942 Chain-Owned Nursing Homes in Texas

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Mullican Care Center runs about 3.44 nurse staffing hours per resident per day, roughly 11 percent under the national average, and weekends dip another 12 percent below its own weekdays. That thin coverage shows up in CMS's staffing rating: one star out of five. The inspection record carries 43 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a single fine of $5,159. A May 2025 inspection is recent, and the three-star marks on health inspections and quality measures suggest care isn't failing across the board. Still, for 112 beds in a for-profit corporate setup, the numbers point to a home where staffing is the weak spot worth asking about directly.

Nurse hours

3.15 /day

Staff turnover

43%

Serious cites

0

Fort Bend Healthcare Center runs 56 beds in Rosenberg under for-profit partnership ownership, and its staffing is the weak spot: 3.15 nurse hours per resident day against a national average of 3.86, with weekends running about 18% thinner than weekdays. Turnover lands at 43.2%, slightly better than the 45.8% national figure, so retention isn't the problem, raw coverage is. The inspection record shows 15 deficiencies, including one at the harm level and two tied to abuse, plus a single $22,929 fine; the most recent inspection was August 2025. CMS rates quality measures 5 out of 5 but staffing 1 out of 5, which tells you the clinical outcomes look good on paper even as daily floor coverage lags.

Nurse hours

3.82 /day

Staff turnover

45%

Serious cites

0

Sterling Hills runs 96 beds in Sweetwater under corporate for-profit ownership, and its most recent inspection in March 2026 turned up 16 deficiencies, none of them serious enough to cause harm or involve abuse, which matters more than the raw count. Staffing sits at 3.82 nurse hours per resident day, just under the national average, and drops roughly 14% on weekends, so coverage thins exactly when families tend to visit. The bigger split shows up in the federal ratings: five stars on health inspections, but only one on quality measures, with turnover at 45.3%, basically level with the national figure. Good inspections, weaker clinical measures, and thin weekend coverage are the real story here.

Nurse hours

3.45 /day

Staff turnover

56%

Serious cites

0

Wedgewood runs on thin staffing, and the numbers show it: 3.45 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14% below its own weekday level. That's the kind of gap families notice on Saturday afternoons. Turnover sits at 56.1%, well above the national 45.8%, so the people caring for your relative keep changing. The health inspection record carries 39 deficiencies, three of them serious enough to put residents at risk of harm, though none involve abuse, and two fines total $31,778. A 5/5 quality measure score stands out, but it sits alongside 2/5 ratings for both staffing and inspections, a split worth asking about directly.

Nurse hours

3.39 /day

Staff turnover

54%

Serious cites

0

Avir At Bay City runs on thin staffing: 3.39 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays already are. Annual turnover of 54.2% sits well above the 45.8% national figure, so the people providing that care keep changing. The current record shows 28 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $23,689; the most recent inspection was February 26, 2026. Hospital district ownership is a steadying factor, and the 3/5 inspection and quality ratings are middling rather than alarming. The staffing number is the one to press on when you visit.

Nurse hours

3.21 /day

Staff turnover

52%

Serious cites

0

Willowbrook runs about 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekends are thinner still, around 13% below its own weekday coverage. Staff turnover sits at 52%, above the 45.8% national figure, so the people providing that care keep changing. The 166-bed for-profit home has 23 deficiencies on its current record, one serious enough to involve harm or jeopardy, and a single fine of $153,439. Its last inspection was July 2025. Quality measures score well, but the staffing side is where the trouble shows, and that gap is worth asking about directly.

Nurse hours

2.57 /day

Staff turnover

55%

Serious cites

0

Monument Rehabilitation and Nursing Center is a 104-bed hospital-district home in La Grange, and its numbers pull in different directions. The clinical quality measures look solid at 4 out of 5 stars, but staffing sits at just 1 star with an annual turnover rate of 54.5 percent, nearly nine points above the national average of 45.8 percent. That churn matters. Twenty-one deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, with $8,281 in fines. The last inspection was September 11, 2025, so the record is recent enough to take seriously. Quality marks alone don't tell you who's showing up to provide the care.

