942 of the 1,179 Medicare-certified nursing homes in Texas (80%) are chain-owned, and all are listed below. 22 of the 940 graded homes earn an A and 92 earn a D or F. They average 3.29 nursing hours per resident per day, 0.1 hours below the 3.39 for every home in Texas. Trinity Terrace in Fort Worth grades highest at A (94 out of 100).
How chain-owned homes in Texas compare
This group set against every nursing home in Texas, from the current CMS release.
Nursing hours per resident per day
3.29
All homes in Texas: 3.39
Worse than the local average
Nurse staff turnover
56.3%
All homes in Texas: 55.3%
Worse than the local average
Average ElderGrade score
65.9/100
All homes in Texas: 66.9/100
Worse than the local average
Grade spread
B
C
D
22 grade A, 316 grade B, 510 grade C, 92 grade D,
The best-graded chain-owned home in Texas is
Trinity Terrace
in Fort Worth, TX — grade A,
94/100.
Alvarado Meadows runs on thin staffing margins: 3.36 nurse hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. The turnover number is the harder one to get past, 95.7% annually, more than double the national rate, which means the aide helping your mother today is statistically unlikely to be there next year. The inspection record shows 19 deficiencies, three of them serious enough to cause harm or jeopardy and four tied to abuse, plus $85,479 in fines across five penalties. The most recent inspection was in May 2026. For-profit, limited liability ownership.
San Antonio North runs on 2.67 nursing hours per resident per day, roughly a third below the national average, and weekend coverage drops another 13% below its own weekday level. That thin staffing shows up in the numbers: a 55.9% annual turnover rate, well above the 45.8% national figure, and 62 deficiencies on the current record, including four at the harm or jeopardy level and six tied to abuse. Inspectors were last on site July 31, 2025, and the state has fined the for-profit operator three times, totaling $37,800. When a building is cited this often while running this lean, families should ask direct questions about who is on the floor at night.
Landmark of Plano runs about 3.42 nursing hours per resident per day, roughly 12% under the national average, and weekend coverage drops another 12% below its own weekday level, so the thinnest staffing lands when families tend to visit. Annual turnover sits at 88.5%, nearly double the national 45.8%, meaning the aides and nurses caring for your relative are likely to change often. On its current record: 42 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a $9,240 fine. Inspectors were last on site in August 2025.
Seabreeze runs about 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage drops further, about 7% under its own weekday level. That thin margin shows up in the numbers: 41 deficiencies on the current record, eight of them at the harm or jeopardy level and five abuse-related, plus $254,067 in fines across three penalties. Staff turnover sits at 51%, above the national 45.8%, on a for-profit LLC license. The most recent inspection was January 8, 2026. Federal data puts health inspection and staffing at one star each, with quality measures at three.
Woodland Springs runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and staffing thins out further on weekends. That shortfall shows up in the numbers families can't see at the door: 29 deficiencies on the current record, nine of them serious enough to put residents in harm's way and seven tied to abuse. Inspectors last visited in August 2024 and left five fines totaling $92,215. With 54.7% of staff leaving each year, the aides who know your mother's routines are probably gone within twelve months. The corporate owner has kept the building open at this level for a while.
Whisperwood runs on thin staffing: 3.39 nurse hours per resident day against a national average of 3.86, and weekends dip about 7% below its own weekdays, so the thinnest coverage lands when families tend to visit. The bigger red flag is turnover, 95.6% annually, meaning roughly the whole nursing staff cycles through in a year, versus about 46% nationally. That instability shows up in the inspection record: 34 deficiencies, six at harm or jeopardy level and seven abuse-related, with two fines totaling $19,546. It's a hospital-district home of 114 beds, last inspected in November 2024. Consistent staffing and a clean abuse record matter most here, and neither is present right now.
Avir At Keeneland runs on thin staffing. At 2.59 nurse hours per resident day, it sits about a third below the national average of 3.86, and weekends dip roughly 4% under its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 78.1% means most of the people caring for residents weren't there a year ago, against a national rate near 46%. Inspections look strong on paper: a 5/5 health inspection rating, 13 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent visit was December 2024. But quality measures score 2/5 and staffing 1/5, and that gap between a clean inspection record and day-to-day coverage is what holds the overall picture down.
Bridgeport Medical Lodge runs 152 certified beds under corporate for-profit ownership, and its staffing sits at 3.35 nurse hours per resident day, roughly 13% under the national average. Weekends drop another 12% below its own weekday levels, and 57.3% of staff turned over in the past year against a 45.8% national rate. The inspection record holds 13 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $24,704 in fines across two penalties. CMS gave it 2 stars for health inspections, 2 for quality measures, and 1 for staffing. The most recent inspection was February 26, 2026.
Parkview Manor runs lean on nurse staffing, 3.19 hours per resident day, well under the national average, and weekends get thinner still, dropping about 8% below its own weekday level. The bigger red flag is turnover: 92.9% of staff left over the past year, roughly double the national rate, which means the people caring for residents are constantly new and unfamiliar. On the inspection side, 19 deficiencies sit on the current record, including one at the harm level and two tied to abuse, with a $15,920 fine and a survey from August 2024. For-profit individual ownership runs the place, and the federal star ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.
Avir At Arbor Terrace runs 126 certified beds in San Angelo, and the staffing numbers are where I'd start. At 3.05 nurse hours per resident day, it sits about 21% under the national average of 3.86, weekends dip roughly 7% below its own weekdays, and turnover hits 75.3% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 38 deficiencies, three at harm or jeopardy level, one abuse-related, and $121,840 in fines across three events. A 2/5 inspection rating and 3/5 on quality measures don't offset a 1/5 staffing score. Ask about weekend coverage and how they hold staff before you tour.
