942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.31 /day

Staff turnover

48%

Serious cites

0

The Heights of North Houston runs about 3.31 nurse hours per resident day, roughly 14% under the national average, and weekend coverage dips another 11% below its own weekday level. That thin staffing sits alongside a 48.2% annual turnover rate, slightly above the national 45.8%, and it shows up in the inspection record: 25 deficiencies, three serious enough to involve harm or jeopardy, plus $31,541 in fines across two penalties. A 2/5 inspection rating and a 2/5 staffing rating tell the same story, even though the 4/5 quality measure score looks better on paper, that measure reflects resident care outcomes, not whether enough hands are on deck. The most recent inspection was May 8, 2025.

Nurse hours

3.32 /day

Staff turnover

50%

Serious cites

0

Bridgecrest Rehabilitation Suites runs 130 beds in Houston under corporate ownership, and the staffing numbers are the first thing to notice. At 3.32 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekend coverage drops roughly 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover hits 50% against a national 45.8%, which means the people providing that care are frequently new. The current record carries 20 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $48,802 in fines. The last inspection was June 26, 2025, so that picture is recent. Resident outcome measures look strong; the direct-care hours behind them don't match.

Nurse hours

3.09 /day

Staff turnover

42%

Serious cites

0

Windsor Quail Valley Post-Acute runs 120 beds in Missouri City under hospital district ownership, and the numbers tell a mixed story. Nursing hours come to 3.09 per resident day, roughly 20 percent under the national average of 3.86, and weekends dip about 11 percent below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover at 41.7 percent is actually a touch better than the 45.8 percent national figure, which matters for continuity. On the record are 15 deficiencies, four of them at harm or jeopardy level and three abuse-related, plus two fines totaling $52,036. The most recent inspection was March 2025. Quality measures score well; staffing and the inspection history are where the concern sits.

Nurse hours

3.28 /day

Staff turnover

45%

Serious cites

0

Woodlands Place Rehabilitation Suites runs 133 beds in Denison under corporate ownership, and its staffing is the number that stands out first: 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends running about 9 percent thinner than weekdays. Turnover sits at 44.6 percent, essentially level with the national figure, so the issue isn't retention so much as how few hands are scheduled. The inspection record shows 26 deficiencies, four at harm or jeopardy level and one abuse-related, plus a $109,954 fine, with the most recent inspection dated February 26, 2026. Strong quality measure scores don't cancel out thin weekend coverage and that deficiency history.

Nurse hours

2.98 /day

Staff turnover

45%

Serious cites

0

Brightpointe At Lytle Lake runs on 2.98 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 13% below its own weekday numbers. That shows up in the federal staffing rating, which sits at the bottom. The inspection record is heavier still: 27 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with one fine of $23,733. Turnover at 44.9% is essentially the national rate, so the for-profit operator isn't losing staff faster than average, but it isn't keeping them either. The last full inspection was April 9, 2026, so the findings are recent.

Nurse hours

3.24 /day

Staff turnover

49%

Serious cites

0

Crimson Heights runs 3.24 nursing hours per resident day, about 16 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday level. That thin margin shows up in a 49 percent annual turnover rate and a staffing star rating of 2 out of 5. The inspection record is the bigger concern: 33 deficiencies, four of them serious enough to put residents in harm's way, and $33,539 in fines, with the most recent state visit in August 2025. Corporate ownership has kept the quality-measure scores high at 5 out of 5, but strong chart numbers don't offset four harm-level findings or a workforce that turns over nearly half its staff each year.

Nurse hours

3.31 /day

Staff turnover

35%

Serious cites

0

Las Alturas De Penitas runs lean on nursing hours, 3.31 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, so coverage loosens exactly when families tend to visit. The inspection record is the bigger concern: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $166,236. Turnover at 35.1% actually beats the national 45.8%, and the quality measure score is strong, but a 2/5 inspection rating and 2/5 staffing rating carry more weight for daily safety. The most recent inspection was May 2026, so the record is current, not stale.

Nurse hours

3.64 /day

Staff turnover

65%

Serious cites

0

Alameda Oaks runs 146 beds in Corpus Christi under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.64 nurse hours per resident day, about 6% under the national average, with weekends dropping roughly 15% below its own weekday levels. That thin coverage shows up in a 64.6% annual turnover rate, well above the 45.8% national figure, and a two-out-of-five CMS staffing rating. Inspectors last visited in August 2025 and found 34 deficiencies on the current record, including one at the harm level and three tied to abuse, plus a $14,901 fine. Quality measures score well, but consistent staffing is the harder problem here.

Nurse hours

2.71 /day

Staff turnover

57%

Serious cites

0

Focused Care At Huntsville runs on 2.71 nursing hours per resident per day, roughly 30% under the national average of 3.86, and weekends drop about 15% below its own weekday level. That thin staffing shows up in the numbers: a 1/5 CMS staffing rating and 56.8% annual turnover, well above the 45.8% national figure. The 21 deficiencies on record include 4 abuse-related citations, though none rose to harm or jeopardy, and the last inspection was May 2025. Quality measures score 5/5, but with 88 beds under for-profit partnership ownership, ask direct questions about who's actually on the floor nights and weekends.

Nurse hours

3.55 /day

Staff turnover

55%

Serious cites

0

Sorrento runs 112 certified beds in San Antonio under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.55 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 16% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover at 55.2% runs nearly ten points above the national rate, meaning the people providing that care are frequently new. Inspections closed in August 2025 with 50 deficiencies on record, two tied to abuse, though none reached harm or jeopardy level. The five-star quality measure score reflects reported clinical outcomes, not the hands available to deliver them.