Nurse hours

3.17 /day

Staff turnover

42%

Serious cites

0

Kirkwood Manor runs about 18% leaner on nurse staffing than the national average, and weekends dip roughly another 12% below its own weekday levels, so the hours per resident aren't just low on paper, they thin out further when families tend to visit. Turnover sits at 42.3%, slightly better than the national rate, which suggests the problem is how many staff are scheduled rather than whether they stay. The current inspection record carries 49 deficiencies, including one at the harm level and one abuse-related, plus a $29,026 fine. A 2/5 staffing rating and 2/5 on health inspections line up with that record; the 3/5 quality measures are the one place the numbers look steadier. Ask specifically how the weekend shift is covered.

Nurse hours

3.17 /day

Staff turnover

54%

Serious cites

0

Rowlett Health and Rehabilitation Center runs 163 beds under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, 16 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related, and a recent survey from July 2025. Staffing is where the picture dims. At 3.17 nurse hours per resident day, this home sits roughly 18% under the national average of 3.86, and weekends run about 9% thinner than its own weekdays. Annual turnover of 53.9% tops the national 45.8% average, which means the people at the bedside keep changing. Plenty of homes with worse inspection records have better staffing math than this.

Nurse hours

3.03 /day

Staff turnover

53%

Serious cites

0

Granbury Rehab & Nursing runs 95 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.03 nurse hours per resident day, it sits about 22% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels. Annual turnover hits 52.8% against a national 45.8%, which tells you aides and nurses are cycling through steadily. The current record shows 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. CMS rated the quality measures 4 out of 5 but staffing 1 out of 5, which is the split worth understanding: residents' clinical outcomes look decent on paper, but the hours of hands-on care behind them are thin.

Nurse hours

3.05 /day

Staff turnover

43%

Serious cites

0

Crestview Healthcare Residence runs 192 certified beds in Waco under for-profit LLC ownership, and its staffing is the number to sit with first: 3.05 nurse hours per resident day against a national average of 3.86, roughly a fifth below what residents elsewhere get. Weekends drop about 8% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover sits at 43.3%, a touch better than the 45.8% national figure, and the inspection record shows 17 deficiencies with none at harm level, though one is abuse-related, plus a single $56,550 fine. The most recent inspection was June 19, 2025, and the 4-star health inspection rating is the strongest part of the picture.

Nurse hours

3.07 /day

Staff turnover

41%

Serious cites

0

Southbrooke Manor runs about 3.07 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends dip further, running about 14% below the home's own weekday staffing, so coverage thins exactly when families tend to visit. The inspection record is the reassuring part: 16 deficiencies on file, none at the harm level and none abuse-related, with a recent February 2026 survey behind a four-star health inspection rating. Turnover sits at 40.6%, a bit better than the 45.8% national figure, and nonprofit ownership tends to mean steadier management. The tension here is real: a clean inspection history paired with staffing that's on the lean side.

Nurse hours

2.65 /day

Staff turnover

49%

Serious cites

0

The Oaks At Longview runs on thin nursing coverage: 2.65 nurse hours per resident per day against a national average of 3.86, and weekends drop roughly 15% below what the home already staffs on weekdays. That's the number behind its low staffing rating, and it matters most on Saturdays and Sundays when families tend to visit. Turnover sits at 48.5%, a few points above the national figure, so the aides and nurses working with your relative are likely to change. The 33 deficiencies on record include two tied to abuse, though none rose to the level of actual harm or jeopardy. Inspections were recent, and state surveyors rated the home well on health and quality measures, the gap here is who's on the floor and how long they stay.

