942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.56 /day

Staff turnover

75%

Serious cites

0

Bremond Nursing and Rehabilitation Center runs 82 certified beds under hospital district ownership in Robertson County. The staffing numbers are the part to watch: 3.56 nurse hours per resident per day sits about 8% under the national average, weekend coverage dips roughly 5% below its own weekday level, and annual turnover hits 75% against a national 45.8%. That churn matters more than any single shift count, since new aides rarely know residents' routines. The inspection record shows 26 deficiencies, one serious enough to involve harm or jeopardy, plus a $24,369 fine; the last survey was August 2025. Quality measures score well, but the 2/5 inspection and staffing ratings point to a home where care depends heavily on who happens to be working that day.

Nurse hours

3.38 /day

Staff turnover

54%

Serious cites

0

Avir At Elkhart runs 98 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.38 hours per resident per day, roughly 13% under the national average of 3.86. Weekends drop another 13% below its own weekday level, which matters because that's often when families visit and when problems surface. Staff turnover is 54.3%, well above the 45.8% national figure, so caregivers are cycling through faster than average. The current record shows 26 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $65,397 fine. Its last inspection was April 9, 2025. Ask about weekend coverage and how they screen staff before you decide.

Nurse hours

2.97 /day

Staff turnover

46%

Serious cites

0

Panola County Nursing & Rehabilitation runs on 2.97 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 13% below its own weekday staffing. That lands the home at 2 out of 5 stars on CMS staffing, though its inspection and quality measure ratings both sit at 3. Turnover is 46.3%, essentially matching the national 45.8%. The current record shows 34 deficiencies, none at harm or jeopardy level, one abuse-related, with the most recent inspection in August 2025.

Nurse hours

3.33 /day

Staff turnover

86%

Serious cites

0

Devine Health & Rehabilitation runs on thin staffing relative to what most Texas homes provide, 3.33 nurse hours per resident per day against a national average of 3.86. The bigger concern is who's left to cover those hours: annual turnover of 86.2% means most of the nursing staff from a year ago is gone, and weekend coverage dips even further below the weekday level. A five-star inspection record with 11 deficiencies and nothing at the harm level shows this isn't a dangerous building. It's a home that passes review but struggles to keep enough consistent hands on deck, and that gap between inspection results and staffing is what holds it back.

Nurse hours

3.02 /day

Staff turnover

51%

Serious cites

0

Avir At Burnet runs a 112-bed for-profit home where the people on the floor matter most, and the numbers there are thin: 3.02 nurse hours per resident per day against a national average of 3.86. Weekends drop roughly 9% below the home's own weekday staffing, and annual turnover sits at 51.2%, above the 45.8% national figure, so the aide helping your mother on a Sunday is likelier than average to be new. Inspections are a different story, a recent April 2026 survey, a 4/5 health inspection rating, and 13 deficiencies with none at harm or jeopardy level and no abuse citations. Ask what weekend coverage actually looks like on the shift you'd visit.

Nurse hours

3.33 /day

Staff turnover

67%

Serious cites

0

Avir At Snyder runs 80 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage, so the thinnest hours come when families are most likely to visit. Annual turnover of 67.4% is well above the 45.8% national figure, which means caregivers are cycling through constantly. The inspection record shows 26 deficiencies, including four tied to abuse and two at the harm level, with a $15,631 fine and a survey as recent as January 2026. Strong quality-measure scores don't offset a 1-out-of-5 staffing rating and a 2-out-of-5 inspection rating.

Nurse hours

3.15 /day

Staff turnover

61%

Serious cites

0

Avir At River Ridge runs on 3.15 nursing hours per resident day, roughly 18% below the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows up in turnover: 60.9% of nurses left over the past year, against a national average of 45.8%. The inspection record is the harder problem, 29 deficiencies, three serious enough to threaten resident harm, one tied to abuse, plus two fines totaling $22,932. Its last inspection was in January 2026. Quality measures score well, but that's largely self-reported data, while staffing and inspections are where the trouble sits. For-profit, limited liability ownership rounds out the picture.

