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.
Oakmont Healthcare And Rehabilitation Of Humble runs 134 certified beds under corporate ownership, and the numbers that stand out most are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends run roughly 13% thinner than weekdays, and annual turnover is 91.4%, about double the national rate. That churn matters because it's hard to deliver consistent care when the staff keeps leaving. The inspection record backs that up: 31 deficiencies, 9 of them serious enough to involve harm or jeopardy, plus three fines totaling $418,615. Quality measures score well, but quality scores rest on staffing that clearly isn't stable right now.
Avir At Burkburnett runs a 60-bed for-profit home where the nurse staffing line sits at 3.30 hours per resident day, roughly 14% under the national average of 3.86, and it thins out further on weekends, dropping about 14% below its own weekday level. That thin coverage shows up in the staffing star rating, and the 64.9% annual turnover means aides and nurses are cycling through faster than the 45.8% national rate, so the people at the bedside keep changing. The inspection record carries 28 deficiencies, three of them serious enough to put a resident in harm's way, plus two fines totaling $64,646, with the most recent inspection in December 2024.
Rosenberg Health & Rehabilitation Center runs on 2.99 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops another 13% from its already thin weekday level. That staffing gap shows up in the inspection record: 27 deficiencies, 8 of them serious enough to put residents at harm or jeopardy, with four fines totaling $97,334. Staff turnover sits at 61.7%, well above the 45.8% national figure, meaning the aides and nurses who know your family member are likely to leave within the year. It's hospital-district owned, which sometimes signals stability, but the numbers here say otherwise. The most recent inspection was May 2026, so this is a current picture, not an old one.
Llano Nursing and Rehabilitation Center runs on 3.00 nurse staffing hours per resident per day, roughly 22% under the national average of 3.86, and weekends drop about 10% below its own weekday levels. That thin coverage shows up in the numbers: 70.4% annual staff turnover against a national average of 45.8%, and 27 deficiencies on the current record, four serious enough to cause harm or jeopardy and two tied to abuse, with one fine totaling $40,170. The most recent inspection was September 2025. The 4/5 quality measure rating reflects resident care data, but it sits alongside a 1/5 staffing rating, and that gap is worth asking about directly.
Dogwood Trails Manor runs on thin staffing: 3.38 nurse hours per resident day, about 13 percent under the national average, and weekends drop roughly 12 percent below its own weekday levels. That gap matters because fewer aides on Saturday and Sunday means slower responses. The bigger warning sign is turnover, 93.9 percent annually against a national average near 46 percent, meaning most of the staff you'd meet likely weren't there a year ago. Eighteen deficiencies sit on the current record, including two at the harm or jeopardy level and five tied to abuse, with $23,104 in fines. Inspectors last visited in August 2025, and the corporation that owns it is for-profit.
Park Highlands is a hospital-district home in Athens, and its inspection record is genuinely strong, five stars, nine deficiencies with none at the harm level and no abuse findings, and a survey done as recently as May 2025. The trouble is what happens between inspections. Nurses give residents 3.05 hours of care per day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Nearly nine in ten employees turned over last year, roughly double the national rate, which means the people at the bedside keep changing. Stable hands matter most in a nursing home, and this one struggles to keep them.
Woodland Park runs a hundred beds in Shepherd under hospital district ownership, and the numbers there deserve a close look. Nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average, and weekends drop about 8% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 57.4%, well above the 45.8% national figure, which usually means less continuity for residents who need consistent hands. The current record carries 31 deficiencies, five of them serious enough to involve harm or jeopardy, plus two fines totaling $41,515. The last inspection was July 2025.
The Bradford At Brookside runs lean on nursing staff, 3.39 hours per resident day against a national average of 3.86. Weekends are thinner still, roughly 13 percent below its own weekday coverage. Turnover sits at 65.2%, well above the 45.8% national figure, so the people caring for residents change often.
Against that, the home's most recent health inspection in August 2025 produced a strong four-star result and 31 deficiencies with none at the harm or jeopardy level, though one is abuse-related. State inspectors have looked recently and found no serious harm.
What you're weighing is a home that passes inspection but runs short-staffed with high turnover. Ask about weekend coverage and how long aides typically stay.
Houston Heights Nursing and Rehabilitation Center runs on 3.03 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 8% below its own weekday level. Staff turnover sits at 59.1% against a national 45.8%, so the people doing the bedside work change often, and a 1-out-of-5 CMS staffing rating reflects that reality. The inspection record shows 23 deficiencies, including six at the harm or jeopardy level and two tied to abuse, with four fines totaling $105,536 and a 2-out-of-5 health inspection rating. The 4-of-5 quality measure score stands out, but it rests on a staffing and inspection foundation that is thin.
The Lodge of Saginaw runs on about 3.10 nurse hours per resident per day, roughly a fifth below the national average, and weekends are thinner still, about 9% under its own weekday coverage. Staff turnover sits at 55.3% against a national 45.8%, so aides and nurses cycle through faster than at the typical home. That shows up in the staffing star rating, which CMS puts at 1 out of 5, even while the quality measure score reaches 5. Twenty-three deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus a $15,944 fine. The last inspection was recent, December 2025. For-profit, LLC-owned, 130 beds.
