942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.26 /day

Staff turnover

54%

Serious cites

0

Avir At Heritage runs on thin nursing coverage: 3.26 nurse hours per resident each day, roughly 16 percent under the national figure, and weekends drop about 14 percent below its own weekday levels. That staffing picture is the main reason its CMS staffing rating sits at just one star out of five, even though its last inspection in April 2025 produced no deficiencies at the harm or jeopardy level and nothing abuse-related. Staff turnover of 54.3 percent tops the national average of 45.8 percent, which matters for a 150-bed for-profit home because residents see more unfamiliar faces. The inspection record looks clean on paper, but consistently low hours and high churn are what a family should weigh when deciding.

Nurse hours

3.13 /day

Staff turnover

—

Serious cites

0

Franklin Nursing Home runs on thin staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends drop roughly another 17 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. That shows up in its one-star staffing rating, even as inspections and quality measures each earn four stars. The current record carries 19 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in September 2025. It's a hospital-district home, which may explain the stable oversight despite the lean floor. Ask how many nurses are actually on duty on a Saturday evening.

Nurse hours

2.59 /day

Staff turnover

59%

Serious cites

0

Towers Nursing Home in Smithville runs a nonprofit operation with 120 certified beds, and its inspection record looks solid on paper, a 4-out-of-5 health inspection rating and a recent survey from July 2025. But the staffing numbers tell a different story. At 2.59 nurse hours per resident per day, this home sits about a third below the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. Staff turnover is 58.8%, well above the 45.8% national figure, which matters when you're counting on consistent caregivers. Fifteen deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, and CMS has fined the home $15,239. Ask about weekend coverage and how they keep CNAs.

Nurse hours

2.79 /day

Staff turnover

57%

Serious cites

0

Autumn Leaves is run by the hospital district in Henderson, and its clinical quality scores look strong on paper. The problem is who's there to deliver that care: 2.79 nurse hours per resident day, roughly 28% under the national average, with weekends running about 12% thinner than weekdays. Staff turnover sits at 56.8%, well above the 45.8% national figure, which means residents see a rotating cast of caregivers. The inspection record backs that up, 42 deficiencies, including one at the harm level and one tied to abuse, plus a $22,925 fine. The last inspection was May 2026. A hospital district can be a stable owner; here the staffing numbers are doing the talking.

Nurse hours

3.54 /day

Staff turnover

49%

Serious cites

0

Golden Creek runs 125 certified beds in Navasota under corporate for-profit ownership, and its recent inspection history is the strongest part of the picture, a four-star health inspection rating, with the last survey done in April 2025 and 18 deficiencies on record, none at the harm or jeopardy level. That's one abuse-related citation, though, which families should ask about directly. Where the home slips is staffing: 3.54 nurse hours per resident day sits about 8% under the national average, weekends run roughly 12% below its own weekday levels, and turnover is 48.9%. Those numbers are why CMS gives it a single staffing star, and they're worth weighing against the decent inspection score.

Nurse hours

3.09 /day

Staff turnover

61%

Serious cites

0

The Plaza At Lubbock runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average, and weekend coverage drops about 14% below what it manages on weekdays. Staff turnover sits at 60.9% against a national 45.8%, meaning more than half the nursing staff leaves each year, that churn shows up in the 40 deficiencies on record, four of them serious enough to reach harm or jeopardy level and three tied to abuse. Corporate ownership keeps the money side simple, but the record includes three fines totaling $38,594, and the most recent inspection in January 2026 found enough to keep the health inspection rating at 2 out of 5. The quality measures look strong, but strong numbers on paper don't staff a building on a Saturday.

Nurse hours

3.40 /day

Staff turnover

59%

Serious cites

0

Crestview Court runs on thinner nurse coverage than most homes, 3.40 hours per resident day against a national average of 3.86, with weekends dropping about 9% below its own weekday level. Turnover sits at 58.5%, well above the 45.8% national figure, so the people providing that care change often. Inspections tell a mixed story: a 4-star health inspection rating and a 5-star quality measure score, but 21 deficiencies on the current record, including 3 at harm or jeopardy level and 7 tied to abuse, plus one fine of $16,799. The most recent inspection was April 2025. A for-profit corporation owns the 125-bed home. Strong quality marks and steady inspection results sit alongside staffing shortages and a documented abuse-related history, worth asking about directly before deciding.

