ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

942 Chain-Owned Nursing Homes in Texas

942 of the 1,179 Medicare-certified nursing homes in Texas (80%) are chain-owned, and all are listed below. 22 of the 940 graded homes earn an A and 92 earn a D or F. They average 3.29 nursing hours per resident per day, 0.1 hours below the 3.39 for every home in Texas. Trinity Terrace in Fort Worth grades highest at A (94 out of 100).

How chain-owned homes in Texas compare

This group set against every nursing home in Texas, from the current CMS release.

Nursing hours per resident per day

3.29

All homes in Texas: 3.39

Worse than the local average

Nurse staff turnover

56.3%

All homes in Texas: 55.3%

Worse than the local average

Average ElderGrade score

65.9/100

All homes in Texas: 66.9/100

Worse than the local average

Grade spread

B
C
D

22 grade A, 316 grade B, 510 grade C, 92 grade D,

The best-graded chain-owned home in Texas is Trinity Terrace in Fort Worth, TX, grade A, 94/100.

Every chain-owned nursing home in Texas

Showing 21 to 40 of 942, best-graded first.

A

85/100

Denton Rehabilitation And Nursing Center

Denton, TX · Denton County

CMS 5/594 bedsGovernmentMedicaid
Nurse hours
4.29 /day
Staff turnover
42%
Serious cites
0

Denton Rehabilitation and Nursing Center runs on 4.29 nurse hours per resident per day, about 11% above the national average, and its staff turnover of 41.8% sits slightly below the national figure, both signs of a steadier floor than many homes manage. The trade-off shows up in the inspection record: 29 deficiencies on file, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A government hospital district owns the 94-bed building, and the most recent state visit came in May 2025. Weekend staffing drops roughly 14% below weekday levels, so ask how that gap gets covered.

A

85/100

Brookdale Trinity Towers

Corpus Christi, TX · Nueces County

CMS 5/575 bedsFor-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
47%
Serious cites
0

Brookdale Trinity Towers sits in Corpus Christi with 75 certified beds and a for-profit LLC owner. The staffing numbers are the bright spot: 4.42 nurse hours per resident day, about 15% above the national average, and weekends run roughly 9% lighter than weekdays, a dip, but not a collapse. Turnover lands at 46.8%, right around the national figure of 45.8%, so retention isn't the problem here. What pulls the record down is the inspection history: 21 deficiencies, one serious enough to reach harm or jeopardy level, plus a $16,449 fine. The most recent inspection was April 30, 2026, so the picture is current. Strong daily care, a rougher paper trail.

B

84/100

Lindan Park Care Center

Richardson, TX · Dallas County

CMS 5/5138 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
38%
Serious cites
0

Lindan Park runs 138 certified beds in Richardson under corporate ownership, and its inspection record is the main thing to know: 24 deficiencies on file, including three at the harm or jeopardy level and two tied to abuse. Two fines total $75,233, and the health inspection rating sits at 2 out of 5. Staffing lands at 3.45 hours per resident day, roughly 11 percent under the national average, and weekends dip slightly below its own weekday numbers. Turnover is the one bright spot at 38.3 percent, better than the 45.8 percent national figure. The most recent inspection was March 2025, so the record is current.

B

84/100

Mirador

Corpus Christi, TX · Nueces County

CMS 4/541 bedsNon-profit
Nurse hours
4.72 /day
Staff turnover
38%
Serious cites
0

Mirador is a 41-bed nonprofit in Corpus Christi, and its nurse staffing runs about 4.72 hours per resident day, roughly 22% above the national average of 3.86. Weekend coverage dips around 15% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.5%, better than the 45.8% national figure, and the home earned 4 out of 5 stars on all three CMS measures. What pulls the record down is the inspection history: 18 deficiencies on file, 3 at the harm or jeopardy level, 1 abuse-related, and 2 fines totaling $22,922.

B

84/100

The Center At Parmer

Austin, TX · Williamson County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
54%
Serious cites
0

The Center At Parmer runs 4.51 nurse hours per resident per day, about 17% above the national average, and its quality measure rating sits at the top of the scale. Weekend staffing, though, drops roughly 11% below its own weekday level, and annual turnover at 53.5% is well above the 45.8% national figure, so the coverage looks better on paper than it may feel on a Sunday. The 21 deficiencies on record include 2 tied to abuse, though none reached harm or jeopardy level, and the last inspection was recent, in January 2026.

B

83/100

Avir At Pampa

Pampa, TX · Gray County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
31%
Serious cites
0

Avir At Pampa runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage. That's the tradeoff behind a staffing score in the middle of the pack. The good news sits elsewhere: turnover is 30.8%, well under the 45.8% national figure, so the aides and nurses here tend to stay. State inspectors found 16 deficiencies on the current record, none at the harm level, though four were abuse-related, which is worth asking about directly. The last inspection was in January 2026, and quality measures scored at the top of CMS's scale. Limited liability company ownership, 120 beds.

