942 Chain-Owned Nursing Homes in Texas

Nurse hours

— /day

Staff turnover

100%

Serious cites

0

McGregor Wellness & Rehabilitation runs 186 certified beds under hospital district ownership, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 9% below the home's own weekday coverage, and annual turnover hit 100% against a national rate of 45.8%, meaning the whole nursing staff effectively turned over within the year. The current inspection record carries 20 deficiencies, six of them serious enough to involve harm or jeopardy, with two fines totaling $49,443. Its last inspection was March 2026. Resident outcome measures look strong, but consistent staffing and a clean survey record are what keep people safe day to day.

Nurse hours

3.11 /day

Staff turnover

39%

Serious cites

0

Avir At Graham runs on 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage drops another 10% below its own weekday levels. Turnover sits at 38.9%, better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is the strongest part of the picture: a 5/5 health inspection rating with 15 deficiencies on file, none at the harm level and none abuse-related, and the most recent visit was in August 2025. What pulls the overall picture down is the staffing rating of 2/5 and a quality measure rating of 2/5, which sit alongside that clean inspection history and government hospital district ownership.

Nurse hours

3.13 /day

Staff turnover

62%

Serious cites

0

Wurzbach runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and it gets thinner on weekends, dropping about 15% below its own weekday level. That matters more when you consider 62.3% of staff turned over last year, well above the 45.8% national average, meaning the people providing that care are often new. The inspection record is heavy: 56 deficiencies, four serious enough to put residents in harm's way and nine tied to abuse, with three fines totaling $34,945 and a June 2025 inspection. Quality measures score well, but strong numbers on paper don't offset thin weekend staffing and that turnover.

Nurse hours

3.10 /day

Staff turnover

57%

Serious cites

0

Hurst Plaza passed its most recent inspection cleanly, a 5/5 health inspection rating, no deficiencies at the harm level, and no abuse citations. That's genuinely good, and it matters. The problem is the day-to-day coverage. Nurse staffing sits at 3.10 hours per resident day, roughly 20% under the national average, with weekends running about 13% thinner than weekdays. Staff turnover is 57.4%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. A home can inspect well and still leave your family member waiting for help. Ask what a Tuesday night actually looks like, and how long the current director of nursing has been there.

Nurse hours

2.96 /day

Staff turnover

36%

Serious cites

0

Focused Care At Beechnut carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a pattern of persistent problems. Its record shows 27 deficiencies, 11 of them serious enough to cause harm or put residents in jeopardy, plus four fines totaling $90,403. Nurse staffing runs about 2.96 hours per resident day, roughly a quarter below the national average, and weekends drop further. Turnover at 36.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as having enough hands on shift.

Nurse hours

3.27 /day

Staff turnover

68%

Serious cites

0

Seymour Rehabilitation and Healthcare is run by a hospital district, and its inspection record is genuinely strong, a recent April 2025 survey with no deficiencies at the harm or jeopardy level and none related to abuse. The trouble sits elsewhere. Nurse staffing runs about 3.27 hours per resident day, roughly 15% under the national average, and weekend coverage dips below its own weekday level. Annual turnover of 67.9% means most of the people caring for residents are relatively new, against a national rate near 46%. Twenty deficiencies sit on the current record, none serious. Good inspections paired with thin, churning staff is the whole story here.

Nurse hours

3.50 /day

Staff turnover

54%

Serious cites

0

Woodlake Nursing Center runs about 3.50 nurse hours per resident each day, roughly 9% under the national average, and weekends drop another 12% below its own weekday staffing. That thinner weekend coverage matters because hands-on time is already lean. Annual turnover sits at 54% against a 45.8% national figure, so caregivers cycle through faster than typical. The current inspection record shows 12 deficiencies, two serious enough to involve harm or jeopardy, plus one fine of $20,965. Inspectors were last on site in June 2025. This is a for-profit corporate home with 93 certified beds, and its federal ratings land at 3 out of 5 for health inspections, 2 for quality measures, and 2 for staffing.

