942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.62 /day

Staff turnover

46%

Serious cites

0

Legend Oaks runs 126 certified beds in San Antonio under individual for-profit ownership, and its nurse staffing sits at 3.62 hours per resident day, about 6% under the national figure of 3.86. Weekends run roughly 13% leaner than weekdays there, and annual turnover is 46.2%, which is right at the national average of 45.8%, so retention isn't the outlier here; the hours per resident are. The current record shows 32 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection on December 4, 2025. Quality measures score well above its staffing marks, a gap worth asking about directly.

Nurse hours

3.61 /day

Staff turnover

49%

Serious cites

0

Green Oaks runs 142 certified beds under corporate ownership, and its nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, and turnover is 48.5% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 17 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a single $83,850 fine; the last survey was in January 2025. The 5/5 quality measure star is genuinely strong, but staffing stars sit at 2/5 and health inspections at 3/5, worth asking how the good outcomes hold up when fewer nurses are on the floor.

Nurse hours

3.17 /day

Staff turnover

47%

Serious cites

0

Mansfield Medical Lodge runs a 118-bed for-profit operation, and the numbers point to a home that inspects well but runs lean. Its last health inspection, in December 2025, came back clean on the serious stuff, 12 deficiencies on record, none at the harm level, none abuse-related, and a single $6,032 fine. Where it slips is staffing: 3.17 nurse hours per resident day against a national average of 3.86, with weekends roughly 11% thinner than weekdays. Annual turnover of 46.6% sits just above the national 45.8%. So you're looking at a place that keeps its record tidy but asks a relatively small crew to carry the load, which is worth asking about directly.

Nurse hours

3.26 /day

Staff turnover

50%

Serious cites

0

The Courtyards At Pasadena runs 196 beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekends run about 7% leaner than weekdays, so coverage thins out right when families tend to visit. Annual turnover of 49.6% edges past the 45.8% national figure, meaning many of the aides and nurses you meet may not be there in a year. The current inspection record shows 17 deficiencies, one serious enough to reach harm or jeopardy level, with $8,827 in fines. No abuse citations appear. The last inspection was May 14, 2026. Ask how they staff weekends and what changed since that harm-level finding.

Nurse hours

2.98 /day

Staff turnover

52%

Serious cites

0

The Lev At Winchester is run by a hospital district, and its inspection record is the strongest thing going for it, a four-star health inspection score, no deficiencies at the harm or jeopardy level, no abuse citations, and a recent survey from August 2025. On the floor, though, the numbers tell a different story: 2.98 nurse hours per resident per day against a national average of 3.86, with weekends running roughly 12% thinner than weekdays. Staff turnover sits at 52.1%, above the 45.8% national figure, which matters most when the same aides aren't there week to week. Quality measures score well at four stars, and there's just one fine on record, $3,174. If your family member needs steady hands nearby, ask specifically about weekend coverage and how long the current staff have been there.

Nurse hours

3.09 /day

Staff turnover

51%

Serious cites

0

Onion Creek runs on thin staffing: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends about 11% leaner than weekdays. The 1-out-of-5 staffing rating reflects that, and turnover at 50.5% means many of the aides and nurses currently on the floor weren't there a year ago. Its inspection history is the heavier concern, 26 deficiencies on record, including three at the harm or jeopardy level and one tied to abuse, plus two fines totaling $51,337. The 4-out-of-5 quality measure rating shows some clinical care is being tracked and scored well, but staffing is what families feel day to day, and the numbers there are hard to argue with.

Nurse hours

5.16 /day

Staff turnover

62%

Serious cites

0

Purehealth Transitional Care At Thr Arlington runs 54 certified beds as a for-profit LLC, and its nurse staffing sits at 5.16 hours per resident day, roughly a third above the national average of 3.86. That's the strongest card in its hand. Look at the rest, though: weekend staffing drops about 13% from weekday levels, annual turnover hits 62.1% against a national 45.8%, and the inspection record shows 10 deficiencies, four of them at harm or jeopardy level and one tied to abuse, with two fines totaling $118,148. The most recent inspection was May 2025. High staffing hours only go as far as the people staying long enough to deliver them.