B

83/100

Brownfield Rehabilitation And Care Center

Brownfield, TX · Terry County

CMS 5/554 bedsFor-profitMedicaid
Nurse hours
3.26 /day
Staff turnover
32%
Serious cites
0

Brownfield Rehabilitation and Care Center runs about 3.26 nurse hours per resident day, roughly 16 percent under the national average, and weekends dip another 13 percent below its own weekday coverage. That thin staffing is the main reason its CMS staffing score sits at 2 out of 5, even though inspectors gave it 5 out of 5 on both health inspections and quality measures. Turnover is a genuine bright spot at 31.6 percent, well under the national 45.8 percent, so the people who are there tend to stay. The inspection record shows 16 deficiencies with none at the harm level, though one is abuse-related, and the most recent visit was August 2025.

B

83/100

Stevens Nursing And Rehabilitation Center Of Halle

Hallettsville, TX · Lavaca County

CMS 5/5144 bedsGovernmentMedicaid
Nurse hours
3.43 /day
Staff turnover
30%
Serious cites
0

Stevens Nursing and Rehabilitation Center of Halle in Hallettsville runs on a hospital district's license, and its inspection record is genuinely strong, a 4/5 health inspection rating with 19 deficiencies on file and none at the harm or jeopardy level. Four of those are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.43 nurse hours per resident day sits about 11% under the national figure, weekends run roughly 9% below its own weekdays, and the staffing rating lands at 2/5. Turnover is 30.2%, better than the 45.8% national average, so people tend to stay. The last inspection was recent, in May 2026.

B

83/100

The Manor Healthcare Residence

Mexia, TX · Limestone County

CMS 5/566 bedsFor-profitMedicaid
Nurse hours
3.22 /day
Staff turnover
26%
Serious cites
0

The Manor Healthcare Residence runs on about 3.22 nurse hours per resident per day, roughly 17% under the national average of 3.86, and weekends dip another 8% below its own weekday staffing. Turnover is the bright spot: 25.8% against a national 45.8% means far more familiar faces than most homes manage. Inspections look strong, a perfect health inspection rating and a December 2025 visit, but 16 deficiencies sit on the current record, including one at harm level and two tied to abuse, which is worth asking about directly. For-profit, LLC-owned, 66 beds. Ask how they cover weekends when staff call out.

B

83/100

Colonial Pines Healthcare Center

San Augustine, TX · San Augustine County

CMS 4/5107 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
49%
Serious cites
0

Colonial Pines runs a solid inspection record, 30 deficiencies on the books, but none rose to the level of actual harm or jeopardy, and the most recent survey came in January 2026. The staffing picture is closer to average: 3.72 nurse hours per resident day against a national 3.86, and weekends run about 12% leaner than weekdays, so coverage thins right when families tend to visit. Turnover sits at 48.8%, a few points above the national 45.8%. Two abuse-related deficiencies stand out on an otherwise clean record, and the home is owned by a for-profit limited liability company. Worth asking about weekend coverage and those abuse findings directly.

B

83/100

Avir At Temple East

Temple, TX · Bell County

CMS 5/5138 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
41%
Serious cites
0

Avir At Temple East runs a 138-bed for-profit operation, and its most recent inspection in February 2026 came back clean on the things that matter most, 10 deficiencies on the current record, none of which rose to harm or jeopardy level. Staff turnover sits at 40.8%, which is actually better than the 45.8% national average, and that stability probably shows up in how consistently residents see the same faces. Where it slips is raw staffing volume: 3.46 nurse hours per resident day lands about 10% under the national average of 3.86, and weekends run slightly leaner than weekdays. One abuse-related deficiency is on the books, worth asking about directly.

B

83/100

Ambrosio Guillen Texas State Veterans Home

El Paso, TX · El Paso County

CMS 2/5160 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
40%
Serious cites
0

The El Paso veterans home runs 160 certified beds under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average. Weekends drop about 12% below its own weekday coverage, so the gap families feel most is often Saturday and Sunday. That said, turnover at 39.7% beats the national 45.8%, which matters for continuity of care. The inspection record is where the caution lives: 43 deficiencies, including 4 tied to abuse, with a 2-out-of-5 health inspection rating, though none reached harm or jeopardy level. The most recent inspection was April 2026.

B

82.5/100

Remington Transitional Care Of San Antonio

San Antonio, TX · Bexar County

CMS 4/560 bedsNon-profit
Nurse hours
4.47 /day
Staff turnover
43%
Serious cites
0

Remington Transitional Care of San Antonio runs 60 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.47 hours per resident day, roughly 16% above the national average of 3.86. That staffing edge is real, though weekend coverage drops about 18% below the home's own weekday level, so care may look different on a Saturday than a Tuesday. Staff turnover is 42.9%, a bit better than the 45.8% national figure. The current record shows 23 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. The quality measure rating is strong at 5/5; health inspection and staffing ratings sit at 3/5 each.

B

82/100

Beaumont Health Care Center

Beaumont, TX · Jefferson County

CMS 5/582 bedsNon-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
43%
Serious cites
0

Beaumont Health Care Center runs about 3.67 nurse hours per resident per day, roughly 5% under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. Turnover sits at 43.4%, marginally better than the 45.8% national figure, though that's still a lot of churn. The inspection record is cleaner than most: 10 deficiencies, none at the harm level and none abuse-related, with a survey as recent as May 2025. What holds this home back isn't safety or quality measures, it's the day-to-day staffing margin, which runs thin and thins out further on weekends.

