942 Chain-Owned Nursing Homes in Texas

Nurse hours

5.08 /day

Staff turnover

53%

Serious cites

0

Continuing Care at Eagles Trace is a small nonprofit home in west Houston with 44 beds, and its staffing is genuinely above average, 5.08 nurse hours per resident day against a national figure of 3.86. Weekends run about 14 percent thinner than weekdays, though, and turnover sits at 53.3 percent, higher than the 45.8 percent national rate, so that strong average masks real churn. Nine deficiencies are on the current record, two of them serious enough to involve harm or jeopardy, with $22,486 in fines across two penalties. Inspections are recent, from August 2024, and there's nothing abuse-related. The staffing and inspection stars look good; the harm-level findings and turnover are what pull the overall picture down.

Nurse hours

3.38 /day

Staff turnover

43%

Serious cites

0

Bel Air At Teravista runs 112 certified beds in Round Rock under corporate ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 11% below the home's own weekday coverage, so the thinnest shifts land exactly when families tend to visit. Turnover is 42.9%, a touch better than the 45.8% national figure, and the quality measure rating is a perfect 5 out of 5. The inspection record is the weaker side: 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus $19,188 in fines, with the most recent inspection in April 2025.

Nurse hours

3.48 /day

Staff turnover

27%

Serious cites

0

Cedar Pointe runs lean on the floor: 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage is the main thing pulling its staffing rating down to 2 out of 5, though the staff who are there tend to stay, 27.2% turnover versus 45.8% nationally, which is a real point in its favor. Inspections look solid: 4 out of 5 stars, nine deficiencies on record, one at the harm level and none abuse-related, with the last visit in January 2026. Quality measures also land at 4. Hospital district ownership adds a layer of public accountability.

Nurse hours

4.05 /day

Staff turnover

45%

Serious cites

0

Ignite Medical Resort San Antonio runs 105 certified beds as a for-profit corporation, and its staffing sits at 4.05 nurse hours per resident day, about 5% above the national average. That headline number looks fine until you see weekends drop roughly 13% below weekday coverage, and the staffing star rating land at 2 out of 5. Turnover is 44.7%, essentially matching the national rate. The health inspection side is the real weak spot: 36 deficiencies on the current record, though none at harm or jeopardy level and none abuse-related. The most recent inspection was December 8, 2025. Quality measures score 5 out of 5, which is a genuine bright spot, but strong outcome data doesn't erase thin weekend coverage or a long deficiency list.

Nurse hours

4.56 /day

Staff turnover

33%

Serious cites

0

Marshall Manor West runs a government hospital district home with 118 certified beds, and the staffing numbers are stronger than most: 4.56 nurse hours per resident day, roughly 18% above the national average, with turnover at 32.8% compared to 45.8% nationally. That retention matters, since consistent caregivers know residents' routines. The catch is the inspection record. The current file holds 31 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, and state surveyors were last in the building on February 4, 2026. Weekend staffing drops about 23% below weekday levels, which is when families tend to visit and notice. Their quality scores look strong, but quality measures come from the home's own reporting, the surveyor findings are the harder evidence.

Nurse hours

4.46 /day

Staff turnover

36%

Serious cites

0

Brookdale Westlake Hills runs 4.46 nursing hours per resident day, comfortably above the national average, and its 35.7% turnover beats the typical home, staffing isn't the problem here. The trouble sits in inspections: 32 deficiencies on the current record, seven serious enough to involve harm or jeopardy, three tied to abuse, and six fines totaling just over $300,000. A 2-out-of-5 inspection rating with a April 9, 2026 survey suggests recent problems rather than old ones. Weekend coverage also dips about 15% below weekday levels, so care may thin out when families visit. For-profit corporate ownership, and a record that outweighs the staffing numbers.