Nurse hours

3.18 /day

Staff turnover

47%

Serious cites

0

Avir At El Paso runs on 3.18 nurse hours per resident day, about 18% under the national average, and weekend coverage drops roughly 13% below its own weekday level. The inspection record is the real problem: 98 deficiencies, including 5 at harm or jeopardy level and 8 abuse-related, plus three fines totaling $192,681. Staff turnover sits at 46.8%, slightly above the national figure. Resident outcome measures score well, but a 1-out-of-5 inspection rating and 2-out-of-5 for staffing tell you where the trouble lives. It's a for-profit limited liability company, and the last inspection was March 2025.

Nurse hours

3.92 /day

Staff turnover

71%

Serious cites

0

North Houston Transitional Care runs 70 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the raw number suggests. Total nurse staffing sits at 3.92 hours per resident day, technically above the national average of 3.86, but a 71.3% annual turnover rate means the people providing that care are constantly changing, and CMS's own staffing rating lands at just 1 out of 5 stars. Weekend coverage drops about 5% below weekday levels, so the hours tend to thin out when families are most likely to visit. The inspection record shows 8 deficiencies, 2 of them serious enough to involve harm or jeopardy, plus one fine of $11,508 from a last survey in April 2025. The 5-star quality measure rating stands out against all of this, but scores like that largely reflect reported clinical data rather than day-to-day staffing stability.

Nurse hours

3.17 /day

Staff turnover

56%

Serious cites

0

The staffing numbers at Avir At Madisonville tell the clearest story: 3.17 nurse hours per resident day against a national average of 3.86, with weekends running roughly 15% leaner than weekdays. That's the kind of gap that shows up when aides are stretched thin, and a 56.1% annual turnover rate, well above the 45.8% national figure, means the people providing most of the hands-on care are often new or on their way out. The 49 deficiencies on record, three at harm or jeopardy level and one abuse-related, are worth asking the administrator about directly. The five-star quality measure score reflects chart-based outcomes; inspections, at two stars, reflect what surveyors actually found.

Nurse hours

3.06 /day

Staff turnover

51%

Serious cites

0

Princeton Medical Lodge runs on a government hospital district license with 138 certified beds, and its inspection record is genuinely clean, a five-star health inspection rating, 11 deficiencies with none at harm or jeopardy level and nothing abuse-related, and a survey as recent as March 2026. Where the picture changes is daily care capacity. Nurse staffing sits at 3.06 hours per resident day against a national average of 3.86, roughly a fifth below it, and weekends drop about 15% below the home's own weekday coverage. Staff turnover of 51.1% tops the 45.8% national figure. Strong surveys, thin staffing, and a workforce that keeps cycling through, that combination is what pulls the overall grade down.

Nurse hours

3.45 /day

Staff turnover

42%

Serious cites

0

Northeast Rehabilitation runs on 3.45 nursing hours per resident day, about 11% under the national average, and weekends drop roughly 15% below its own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure, but the inspection record is where the real trouble shows: 45 deficiencies, two at harm or jeopardy level, and five tied to abuse. Fines total $16,449 across two penalties, and the last inspection was March 2025. It's a government hospital-district home, so ownership isn't the issue here, the staffing shortfall and that deficiency count are what a family should weigh before deciding.

Nurse hours

2.87 /day

Staff turnover

54%

Serious cites

0

Focused Care At Lamesa runs lean on nurses: 2.87 hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time, and weekends drop about 16% below its own weekday staffing. Annual turnover of 54.1% tops the national 45.8%, so the people providing that care keep changing. The 16 deficiencies on record include two at the harm or jeopardy level and two tied to abuse, though a May 2025 inspection means the picture is recent rather than stale. Resident outcome measures rate well, but staffing is where the gap shows.