B

82/100

Sulphur Springs Health And Rehabilitation

Sulphur Springs, TX · Hopkins County

CMS 3/5128 bedsGovernmentMedicaid
Nurse hours
3.38 /day
Staff turnover
45%
Serious cites
0

Sulphur Springs Health and Rehabilitation runs on a hospital-district ownership, which is a little unusual for a Texas nursing home, and its 128 beds are staffed at about 3.38 nurse hours per resident day, roughly 12% under the national average, with weekends thinner still. The inspection record is where you'll want to slow down: 50 deficiencies on file, one of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $44,044 fine. Turnover sits near the national norm at 44.9%, and the last survey was March 2026, so the picture is recent. Resident care measures score well; the staffing and inspection side is doing the dragging.

B

82/100

St. Catherine Center

Waco, TX · Mc Lennan County

CMS 5/5165 bedsNon-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
28%
Serious cites
0

St. Catherine Center runs on a nonprofit model with 165 certified beds, and the staffing picture is genuinely strong: 3.94 nurse hours per resident day, just above the national average, with weekend coverage dipping about 8% below weekdays. Staff turnover sits at 28.2%, well under the 45.8% national figure, which matters more than any single inspection score for day-to-day consistency. The tradeoff shows up in quality measures, rated 2 out of 5, and in 12 deficiencies on the current record, one serious enough to reach harm or jeopardy level. A single $13,065 fine and a recent April 2026 inspection round out the picture. Good people, uneven clinical results.

B

82/100

Coleman Healthcare Center

Coleman, TX · Coleman County

CMS 4/554 bedsFor-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
44%
Serious cites
0

Coleman Healthcare Center runs 54 certified beds under corporate for-profit ownership, and its staffing sits right at the national line, 3.83 nurse hours per resident day against a 3.86 average, with weekends roughly 10% thinner than weekdays. Turnover runs 43.9%, a touch better than the 45.8% norm, which matters because consistent caregivers tend to know residents' routines. The inspection record shows 13 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. A March 2026 inspection is recent, and the four-star marks on health inspections and quality measures carry the home past its middling staffing score.

B

82/100

Arbor Hills Rehabilitation And Healthcare Center

Eagle Lake, TX · Colorado County

CMS 4/580 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
28%
Serious cites
0

Arbor Hills runs leaner than the typical American nursing home on nursing hours, 3.30 per resident day against a national average of 3.86, with weekends dipping about 6% below its own weekday staffing. What stands out in the other direction is retention: 27.8% turnover is well below the 45.8% national figure, meaning the aides and nurses you'd see most days tend to stick around, which usually matters more to daily care than a raw staffing number does. The inspection record supports that, 11 deficiencies on file, none at the harm or jeopardy level and none abuse-related, from a June 2024 survey. Corporate-owned, 80 beds, mid-range quality and staffing marks.

B

81.5/100

Holland Lake Rehabilitation And Wellness Center

Weatherford, TX · Parker County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
30%
Serious cites
0

Holland Lake Rehabilitation and Wellness Center runs 120 certified beds in Weatherford under for-profit, limited-liability ownership, and its record is genuinely mixed. Nurse staffing sits at 3.45 hours per resident per day, roughly 11% under the national average of 3.86, and weekends drop about 18% below the home's own weekday coverage, so the hours get thinner exactly when a skeleton crew can hurt most. What offsets that is the inspection side: 17 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in October 2024. Turnover is 29.9%, well below the 45.8% national figure, which suggests less churn among the people doing the daily work.

B

81.5/100

The Village At Gleannloch Farms

Spring, TX · Harris County

CMS 5/535 bedsFor-profit
Nurse hours
4.28 /day
Staff turnover
49%
Serious cites
0

The Village At Gleannloch Farms runs a tight ship on inspections, its most recent being September 2025, with eight deficiencies on record and none rising to harm or jeopardy, and none tied to abuse. That's a clean paper trail for a 35-bed for-profit home in Spring. Nurse staffing sits at 4.28 hours per resident day, roughly 11% above the national figure, though weekends drop about 19% below its own weekday pace, so coverage thins when families tend to visit. Staff turnover lands at 48.9%, a few points above the national average, worth asking about, since consistent caregivers matter more in a small building.

Frequently asked questions

How many chain-owned nursing homes are there in Texas?
There are 942 chain-owned Medicare-certified nursing homes in Texas, 80% of the 1,179 nursing homes there.
Are chain-owned nursing homes better staffed?
In Texas they average 3.29 total nursing hours per resident per day, against 3.39 for all nursing homes in Texas, a difference of -0.1 hours. Staff turnover averages 56.3% against 55.3%.
Which chain-owned nursing home grades best in Texas?
Trinity Terrace in Fort Worth, TX, grade A, 94 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 940 graded chain-owned homes in Texas, 22 grade A and 92 grade D or F.
Do chain-owned nursing homes in Texas accept Medicaid?
919 of the 942 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Texas