The Palms runs 204 beds in Corpus Christi under corporate for-profit ownership, and its nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86. Weekends are thinner still, about 18 percent lighter than the home's own weekday coverage, and annual turnover of 51.2 percent means the aides and nurses showing up are often new to the building.
The inspection record is the heavier concern: 60 deficiencies, five serious enough to put residents in harm's way, and 11 tied to abuse. Four fines total $79,987. Federal quality measures land at 1 out of 5 stars, and the most recent inspection came in December 2025, recent enough that this picture reflects how the home operates now, not years ago.
The Lennwood Nursing And Rehabilitation runs 124 certified beds in Dallas under county government ownership, and the staffing numbers are where the trouble starts. At 2.90 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends drop another 17% beneath its own weekday level. Turnover tells a similar story: 68.6% annually, against 45.8% nationally, which means the aides and nurses your relative sees may not be there in six months. The current record shows 24 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse, with two fines totaling $29,969. The last inspection was August 29, 2024.
Oak Ridge Manor runs 114 beds in Brownwood under for-profit LLC ownership, and its inspection record is genuinely decent, a four-star health inspection rating, fifteen deficiencies with none rising to harm or jeopardy, and a survey completed in late December 2025. The problem sits in the staffing column, where the home earns one star. Nurses provide 3.29 hours per resident day against a national average of 3.86, weekends drop about 19% below the home's own weekday coverage, and annual turnover hits 96.4% when the national figure is 45.8%. That's a workforce cycling through nearly completely each year. Two abuse-related deficiencies and a $129,761 fine round out a record where care appears adequate on paper but the people delivering it keep leaving.
Avir At San Angelo runs on 2.99 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 9% below what it manages on weekdays. The inspection record shows 36 deficiencies, seven of them at the level where residents were actually harmed or put in jeopardy, and five tied to abuse. Four fines total $217,215, and the last inspection was March 6, 2025. This is an individually owned for-profit home, and the federal star ratings sit at 1 for health inspections, 1 for staffing, and 2 for quality measures. When staffing is thin, harm-level findings stack up, and fines reach six figures, the pattern is worth taking seriously before you visit.
Granbury Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: a staff turnover rate of 94.2%, where the national figure sits near 46%, meaning most of the people caring for residents this year likely won't be there next year. The home carries 37 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus $37,501 in fines. Inspectors were last out in February 2026, and the health inspection rating sits at 2 out of 5.
Graham Oaks runs on 2.99 nurse hours per resident per day, roughly a fifth below the national average, and weekends are thinner still, about 14 percent lighter than its own weekdays. That staffing picture comes with a 94.4 percent annual turnover rate, more than double the national figure, meaning the aides and nurses your family member sees are, more likely than not, new to the building within the year. The inspection record shows 21 deficiencies, three serious enough to put residents in harm's way and four tied to abuse, with $34,690 in fines. A for-profit LLC owns it. The most recent inspection was January 2025.
Franklin Heights runs on 3.07 nurse hours per resident per day, roughly a fifth less than the national average, and weekends drop another 14 percent below its own weekday levels. Staff turnover sits at 96.2 percent, more than double the national figure, so the people caring for residents are, statistically, almost all new. The inspection record is heavier: 77 deficiencies, five involving harm or jeopardy, 11 tied to abuse, and two fines totaling $191,503. State inspectors were last on site in July 2025. Ownership is a for-profit partnership. With 132 certified beds, that ratio of direct care to residents, especially on weekends, is the number worth asking about when you visit.
Southern Specialty Rehab & Nursing runs 144 beds in Lubbock under corporate ownership, and its staffing numbers look decent at first glance, 3.99 nurse hours per resident day, just above the national average. But that average hides a churn problem: turnover sits at 98.7%, more than double the national rate, meaning the aides and nurses at your mother's bedside are likely new to the building and still learning it. Weekend coverage drops about 6% below weekday levels, so the shifts when families visit least are the thinnest. The inspection record is harder to explain away: 30 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $36,652, with the most recent inspection in June 2026.
Vidor Health & Rehabilitation Center runs 144 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 2.88 total nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekend coverage slips about 10% below the home's own weekday level, and annual turnover sits at 93.5% against a national rate near 46%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs up the concern: 37 deficiencies on file, four at harm or jeopardy level, four abuse-related, and two fines totaling $58,904, with a one-star health inspection rating and a one-star staffing rating.
The Hillcrest of North Dallas runs on 2.66 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops about 13% below what the home staffs on weekdays. Annual turnover sits at 68.3% against a national 45.8%, so the aides and nurses at the bedside keep changing. Its inspection record shows 44 deficiencies, including 6 at the harm or jeopardy level and 3 tied to abuse, with $221,052 in fines across three penalties and a 1-out-of-5 inspection rating; the most recent survey was July 31, 2025. Ownership is a for-profit corporation. The quality measure stars don't offset what staffing and inspections show.
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?