Nurse hours

2.77 /day

Staff turnover

40%

Serious cites

0

Willis Nursing and Rehabilitation runs 2.77 nurse hours per resident day, roughly 28% under the national average, and weekends drop about 20% below its own weekday coverage, so the thinnest staffing lands when families tend to visit. That gap is the main reason its staffing rating sits at the bottom of CMS's scale, even though inspections look strong: 13 deficiencies on record, one serious enough to cause harm, no abuse findings, and a $7,443 fine. Turnover at 40% is actually better than the 45.8% national figure. The licensed nursing home is for-profit, LLC-owned, with 114 certified beds and a clean inspection as recently as August 2025.

Nurse hours

2.84 /day

Staff turnover

n/a

Serious cites

0

Slaton Care Center runs 2.84 nursing hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, and weekends dip about 11% below its own weekday level. The state inspection record looks solid, though: 20 deficiencies on file with none at the harm level and nothing abuse-related, and a clean survey as recently as December 2025. One fine of $23,491 is the only money penalty on record. The split is ownership and staffing versus everything else, corporate-owned, thinly staffed day to day, but passing its health inspections. Quality measures read strong at 5 out of 5; staffing reads 1 out of 5.

Nurse hours

3.21 /day

Staff turnover

48%

Serious cites

0

River Pointe Of Trinity sits in a county of about 7,000 people, and its numbers tell two different stories. The care quality measures look strong and inspectors gave it four stars, with the most recent visit in April 2025. But look at who's actually on the floor: 3.21 nursing hours per resident per day against a national average of 3.86, weekend staffing roughly a fifth thinner than weekdays, and nearly half the nursing staff turning over each year. Seventeen deficiencies are on the current record, including two that put residents in harm's way and one tied to abuse, plus about $19,700 in fines. Good outcomes in a building that runs lean.

Nurse hours

3.20 /day

Staff turnover

34%

Serious cites

0

West Oaks runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 16% below its own weekday coverage. That staffing pattern sits behind a 2-star rating from CMS, and the inspection record shows 32 deficiencies, five of them serious enough to put residents at harm or jeopardy, plus two fines totaling $39,527. What cuts the other way: staff turnover is 34.1%, well below the 45.8% national figure, and the quality measures score 4 out of 5. It's a hospital-district home with a recent February 2026 inspection, so the picture is current. The tradeoff is real, stable caregivers, but not enough of them on the floor.

Nurse hours

3.20 /day

Staff turnover

32%

Serious cites

0

Mason Creek runs on 3.20 nurse hours per resident day, roughly 17 percent under the national figure of 3.86, and weekends drop about 16 percent below its own weekday staffing. That thinner coverage sits alongside 15 deficiencies on the current record, three of them at harm or jeopardy level and one abuse-related, plus two fines totaling $16,175. Turnover is the bright spot: 31.9 percent against a national 45.8 percent, and the hospital district ownership means no corporate chain pulling the strings. Last inspection was December 12, 2024, and its three CMS star ratings each sit at three out of five.

Nurse hours

3.11 /day

Staff turnover

n/a

Serious cites

0

The Arbors runs 110 certified beds in Rusk under corporate for-profit ownership, and its nurse staffing sits at 3.11 hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip even further, about 22% under the home's own weekday coverage, so the quietest days are also the thinnest. Inspections are a different story: a 4-out-of-5 health inspection rating and a clean record on harm-level deficiencies, though 23 total deficiencies and one abuse-related finding still sit on the current file. The last survey was January 14, 2026, so the picture is recent. Quality measures land mid-range at 3, and staffing earns just 1 star.

Nurse hours

3.12 /day

Staff turnover

n/a

Serious cites

0

El Paso Health & Rehabilitation Center runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday staffing. That thin coverage sits behind a one-star CMS staffing rating and 55 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Inspectors were last in on August 7, 2025, so the findings are recent, and the home carries one fine of $20,312. It's a 150-bed hospital-district facility, which can mean public oversight, but the numbers here don't show it translating into safer care.