2 out of 5 each, come from independent review. That gap is worth asking about directly.

Nurse hours

3.42 /day

Staff turnover

45%

Serious cites

0

Hollymead runs 112 certified beds in Flower Mound under corporate for-profit ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average, with weekends about 7% thinner than its own weekdays. Turnover lands at 45%, right around the national figure, so retention isn't the outlier here; the shortfall is day-to-day coverage. The current record shows 32 deficiencies, one serious enough to involve harm or jeopardy, none abuse-related, and a single fine of $9,110. Its last inspection was April 24, 2025, so the picture is reasonably current. Ask about weekend nurse coverage and what changed after that harm-level finding.

Nurse hours

3.07 /day

Staff turnover

49%

Serious cites

0

Park Manor Bee Cave is a hospital-district home with 140 beds, and its numbers point in two directions at once. The quality measures look good, but staffing runs about 3.07 nurse hours per resident day against a national average of 3.86, weekends drop roughly 14% below its own weekday levels, and turnover sits at 48.5%. The inspection record is the real concern: 36 deficiencies currently on file, 7 of them at the harm or jeopardy level, one abuse-related, and $19,608 in fines across two cases. The most recent inspection was September 2025, so that record is recent, not stale. Good clinical scores on paper don't offset thin weekend coverage and a serious deficiency history.

Nurse hours

3.00 /day

Staff turnover

36%

Serious cites

0

Lexington Medical Lodge runs on 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 12% below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 1 out of 5, even though turnover at 35.8% is actually better than the 45.8% national figure, a stable crew working with fewer hands than most homes. The inspection side tells a different story: a 5/5 health inspection rating, 12 deficiencies on record with none at the harm or jeopardy level and none abuse-related, and a survey as recent as April 2025. This government hospital-district home passes its inspections cleanly; the open question is whether the daily staffing level matches what those inspections suggest.

Nurse hours

4.26 /day

Staff turnover

55%

Serious cites

0

The Brightpointe runs 150 certified beds in Conroe under corporate for-profit ownership, and its nurse staffing comes in at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That sounds solid until you notice weekends run about 12% lighter than weekdays, and turnover sits at 54.9% against a national 45.8%, so the people providing that care keep changing. The current inspection record carries 13 deficiencies, including three at the harm or jeopardy level and two tied to abuse, plus one fine of $21,037. The most recent inspection was July 9, 2025. Staffing beats the average on paper; the record behind it is what gives a family pause.

Nurse hours

3.70 /day

Staff turnover

52%

Serious cites

0

The Plano home run by the hospital district is licensed for 112 beds and gets decent marks on health inspections and quality measures, 4 out of 5 stars on both, with its most recent inspection in May 2025. Where it slips is staffing: 3.70 nurse hours per resident day sits about 4% under the national average, weekends run roughly 10% thinner than weekdays, and turnover hits 51.8% against a national 45.8%. Twenty deficiencies are on the current record, three serious enough to reach harm or jeopardy level, though none involve abuse, and fines total just over $10,000. The care picture looks steadier than the workforce holding it together.

Nurse hours

3.13 /day

Staff turnover

49%

Serious cites

0

Las Alturas runs 3.13 nurse hours per resident per day, about 19% under the national average, and the gap widens on weekends, when staffing drops roughly 13% below its own weekday level. That thin coverage is the main reason its staffing rating sits at 1 out of 5 even though quality measures score 5 out of 5, those measures reflect clinical outcomes, not how many hands are on the floor. The 22 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and turnover at 49.2% means nearly half the nursing staff leaves within a year. The last inspection was February 2026.

Nurse hours

2.99 /day

Staff turnover

43%

Serious cites

0

Starr County Nursing And Transitional Care runs on thin nursing hours, 2.99 per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home itself staffs on weekdays. Turnover sits at 42.7%, a bit better than the 45.8% national figure, and the home is government-owned through a hospital district. Inspections look strong on paper: 4 of 5 stars, most recent visit January 13, 2026, and 27 deficiencies with none rising to harm or jeopardy. Three abuse-related citations are on the record, though. The staffing gap is what pulls this home's overall standing down.

Nurse hours

4.53 /day

Staff turnover

62%

Serious cites

0

Rose Haven Retreat carries a government-hospital-district ownership, and its 108 certified beds get more nursing time than most: 4.53 hours per resident day, roughly 17 percent above the national average of 3.86. That staffing edge is real, but weekends run about 16 percent leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Turnover sits at 62.3 percent against a national 45.8 percent, meaning the people at the bedside change often. The current record lists 33 deficiencies, including one at the harm level and two tied to abuse, with $8,281 in fines. The last inspection was May 7, 2025.

