942 Chain-Owned Nursing Homes in Texas

Nurse hours

2.78 /day

Staff turnover

47%

Serious cites

0

Pleasanton South runs on a government hospital district license with 88 certified beds, and the staffing numbers are the first thing to notice: 2.78 nurse hours per resident per day, roughly 28% under the national average, with weekends running about 23% below its own weekday level. That thin coverage shows up in the staffing star rating and in 47.3% annual turnover, slightly above the national rate. The inspection record carries 33 deficiencies, three at harm or jeopardy level and two abuse-related, plus $24,653 in fines; the most recent inspection was December 10, 2025. Quality measures score well, but a 3/5 inspection rating and low staffing tell you where the risk sits.

Nurse hours

3.04 /day

Staff turnover

49%

Serious cites

0

Renaissance Care Center runs 91 beds in Gainesville under individual for-profit ownership, and the staffing numbers are where families should focus. At 3.04 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 49.1%, above the 45.8% national figure. The inspection record shows 29 deficiencies, three tied to abuse, though none rose to harm or jeopardy level; the most recent inspection was April 30, 2025. Quality measures score well, but that staffing figure is the thing to ask about directly.

Nurse hours

3.45 /day

Staff turnover

n/a

Serious cites

0

Mesa Springs runs 89 certified beds in Abilene under corporate for-profit ownership, and its staffing is the weak spot: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, with weekends dropping roughly 13% below its own weekday levels. The inspection record carries 33 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, plus a single $8,190 fine. Federal ratings split sharply here, three stars for health inspections, four for quality measures, but one for staffing. The most recent inspection was March 19, 2026. If you're weighing this one, ask directly how nurse coverage holds up on Saturday and Sunday.

Nurse hours

3.17 /day

Staff turnover

39%

Serious cites

0

Country Care Manor runs lean on the floor. At 3.17 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly another 21% below its own weekday pace, the gap families feel most on Saturday and Sunday. Turnover is the brighter spot: 38.5% against a national 45.8% means the staff who are there tend to stay, which matters for consistency even when the numbers are thin. On paper, inspections and quality measures both rate well, with no harm-level or abuse-related deficiencies among the 12 on record and $22,143 in fines across two events. A hospital district runs it, and the last inspection was recent.

Nurse hours

3.23 /day

Staff turnover

36%

Serious cites

0

Mystic Park runs at 3.23 nurse staffing hours per resident per day, about 16 percent under the national average, and weekends drop roughly 18 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 35.6 percent, better than the 45.8 percent national figure, which suggests some stability in who's actually on the floor. The record also carries 22 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a single $111,121 fine. Inspectors last visited in April 2026. The quality measure score looks strong, but that's built from resident assessments, not direct observation of care, the staffing and inspection numbers tell a harder story.

Nurse hours

3.15 /day

Staff turnover

41%

Serious cites

0

Senior Care Health & Rehabilitation Center in Wichita Falls runs on a government hospital district license and holds a five-star inspection record, with its most recent survey completed in February 2025. That inspection history is clean where it matters most: no deficiencies tied to harm or jeopardy, none related to abuse. Where the home falls short is staffing. At 3.15 nurse hours per resident day, it sits roughly 18% under the national average of 3.86, and weekend coverage drops another 16% below its own weekday levels, a real concern if your family visits or needs help on Saturdays and Sundays. Turnover at 40.7% is better than the 45.8% national figure, so the people who are there tend to stay.

Nurse hours

2.92 /day

Staff turnover

48%

Serious cites

0

Avir At Bellville runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 15% below its own weekday coverage. That thin margin is the main story behind its staffing rating of 1 out of 5, and with turnover at 47.5%, slightly above the national 45.8%, the home is regularly refilling positions. The good news is real: a 4/5 inspection rating, a clean record with no harm-level or abuse deficiencies among the 31 cited, and a recent May 2026 inspection. But a corporation-owned home with this few hands on deck asks families to watch the evening and weekend shifts closely.

Nurse hours

3.42 /day

Staff turnover

41%

Serious cites

0

The Heights of Atascosa runs lean on nursing hours: 3.42 per resident day against a national average of 3.86, and weekends drop about 16 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems tend to surface. Turnover sits at 41.2 percent, slightly better than the national 45.8 percent, so the staff who are there tend to stay. Inspections look stronger, a 4/5 health inspection rating and no deficiencies at the harm or jeopardy level, though one abuse-related citation appears on the current record among 16 total. The last inspection was in May 2025. The staffing star rating of 2/5 is the weak point; quality measures score 4/5.

Nurse hours

3.30 /day

Staff turnover

n/a

Serious cites

0

Copperas Hollow runs 90 certified beds in Caldwell under corporate ownership, and the staffing numbers are the first thing to notice. At 3.30 nurse hours per resident per day, it sits about 15 percent under the national average of 3.86, and weekends drop roughly 9 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 24 deficiencies on record, two of them at harm or jeopardy level, include two fines totaling $49,901, though none involve abuse. The quality measure rating of 5/5 stands out against a staffing rating of 1/5, which is worth asking about directly.

Nurse hours

3.24 /day

Staff turnover

55%

Serious cites

0

Copperfield Healthcare and Rehabilitation runs 124 certified beds in Houston under corporate for-profit ownership, and its staffing is the first thing to look at: 3.24 nurse hours per resident per day, roughly 16% under the national average. Weekends drop about 15% below its own weekday level, and annual turnover sits at 55% against a national 45.8%, so the aides and nurses who remain are stretched thinner on Saturdays and Sundays. The inspection record backs that up: 28 deficiencies, three of them at harm or jeopardy level, and a two-star health inspection rating despite strong quality measure scores. One fine of $23,029 is on file, with the last inspection dated September 2025. The low staffing rating tells you where the risk sits.

