942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.65 /day

Staff turnover

n/a

Serious cites

0

Meadows Of Corsicana runs 96 beds under for-profit LLC ownership, and its most recent inspection in October 2025 came back with a clean health inspection record, a 5/5 from CMS on that measure, which is hard to earn. The catch is staffing: 3.65 nurse hours per resident day, about 5% under the national average, with weekends running roughly 15% thinner than weekdays. Look at the deficiency file and you'll find 23 citations on the current record, none rising to actual harm or jeopardy, but one tied to abuse. Quality measures sit mid-range at 3/5. Nothing here suggests danger, but the weekend staffing dip and that abuse citation are worth asking about directly.

Nurse hours

3.90 /day

Staff turnover

52%

Serious cites

0

Advanced Rehabilitation & Healthcare Of Live Oak runs 123 certified beds as a for-profit corporation, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86. That thin margin matters because weekend staffing drops about 12% below its own weekday level, so coverage thins exactly when families tend to visit. Annual turnover is 52.2%, well above the 45.8% national average, which means the people caring for your relative are likely still learning the building. The current record shows 42 deficiencies, including one at the harm level and three tied to abuse, plus $12,424 in fines. The most recent inspection was May 2025.

Nurse hours

3.87 /day

Staff turnover

31%

Serious cites

0

Prairie Meadows runs 120 certified beds in Floresville under for-profit LLC ownership, and its nurse staffing sits at 3.87 hours per resident day, essentially dead even with the national average of 3.86. Weekend coverage drops about 8% below weekday levels, so care thins out when families tend to visit. Turnover runs 30.6%, notably better than the 45.8% national figure, which suggests some stability in the workforce. The bigger concern is the inspection record: 25 deficiencies, four at harm or jeopardy level and one abuse-related, with two fines totaling $43,522. That last inspection was August 2025, so the record is current, not stale.

Nurse hours

2.97 /day

Staff turnover

40%

Serious cites

0

Avir At Itasca runs lean on nursing hours, 2.97 per resident per day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage. That's the main soft spot, and it's why staffing sits a notch under the other ratings. Turnover, though, is 40% versus 45.8% nationally, so the crew here is steadier than most. Fourteen deficiencies on the current record sounds like a lot until you see none reached harm or jeopardy, and none involved abuse. Inspections are recent, January 2026, with 4/5 on both health inspections and quality measures. A 51-bed for-profit LLC in Hill County, small enough to know your neighbor, thin enough on weekdays-to-weekends that you should ask who's on shift Saturday.

Nurse hours

3.55 /day

Staff turnover

43%

Serious cites

0

Windsor Rehabilitation and Healthcare runs 108 certified beds in Terrell under for-profit limited liability ownership, and the staffing numbers are the first thing to look at. At 3.55 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover lands at 42.9%, slightly better than the 45.8% national figure, which is a modest point in its favor. The inspection record shows 39 deficiencies, none at harm or jeopardy level and none abuse-related, but the health inspection rating sits at 2 out of 5.

Nurse hours

3.20 /day

Staff turnover

43%

Serious cites

0

Settlers Ridge runs on thinner nurse coverage than most homes, 3.20 hours per resident day against a national average of 3.86, and weekends dip another 10% below its own weekday pace. That gap is the main thing pulling its staffing rating down to 2 out of 5. The inspection record tells a steadier story: a 4 out of 5 health inspection rating, recency on its side with a February 2025 survey, and zero deficiencies at the harm or jeopardy level. One abuse-related citation out of 25 total is worth asking about directly. Staff turnover at 43.2% is slightly better than the national 45.8%, which matters for consistency of care. Nonprofit ownership under a corporation, 128 beds.

Nurse hours

3.13 /day

Staff turnover

44%

Serious cites

0

The Parks at Garland runs lean on nursing hours, 3.13 per resident day against a national average of 3.86, and weekends drop another 10% below its own weekday coverage. Turnover sits right around the national rate at 44.3%, so the issue isn't retention so much as how many hands are scheduled. The inspection record is the heavier concern: 20 deficiencies, four of them serious enough to cause harm or jeopardy, plus two tied to abuse. Two fines total $40,050, and the most recent inspection was January 30, 2025. Quality measures score well, but that means little when the last survey found real problems and staffing stays under the national mark.

Nurse hours

3.45 /day

Staff turnover

50%

Serious cites

0

Baybrooke Village runs about 11% leaner on nurse staffing than the national average, and weekends drop roughly 13% below what the home itself staffs on weekdays, so a Saturday fall or a Sunday infection gets less coverage than a Tuesday. Staff turnover sits at 50%, higher than the 45.8% national figure, meaning nearly half the people caring for residents are new to the building each year. The inspection record shows 38 deficiencies, including one tied to abuse and one at the harm level, plus a $15,642 fine, though the most recent inspection was April 2026. The quality star rating is strong; the staffing and inspection numbers are where the caution sits.

Nurse hours

3.25 /day

Staff turnover

45%

Serious cites

0

The Heights of Gonzales runs about 3.25 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekends dip another 15% below its own weekday numbers. Turnover sits at 44.9%, basically in line with the national rate, so that's not the standout issue here, the thin staffing is. The inspection record shows 22 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was in March 2026. Corporate for-profit ownership at 132 certified beds, with quality and inspection scores that look better than the staffing score does.

