942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.38 /day

Staff turnover

27%

Serious cites

0

Coronado At Stone Oak runs lean on nurse staffing, 3.38 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday levels, so coverage thins out when families tend to visit. Turnover is where it stands out: 27% annually against a national 45.8%, meaning the people caring for residents are more likely to still be there next year than at the typical home. Its inspection record shows 24 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was May 2025, so the picture is current. The quality measure score is strong, and ownership is a for-profit LLC.

Nurse hours

3.62 /day

Staff turnover

34%

Serious cites

0

Sun Valley runs on a hospital district's license in Harlingen, and its inspection record is unusually clean for a 124-bed home: five deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with the most recent survey done in July 2025. The staffing numbers tell a different story. At 3.62 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 16% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Turnover, though, is genuinely low at 33.7% against a national 45.8%, which suggests the aides and nurses who are there tend to stay.

Nurse hours

3.72 /day

Staff turnover

32%

Serious cites

0

McAllen Transitional Care Center runs on thinner nurse coverage than most homes, 3.72 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so a Saturday fall gets less eyes on it than a Tuesday one. Staff turnover sits at 32.1%, which is meaningfully better than the 45.8% national figure, and that steadiness shows in the quality measures, which score at the top of CMS's range. What holds the record back is the inspection side: 16 deficiencies, including one at the harm level and one tied to abuse, plus a fine of $8,827. The county hospital district owns it, and its last state visit was December 2024.

Nurse hours

3.48 /day

Staff turnover

50%

Serious cites

0

Wesley Court runs 30 certified beds as a nonprofit corporation, and its clinical quality scores are strong, a 5/5 on CMS quality measures and 4/5 on health inspections, with the most recent inspection in July 2025. The catch is staffing: 3.48 nurse hours per resident day sits about 10% under the national average, weekends drop roughly 11% below the home's own weekday levels, and annual turnover hits 50% against a national 45.8%. Fifteen deficiencies appear on the current record, though none at harm or jeopardy level and none abuse-related. The care indicators look good; the question is whether the staffing pattern holds up when residents need the most hands on deck.

Nurse hours

3.67 /day

Staff turnover

52%

Serious cites

0

Ridgeview is run by a hospital district, which is worth knowing, that public structure can mean steadier oversight than a for-profit chain, and the inspection record backs it up. Twenty deficiencies sounds like a lot until you see none reached the level of actual harm and none involved abuse, and a December 2025 inspection means the findings are recent rather than stale. The staffing side is where the picture softens: at 3.67 nurse hours per resident day, this home sits slightly under the national figure, weekends run noticeably thinner than weekdays, and turnover of 51.6% tops the national rate of 45.8%. Solid surveys, but ask about who's actually on the floor on a Sunday.

Nurse hours

4.19 /day

Staff turnover

38%

Serious cites

0

Ridgecrest runs 4.19 nurse hours per resident day, roughly 8% above the national average, and weekend staffing barely dips from weekday levels. That consistency matters more than the raw number. Turnover sits at 38.1%, better than the 45.8% national rate, though six abuse-related deficiencies on the record are worth asking about directly. The 31 total deficiencies include none flagged at harm or jeopardy level, and the last inspection was recent, in July 2025. Corporate for-profit ownership means you'll want to ask how decisions get made locally. The staffing and quality numbers are the strongest part of this picture; the inspection history is where your questions should focus.

Nurse hours

3.56 /day

Staff turnover

29%

Serious cites

0

Westover Hills Rehabilitation And Healthcare runs 124 certified beds in San Antonio under for-profit LLC ownership. Its nurses provide 3.56 hours of care per resident per day, roughly 8% under the national average, and weekend staffing drops about 13% below its own weekday levels, a pattern families should ask about directly. Turnover sits at 29.2%, well below the 45.8% national figure, so the team here is more stable than most. The inspection record is the harder reading: 31 deficiencies, including 4 tied to abuse and 2 serious enough to trigger the harm or jeopardy level, plus two fines totaling $20,156. The last inspection was April 2025.

Nurse hours

4.08 /day

Staff turnover

38%

Serious cites

0

Cornerstone Retirement Community runs 40 certified beds in Texarkana under nonprofit ownership, and its staffing numbers are the strongest part of the picture: 4.08 nurse hours per resident day, about 6% above the national average, with a staff retention rate better than most homes in the country. Weekend coverage dips roughly 15% below weekday levels, so ask how that plays out on Saturdays and Sundays. The concerns sit elsewhere. Nineteen deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $39,764 fine, weigh against the strong staffing scores. The most recent inspection was February 4, 2026, so that record is current.

Nurse hours

4.01 /day

Staff turnover

56%

Serious cites

0

Meadow Lake runs a tight 20-bed operation in Tyler, and the clinical numbers are genuinely strong, perfect marks on health inspections and quality measures, with only four deficiencies on record and none at the harm level. Staffing sits slightly above the national average at 4.01 nurse hours per resident day, which matters in a small home where there's nowhere to hide. Two things pull against that: weekend coverage drops about 16% below weekday levels, and annual turnover of 56.3% runs well past the national 45.8%, so the faces around a resident change often. The abuse-related deficiencies are worth asking about directly. A recent inspection in September 2025 helps.

Nurse hours

3.69 /day

Staff turnover

43%

Serious cites

0

White Settlement Nursing Center runs 108 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.69 hours per resident day, roughly 4% under the national average of 3.86, with weekends running about 8% thinner than weekdays. Staff turnover lands at 42.9%, a touch better than the 45.8% national figure, so retention isn't the main concern here. The inspection record is: 33 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, plus two fines totaling $23,010 and a 2-out-of-5 health inspection rating, though the most recent inspection was May 2025. Quality measures score well; the trouble sits in the hands-on care and compliance side.