Nurse hours

3.41 /day

Staff turnover

45%

Serious cites

0

Pecan Valley runs a 124-bed corporate-owned building where the aide and nurse hours per resident sit around 3.41 a day, roughly 12% under the national figure, and weekends get thinner still, about a fifth lighter than weekdays. That gap matters more than the turnover rate, which at 45.2% is basically the national norm. What stands out is the shape of the record: a five-star quality measure score sitting on top of a one-star staffing score, with 25 deficiencies logged and one serious enough to involve harm. The last inspection was January 30, 2026, so the picture is current rather than stale. If you're weighing this one, ask how they cover weekends and what that harm-level citation involved.

Nurse hours

3.38 /day

Staff turnover

38%

Serious cites

0

Legend Oaks-Kyle runs on thinner nursing coverage than most homes, 3.38 hours per resident day against a national average of 3.86, with the gap widening on weekends, when staffing drops about 19% below its own weekday level. That pattern matters for a 126-bed building, because fewer hands on Saturdays and Sundays is when falls and missed care tend to happen. Turnover at 38.1% is actually better than the 45.8% national figure, so the problem isn't retention so much as how many nurses are scheduled in the first place. The inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, with a $8,278 fine. Inspectors last visited in December 2025.

Nurse hours

3.39 /day

Staff turnover

n/a

Serious cites

0

River Bend Healthcare runs on thinner nursing coverage than most homes in the country, 3.39 hours per resident day against a national average of 3.86, and weekends drop roughly 13% below what the building staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. The inspection record shows 49 deficiencies, including two at the harm level and two tied to abuse, with $18,225 in fines across two cases; the last survey was February 13, 2026. It's a hospital-district-owned home, which can mean steadier public oversight but doesn't change what the numbers say about daily coverage. The quality measure score runs high, yet staffing sits at the bottom of the federal scale.

Nurse hours

3.07 /day

Staff turnover

n/a

Serious cites

0

Crossroads Nursing & Rehabilitation runs on 3.07 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 15% below what the home itself staffs on weekdays. That thin coverage is the main reason its staffing rating sits at the bottom of CMS's scale, even though its quality measure score is perfect and its inspection record shows 30 deficiencies with none at the harm or jeopardy level and none abuse-related. The last inspection in December 2025 was recent. For-profit corporate ownership out of Hearne, 80 beds. Families should ask who is actually on the floor on Saturday and Sunday.

Nurse hours

3.58 /day

Staff turnover

47%

Serious cites

0

Sundance Inn runs 128 certified beds in New Braunfels under corporate for-profit ownership, and its nursing hours sit at 3.58 per resident day, about 7% under the national average of 3.86, with weekend coverage dropping roughly 17% below what the home staffs on weekdays. The inspection record is the bigger concern: 27 deficiencies, two of them serious enough to involve harm or jeopardy, four tied to abuse. Staff turnover lands at 47.1%, slightly above the 45.8% national figure, and the most recent inspection came in August 2025. Quality measures score well, but staffing and inspection results tell a different story about day-to-day conditions.

Nurse hours

3.07 /day

Staff turnover

36%

Serious cites

0

Sharpville Residence runs lean on nursing hours, 3.07 per resident day, roughly a fifth below the national figure, and weekends dip about 8% below its own weekday coverage, which is when gaps tend to show up. Turnover works in its favor: 35.9% against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Its inspection record backs that up, with 12 deficiencies on file, none involving harm or abuse, and one fine of $8,431. The hospital district ownership and a clean June 2024 inspection suggest steady management. Go in asking how the weekend floor actually gets covered.

Nurse hours

2.71 /day

Staff turnover

53%

Serious cites

0

Robstown Nursing and Rehabilitation Center runs on 2.71 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekends dip about 9% below its own weekday staffing. That thin coverage lines up with a one-star CMS staffing rating, and more than half the nursing staff turned over in a year, 53.1% against a national 45.8%, so the people at the bedside keep changing. The record shows 17 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus a $12,055 fine. It's a hospital-district home with 94 beds, last inspected January 6, 2026; its quality measures score well, but quality scores and daily staffing aren't the same thing.

Nurse hours

2.80 /day

Staff turnover

48%

Serious cites

0

Lynwood Nursing and Rehabilitation runs 120 beds in Levelland under corporate for-profit ownership, and the staffing numbers are the first thing you'd want to know about. At 2.80 nurse hours per resident day, it sits roughly 27% under the national average of 3.86, and weekends drop another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 47.9% against 45.8% nationally, meaning the faces change about as often as anywhere. Inspections last January produced 31 deficiencies, one serious enough to involve harm or jeopardy, plus an $8,281 fine, though nothing abuse-related. Quality measures score well; staffing is where the gaps show.

Nurse hours

3.60 /day

Staff turnover

58%

Serious cites

0

Cross Country Healthcare Center runs 94 certified beds in Brownwood under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 12% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover of 57.9% is well above the 45.8% national figure, which means the people caring for your relative are changing often. The inspection record shows 27 deficiencies, including two at the harm level and one tied to abuse, plus $22,084 in fines across two events. The most recent inspection was April 2025, so the picture is current.

Nurse hours

3.25 /day

Staff turnover

66%

Serious cites

0

Avir At Childress runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.25 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 11% below what the home manages on weekdays, and annual turnover hits 65.6% against a national 45.8%, meaning most of the aides and nurses your family member sees are likely newer than they should be. The current inspection record carries 31 deficiencies, one tied to abuse, though none at the harm or jeopardy level, and the most recent survey came in May 2025. Quality measures score well; staffing and inspections do not.