942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.19 /day

Staff turnover

—

Serious cites

0

Madisonville Care Center runs 106 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 13% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 13 deficiencies, three of them serious enough to reach harm or jeopardy level, though none involve abuse; two fines total $18,852. Federal ratings land at 3 out of 5 for both health inspections and quality measures, but just 1 out of 5 for staffing. The last inspection was March 19, 2026. If you're weighing this one, ask directly how they staff weekends.

Nurse hours

3.45 /day

Staff turnover

49%

Serious cites

0

Arbrook Plaza runs 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop another 15% below its own weekday staffing. That gap is what drives its 2-star staffing rating, even though its quality measure score sits higher at 4 stars. Turnover runs 48.5% against a national 45.8%, so caregivers cycle through faster than average. The current record shows 25 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. The last inspection was January 15, 2026. For-profit corporate ownership and thin weekend coverage mean you should ask specifically who's on the floor on Saturdays and Sundays.

Nurse hours

3.29 /day

Staff turnover

52%

Serious cites

0

Park Manor Of Humble runs on 3.29 nurse hours per resident day, about 15% under the national average, and weekends dip another 15% below its own weekday staffing. That thin coverage shows up in the numbers: 18 deficiencies on the current record, three of them at the harm or jeopardy level and one tied to abuse, plus a single $181,138 fine. Staff turnover sits at 52.1%, above the 45.8% national average, which matters when consistent caregivers are the ones who notice changes first. The quality measure score is strong, but quality measures rely on what the building reports, while the staffing and inspection results come from outside review. It's worth asking how the home covers weekends.

Nurse hours

2.90 /day

Staff turnover

41%

Serious cites

0

McAllen Nursing Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 10% below its own weekday level. The 2/5 inspection rating reflects 28 deficiencies on the current record, three of them at harm or jeopardy level, plus two abuse-related citations, and the state has fined the home twice, totaling $17,459. Staff turnover at 40.7% is actually a little better than the national 45.8%, though that is the one number here that leans your way. The limited liability company operating it last faced inspection in April 2025, so the record is recent.

Nurse hours

3.07 /day

Staff turnover

36%

Serious cites

0

West Side Campus Of Care runs 234 beds in White Settlement under corporate for-profit ownership, and its staffing numbers sit well under what you'd want to see: 3.07 nurse hours per resident day against a national average of 3.86, with weekends running about 9% thinner than weekdays. The inspection record shows 23 deficiencies, four of them serious enough to cause harm or jeopardy and four tied to abuse, plus three fines totaling $31,279. Turnover at 36.3% is better than the national 45.8%, which matters, but it doesn't offset a one-star staffing rating and a two-star inspection history. The most recent inspection was March 2026. Quality measures score well; the hands-on care and oversight numbers don't.

Nurse hours

3.45 /day

Staff turnover

59%

Serious cites

0

Avir At Courtyard runs 3.45 nurse hours per resident day, roughly 11% under the national average, and weekend coverage dips about 6% below its own weekday level. Staff turnover sits at 59% against a national 45.8%, so the people caring for residents keep changing. The inspection history is mixed: a five-star health inspection rating, but 18 deficiencies on record, including one at harm level and two abuse-related, with the most recent inspection in September 2025. Ownership changed within the past year, and the one-star staffing rating tells you the hours and retention problems are the real story here.

Nurse hours

3.04 /day

Staff turnover

78%

Serious cites

0

Hilltop Village runs 150 certified beds in Kerrville under for-profit LLC ownership, and its nurse staffing sits at 3.04 hours per resident day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends drop about 10% below its own weekday coverage, and annual turnover hits 78.3%, well above the 45.8% national figure, which means the people providing that already-thin care are cycling out fast. Its inspection history includes 51 deficiencies, one at the harm level and five abuse-related, and staff turnover at that rate makes it harder to fix problems and keep them fixed even after a recent August 2025 inspection.

Nurse hours

3.04 /day

Staff turnover

39%

Serious cites

0

Palo Duro Nursing Home runs 66 certified beds in Claude, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. Weekends drop about 8% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is 39.1%, which is actually better than the 45.8% national figure, and the inspection record is recent and clean where it counts: 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in August 2025. The tension here is between a decent inspection history and thin daily staffing, which is what pulls the staffing measure down to one star.

Nurse hours

3.04 /day

Staff turnover

50%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Mcallen sits in a tough spot: its inspectors clearly found a well-run building, with a 4/5 health inspection rating and a recent December 2025 survey, but the daily staffing tells a different story. At 3.04 nurse hours per resident day, it runs about 21% under the national average, weekends drop another 12% below its own weekday levels, and half the staff turns over each year, worse than the 45.8% national figure. That thin coverage shows up in 18 deficiencies, including one at the harm level and three tied to abuse, plus a $24,083 fine. Good care when watched, but not enough hands the rest of the time.

Nurse hours

3.45 /day

Staff turnover

35%

Serious cites

0

San Antonio Wellness & Rehabilitation runs 154 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. Nurses provide 3.45 hours per resident day, roughly 11% below the national average, and weekends drop another 11% below the home's own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover sits at 35.4%, better than the 45.8% national figure, but that's the one bright spot. The inspection record shows 47 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $104,627 fine. The most recent inspection was in November 2024. Quality measures score well, but quality scores reflect resident outcomes on paper, not whether enough hands are on the floor.