Nurse hours

3.29 /day

Staff turnover

50%

Serious cites

0

Crestwood runs about 3.29 nurse hours per resident each day, roughly 15 percent under the national average, and weekends dip another 7 percent below its own weekday coverage. Staff turnover sits at 50 percent, a bit above the national 45.8 percent. On the plus side, its most recent inspection in January 2026 produced a 5-star health inspection rating, with 10 deficiencies on record, none at the harm level, though one is abuse-related, which is worth asking about directly. The quality measure rating of 2 out of 5 is where the tension shows: good inspection results, thinner day-to-day staffing and measured care outcomes. For-profit partnership ownership.

Nurse hours

2.31 /day

Staff turnover

73%

Serious cites

0

Brentwood Place One runs 120 beds in Dallas under corporate ownership, and its inspection record actually looks decent, 4 out of 5 stars, with the most recent survey in April 2026. The trouble sits in staffing: 2.31 nurse hours per resident per day, roughly 40% under the national average, with weekends about 11% thinner than weekdays. Turnover is 73.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. Sixteen deficiencies sit on the current record, including one at the harm level and one tied to abuse. Strong quality scores and a five-star quality measure rating don't erase any of that.

Nurse hours

3.44 /day

Staff turnover

71%

Serious cites

0

Harmony Care At Brookshire is owned by a hospital district, which usually signals some public accountability, but the numbers here don't flatter it. Nurse staffing sits at 3.44 hours per resident per day, roughly 11 percent under the national average, and weekends drop about 11 percent below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. Turnover is the bigger concern: 70.9 percent of staff leaving annually against a national 45.8 percent means caregivers rarely stay long enough to know residents well. Inspections in December 2024 turned up 39 deficiencies, including two at the harm level and one abuse-related, with $25,797 in fines.

Nurse hours

3.06 /day

Staff turnover

43%

Serious cites

0

Avir At Golfcrest runs 200 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.06 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 42.9%, slightly better than the 45.8% national figure, but the inspection record is the harder read: 21 deficiencies, five at harm or jeopardy level, one abuse-related, and $43,799 in fines across three penalties. The last inspection was April 2025. Federal stars put quality measures at 4 out of 5 but staffing and health inspections at 2, a split that says the care processes may look fine on paper while the hands-on coverage and survey history raise real questions.

Nurse hours

3.47 /day

Staff turnover

99%

Serious cites

0

St. Joseph Manor runs on thin staffing: 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends about 11% leaner than weekdays. The bigger problem is who's left to fill those shifts, annual turnover of 98.6% means the whole nursing staff essentially turns over every year, against a national rate near 46%. Inspectors have found 39 deficiencies, including two involving harm or jeopardy and two tied to abuse, and the most recent visit was March 2025. Hospital-district ownership doesn't change the math: a 1-out-of-5 inspection rating and 1-out-of-5 staffing rating alongside that turnover is what families should weigh.

Nurse hours

2.94 /day

Staff turnover

63%

Serious cites

0

Diboll Nursing and Rehab runs 82 beds under corporate ownership, and the numbers show a staffing problem more than a quality one. Nurses give 2.94 hours per resident per day, about a quarter below the national average, and weekends drop roughly 8 percent below what the home already provides on weekdays. Annual turnover sits at 63.3 percent against a national 45.8, so a lot of the people providing that care are still learning the building. The health inspection record shows 33 deficiencies, two serious enough to involve harm or jeopardy, though none tied to abuse, and the last inspection was recent. Clinical quality measures rate well; staffing does not.