Nurse hours

3.28 /day

Staff turnover

49%

Serious cites

0

Avir At Coronado runs 188 beds in Abilene, and its nurse staffing sits at 3.28 hours per resident day, about 15% under the national average of 3.86. Weekends run roughly 11% leaner than weekdays already are, and nearly half the staff turns over each year, slightly worse than the 45.8% national rate. The inspection record is the harder reading: 44 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, with $184,619 in fines behind them. Quality measures score well, but that 2-out-of-5 inspection rating and an April 2026 survey tell you the day-to-day care side is where the problems live.

Nurse hours

3.49 /day

Staff turnover

45%

Serious cites

0

Kingsville Nursing and Rehabilitation Center runs on thinner staffing than most homes its size, 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below what the building manages Monday through Friday. That shortfall shows up in its federal staffing rating, which sits near the bottom of the scale, even though its inspection record is genuinely strong: 16 deficiencies on file, none at the harm level, and the most recent survey done in July 2025. Two abuse-related citations are worth asking about directly. Turnover at 45.2% tracks almost exactly with the national figure, so retention here isn't the problem, hours per resident are. Nonprofit ownership tends to mean steadier budgets, but that hasn't translated into more bedside time.

Nurse hours

3.22 /day

Staff turnover

45%

Serious cites

0

Park Manor Of South Belt runs 3.22 nursing hours per resident day, about 17 percent under the national average of 3.86, and weekends drop roughly 15 percent below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 2 out of 5 even though inspections and quality measures both come in at 4 out of 5. Turnover is 45.4 percent, basically level with the national figure. The current record shows 9 deficiencies, none at the harm level, though one is abuse-related. A June 2025 inspection means the picture is recent. For-profit limited liability ownership. Families should ask how weekend coverage is handled on the specific unit their relative would live on.

Nurse hours

3.63 /day

Staff turnover

48%

Serious cites

0

Las Ventanas De Socorro runs 126 certified beds under for-profit LLC ownership that changed hands within the past year, and the numbers show a building still finding its footing. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, thin margins on the days families tend to visit. The inspection record is the bigger concern: 47 deficiencies, including one at harm or jeopardy level and three tied to abuse, with a $8,827 fine and a February 2026 inspection as the most recent look. Staff turnover at 47.8% edges past the national rate, so the people providing care keep changing.

Nurse hours

2.88 /day

Staff turnover

47%

Serious cites

0

Farmersville Health And Rehabilitation runs on thin staffing. At 2.88 nurse hours per resident day, it sits about 25% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels. That helps explain the 2-star staffing rating even as inspections came back clean: 5 stars, 13 deficiencies on record with none at the harm level. Three of those are abuse-related, worth asking about directly. Turnover is 47.1%, slightly above the 45.8% national figure. The corporate for-profit owner keeps 74 certified beds, and the most recent inspection was January 2025. Good survey results, light coverage on the floor.

Nurse hours

4.36 /day

Staff turnover

55%

Serious cites

0

Ignite Medical Resort Fort Worth runs a for-profit, corporate-owned home with 70 certified beds, and the staffing numbers tell two stories. Total nurse coverage sits at 4.36 hours per resident day, about 13% above the national average, but weekends drop roughly 11% below its own weekday level, and turnover hits 54.5% against a national 45.8%. The inspection record is where things get serious: 44 deficiencies on file, 9 of them at harm or jeopardy level and 3 abuse-related, with six fines totaling $155,085 and the most recent inspection dated February 2026. A 5/5 quality measure rating sits alongside a 1/5 inspection rating and 2/5 for staffing, worth asking what that quality score actually reflects.

Nurse hours

3.36 /day

Staff turnover

64%

Serious cites

0

Advanced Rehabilitation & Healthcare Of Burleson runs 121 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national average of 3.86. Weekends thin out further, roughly 12 percent below the home's own weekday coverage. Staff turnover is 63.6 percent against a national 45.8 percent, which means a large share of caregivers are new to the building each year. The inspection record shows 28 deficiencies, two serious enough to involve harm or jeopardy, plus $17,804 in fines across two events. Quality measures score well, but staffing and inspection results are where the concerns concentrate.

