942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.23 /day

Staff turnover

26%

Serious cites

0

Paradigm At Kountze runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. That thinner weekend schedule matters, since two of the 25 deficiencies on record sit at the harm or jeopardy level and two are abuse-related, with one fine of $16,801. What works in its favor is stability: staff turnover of 25.6% is well below the 45.8% national figure, and the quality measure rating is strong. The inspection on file is recent, from August 2025. A for-profit corporation operates the 60-bed home. The tradeoff is real: consistent caregivers, fewer of them per resident.

Nurse hours

3.76 /day

Staff turnover

47%

Serious cites

0

Golden Acres runs 264 beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends run about 9% leaner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Staff turnover is 46.6%, slightly worse than the 45.8% national figure, which usually means less continuity for residents who need consistent caregivers. The current record carries 33 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. The last inspection was January 22, 2026, so the picture is fairly current. Three stars each on health inspections, quality measures, and staffing puts this home squarely in the middle of the pack.

Nurse hours

3.20 /day

Staff turnover

23%

Serious cites

0

Collinwood runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip even further below its own weekday coverage. That thin floor shows up in the inspection record: 24 deficiencies, three at harm or jeopardy level and five tied to abuse, with a $51,113 fine. Staff turnover of 23.1% is genuinely better than the 45.8% national figure, which matters for continuity of care, and the 4/5 quality measure rating suggests clinical outcomes aren't the weak spot. The church-affiliated nonprofit ownership is a plus. But the last inspection was August 2025, and the staffing math combined with that deficiency count is what drives the low grade.

Nurse hours

3.48 /day

Staff turnover

33%

Serious cites

0

Harlingen Nursing and Rehabilitation Center is a 120-bed hospital-district home where the clinical quality measures look strong, but the inspection record tells a more mixed story. Nineteen deficiencies, including two at the level that caused actual harm or put residents in jeopardy, and a one-time fine of just over $6,000. Nurse staffing sits about 10% under the national average, and weekends run roughly 11% thinner than weekdays, that's when families tend to notice. Turnover is the bright spot: 32.9% against a national 45.8%, meaning fewer unfamiliar faces. The last inspection was February 2026, so the record is current.

Nurse hours

3.61 /day

Staff turnover

27%

Serious cites

0

Fort Worth Southwest Nursing Center is a 198-bed hospital-district home where the staffing numbers tell a mixed story. Nurses provide 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 10% leaner than weekdays, so coverage thins out exactly when families tend to visit. Retention is the bright spot: 27.2% turnover beats the 45.8% national rate by a wide margin, meaning the people who are there tend to stay. Against that, the current inspection record shows 19 deficiencies, including three at the harm level and three tied to abuse, plus one fine of $23,923. With a February 2025 inspection, the record is recent enough to take seriously. Strong quality scores, but the care environment carries real risk.

Nurse hours

3.59 /day

Staff turnover

35%

Serious cites

0

Southeast Nursing & Rehabilitation Center is run by a hospital district, which usually signals a public safety-net mission rather than a profit motive. But the inspection record is the story here: 53 deficiencies, five of them serious enough to cause harm, and three tied to abuse, with $204,738 in fines and a one-star health inspection rating. Staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 9% thinner than weekdays. Turnover at 35.4% is actually better than the 45.8% national figure, meaning workers tend to stay, the problem isn't retention, it's how many hands are on deck and how the place performs when regulators show up.

Nurse hours

3.62 /day

Staff turnover

47%

Serious cites

0

San Remo runs 112 certified beds in Richardson under corporate for-profit ownership, and its staffing sits at 3.62 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends run about 6% leaner than weekdays, and turnover lands at 46.8%, a touch above the 45.8% national figure, so coverage thins out exactly when families tend to visit. The health inspection side is the weak spot: a 2/5 star rating and 34 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy. That record was last reviewed in February 2026. Quality measures score well at 4/5, which pulls the overall picture up, but the inspection history is what a family should weigh hardest.

Nurse hours

3.00 /day

Staff turnover

31%

Serious cites

0

Windsor Calallen runs lean on nursing hours, 3.00 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage, so the gap families notice most may show up on Saturdays and Sundays. The trade-off is stability: turnover sits at 30.8%, well under the 45.8% national figure, which matters when you're counting on familiar faces. Its inspection record shows 29 deficiencies, one tied to abuse and none at the harm level, with a single $4,823 fine. Quality measures score well; staffing does not. This is a government hospital-district home that was inspected in May 2025.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Oak Bend Medical Center in Richmond is a small nonprofit home, 36 beds, and its inspection record is genuinely strong: a five-star health inspection rating, five deficiencies on file with none at the harm level and nothing abuse-related, and a survey completed in May 2025. Quality measures also come in at five stars. The problem sits in staffing, which CMS rates at just one star, the lowest tier, meaning nurse coverage here is well below what the federal formula expects for a building this size. That gap is what pulls the overall picture down despite the clean surveys. Three fines totaling $17,560 are also on record. If you tour, ask directly about direct-care hours per resident per day and how often shifts run short.

Nurse hours

3.19 /day

Staff turnover

38%

Serious cites

0

Clyde Nursing Center runs a tight ship on inspections, a five-star health inspection rating, with the most recent visit in April 2025 turning up seven deficiencies, none of them causing harm or involving abuse. Where it slips is staffing: 3.19 nurse hours per resident day, roughly 17 percent under the national average, and weekends run about a fifth thinner than weekdays. That gap matters more than the raw number, since care doesn't pause on Saturdays. The one bright spot is retention, 38.2 percent turnover beats the national 45.8 percent, so the aides who are there tend to stay. For a 48-bed for-profit home, the pattern is familiar: solid care when inspected, stretched coverage day to day.