Nurse hours

3.08 /day

Staff turnover

26%

Serious cites

0

Avir At Pasadena runs lean on nursing hours, 3.08 per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts are the ones families visit. Turnover is genuinely better than average at 25.7%, meaning the caregivers who are there tend to stay. What pulls the record down is the inspection side: 13 deficiencies, four serious enough to put residents at risk of harm, one tied to abuse, and two fines totaling $30,361. The current owner took over within the last year, so this record reflects a mix of old and new management. Worth asking which deficiencies were corrected and when.

Nurse hours

4.26 /day

Staff turnover

46%

Serious cites

0

Garden Terrace Healthcare Center Of Fort Worth runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday levels, and staff turnover lands at 45.5%, essentially matching the national rate. The 22 deficiencies on its current record are what hold it back: three at harm or jeopardy level and two tied to abuse. One fine totaling $34,405 is on file, and the last inspection was February 2026. Quality measures score well, but the inspection history and those abuse-related findings are the part worth asking about directly.

Nurse hours

3.68 /day

Staff turnover

54%

Serious cites

0

Windflower Health Center runs on thin staffing. At 3.68 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so the coverage your relative gets on a Saturday won't match a Tuesday. Annual turnover of 53.9% is well above the 45.8% national figure, meaning aides and nurses cycle through faster than average. The inspection record shows 28 deficiencies, none at harm or jeopardy level, though one is abuse-related, with $4,922 in fines across two penalties. A recent April 2025 inspection and solid quality measures count for something, but the staffing pattern is the part worth asking about directly.

Nurse hours

3.39 /day

Staff turnover

39%

Serious cites

0

Groesbeck LTC runs on leaner nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday coverage. The tradeoff shows up in its CMS staffing rating of 2 out of 5. What offsets that is a clean inspection record: six deficiencies total, none involving harm or abuse, and a May 2025 survey that's still recent. Staff turnover sits at 38.9%, better than the 45.8% national figure, which suggests people tend to stay. County hospital district ownership adds a layer of public accountability. The practical question for your family is whether the weekday staffing level is enough for the care your relative needs, because weekends will be thinner.

Nurse hours

3.28 /day

Staff turnover

36%

Serious cites

0

Avir At Cotulla runs lean on direct care: 3.28 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends dip another 7% below its own weekday staffing. Turnover sits at 35.9%, which is actually better than the 45.8% national figure, that stability matters, since it means fewer unfamiliar faces at the bedside. The home carries 16 deficiencies on its current record, but none at the harm or jeopardy level and none related to abuse, and its most recent inspection came back in January 2026, so the picture is current. A for-profit corporation owns the 60-bed building, and the four-star health inspection rating is the strongest part of its profile.

Nurse hours

3.74 /day

Staff turnover

39%

Serious cites

0

The Heights On Valley Ranch runs 16 deficiencies on its current record, but none at the harm or jeopardy level and none tied to abuse, a meaningful distinction when you're comparing homes. Its last inspection was in May 2025, so the picture is recent. Nurse staffing sits at 3.74 hours per resident day, about 3% under the national average, and weekends run roughly 11% lighter than weekdays, which is worth asking about if your family member needs help on Saturdays and Sundays. Staff turnover comes in at 39.3%, better than the 45.8% national figure. Corporate-owned, 122 beds.

Nurse hours

4.34 /day

Staff turnover

55%

Serious cites

0

Methodist Transitional Care Center-Desoto runs 100 certified beds under for-profit LLC ownership, and its staffing sits at 4.34 nurse hours per resident day, roughly 12% above the national average of 3.86. That cushion thins on weekends, which run about 12% below the home's own weekday level. Annual turnover is 54.6%, nearly nine points above the national 45.8%, so the people delivering that care change over often. The current inspection record shows 27 deficiencies, four of them at harm or jeopardy level and one abuse-related, with two fines totaling $27,993 and a health inspection rating of 2 out of 5. Quality measures score 5 out of 5, and the last inspection was June 27, 2025.