Nurse hours

3.04 /day

Staff turnover

40%

Serious cites

0

Silver Creek runs lean on nursing hours: 3.04 per resident day against a national average of 3.86, which is roughly a fifth less hands-on time than most homes provide. Weekends dip about 15% below the home's own weekday staffing, so coverage thins out right when families tend to visit. The inspection record is stronger than the staffing number suggests, 4 out of 5 stars, last surveyed in July 2025, with 20 deficiencies on file and none rising to actual harm, though one is abuse-related. Turnover at 39.7% beats the national 45.8%, which means caregivers stick around longer here. The Limited Liability ownership structure is worth knowing about, but the numbers themselves tell the larger story: stable staff, thin hours.

Nurse hours

3.38 /day

Staff turnover

n/a

Serious cites

0

Yorktown Nursing and Rehabilitation Center runs 82 certified beds under for-profit LLC ownership, and its inspection record is genuinely better than most, a four-star health inspection rating, 14 deficiencies with just one at the harm level and none tied to abuse. The problem sits with staffing, which CMS rates at one star. At 3.38 nurse hours per resident day, this home runs about 13% under the national average, and weekends drop roughly 14% below its own weekday numbers. One fine of $8,018 is on record, and the last inspection was February 2026. Families should ask how the weekend floor is actually covered, because that gap is where care gets thin.

Nurse hours

3.14 /day

Staff turnover

n/a

Serious cites

0

Amarillo Medical Lodge runs lean on nursing hours: 3.14 per resident day against a national average of 3.86, and weekends dip about 13% below its own weekday staffing. That gap is what drives its one-star staffing rating, even as inspections and quality measures both come back strong. The 13 deficiencies on record are all low-level, none involved harm or jeopardy, and none were abuse-related, and the most recent inspection was in March 2026, so the record is current. This is a for-profit LLC with 102 certified beds. Families should ask how the weekend schedule is covered and what the nurse-to-resident ratio looks like on a Saturday evening, because the inspection record won't show it.

Nurse hours

2.95 /day

Staff turnover

n/a

Serious cites

0

Deleon Nursing and Rehabilitation is run by a hospital district, and its inspection record is genuinely strong, a 5/5 on health inspections with 14 deficiencies on file, none of them causing harm or involving abuse, and the most recent visit was in November 2025. The catch is on the floor: total nurse staffing sits at 2.95 hours per resident per day against a national average of 3.86, roughly a quarter less, and weekends run about 10% thinner than weekdays. Quality measures also score 5/5. So the picture is a home that documents care well and inspects cleanly, but asks families to weigh that against fewer nursing hours than most places provide.

Nurse hours

3.31 /day

Staff turnover

48%

Serious cites

0

Avir At Irving holds up well on inspections, a four-star health inspection rating, no deficiencies at the harm or jeopardy level, and a recent survey from February 2026. The quality measures are strong too. Where the numbers get thinner is staffing: 3.31 nurse hours per resident day against a national average of 3.86, with weekends running about 17% below the home's own weekday level. Annual turnover sits at 48%, slightly above the national figure. Eighteen total deficiencies include two abuse-related citations, which is worth asking about directly. For-profit, LLC-owned, 84 beds. The care outcomes look solid on paper; the question is whether there are enough hands on weekends to keep them that way.

Nurse hours

3.19 /day

Staff turnover

37%

Serious cites

0

Laredo South runs lean on the floor: 3.19 nurse hours per resident day, about 17 percent under the national average of 3.86, and weekends drop roughly another 18 percent below its own weekday coverage. That gap matters more than the headline numbers, because the home's 36.7 percent turnover is actually better than the 45.8 percent national rate, meaning staff tend to stay, but there aren't enough of them scheduled. Inspections are recent, July 2025, and the record shows 26 deficiencies, including one at the harm level and one tied to abuse, plus a single $8,021 fine. Nonprofit ownership and 4-star inspection and quality ratings give you something solid to work with. Ask directly how they cover weekends.