Nurse hours

3.66 /day

Staff turnover

58%

Serious cites

0

A 113-bed for-profit home in Seguin, Avir At Walnut Springs holds a strong recent inspection record, 14 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The weaker signal is staffing: 3.66 nurse hours per resident day sits about 5% under the national average of 3.86, weekend coverage drops roughly a fifth below its own weekday level, and annual turnover runs 57.7% against a national 45.8%. That combination, high marks from surveyors on health and quality measures, low marks from CMS on staffing, is worth understanding before you visit. Ask how the weekend schedule actually looks on the floor, and how long the current director of nursing has been in the role.

Nurse hours

3.24 /day

Staff turnover

33%

Serious cites

0

Stillhouse Rehabilitation runs on thinner nursing coverage than most homes, 3.24 hours per resident day against a national average of 3.86, and weekends are leaner still, roughly 17% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Turnover is a genuine bright spot at 32.8%, well under the 45.8% national figure, so the staff who are there tend to stay. But the inspection record carries 45 deficiencies, including one at the harm level and three tied to abuse, plus a $8,162 fine. As a hospital district facility, it answers to public ownership, which can mean more stable oversight.

Nurse hours

3.33 /day

Staff turnover

37%

Serious cites

0

Lakeside runs on leaner nurse staffing than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dropping about 19% below its own weekday level. That gap is what drives the low staffing score, even though turnover at 36.8% is better than the 45.8% national figure. The inspection record is more concerning than the stars suggest: 21 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus a $14,611 fine. A recent July 2025 inspection and strong quality measures don't cancel out three harm-level findings. Government hospital-district ownership hasn't kept the care problems off the record.

Nurse hours

3.18 /day

Staff turnover

39%

Serious cites

0

The Heights of Alamo runs lean on direct care: 3.18 nurse hours per resident day against a national average of 3.86, with weekends dropping about 15% below its own weekday coverage. That thin weekend staffing matters most when residents need help and fewer hands are on the floor. Turnover sits at 38.9%, better than the 45.8% national figure, so the crew that is there tends to stay. Inspections in June 2025 produced a 4-star health rating and 5-star quality measures, but the record carries 12 deficiencies, including one at harm level and two tied to abuse, plus an $8,414 fine. Corporate-owned and for-profit, this is a home where care quality scores well while daily staffing is the weak point.

Nurse hours

3.92 /day

Staff turnover

66%

Serious cites

0

Parks Health Center sits in Odessa with 90 certified beds and a for-profit LLC owner that took over within the past year. The nurse staffing number looks fine on paper, 3.92 hours per resident day, just above the national average, but weekends run about 11% thinner than weekdays, and turnover is the real problem at 66.2% against a national 45.8%. That's a lot of new faces cycling through, and it's worth asking how they cover a weekend when someone calls in. The inspection record is the stronger side: 14 deficiencies, none at harm or jeopardy level, nothing abuse-related, and the most recent survey was October 2024.

Nurse hours

3.57 /day

Staff turnover

50%

Serious cites

0

Cedar Ridge runs about 108 certified beds in Pilot Point under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.57 nurse hours per resident day, it sits roughly 7 percent below the national average, and weekends dip another 5 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is nearly 50 percent, above the national figure, meaning aides and nurses cycle through faster than average. The inspection record shows 35 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was April 2026, so the picture is relatively current.

Nurse hours

3.13 /day

Staff turnover

49%

Serious cites

0

Advanced Rehabilitation And Healthcare Of Vernon runs 120 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: 17 deficiencies on file but none at the harm or jeopardy level, none abuse-related, and a survey completed as recently as August 2025. Where it slips is staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends run roughly 12 percent thinner than its own weekdays. Annual turnover of 49 percent tops the national figure of 45.8. So you have a home that inspects cleanly but depends on a thin, churning workforce to get there, worth asking about on a tour.

Nurse hours

3.32 /day

Staff turnover

50%

Serious cites

0

White Acres runs leaner than most. At 3.32 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% is higher than the 45.8% national figure, which means aides and nurses cycle through and familiarity suffers. The inspection record shows 28 deficiencies, none at harm or jeopardy level, but one tied to abuse, and a single fine of $4,475. The last inspection was October 2024. Nonprofit ownership helps, and the 4/5 quality measure rating suggests residents' clinical outcomes hold up despite the staffing math.

Nurse hours

3.47 /day

Staff turnover

70%

Serious cites

0

Avir At Pittsburg runs 102 certified beds under a hospital district, and the numbers behind its record are mostly about people, not buildings. Its staffing rating sits at 1 out of 5, and the annual turnover rate is 70.2%, a little over half again the national average of 45.8%, which means the aides and nurses at the bedside keep changing. On the inspection side, there are 31 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, with two fines totaling $106,438; the last inspection was February 11, 2026. The 5/5 quality measure rating stands out, but quality measures are largely self-reported, and it's hard to separate that from the staffing picture.