Nurse hours

2.92 /day

Staff turnover

53%

Serious cites

0

Hearthstone runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 13% below its own weekday coverage. Staff turnover sits at 53.3% against a national 45.8%, which matters when the same short-staffed floor keeps training replacements. The current inspection record carries 26 deficiencies, including 6 at harm or jeopardy level and 3 tied to abuse, with $152,617 in fines across three penalties. Quality measures score well, but that's resident outcome data, not a picture of the hands available daily. Hospital district ownership doesn't offset what the staffing and inspection numbers show. If you're weighing this one, ask directly how weekend coverage is filled.

Nurse hours

2.92 /day

Staff turnover

42%

Serious cites

0

The Lev At Town Park runs on thin nursing coverage: 2.92 hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday levels. Its inspection record is the bigger problem, 29 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a $31,031 fine, all from a June 2025 inspection. Turnover at 42.4% is slightly better than the 45.8% national figure, and resident outcome measures score well, but the staffing rating is 2/5 and inspections 1/5. Government hospital district ownership hasn't translated into stronger oversight here.

Nurse hours

3.34 /day

Staff turnover

41%

Serious cites

0

Lakeview runs lean on nursing hours, 3.34 per resident day against a national average of 3.86, and weekends are thinner still, about 12% below its own weekday coverage. Staff turnover sits at 41.3%, a bit better than the 45.8% national figure, so the people who are there tend to stay. But 31 deficiencies on the current record, including six at the harm or jeopardy level and five tied to abuse, is a lot for a 60-bed home, and the two fines total $47,253. The hospital district that owns it isn't a for-profit chain, which matters, but ownership alone doesn't staff a Saturday shift.

Nurse hours

3.05 /day

Staff turnover

52%

Serious cites

0

Focused Care At Allenbrook runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday levels. Annual turnover sits at 51.6%, higher than the 45.8% national figure, so the staff you meet may not be there next year. Inspections are the brighter spot: a four-star health inspection rating and a recent visit in March 2026, with 14 deficiencies on record, two of them serious enough to reach harm level. The single fine of $8,400 is modest. Ownership is a for-profit limited liability company, and the 1-star staffing rating tells you where the pressure sits.

Nurse hours

3.63 /day

Staff turnover

57%

Serious cites

0

Bluebonnet Rehab At Ennis runs 136 certified beds under for-profit LLC ownership, and its staffing is the first thing that stands out: 3.63 nurse hours per resident day, about 6% under the national average of 3.86, with weekend coverage dropping roughly 8% below its own weekday levels. Turnover sits at 56.9% against a national 45.8%, so that thinner staffing keeps getting rebuilt. The inspection record is comparatively clean, 17 deficiencies, none at harm or jeopardy level, none abuse-related, and a recent April 2026 survey. The split is real, though: steady survey results alongside staffing hours and retention that trail what most homes manage.

Nurse hours

3.15 /day

Staff turnover

59%

Serious cites

0

Harbor Point Skilled Nursing runs 129 certified beds in Texas City under for-profit LLC ownership, and its inspection record is genuinely decent, a 4-out-of-5 health inspection star, ten deficiencies on file with none at the harm or jeopardy level, and a survey as recent as April 2026. The problem sits elsewhere. Nurse staffing comes to 3.15 hours per resident day, roughly 19% under the national average, and weekends drop another 14% below the home's own weekday coverage. Annual turnover of 59.3% against a 45.8% national rate means the aides and nurses at the bedside keep changing. One abuse-related deficiency also appears on the record.

Nurse hours

3.47 /day

Staff turnover

59%

Serious cites

0

Avir At Cisco gets top marks on health inspections, a 5 out of 5, and its last survey was recent, in August 2025. But that inspection record still carries 18 deficiencies, including one tied to abuse, though none rose to the level of actual harm or jeopardy. The bigger concern is staffing: a 1 out of 5 star rating, with 58.5% annual turnover against a national average of 45.8%. Quality measures land in the middle at 3 out of 5. This is a for-profit limited liability company with 80 certified beds. Strong surveys, thin and churning staff, that combination is worth asking about directly before you decide.

Nurse hours

3.20 /day

Staff turnover

41%

Serious cites

0

Windsor Nursing and Rehabilitation Center of Alice runs on 3.20 nurse hours per resident per day, roughly 17 percent under the national average, and weekends drop about 11 percent below its own weekday staffing. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5, even as the quality measure score reaches 4 out of 5. The inspection record is the harder read: 25 deficiencies, three at harm or jeopardy level and two abuse-related, across three fines totaling $31,463, with the last inspection dated April 2026. Turnover at 41.4 percent is slightly better than the 45.8 percent national figure, and hospital district ownership means public accountability.

Nurse hours

2.74 /day

Staff turnover

23%

Serious cites

0

Windsor Mission Oaks runs lean on direct care: 2.74 nurse hours per resident day, roughly 29% under the national average, with weekends dropping about 19% below its own weekday staffing. That thin coverage sits behind 37 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Retention is the bright spot, 23.2% turnover against a national 45.8% means far fewer unfamiliar faces than at a typical home. But a June 2025 inspection, a $10,842 fine, and a nonprofit owner don't offset what the staffing numbers say about daily coverage.

Nurse hours

3.22 /day

Staff turnover

40%

Serious cites

0

Windsor Las Palmas runs a five-star health inspection record with no deficiencies at the harm level and nothing abuse-related, which is genuinely the hard part of this business. The tradeoff shows up in staffing: 3.22 nurse hours per resident day against a national average of 3.86, and weekends run about 10 percent thinner than weekdays. Turnover sits at 40.3 percent, a bit better than the 45.8 percent norm, so the workforce is comparatively stable even if it's spread thin. One fine totaling $38,393 is on record, and the last inspection was in March 2025. Good care when inspectors look, leaner coverage the rest of the time.