Nurse hours

3.56 /day

Staff turnover

33%

Serious cites

0

Nazareth Living Care Center runs 108 beds in El Paso under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 16% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover is the brighter spot: 33.3% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. The inspection record is heavier, 60 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent survey was January 2026. Ask about weekend coverage and how the abuse findings were resolved.

Nurse hours

3.77 /day

Staff turnover

59%

Serious cites

0

Avir At Comfort runs a 76-bed for-profit operation in Kendall County, and its inspection record looks solid on paper, a four-out-of-five health inspection rating with a survey as recent as August 2025. What the numbers don't show is consistency: nurse staffing sits at 3.77 hours per resident day, slightly under the national average, and weekends drop about 25% below the home's own weekday coverage. That pattern matters when families visit on Saturdays and Sundays. Annual turnover of 59.4% is well above the 45.8% national figure, meaning the people caring for your relative are likely to change often. The 36 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy level.

Nurse hours

4.02 /day

Staff turnover

62%

Serious cites

0

Ussery Roan Texas State Veterans Home runs about 4.02 nurse hours per resident day, a bit above the national average of 3.86, and CMS gives it four stars for staffing and four for quality measures. The catch is consistency: weekend staffing drops roughly 16% below its own weekday level, and annual turnover sits at 62% against a national 45.8%. Its inspection record shows 32 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with the most recent inspection in May 2025. It's a for-profit limited liability company, and the three-star health inspection rating reflects that mixed record.

Nurse hours

3.55 /day

Staff turnover

26%

Serious cites

0

Grand Terrace runs a tight ship on the clinical side, perfect marks on both health inspections and quality measures, with 14 deficiencies on record and none of them rising to harm or jeopardy. That's a clean inspection history, and the state visited recently enough that the findings are current. The staffing picture is where it gets uneven: 3.55 nurse hours per resident day sits about 8% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so care thins out when families tend to visit. Turnover at 25.8% is well below the national 45.8%, which suggests a stable crew. Corporate-owned, and that one abuse-related deficiency is worth asking about directly.

Nurse hours

3.34 /day

Staff turnover

34%

Serious cites

0

Heritage Park is a hospital-district home in Austin with 197 beds, and the numbers pull in opposite directions. Its quality measure score is perfect, but the health inspection side is where the trouble sits: 49 deficiencies on the current record, including five at the harm or jeopardy level and three tied to abuse, with $56,007 in fines across five penalties and a February 2026 inspection that keeps those findings current. Nurse staffing runs 3.34 hours per resident day, about 13 percent under the national average, and weekends drop roughly 14 percent below the home's own weekday coverage. Turnover is 33.6 percent, which actually beats the 45.8 percent national figure, one real bright spot, though steady staff can't offset inspection findings this serious.

Nurse hours

3.01 /day

Staff turnover

37%

Serious cites

0

Avir At Corpus Christi runs on 3.01 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 11% below its own weekday level. That thin staffing shows up in its 2/5 staffing rating, and the inspection record carries 25 deficiencies, including one at the harm level and three tied to abuse. Turnover is 36.5%, actually better than the 45.8% national figure, and the 5/5 quality measure rating suggests clinical metrics look strong. But with a for-profit LLC structure, a recent September 2025 inspection, and a $14,069 fine on record, the numbers point to a home where the care numbers and the people delivering them don't quite match up.

Nurse hours

3.29 /day

Staff turnover

27%

Serious cites

0

Pearsall Nursing and Rehabilitation Center runs 150 certified beds under nonprofit corporate ownership, and its strongest numbers are in inspections and quality measures, both rated 4 out of 5 by CMS, with the most recent inspection completed in May 2025. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse, though one fine totaling $14,255 has been assessed. Where the home gives ground is staffing: 3.29 nurse hours per resident day sits roughly 15% under the national average, and weekends run about 11% thinner than its own weekdays. Staff turnover, at 27.2%, is well below the national 45.8%, people tend to stay here.