Nurse hours

3.36 /day

Staff turnover

59%

Serious cites

0

The Villa At Texarkana holds a four-star record on health inspections and quality measures, but its staffing tells a different story. At 3.36 nurse hours per resident day, it runs about 13% under the national average, and weekends dip roughly 11% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 59% sits well above the 45.8% national figure, meaning the people caring for residents are often new. Thirty deficiencies appear on the current record, including one at the harm level and two tied to abuse. A recent March 2026 inspection keeps the oversight current, but steady leadership and enough hands on deck are the harder problems here.

Nurse hours

3.32 /day

Staff turnover

71%

Serious cites

0

Legend Oaks runs 3.32 nurse hours per resident day, roughly 14% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage shows up in the staffing rating: 1 out of 5. Annual turnover hits 70.9% against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. Inspections tell a similar story, 20 deficiencies on record, two serious enough to involve harm or jeopardy, and a $39,045 fine. The quality measures look strong at 5 out of 5, but those are self-reported numbers, and the last inspection was June 2025. Ask what changed since.

Nurse hours

2.82 /day

Staff turnover

76%

Serious cites

0

Avir At Luling runs on 2.82 nurse hours per resident per day, roughly 27% under the national average, and weekend coverage drops another 13% below its own weekday level. Staff turnover sits at 76.1% against a national 45.8%, so the people providing most of the hands-on care are constantly changing. The inspection record shows 41 deficiencies, including three at harm or jeopardy level and four tied to abuse, with $35,559 in fines across three penalties; the most recent inspection was November 2025. Corporate-owned and certified for 56 beds, the home's quality measure scores look good, but that's the part of the record least dependent on having enough consistent staff on hand.

Nurse hours

3.51 /day

Staff turnover

57%

Serious cites

0

Creekside Village runs lean on nursing hours, 3.51 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 9% below its own weekday coverage. Staff turnover sits at 57.4%, well above the 45.8% national figure, which means the people caring for residents are changing often. The inspection record is genuinely strong: a 5/5 health inspection rating, 11 deficiencies with none at harm or jeopardy level, nothing abuse-related, and a survey as recent as June 2025. But quality measures come in at 1/5, a real split from that inspection score. Ownership is a for-profit partnership. The pattern worth noticing is that the home inspects well while its clinical quality measures and staffing stability lag.

Nurse hours

3.41 /day

Staff turnover

44%

Serious cites

0

Solera At West Houston runs 112 certified beds under for-profit LLC ownership, and its nurses deliver 3.41 hours per resident day, roughly 12% below the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 43.6%, slightly better than the 45.8% national figure, but that's about the only number here that isn't working against the home. The current record carries 34 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus three fines totaling $87,386. A 5/5 quality measure score exists, but with a 2/5 inspection rating and a 2/5 staffing rating, the pattern is consistent: thin floor coverage, a long citation history, and compliance problems serious enough to draw federal penalties.

Nurse hours

3.58 /day

Staff turnover

66%

Serious cites

0

Corinth Rehabilitation Suites On The Parkway runs 134 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. At 3.58 nurse hours per resident per day, it sits about 7% under the national average, and weekends dip roughly 14% below its own weekday coverage, so the gaps aren't evenly spread. Turnover is the harder number: 66.2% of nursing staff leaving annually against a national 45.8% means the people caring for residents are, more often than not, new to the building. Fifty deficiencies, four at harm or jeopardy level and five tied to abuse, with the most recent inspection in May 2025. Quality measures score well; inspections and staffing do not.

Nurse hours

3.31 /day

Staff turnover

55%

Serious cites

0

Bear Creek runs lean on nursing staff, 3.31 hours per resident day, roughly 14% under the national average, and it thins out further on weekends, dropping about 10% below its own weekday coverage. More than half its nurses left over the past year (55% turnover), a rate well above the 45.8% national figure. The inspection record is where things get serious: 34 deficiencies, six of them at the harm or jeopardy level, one abuse-related, and three fines totaling $148,612. A 1-out-of-5 health inspection rating reflects that pattern, and a 3-out-of-5 quality measure score doesn't offset it. For-profit LLC ownership rounds out the picture.