Nurse hours

3.99 /day

Staff turnover

52%

Serious cites

0

Nurse staffing at this Mesquite nonprofit runs 3.99 hours per resident day, slightly above the national average of 3.86, and weekends dip about 4% below its own weekday levels, a small drop, but worth asking about. The bigger concerns sit elsewhere: annual turnover is 52% against a national 45.8%, and the current record carries 15 deficiencies, four at harm or jeopardy level and one abuse-related, plus two fines totaling $28,941. The 5/5 quality measure score stands out, but that's largely self-reported data, while the 3/5 inspection rating reflects what surveyors actually found when they visited in March 2025.

Nurse hours

3.83 /day

Staff turnover

39%

Serious cites

0

Cleveland Health Care Center runs 142 certified beds as a nonprofit corporation, and its last inspection was April 30, 2025. Nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86, but weekends drop about 12% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 39.4%, better than the 45.8% national figure, which suggests some stability in the workforce. What pulls the record down is the inspection history: 12 deficiencies on file, 3 of them serious enough to involve harm or jeopardy, plus two fines totaling $30,198. No abuse citations appear. The day-to-day care measures and inspection scores look decent on their own; the harm-level findings are the part worth asking about directly.

Nurse hours

3.23 /day

Staff turnover

39%

Serious cites

0

Avir At Haskell runs lean on nurse hours, 3.23 per resident day against a national average of 3.86, with weekends dropping roughly 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. Turnover sits at 39.4%, better than the 45.8% national figure, so the crew here is steadier than most. Eighteen deficiencies appear on the current record, though none rise to harm or jeopardy, and none involve abuse, with the last inspection in July 2025. Corporate for-profit ownership, 68 beds, and strong marks on quality measures round out a picture of a home that's safe and well-observed but thinly staffed.

Nurse hours

3.86 /day

Staff turnover

45%

Serious cites

0

Midwestern Healthcare Center runs 121 certified beds in Wichita Falls under corporate for-profit ownership. Its nurse staffing sits at 3.86 hours per resident day, which is roughly the national average, but weekends run about 13% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 44.9%, close to the national 45.8%, meaning nearly half the workforce is replaced each year. The inspection record is the real concern: 23 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus one fine totaling $29,884. The most recent inspection was August 28, 2025. Quality measure scores look strong, but the health inspection side tells a different story.

Nurse hours

3.13 /day

Staff turnover

44%

Serious cites

0

Fairview Healthcare Residence runs on thin nurse coverage, 3.13 hours per resident day, roughly 19 percent under the national average, and weekends drop about 11 percent below its own weekday levels. Turnover sits at 43.6 percent, slightly better than the national figure, so the staff who are there tend to stay. Inspections are recent, and the record holds 11 deficiencies, including one at the harm level and one abuse-related, plus a single $19,412 fine. The quality and inspection ratings hold up at 4 out of 5, but staffing lands at 3, and that gap is what pulls the overall picture down.

Nurse hours

3.27 /day

Staff turnover

35%

Serious cites

0

Beacon Hill runs 150 certified beds in Denison under corporate ownership, and its numbers are a mixed bag worth sorting through. Nurse staffing sits at 3.27 hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below what the home staffs on weekdays, that gap matters when families visit and see who's actually on the floor. Turnover is the brighter spot: 34.9 percent against a national 45.8 percent, which suggests people stay. Inspections in December 2025 turned up 21 deficiencies, none at harm or jeopardy level and none abuse-related.

Nurse hours

3.68 /day

Staff turnover

42%

Serious cites

0

Avir At Grand Saline runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average, with weekends dipping about 8% below its own weekday coverage. That thin margin shows up in a 2-star staffing rating, even though turnover at 42% is actually a bit better than the 45.8% national figure. The inspection record carries 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,281. A 4-star quality measure score and a February 2026 inspection round out a mixed picture: adequate clinical metrics, but real gaps in daily staffing and past safety findings worth asking about directly.

Nurse hours

3.24 /day

Staff turnover

39%

Serious cites

0

Avir At Knox City runs on 3.24 nurse hours per resident per day, about 16% under the national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. Turnover sits at 39.3%, better than the 45.8% national figure, so the people who do stay tend to stick around. The current record carries 24 deficiencies, including one at the harm or jeopardy level and one tied to abuse, along with a single $8,018 fine. The last inspection was December 18, 2025, so the picture is recent. For-profit corporate ownership, 66 certified beds, and a quality measure score that outpaces its staffing and inspection results.

Nurse hours

3.33 /day

Staff turnover

46%

Serious cites

0

Brady West Rehab & Nursing runs 106 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, no abuse-related deficiencies, and one harm-level finding among 23 total citations. The last survey was recent, in September 2025. Where it slips is staffing. At 3.33 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly 12% below its own weekday coverage. Turnover lands at 45.7%, essentially matching the national rate. Nothing here suggests danger, but the margin for error on a bad weekend is thinner than the quality scores alone would tell you.

Nurse hours

3.30 /day

Staff turnover

39%

Serious cites

0

Harbor Lakes runs on a paradox: excellent inspections and quality scores, but thin staffing. At 3.30 nurse hours per resident day, it sits about 15% below the national average, and weekends drop roughly 13% below its own weekday level, so the coverage you see on a Tuesday isn't what you get on a Sunday. Turnover is 38.5%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. Sixteen deficiencies sit on the current record with none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A recent September 2025 inspection and five stars each for health inspections and quality measures explain the solid grade despite the staffing score.