Nurse hours

3.31 /day

Staff turnover

62%

Serious cites

0

Avir At Jeffrey Place runs thinner on nursing hours than most homes, about 3.31 per resident day against a national average near 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover sits at 62.1%, well above the 45.8% national figure, so the people caring for residents change often. The inspection record shows 33 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $22,301 in fines across two penalties; the last inspection was April 9, 2026. A for-profit LLC operates the 95-bed building. Quality measures score well, but staffing and the deficiency history are where the concerns sit.

Nurse hours

3.53 /day

Staff turnover

57%

Serious cites

0

Avir At Center runs 3.53 nurse hours per resident day, about 9% under the national average, and weekends drop roughly 13% below its own weekday staffing. That thin coverage adds up over time: 56.8% annual turnover means more than half the nursing staff leaves each year, against a national rate of 45.8%. The inspection history shows 17 deficiencies on record, including one at the harm level and one tied to abuse, plus a $9,113 fine. The health inspection rating of 4 out of 5 is genuinely good, and the most recent survey was July 2025. But staffing and quality measure ratings both sit at 2 out of 5, and that gap between a clean-looking inspection and weak day-to-day numbers is the part worth asking about directly.

Nurse hours

2.85 /day

Staff turnover

58%

Serious cites

0

Bedford Wellness & Rehabilitation runs 166 beds under individual for-profit ownership, and its own numbers tell the story better than any label. Nurses provide 2.85 hours of care per resident per day, roughly a quarter less than the national average, and weekend coverage drops about 12% below what residents get during the week, a gap that matters most when families visit and problems tend to surface. Staff turnover sits at 57.8% against a national 45.8%, so the people caring for your relative are likely to change often. The 18 deficiencies on record include one at the harm level and one tied to abuse, with a $13,627 fine attached. Quality measures look strong, but that staffing rating is telling you something worth weighing.

Nurse hours

3.19 /day

Staff turnover

61%

Serious cites

0

Avir At Borger runs on 3.19 nursing hours per resident per day, about 17% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. That thin coverage matters more given 60.7% annual turnover, well above the 45.8% national figure, so the people providing care are often new to the building. The record shows 34 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus $40,307 in fines across two penalties. The most recent inspection was September 12, 2025. Hospital district ownership doesn't erase any of that; it just means the accountability runs to a public board rather than a private chain.

Nurse hours

3.44 /day

Staff turnover

66%

Serious cites

0

Avir At Woodlands runs on thin nursing coverage: 3.44 hours per resident day, roughly 11% under the national average, and weekends dip about 7% below its own weekday level. Turnover sits at 65.9% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is the heavier concern, a 1-out-of-5 health inspection rating, 34 deficiencies including three at harm or jeopardy level and one tied to abuse, plus an $85,613 fine. A recent August 2025 inspection keeps the record current, and the 4/5 quality measure score shows some clinical targets are being met, but staffing instability and that deficiency history are what a family should weigh most.

Nurse hours

3.24 /day

Staff turnover

—

Serious cites

0

La Frontera runs 186 certified beds in Laredo under corporate for-profit ownership, and its nursing hours come in around 3.24 per resident per day, roughly 16% under the national average of 3.86. Weekends are thinner still, about 19% below what the home staffs on weekdays, so the coverage gap families notice most is the one that shows up on Saturdays and Sundays. Inspectors were last in on May 29, 2025, and the record carries 11 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,021. The health inspection rating holds at 4 of 5 and quality measures at 3, but staffing sits at 1.

Nurse hours

3.01 /day

Staff turnover

60%

Serious cites

0

Meadowbrook Care Center runs about 3.01 nurse hours per resident each day, roughly 22% under the national average, and weekend staffing dips another 10% below its own weekday levels, so the thinnest coverage lands when families are most likely to visit. Annual turnover sits at 60% against a national 45.8%, meaning the people caring for your relative are often new to the building. The current record carries 17 deficiencies, including one at the harm level and one tied to abuse, with a $21,645 fine. That quality measure score of 5/5 reflects charted care, but the staffing and inspection scores tell a different story.

Nurse hours

2.86 /day

Staff turnover

88%

Serious cites

0

Avir At Fredericksburg runs 90 certified beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below its own weekday coverage. The bigger red flag is turnover: 87.8% annually, nearly double the national 45.8%. On the quality measures the home scores well, but its health inspection rating is 2 out of 5 with 47 deficiencies on record, including 2 at harm or jeopardy level and 2 tied to abuse. One fine totaling $23,520 has been levied. The last inspection was June 20, 2025. Staffing consistency and inspection history are where the concerns live.

Nurse hours

3.14 /day

Staff turnover

54%

Serious cites

0

Woodland Manor runs about 3.14 nurse hours per resident per day, roughly 19% under the national average, and weekends dip another 9% below its own weekday staffing. That thin coverage shows up in the numbers: a 1-out-of-5 staffing rating, 53.7% annual turnover against a national 45.8%, and 25 deficiencies on the current record, including three at the harm or jeopardy level and three tied to abuse. Three fines total $77,780, and the last inspection was March 2025. It's a 146-bed for-profit LLC in Conroe, and the 3-out-of-5 quality measure rating is the one bright spot in an otherwise difficult record.

Nurse hours

2.98 /day

Staff turnover

49%

Serious cites

0

San Marcos Rehabilitation and Healthcare Center runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 15% below what the home already provides on weekdays. State inspectors have cited 17 deficiencies, three of them serious enough to put residents at harm or jeopardy, and the last inspection was in October 2025. Staff turnover sits at 48.8%, a few points above the national rate, at a for-profit corporate home with 129 certified beds. Its quality measure score looks strong, but that reflects charted care, not the hours of nursing help actually available at the bedside when you or your family member needs it.