942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.24 /day

Staff turnover

13%

Serious cites

0

Avir At Carthage runs a lean nursing floor: 3.24 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. The 12.9% turnover rate is genuinely low next to the 45.8% national figure, which suggests a stable core of caregivers even if there aren't enough of them. What weighs heaviest is the inspection record, 45 deficiencies, five at harm or jeopardy level and four tied to abuse, with $66,731 in fines across three penalties. The most recent inspection was September 17, 2025.

Nurse hours

2.92 /day

Staff turnover

52%

Serious cites

0

The Renaissance at Kessler Park runs 135 beds under corporate for-profit ownership, and its biggest problem shows up in the staffing numbers. At 2.92 nurse hours per resident day, it sits about 24% under the national average of 3.86, and the federal staffing rating comes in at just 1 out of 5. Weekend coverage dips slightly below weekday levels, and annual turnover of 51.6% runs above the national 45.8%, so the people caring for residents keep changing. Inspections look stronger on paper, a recent December 2025 survey and solid marks on health inspections and quality measures, but the record shows 30 deficiencies, including one at the harm level and two tied to abuse, plus an $11,031 fine.

Nurse hours

3.36 /day

Staff turnover

31%

Serious cites

0

Renaissance Rehabilitation runs on a government hospital district's license in Italy, Texas, with 74 certified beds. The inspection record is the standout: a five-star federal rating, 11 deficiencies on file and none of them at the harm or jeopardy level, with the most recent survey done in September 2025. Staffing tells a different story. At 3.36 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, weekends run roughly a tenth thinner than weekdays, and the government's staffing rating lands at two stars. Turnover, though, is genuinely low at 31.1 percent against a 45.8 percent national figure. Quality measures rate two stars.

Nurse hours

n/a /day

Staff turnover

100%

Serious cites

0

The Rosebud home is a for-profit corporation with 85 certified beds, and its inspection record looks solid on paper, a 4 out of 5 on health inspections and a perfect 5 on quality measures, with the most recent survey done in January 2026. The problem sits in staffing: a 1 out of 5, paired with 100% annual turnover against a national average near 46%. That means the entire workforce, roughly speaking, turns over every year, which is hard on residents who rely on familiar faces. Ten deficiencies on the current record, one serious enough to cause harm, and a $13,804 fine round out the picture. Good outcomes in the data, but a workforce that can't stay put.

Nurse hours

3.42 /day

Staff turnover

98%

Serious cites

0

Avalon Place Kirbyville runs on thin staffing: 3.42 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. The bigger red flag is turnover, 97.8% annually, meaning the whole nursing workforce essentially turns over every year, more than double the national rate. Inspections look solid on paper (4 stars, most recent visit December 2025), but the record carries 17 deficiencies, including one at harm level and one abuse-related, plus $9,113 in fines. Government hospital-district ownership hasn't translated into stable caregivers. Families should ask hard questions about who's actually on the floor, especially Saturdays and Sundays, and how often the staff you meet will still be there in six months.

Nurse hours

3.26 /day

Staff turnover

92%

Serious cites

0

Rockwall Nursing Care Center runs 192 beds under corporate ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86, with weekends dipping about 9% below its own weekday levels. That thin coverage shows up in the workforce itself: annual turnover is 92.4%, more than double the 45.8% national figure, which means the people caring for residents are constantly changing. Inspectors have cited 45 deficiencies on the current record, including 4 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $66,755. The last inspection was January 16, 2025, so the record is recent.

Nurse hours

4.79 /day

Staff turnover

54%

Serious cites

0

Nurse staffing at Golden Villa runs about 24% above the national average, which sounds like the headline until you notice weekends drop roughly 29% below the home's own weekday level, coverage you can count on Monday may not be there Saturday. Staff turnover sits at 54.3% against a national 45.8%, and the inspection record shows 42 deficiencies, five of them at harm or jeopardy level, plus one abuse-related finding and $122,216 in fines. The quality measure score looks good, but that reflects resident care metrics, not whether the building is run safely. A for-profit individual owner, a recent June 2025 inspection, and a two-star health inspection rating round out the picture.

Nurse hours

3.20 /day

Staff turnover

56%

Serious cites

0

The Laurenwood Nursing and Rehabilitation runs 103 certified beds in Duncanville under corporate ownership, and its staffing is the part that stands out. At 3.20 nurse hours per resident day, it sits about 17% below the national average, and weekend coverage drops roughly 8% below its own weekday levels, so the thinnest shifts are the ones families tend to visit. Annual turnover of 55.6% runs well above the 45.8% national figure, meaning the aides and nurses you meet may not be there long. The 22 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with $38,522 in fines. Strong quality-measure scores don't offset that pattern.

Nurse hours

3.31 /day

Staff turnover

58%

Serious cites

0

Pleasant Manor runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover sits at 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $29,011 in fines across two penalties. Its quality measure score looks strong on paper, but that reflects charted clinical data, not the staffing and safety picture. The most recent inspection was March 2026. For-profit, LLC-owned, 132 beds.

Nurse hours

2.96 /day

Staff turnover

58%

Serious cites

0

Keller Oaks runs on thin staffing. At 2.96 nurse hours per resident per day, it sits well under the national average of 3.86, and weekends drop about 12% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover is 58.3%, noticeably above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. Inspections look better: a May 2025 survey, 19 deficiencies with none at harm or jeopardy level and no abuse findings. The hospital-district ownership is unusual for a Texas nursing home. Clinical quality measures score well; direct care hours don't. That gap is the whole story here.