Mineola Gardens runs on thin coverage. At 3.16 nurse hours per resident day, it sits about 18% under the national average, and weekends dip slightly below its own weekday numbers, the sort of gap where a fall or an infection can go unnoticed longer than it should. The bigger flag is turnover: 88.9% annually, roughly double the national rate, meaning most of the people caring for your relative will be gone within the year.
The inspection record backs that up. Twenty-two deficiencies on file, four involving actual harm or jeopardy, six tied to abuse, and three fines totaling $50,527. State inspectors last visited in July 2025 and rated health inspections 2 out of 5. Its quality measure score looks good on paper, but that's family-reported data, the staffing and inspection numbers are the ones to weigh here.
The Heights of League City runs on thin nursing coverage: 3.38 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. Staff turnover sits at 69.7%, well above the 45.8% national figure, so the people caring for residents are frequently new to the building. The inspection record backs this up: 28 deficiencies, nine at harm or jeopardy level, six fines totaling $144,668. A hospital district owns it, which might suggest stability, but the numbers here tell a different story.
Mesquite Post Acute Care runs on thin nursing coverage, 2.94 nurse hours per resident per day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. That shortfall shows up in a licensed staff turnover rate of 79.7%, well above the 45.8% national figure, and in a staffing rating of 1 out of 5. The inspection record is the heavier concern: 41 deficiencies, including 9 tied to abuse and 5 at the harm or jeopardy level, plus three fines totaling $132,185. Ownership is for-profit, through a limited liability company, and the most recent inspection was May 21, 2026. Quality measures score mid-range at 3 out of 5, but that sits alongside a 1-out-of-5 inspection rating.
Accel At College Station runs on 3.18 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 13 percent below its own weekday level. That thin coverage shows up in turnover: 67 percent of staff leave annually, against a national 45.8 percent. Inspections tell a harder story, 49 deficiencies on the current record, 10 of them at harm or jeopardy level, one abuse-related, and five fines totaling $137,611, with the most recent inspection in May 2025. The quality measure score looks strong, but that reflects charted care, not the staffing and inspection record underneath it.
Avir At Kerrville runs 130 certified beds under for-profit corporate ownership, and the staffing numbers are the first thing I'd flag: 3.37 nurse hours per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday level. That shortfall shows up in turnover too, 64.4% annually, well above the 45.8% national figure, meaning the aides and nurses your family gets to know are likely to change often. The inspection record carries 62 deficiencies, four at harm or jeopardy level and five abuse-related, plus $20,293 in fines across two penalties. CMS rated its health inspection, staffing, and quality measures at 1, 2, and 1 stars respectively, with the most recent inspection dated June 2025.
Amistad Nursing and Rehabilitation Center runs on thin staffing. At 2.77 nurse hours per resident day, it sits roughly 28% under the national average of 3.86, and weekends drop about 16% below its own weekday level. The bigger red flag is turnover: 97.1% of staff leave each year, more than double the national rate of 45.8%. That churn matters because consistent caregivers know residents' routines and catch changes early.
The hospital district ownership and a clean inspection record help, 14 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in April 2025. But inspectors only see a snapshot. Daily care depends on who's actually on the floor, and here that's a revolving door.
Memorial Medical Nursing Center runs on 2.60 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekends drop about 19% below what the home already provides on weekdays. The inspection record shows 57 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $35,396 in fines across two penalties. Staff turnover sits at 51.4%, above the 45.8% national figure. It's a hospital-district home, so public ownership doesn't automatically mean better oversight here. The most recent inspection was June 11, 2025, so the picture is current, not stale. Ask direct questions about weekend coverage and how the abuse-related findings were resolved.
Wellington Rehabilitation and Healthcare runs on 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekends drop about 20% below its own weekday staffing. That thin coverage shows up in the workforce itself: 78.4% annual turnover against a national 45.8%, meaning most of the people caring for your family member are new to the building. The current inspection record carries 28 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and $32,275 in fines across three penalties. The most recent inspection was June 5, 2025. It's owned by a hospital district, and the quality measures score well, but measure scores don't staff a night shift.
Lubbock Health Care Center runs a tight ship on inspections, a 4 out of 5 there, with 21 deficiencies on record and none at the harm or jeopardy level. That's the good news, and it's real. The trouble sits in the day-to-day: 3.12 nurse hours per resident, roughly a fifth below the national average, with weekends dipping another 18% below its own weekday staffing. And that 96.8% turnover means the aides and nurses caring for your relative are, statistically, likely to be gone within a year, more than double the national rate. Two abuse-related deficiencies also appear on the current record. Inspections tell you what was caught on one day; staffing tells you what most days probably look like.
Avir At Kennedale runs 58 certified beds and reports 2.92 total nurse hours per resident per day, about a quarter below the national average of 3.86, with weekends dropping roughly 16% below its own weekday staffing. That thin coverage shows up in the numbers: staff turnover is 72.2% against a national average of 45.8%, so the people caring for residents change constantly, and CMS gives staffing a single star. The inspection record is heavier than most: 28 deficiencies, three at harm or jeopardy level, three abuse-related, and one fine of $16,437. Its last inspection was September 2025. For-profit corporate ownership. The quality measure score is middling, but that's self-reported data. The staffing and inspection record is what families should weigh.
Frequently asked questions
How many chain-owned nursing homes are there in Texas?
There are 942 chain-owned Medicare-certified nursing homes in Texas, 80% of the 1,179 nursing homes there.
Are chain-owned nursing homes better staffed?
In Texas they average 3.29 total nursing hours per resident per day, against 3.39 for all nursing homes in Texas, a difference of -0.1 hours. Staff turnover averages 56.3% against 55.3%.
Which chain-owned nursing home grades best in Texas?