Nurse hours

2.95 /day

Staff turnover

50%

Serious cites

0

Legacy Nursing and Rehabilitation runs on thin staffing. At 2.95 nurse hours per resident day, it sits about 24% under the national average of 3.86, and weekends drop roughly another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% tops the national 45.8%, meaning the aides at the bedside are often the newest hires. The 23 deficiencies on record include zero at harm or jeopardy level, but two are abuse-related, and the most recent inspection came in February 2026. Government hospital district ownership doesn't change the math; the staffing star of 1 out of 5 tells you where the pressure is.

Nurse hours

3.16 /day

Staff turnover

—

Serious cites

0

Granite Mesa runs lean on nursing hours, 3.16 per resident day against a national average of 3.86, and weekends drop roughly another 20% below what the home staffs during the week. That pattern matters more than any single number, because it means the thinnest coverage lands exactly when families tend to visit and when backup is hardest to call in. The inspection record shows 24 deficiencies, including one at the harm level and two tied to abuse, with a $59,345 fine and a survey completed at the very end of 2025. Ownership is a for-profit LLC, and the 124-bed building earns solid marks on quality measures while staffing sits at the bottom of the federal scale.

Nurse hours

3.15 /day

Staff turnover

55%

Serious cites

0

Sheridan Medical Lodge earned a clean five-star inspection rating, and that's not nothing, 13 deficiencies on record with zero at the harm or jeopardy level and nothing abuse-related, reviewed as recently as March 2026. The staffing side tells a different story. At 3.15 nurse hours per resident day, it runs about 18% under the national average, weekends drop roughly 14% below its own weekday level, and annual turnover sits at 54.5% against a national 45.8%. For-profit corporate ownership, 130 beds. Ask how they hold that inspection record when the people providing the care keep changing.

Nurse hours

3.51 /day

Staff turnover

96%

Serious cites

0

Five Points runs a 120-bed for-profit operation in Amarillo where the clinical numbers tell two different stories. On quality measures and health inspections, it scores well, four and five stars respectively, but staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends drop roughly 13% below its own weekday levels. That thin coverage comes with 96.3% annual turnover, more than double the national rate, which means the people at the bedside are constantly changing. The current record shows 18 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,281. The last inspection was May 2026. High marks on paper don't offset a workforce that can't stay put.

Nurse hours

3.36 /day

Staff turnover

47%

Serious cites

0

Mabank Nursing Center runs on thin staffing. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% turnover rate is roughly in line with the national figure, but combined with 33 deficiencies on record, including 2 at the harm or jeopardy level and 2 tied to abuse, the picture is not comforting. Two fines total $31,234. A May 2026 inspection is recent, and the county hospital district that owns it isn't a for-profit chain, which may help explain the 3-star middle ground across inspections, quality, and staffing.

Nurse hours

2.43 /day

Staff turnover

61%

Serious cites

0

Cypress Pointe runs on 2.43 nurse hours per resident day, roughly 37% under the national average, and that thinness gets worse on weekends, when staffing drops about 12% below its own weekday level. Annual turnover sits at 61.1% against a national 45.8%, so the aides and nurses your family would see are cycling through faster than at the typical home. The 14 deficiencies on record, including two at the harm level, came out of a March 2026 inspection, and $8,018 in fines has been assessed. Corporate-owned and certified for 124 beds, it earns top marks on quality measures but the staffing side is where the risk lives.