Nurse hours

3.29 /day

Staff turnover

53%

Serious cites

0

Laurel Court in Alvin runs a lean nursing floor: 3.29 hours of nurse staffing per resident day, roughly 15 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday numbers. Annual turnover sits at 53 percent, higher than the 45.8 percent national figure, which matters more in a building where the margin is already thin. The recent inspection history is genuinely clean, nine deficiencies, none at harm or jeopardy level, none abuse-related, and inspectors were last in on July 31, 2025. So you're weighing reliable care against thin coverage, especially on Saturdays and Sundays. That's the tradeoff worth asking about directly.

Nurse hours

3.01 /day

Staff turnover

37%

Serious cites

0

Whitehall Rehab & Nursing runs about 3.01 nurse hours per resident each day, roughly 22 percent under the national average of 3.86, and weekend coverage drops another 13 percent below its own weekday level. That thin staffing shows up alongside 22 deficiencies on the current record, including five at the harm or jeopardy level and five tied to abuse, plus five fines totaling $77,342. Turnover sits at 36.5 percent, better than the 45.8 percent national figure, and the last inspection was recent, February 2026. For-profit ownership under an LLC, a 113-bed building, and a quality measure score that outpaces its staffing picture, worth asking about directly on a visit.

Nurse hours

3.27 /day

Staff turnover

54%

Serious cites

0

Regency House runs about 3.27 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 11% below its own weekday staffing. That thin coverage shows up in the federal staffing rating, which sits at the lowest mark, while annual turnover of 54.3% runs well above the 45.8% national figure, meaning the people scheduled are also frequently new. The current record carries 16 health deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was in September 2024. Quality measures score noticeably better than staffing does. If you're weighing this one, ask how the weekend shift is actually covered.

Nurse hours

2.80 /day

Staff turnover

38%

Serious cites

0

Mi Casita runs lean on nurses: 2.80 hours per resident per day against a national average of 3.86, and weekends dip about 12% below its own weekday levels. Turnover sits at 37.5%, actually better than the 45.8% national figure, so the problem isn't churn, it's raw coverage hours, which is why staffing lands at the bottom of CMS's scale. The inspection record is cleaner than that number suggests: 28 deficiencies on file, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was recent enough to matter. A for-profit partnership operating 95 beds. Strong inspections, thin daily staffing, and a recent look behind it, those are the facts a family should weigh.

Nurse hours

3.50 /day

Staff turnover

46%

Serious cites

0

Gracy Woods II runs on 3.50 nurse hours per resident per day, about 9% under the national average, and weekends dip roughly 7% below its own weekday staffing. That thin margin is the main reason it lands where it does, despite steady turnover at 45.5%, essentially the national rate. What keeps it from sliding further is an inspection record with no harm-level or abuse-related deficiencies among its 16, and recent federal surveys from March 2025 that rated four out of five stars for health inspections and quality measures. The staffing star tells the more honest story. If your family member needs frequent hands-on help, ask how weekends are covered before deciding.

Nurse hours

3.19 /day

Staff turnover

51%

Serious cites

0

Sagebrook runs on noticeably thinner staffing than most homes, 3.19 nurse hours per resident day against a national average of 3.86, with weekends about 7% leaner than weekdays. That's the number behind its low staffing rating, and it's the kind of gap families feel on a Saturday afternoon. Turnover sits at 50.7%, above the national 45.8%, so the aides and nurses cycling through are less likely to know your mother's routines. The inspection side looks steadier: 21 deficiencies on record, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. A May 2025 inspection is recent enough to trust. Corporate-owned and for-profit, this is a home that passes its surveys but may ask more of your own vigilance between them.

Nurse hours

2.67 /day

Staff turnover

43%

Serious cites

0

Avir At Kingsland runs on thin nursing coverage: 2.67 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home manages on weekdays. That staffing level is the main reason the federal staffing rating lands at 1 out of 5, even though turnover at 42.5% is slightly better than the 45.8% national figure. The inspection record shows 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated May 2026. It's a hospital-district home with 122 certified beds, and its health inspection and quality measure ratings both sit at 3 out of 5.