Nurse hours

3.24 /day

Staff turnover

45%

Serious cites

0

Royse City Medical Lodge runs on leaner nursing hours than most homes, 3.24 per resident day against a national average of 3.86, roughly 16 percent below, and weekends dip another 13 percent under its own weekday pace. That gap is what pulls its CMS staffing rating down to 1 out of 5, even though inspections and quality measures both come in at 4 out of 5. Turnover sits at 44.9 percent, right in line with the national 45.8, so the issue here isn't churn so much as raw coverage. The current record shows 17 deficiencies, none involving harm or jeopardy and none abuse-related, with the last inspection dated February 12, 2026. Hospital district ownership is worth noting: public accountability instead of a chain.

Nurse hours

3.37 /day

Staff turnover

38%

Serious cites

0

Broadmoor Medical Lodge runs 140 certified beds in Rockwall under for-profit LLC ownership, and the staffing picture is the main thing to understand here. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, which is actually better than the 45.8% national figure. The current record shows 28 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in December 2024. Quality measures score well; staffing is the weaker spot.

Nurse hours

3.41 /day

Staff turnover

33%

Serious cites

0

Bonne Vie runs lean on the floor. At 3.41 nurse hours per resident each day, it sits about 12% under the national average, and weekends drop roughly 13% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The 5/5 inspection rating looks strong next to 11 deficiencies on record, none at harm level but one abuse-related, and the most recent inspection was in March 2026. Staff turnover of 32.7% is well below the national 45.8%, which suggests people stay. Owned by a for-profit corporation, this 140-bed home in Port Arthur has consistent leadership but not enough daily hands.

Nurse hours

4.03 /day

Staff turnover

36%

Serious cites

0

Ignite Medical Resort Webster runs a 70-bed for-profit partnership in Harris County, and its inspection record is strong, a clean recent survey from June 2025 and top CMS marks for health inspections and quality measures. Nurse staffing comes in at 4.03 hours per resident day, slightly above the 3.86 national average, though weekends drop about 6% below the home's own weekday coverage. Turnover sits at 35.7%, better than the 45.8% national figure. What holds it back is the record itself: 12 deficiencies, two of them at harm or jeopardy level and two tied to abuse, plus a staffing star rating of just 2 out of 5 despite the decent hours.

Nurse hours

3.28 /day

Staff turnover

41%

Serious cites

0

Timberwood runs 3.28 nurse hours per resident per day, about 15% under the national average of 3.86, and weekends drop roughly 19% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 40.5%, a bit better than the 45.8% national figure, which suggests some continuity in who's actually on the floor. The inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations and $8,021 in fines. The last inspection was January 14, 2026, so the record is current. Quality measures score well; staffing is the weak point.

Nurse hours

3.24 /day

Staff turnover

32%

Serious cites

0

Palma Real runs lean on direct care: 3.24 nurse hours per resident day, roughly 16 percent under the national figure, with weekends dipping about 16 percent below its own weekday staffing. That thin coverage is the main reason its staffing rating sits low even though turnover, at 31.9 percent, beats the national 45.8 percent and suggests a relatively stable crew. The record shows 15 deficiencies with none at harm level, one tied to abuse, and a recent April 2025 inspection. Quality measures and inspections score well; staffing is where the numbers pull the overall picture down, so ask how afternoons and weekends are actually covered before deciding.

Nurse hours

3.19 /day

Staff turnover

21%

Serious cites

0

Paradigm At The Brazos runs lean on nurse staffing, 3.19 hours per resident day against a national average of 3.86, with weekends about 15% thinner than weekdays. That's the number to weigh against the home's otherwise strong record: a five-star inspection rating and a five-star quality measure score, with six deficiencies on file and none at the harm or jeopardy level, though one is abuse-related. Staff turnover sits at 21.4%, well below the 45.8% national figure, which matters for consistency of care. The last inspection was recent, in August 2025. If your family member needs steady hands on weekends, ask how the floor is covered then.

Nurse hours

4.33 /day

Staff turnover

49%

Serious cites

0

Garden Terrace Healthcare Center of Houston runs 120 beds under corporate for-profit ownership, and its staffing is the one clear strength: 4.33 nurse hours per resident day, roughly 12% above the national average. But weekends drop about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the real problem, a 1-out-of-5 health inspection rating, 22 deficiencies with 4 at harm or jeopardy level, and three fines totaling $138,543. Staff turnover sits at 48.9%, above the national 45.8%, meaning nearly half the nursing staff leaves each year. The 5/5 quality measure score reflects resident assessments, not the inspection findings that matter most.

Nurse hours

2.95 /day

Staff turnover

37%

Serious cites

0

Del Rio Nursing and Rehabilitation Center is run by a hospital district, and its inspection record is strong, four stars, with the most recent survey in May 2025. Quality measures also score five stars. The tradeoff sits in direct care: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends run about 19% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. Eighteen deficiencies are on file, including one at the harm level and two tied to abuse, plus an $8,018 fine. Turnover, at 36.7%, is better than the national 45.8%, which suggests a steadier crew than most.

Nurse hours

4.62 /day

Staff turnover

65%

Serious cites

0

Brookdale Galleria runs 4.62 nurse staffing hours per resident day, roughly 20% above the national average, but weekends drop about 15% below its own weekday level. Staff turnover sits at 65.4% against a national 45.8%, so residents cycle through a lot of unfamiliar faces. The inspection record shows 27 deficiencies, 5 of them at harm or jeopardy level, plus four fines totaling $78,844; the last inspection was June 2025. Quality measures score well, but a two-star health inspection rating and that turnover number are what pull the overall picture down.

Nurse hours

3.76 /day

Staff turnover

47%

Serious cites

0

Avir At Town Creek runs 102 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends thin out about 10% below what the home staffs on weekdays, and annual turnover of 47.1% edges past the national 45.8%, so the people giving care keep changing. The inspection record carries 23 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with two fines totaling $49,065. The most recent inspection was August 2025, so that record is current, not stale.