942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.25 /day

Staff turnover

42%

Serious cites

0

Windsor Nursing and Rehabilitation Center of San Diego runs on 3.25 nurse hours per resident per day, roughly 16 percent under the national average of 3.86, and weekends dip about 11 percent below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 2 out of 5, even though the home posts perfect marks on health inspections and quality measures. Turnover lands at 42.4 percent, a touch better than the national 45.8 percent, and its record shows 7 deficiencies with nothing at the harm or jeopardy level and no abuse citations. Inspectors were last on site in April 2026, which is recent. The hospital district ownership and clean inspection history are real strengths; the daily coverage numbers are where a family should ask questions.

Nurse hours

3.51 /day

Staff turnover

53%

Serious cites

0

Willowbend runs 162 certified beds in Mesquite under for-profit LLC ownership, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop another 11% below its own weekday coverage, and annual turnover hits 52.9% against a national 45.8%. The inspection record is where things get serious: 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, plus four fines totaling $94,394. Its last inspection was January 22, 2026. The 5/5 quality measure rating reflects resident assessment data, but the 2/5 staffing and 2/5 inspection ratings describe what families actually encounter day to day.

Nurse hours

3.36 /day

Staff turnover

33%

Serious cites

0

Pleasant Valley runs lean on nursing hours, 3.36 per resident per day, roughly 13 percent under the national average, and weekends get thinner still, dropping about 11 percent below its own weekday coverage. That staffing picture sits behind 20 deficiencies on the current record, three of them serious enough to put residents at risk of harm or jeopardy and two tied to abuse. Staff turnover is 33.3 percent, better than the national 45.8, and the quality measure score of 4 out of 5 suggests clinical metrics look decent on paper. But a 2-out-of-5 inspection rating and $53,393 in fines point to a gap between how care is measured and how it's actually delivered.

Nurse hours

3.16 /day

Staff turnover

55%

Serious cites

0

Mill Creek runs lean on nursing staff, 3.16 hours per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday coverage. That thinness shows up in the numbers: staff turnover sits at 54.7% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The 25 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with one fine of $13,232. Quality measures score well and the last inspection was recent, but a for-profit partnership operating 67 beds at this staffing level leaves little margin when problems surface.

Nurse hours

3.23 /day

Staff turnover

38%

Serious cites

0

Oakwood Manor runs a corporation-owned, 100-bed home in Vidor, and the numbers pull in different directions. Nurse staffing sits around 3.23 hours per resident day, about 16% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday level, so care gets thinnest exactly when families tend to visit. Turnover is 37.8%, which is actually better than the 45.8% national figure, meaning the staff who are there tend to stay. Inspections are recent (December 2025) and turned up 21 deficiencies, none at harm or jeopardy level, though two are abuse-related. Quality measures score well; staffing is where it's weakest.

Nurse hours

3.05 /day

Staff turnover

44%

Serious cites

0

Silver Pines runs a 114-bed nonprofit home in Bastrop, and its numbers split in two directions. The care side looks strong: a four-star health inspection record, a top quality-measure score, and a recent June 2025 inspection with no deficiencies at the harm or jeopardy level, though one abuse-related citation does appear among the 31 on file. Staffing is the weak spot. At 3.05 nurse hours per resident day, it sits about 21% under the national average, weekends run roughly 7% thinner than weekdays, and turnover of 44.3% is essentially the national rate. Nonprofit ownership and good survey results are real strengths, but the day-to-day nurse coverage is thin enough to ask about directly.

Nurse hours

2.97 /day

Staff turnover

27%

Serious cites

0

Prairie House Living Center runs on a leaner nursing crew than most homes, about 2.97 nurse hours per resident each day against a national average near 3.86, and weekends dip roughly 12 percent below its own weekday coverage. That thin margin is the main reason its staffing rating sits at 2 out of 5, even though staff stick around: turnover of 26.7 percent is well below the national 45.8 percent, which suggests people aren't fleeing. Inspections look solid, a 4 out of 5 health inspection rating, nine deficiencies on record with none at the harm level and none abuse-related, and a visit as recent as November 2024. Owned by a hospital district, it's not chasing private-equity returns.

Nurse hours

3.59 /day

Staff turnover

41%

Serious cites

0

Sugar Land Health Care Center runs 3.59 nurse hours per resident day, about 7% under the national average, and weekends dip roughly another 10% below its own weekday coverage. That thin margin shows up in the staffing star rating, which sits at 2 out of 5. Turnover is 41.3%, actually a bit better than the 45.8% national figure, so the problem isn't retention so much as how many hands are on deck per shift. The inspection record carries 17 deficiencies, three of them at the harm or jeopardy level, plus two fines totaling $30,494; the last survey was May 2025. Quality measures score well at 4 out of 5, but quality scores reflect resident outcomes, not whether enough staff are present to catch problems before they become one.

Nurse hours

3.71 /day

Staff turnover

50%

Serious cites

0

Cross Timbers runs 120 certified beds in Flower Mound under corporate for-profit ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average. Weekends dip roughly 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 49.5%, close to four points above the national figure, which means many of the people caring for residents are still learning the building. The current record shows 27 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,281. The most recent inspection was April 16, 2026.

Nurse hours

3.10 /day

Staff turnover

45%

Serious cites

0

Park Manor of Cyfair runs lean on direct care. At 3.10 nurse hours per resident day it sits about a fifth under the national figure, and weekends drop roughly another 14% below its own weekday coverage, so the thinnest shifts are the ones when families tend to visit. Turnover, at 44.8%, is essentially the national rate. What pulls this Houston home up is its record: a five-star health inspection rating, no deficiencies flagged at harm or jeopardy level, nothing abuse-related, and an inspection as recent as August 2025. The tradeoff is clear, strong oversight and quality marks, lighter day-to-day staffing.