Nurse hours

2.95 /day

Staff turnover

n/a

Serious cites

0

La Bahia runs a lean nursing floor: 2.95 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. The inspection record is strong on paper, a recent February 2026 survey, no deficiencies at the harm or jeopardy level, but 22 total deficiencies sit on the books, two of them abuse-related, and staffing carries just 2 out of 5 stars from CMS. Quality measures score the maximum, which reflects how well residents are being tracked and treated on paper, not how many hands are on the floor at 2 a.m. on a Saturday.

Nurse hours

3.59 /day

Staff turnover

38%

Serious cites

0

Treasure Hills runs leaner on nursing hours than the typical American nursing home, about 3.59 hours per resident per day against a national average near 3.86. Weekends are where that gap widens most: staffing drops roughly 16% below the home's own weekday level, so Saturday and Sunday coverage looks noticeably thinner than midweek. Turnover sits at 37.7%, which is actually better than the 45.8% national figure, meaning the crew it does have sticks around longer than most. The inspection record is mixed, a recent December 2025 survey, no deficiencies flagged at harm or jeopardy level, but 24 total findings and five tied to abuse. Corporate-owned, 120 beds.

Nurse hours

2.80 /day

Staff turnover

40%

Serious cites

0

Goldthwaite Health & Rehab runs on a limited liability company that operates for profit, and the numbers show where the pressure lands. Nurse staffing sits at 2.80 hours per resident day, roughly 28 percent under the national average, and weekends drop about 16 percent below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 39.5 percent is better than the national 45.8 percent, which matters for continuity, but the inspection record carries 19 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus a $32,545 fine. The most recent inspection was May 2026.

Nurse hours

3.18 /day

Staff turnover

36%

Serious cites

0

Legend Oaks in Ennis is run by the local hospital district and holds a five-star health inspection rating, which tells you the building itself is well-kept and the last inspection, in February 2025, went well. The trouble sits in the day-to-day staffing: 3.18 nurse hours per resident, roughly 18% under the national average, with weekends about 20% thinner than weekdays. That's a real gap when a resident needs help. Turnover is 36%, better than the national 45.8%, so the aides who are there tend to stay. Thirteen deficiencies on record, one at harm level, and a single $13,275 fine. Good oversight, thin coverage.

Nurse hours

3.93 /day

Staff turnover

44%

Serious cites

0

Park Manor Of The Woodlands runs 124 certified beds under corporate for-profit ownership, and the numbers here are mostly steady. Nurse staffing sits at 3.93 hours per resident day, a hair above the national average, though weekends drop about 16% below what the home staffs on weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 43.6%, slightly better than the national rate, and the home's 12 deficiencies include none at the harm or jeopardy level and none related to abuse. Its last inspection was in November 2025, so the record is recent. Nothing here screams trouble; the main thing to watch is whether weekend coverage holds up.

Nurse hours

3.40 /day

Staff turnover

46%

Serious cites

0

Heritage House runs about 3.40 nurse hours per resident day, roughly 12% under the national average, and weekend coverage drops another 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. The 46 deficiencies on the current record, including two at harm or jeopardy level and three tied to abuse, sit alongside a 2-out-of-5 inspection rating, though the quality measure score of 4 suggests the clinical numbers they report look better than the inspection history does. Turnover at 46.3% is essentially the national rate, meaning staffing churn isn't unusually bad here, just the raw hours that fall short.

Nurse hours

4.19 /day

Staff turnover

54%

Serious cites

0

The Center At Grande has a clean recent inspection record, 9 deficiencies, none at the harm level, with the most recent survey in March 2025. Its 5-star inspection and quality ratings back that up. But look at staffing: the 1-star rating reflects 54.2% annual turnover, well above the 45.8% national average, and weekend coverage drops about 20% below weekday levels even though overall nurse hours (4.19 per resident day) sit above the national figure. One abuse-related deficiency is on the record too. For-profit, LLC-owned. The care may be decent on paper, but consistent staffing is the question worth asking when you visit.

Nurse hours

3.45 /day

Staff turnover

50%

Serious cites

0

The Woodlands Nursing And Rehabilitation Center runs 214 certified beds under nonprofit corporate ownership, and the staffing numbers tell a mixed story. At 3.45 total nurse hours per resident day, it sits roughly 11% under the national average of 3.86, and weekends dip about 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.6% also runs above the 45.8% national figure. The inspection record is the bigger concern: 23 deficiencies, four at harm or jeopardy level, one abuse-related, and two fines totaling $23,977. Quality measures score well, but staffing and health inspections both land at 2 out of 5 stars.

Nurse hours

3.75 /day

Staff turnover

30%

Serious cites

0

Avir At Beeville runs a 120-bed for-profit home in Bee County, and its numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, and weekends drop roughly 12% below the home's own weekday coverage, worth asking about if your family visits or needs care on Saturdays and Sundays. Staff turnover is genuinely low at 29.7% against a national 45.8%, which suggests people stay. But the inspection record carries 13 deficiencies, including one at the harm level and three tied to abuse, plus a $38,687 fine. The most recent inspection was August 2025. Ask directly about those abuse deficiencies and what changed since.

Nurse hours

3.37 /day

Staff turnover

32%

Serious cites

0

Live Oak Nursing and Rehabilitation runs 96 beds in George West under individual for-profit ownership, and its staffing sits at 3.37 nurse hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 10 percent below its own weekday coverage, so the thinnest shifts come when families often visit. Turnover is genuinely better than average at 32.2 percent against 45.8 nationally. What pulls the record down is the inspection side: 17 deficiencies, one at harm or jeopardy level and two tied to abuse, plus a $56,980 fine. The most recent inspection was May 2025, so that picture is current, not stale. Quality measures score well; the hands-on and oversight numbers are where the caution lives.