Nurse hours

3.22 /day

Staff turnover

61%

Serious cites

0

East View Healthcare in Houston runs 125 certified beds under for-profit LLC ownership, and the numbers pull in two directions. Inspections are a genuine strength, the most recent one was in December 2025, and its 11 deficiencies include none at the harm level, though one is abuse-related. The concern is staffing: 3.22 nurse hours per resident day sits about 17% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover of 60.6% means most of the aides and nurses your relative meets will likely be gone within a year. Five-star inspection and quality ratings don't offset a one-star staffing picture when direct care hours are what fill the day.

Nurse hours

3.46 /day

Staff turnover

50%

Serious cites

0

The Colonnades at Reflection Bay is a 180-bed for-profit home in Pearland where the inspection record is the real story: 42 deficiencies on file, eight of them serious enough to involve actual harm or jeopardy, three tied to abuse. Six fines totaling $135,102 back that up, and the most recent inspection was in May 2026, so this isn't old history. Staffing sits at 3.46 nurse hours per resident day, roughly 10% under the national average, and weekends run thinner still. Turnover near 50% means the aides and nurses who know your family member may not be there next month.

Nurse hours

3.11 /day

Staff turnover

62%

Serious cites

0

Windmill Village runs 3.11 nurse hours per resident per day, about 20% under the national average of 3.86, and weekends dip another 11% below its own weekday levels. Staff turnover is 61.6%, well above the 45.8% national figure, so the people caring for residents change often. The 27 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, which matters. Inspectors last visited in May 2025 and the health inspection rating sits at 3 out of 5. Ownership changed hands in the past year, so current management is still new to this building.

Nurse hours

3.30 /day

Staff turnover

59%

Serious cites

0

Edgewood Rehabilitation and Care Center is a for-profit limited liability company in Mesquite with 142 certified beds, and its numbers tell two different stories. The state health inspection in May 2025 produced 18 deficiencies, none rising to harm or jeopardy, though one was abuse-related, enough to hold a 4 out of 5 inspection rating and a 5 out of 5 on quality measures. Staffing is where the picture dims: 3.30 nurse hours per resident day sits about 15% under the national average, weekend coverage drops roughly 11% below weekdays, and turnover runs 58.8% against a national 45.8%. Strong inspection results and weak staffing don't cancel out, they just tell you where the risk is.

Nurse hours

3.46 /day

Staff turnover

55%

Serious cites

0

The Broadmoor At Creekside Park runs 3.46 nurse hours per resident day, about ten percent under the national average, and weekend coverage dips roughly eight percent below its own weekday level, so the thinnest shifts come when families are most likely to visit. Staff turnover sits at 55.2 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year, and that churn shows up in a two-out-of-five staffing rating and a two-out-of-five health inspection rating. The current record carries 29 deficiencies, four of them at harm or jeopardy level and one abuse-related, plus $52,412 in fines. The five-out-of-five quality measure score reflects charted clinical care, not the inspection or staffing picture.

Nurse hours

3.91 /day

Staff turnover

60%

Serious cites

0

Houston Transitional Care sits in Harris County with 70 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a perfect 5/5 health inspection rating with 16 deficiencies on file, none at the harm level and none abuse-related, and its most recent inspection was June 2024. Staffing is where the picture changes. Total nurse coverage of 3.91 hours per resident day barely edges the national average, weekend staffing dips about 4% below its own weekday levels, and annual turnover of 60% runs well above the 45.8% national figure. CMS scores staffing just 1 out of 5. The clinical quality measure rating holds at 4 out of 5, so care results look better than the workforce stability suggests. Worth asking how they keep that up.

Nurse hours

3.19 /day

Staff turnover

63%

Serious cites

0

Springtown Park runs a lean nursing floor: 3.19 nurse hours per resident day against a national average of 3.86, with weekends roughly 8% thinner than weekdays. That gap shows up in the federal staffing star, which lands at the lowest mark even as inspection and quality measures both hit the top. Turnover tells the same story, 63.4% of nursing staff leaving annually, well above the 45.8% national rate, and chronic churn is often what a family feels as inconsistent care rather than anything visible on a tour. The 20 deficiencies on record carry no harm or abuse findings, and the most recent inspection was in December 2025, so the compliance picture is current.

Nurse hours

3.44 /day

Staff turnover

48%

Serious cites

0

Golden Palms runs 3.44 nurse hours per resident day, about 11 percent under the national average, and weekends drop roughly 16 percent below its own weekday staffing. That thinner weekend coverage matters more than the overall number, since care doesn't pause on Saturdays. The inspection record shows 23 deficiencies, two of them serious enough to put residents in harm's way and one tied to abuse, along with three fines totaling $15,997. Staff turnover sits at 47.8 percent, slightly above the national figure, which means the aides and nurses who know your family member are often new. The most recent inspection was April 15, 2026, so the picture is current rather than stale.

Nurse hours

3.43 /day

Staff turnover

n/a

Serious cites

0

The Terrace at Denison runs 136 beds under for-profit LLC ownership, and its nursing hours come in around 3.43 per resident day, roughly 11 percent under the national average, with weekends running about 14 percent thinner than weekdays. That staffing picture matches the one-star CMS staffing rating, and the inspection record backs it up: 37 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse, plus a $47,097 fine. The quality measure rating sits at 4 stars, but strong clinical numbers don't offset thin coverage and a two-star inspection history. The most recent inspection was September 11, 2025, so the record is current.

Nurse hours

3.02 /day

Staff turnover

n/a

Serious cites

0

Northern Oaks runs a 96-bed for-profit operation in Abilene, and the staffing numbers are where you'll want to focus. At 3.02 nurse hours per resident day, it sits about 22% below the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels. That thin coverage is likely why CMS gives it a single star for staffing. The health inspection record shows 30 deficiencies, none at the harm level but one tied to abuse, and the most recent inspection was October 2024. Quality measures score well at four stars, so the clinical tracking looks fine on paper, but the day-to-day hands available to residents tell a different story.