Nurse hours

3.83 /day

Staff turnover

55%

Serious cites

0

Kruse Village sits in Brenham with 65 certified beds, run by a for-profit limited liability company. Nurse staffing comes in at 3.83 hours per resident day, just under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. Staff turnover is the bigger number here: 55.2% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 22 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors were last on site in May 2026, and the health inspection and quality measure ratings both land at 4 out of 5, with staffing at 3.

Nurse hours

3.33 /day

Staff turnover

35%

Serious cites

0

Park Manor Of Quail Valley runs about 3.33 nursing hours per resident each day, roughly 14% under the national average, and weekends dip about 11% below its own weekday levels, so care thins out exactly when families tend to visit. The inspection record is the bigger concern: 24 deficiencies, including three tied to abuse and one serious enough to put a resident in harm's way. Staff turnover sits at 34.9%, better than the 45.8% national figure, which means more familiar faces than most places. Ownership is a for-profit LLC with 125 beds, and the most recent inspection was June 2025. Ask direct questions about the abuse findings and weekend coverage before deciding.

Nurse hours

3.37 /day

Staff turnover

47%

Serious cites

0

The Madison On Marsh runs a four-star health inspection record and top marks on quality measures, which tells you the clinical care basics are being handled. The staffing side is a different story. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends run thinner still. Turnover at 46.8% is slightly worse than the typical U.S. nursing home, so the faces around your family member may change often. The current inspection record shows 21 deficiencies, including one at the harm level and two tied to abuse. That combination, solid inspections but thin, churning staff, is worth asking about directly before you decide.

Nurse hours

3.47 /day

Staff turnover

54%

Serious cites

0

Crowley Nursing and Rehabilitation runs 120 beds under limited-liability, for-profit ownership, and its clinical quality scores are genuinely strong, five out of five on CMS quality measures and four on health inspections, with the most recent survey in June 2025. The weak spot is people. Nurse staffing sits at 3.47 hours per resident day, roughly a tenth below the national average, and weekends drop about 15% below the home's own weekday level, so coverage thins exactly when families tend to visit. Staff turnover is 53.5% against a national 45.8%. Seventeen deficiencies are on record, one at harm level, with $18,470 in fines. Good care when people are there; the question is whether enough of them stay.

Nurse hours

3.64 /day

Staff turnover

31%

Serious cites

0

Garnet Hill runs 128 beds in Wylie under corporate ownership, and its nursing hours come in at 3.64 per resident day, about 6% under the national average of 3.86. Weekends thin out further, roughly 11% below the home's own weekday staffing, so the coverage gap families notice on Saturdays is real. Turnover is the bright spot at 31.3%, well under the 45.8% national figure, which suggests less churn than many homes. But the current record carries 38 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus $31,959 in fines. The most recent inspection closed in April 2026, so the findings are recent.

Nurse hours

3.34 /day

Staff turnover

44%

Serious cites

0

Pecan Bayou runs about 3.34 nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekends dip another 10% below its own weekday coverage. That thinner weekend staffing matters most for a 90-bed corporate-owned home, even though turnover at 43.9% is slightly better than the 45.8% national figure. The health inspection record is strong, with a 4/5 star rating and its most recent survey done in August 2025. But nine deficiencies are on file, two of them at harm or jeopardy level, and one fine totaling $48,415. Quality measures score 5/5, yet none of that erases the staffing shortfall or those two serious findings.

Nurse hours

3.55 /day

Staff turnover

41%

Serious cites

0

Georgetown Nursing and Transitional Care is a nonprofit home with 142 beds, and its staffing is the weak spot. At 3.55 nurse hours per resident day, it runs about 8 percent under the national average, and weekends drop roughly 11 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 41.3 percent, a bit better than the national 45.8 percent, which suggests some stability in who's actually on the floor. The inspection record is mixed: 16 deficiencies, including one at the harm level and three related to abuse, with a single $8,281 fine. The most recent inspection was April 30, 2025, so the picture is current. Quality measures score well; staffing is where the concern lies.

Nurse hours

6.31 /day

Staff turnover

34%

Serious cites

0

Nurse staffing at this Tyler home runs 6.31 hours per resident day, about 64% above the national average, and 33.6% of staff left last year against a national 45.8%, that's a real edge in keeping people. Weekends drop roughly 13% below weekday coverage, so ask how weekends are actually covered. The inspection record is where it gets harder: 17 deficiencies, three at harm or jeopardy level, one tied to abuse, and two fines totaling $214,759. Quality measures score 2 of 5. The last inspection was June 2025, so the record is current, not stale. Strong floor staff, thinner weekends, and a serious citation history worth asking about directly before you sign anything.

Nurse hours

3.11 /day

Staff turnover

33%

Serious cites

0

Levelland Nursing & Rehabilitation Center runs 87 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.11 hours per resident day, roughly 19% under the national average of 3.86. Weekends thin out further, running about 20% below the home's own weekday level, so coverage depends heavily on when you visit. Turnover is the brighter spot: 32.5% versus 45.8% nationally, meaning caregivers stick around longer than at the typical home. The current inspection record carries 24 deficiencies, including two at the harm or jeopardy level and one abuse-related, plus $18,516 in fines across two penalties. The most recent inspection was January 16, 2026.

Nurse hours

3.13 /day

Staff turnover

n/a

Serious cites

0

Shiner Nursing and Rehabilitation Center runs 95 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19 percent below the national average of 3.86. Weekends dip about 11 percent below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection record shows 29 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated March 20, 2026. Federal ratings land at 3 out of 5 for health inspections and quality measures, but only 2 for staffing. Enough direct-care time is the open question here, not safety or mistreatment.