Nurse hours

3.46 /day

Staff turnover

50%

Serious cites

0

Cedar Hollow is hospital-district owned, which usually means steadier public funding than a for-profit chain, but the numbers here don't show that advantage paying off. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gap isn't just theoretical, it's baked into the schedule. Turnover at 50.4% tops the national 45.8%, and the inspection record carries 30 deficiencies, including three at harm or jeopardy level and one tied to abuse, plus two fines totaling $39,697. The most recent inspection was May 2026, so that record is current.

Nurse hours

3.15 /day

Staff turnover

—

Serious cites

0

Concho Health & Rehabilitation Center runs on 3.15 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop another 8 percent below its own weekday coverage. Inspectors visited recently, in July 2025, and found 14 deficiencies on the current record, none rising to harm or jeopardy, but one tied to abuse, which families should ask about directly. The staffing star comes in at 1 out of 5 while quality measures sit at 2, even as the inspection star reads 5. Hospital district ownership doesn't change the math: thin daily coverage is the pattern here, and it's what pulls the overall picture down.

Nurse hours

3.03 /day

Staff turnover

51%

Serious cites

0

Focused Care of Gilmer runs 3.03 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends drop another 17% below its own weekday level, and 51% of staff turned over in a year, so the aides working Saturday may be new to the building. The current record carries 40 deficiencies, including four tied to abuse and two serious enough to put residents in harm's way, plus a $23,520 fine. Its quality measure rating looks good, but that reflects charted care, not the inspection record. For-profit corporate ownership, 112 beds, and an inspection that already happened in February 2026 round out the picture.

Nurse hours

3.32 /day

Staff turnover

—

Serious cites

0

Beaumont Nursing and Rehabilitation runs 120 certified beds under corporate for-profit ownership, and the numbers split in an unusual direction. Nurse staffing sits at 3.32 hours per resident day, roughly 14 percent under the national average of 3.86, and weekend coverage drops about 8 percent below its own weekday level, so the thinnest shifts land when families tend to visit. The current inspection record carries 23 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse; two fines total $275,992. The most recent inspection was June 11, 2025. Quality measures score well, but a staffing rating of 1 out of 5 and that deficiency history are what a family should weigh before choosing.

Nurse hours

3.62 /day

Staff turnover

74%

Serious cites

0

Accel At Willow Bend runs 110 beds in Plano under corporate ownership, and the staffing numbers are where your attention should go first. Nurse coverage sits at 3.62 hours per resident day, about 6% under the national average, weekend shifts drop roughly 17% below weekdays, and annual turnover hits 74.4% against a national 45.8%, that's a lot of new faces rotating through. The inspection record backs it up: 49 deficiencies on file, five serious enough to involve harm or jeopardy and four tied to abuse, with a 2/5 health inspection rating. The 4/5 quality measure score looks better on paper, but quality measures depend on the staff actually there to document them.

Nurse hours

3.04 /day

Staff turnover

—

Serious cites

0

Sedona Trace runs lean on nursing hours, 3.04 per resident day against a national average of 3.86, roughly a fifth below what's typical. That shortfall is the main reason its staffing rating sits at the bottom of CMS's scale, and weekends get thinner still, about 15% under the home's own weekday coverage. Inspections tell a better story: a recent visit in July 2025 and only one harm-level deficiency among 16 total, none tied to abuse, with a single fine of $11,168. So you're looking at a building that generally passes inspection but asks its nurses to cover more residents per shift than most. For a family weighing a move here, the question worth asking is how that weekday-to-weekend staffing dip plays out on the floor.

Nurse hours

3.26 /day

Staff turnover

67%

Serious cites

0

Avir At Temple West runs on thin staffing, and the numbers show it: 3.26 nurse hours per resident day against a national average of 3.86, with weekends about 12% lighter than weekdays. That shortfall sits alongside a 66.7% annual turnover rate, far above the 45.8% national figure, so the aides and nurses caring for your relative are likely to keep changing. The 19 deficiencies on record include 2 at the harm or jeopardy level and 4 tied to abuse; one fine totaling $7,257 has been levied. The quality measures look strong and the last inspection was recent, but a for-profit LLC arrangement with those staffing and turnover figures deserves hard questions before you decide.