942 Chain-Owned Nursing Homes in Texas

Nurse hours

3.85 /day

Staff turnover

48%

Serious cites

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Marshall Manor runs 179 certified beds under hospital district ownership, and its staffing sits right at the national average, 3.85 total nurse hours per resident day against 3.86 nationally. That average comes with a catch: weekends run about 13% thinner than weekdays, and turnover is 48.1%, a bit above the 45.8% national figure. The health inspection record shows 25 deficiencies, none at harm or jeopardy level, though six are abuse-related. With a May 2025 inspection and 4/5 stars on both health inspections and quality measures, the clinical picture holds up. The staffing rating tells a different story.

Nurse hours

3.21 /day

Staff turnover

41%

Serious cites

0

Inspiration Hills runs on 3.21 nurse hours per resident day, about 17% under the national average of 3.86, and weekends drop roughly 7% below its own weekday coverage. Turnover sits at 41.4%, a bit better than the 45.8% national figure, which matters because fewer familiar faces usually means more consistent care. The current record shows 31 deficiencies, none flagged at harm or jeopardy level, but one is abuse-related, that's the number worth asking about directly. Inspections are recent, and the for-profit individual ownership means one person answers for how the place runs.

Nurse hours

4.31 /day

Staff turnover

64%

Serious cites

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The Atrium Rehabilitation Center runs 87 beds on San Antonio's for-profit circuit, and the numbers tell a mixed story. Nurse staffing sits at 4.31 hours per resident day, about 12% above the national average, and weekend coverage barely dips below weekday levels, a good sign, since weekend gaps are where problems often hide. But that staffing comes with churn: 64% annual turnover against a national 45.8% means aides and nurses are cycling through constantly, which undercuts consistency of care even when raw hours look fine. The inspection record shows 35 deficiencies, none at harm or jeopardy level, one abuse-related, and a single $9,600 fine, with the last survey in May 2025. Quality and inspection scores hold at 4 stars; staffing earns 2.

Nurse hours

3.36 /day

Staff turnover

45%

Serious cites

0

Sunny Springs is run by the hospital district, which is worth knowing since government-owned homes often operate differently than chains. The staffing numbers are the real story here: 3.36 nurse hours per resident day puts it about 13% under the national average, and weekends drop roughly 8% below its own weekday levels. That shows up in the staffing rating. The inspection record is heavy, 57 deficiencies, including two at harm or jeopardy level and seven tied to abuse. Turnover at 44.9% is basically the national norm, so that's not the problem. The 4/5 quality measure score suggests some clinical metrics look fine, but staffing and inspections tell a different story.

Nurse hours

3.26 /day

Staff turnover

48%

Serious cites

0

Legend Healthcare and Rehabilitation in Greenville runs 126 beds under corporate ownership, and the numbers tell a split story. The health inspection and quality ratings both sit at four out of five stars, and there's nothing on the current record flagged as harm or jeopardy, but 32 deficiencies total, including one tied to abuse, is a lot of paperwork for a home to carry. Nurse staffing lands at 3.26 hours per resident day, roughly 15 percent under the national average, and weekends dip about 10 percent below the home's own weekday levels. Turnover runs slightly above the national rate. Inspectors were last in during August 2025.

Nurse hours

3.07 /day

Staff turnover

47%

Serious cites

0

Teague Nursing And Rehabilitation runs a 76-bed for-profit operation in Freestone County, and the numbers pull in two directions. On paper, the place just cleared a federal inspection in February 2026 with no deficiencies at the harm or jeopardy level, a genuinely good sign, and its five-star health inspection rating reflects that. But look at staffing: 3.07 nurse hours per resident per day against a national average of 3.86, with weekends running about 9% thinner than weekdays, and that two-star staffing rating starts to make sense. Eight deficiencies sit on the current record, two tied to abuse. Turnover lands at 46.7%, roughly where the national average sits. The care may be sound, but the people delivering it are stretched.

Nurse hours

4.66 /day

Staff turnover

66%

Serious cites

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Carillon runs a nonprofit shop with 100 beds in Lubbock, and the staffing numbers are genuinely above average, 4.66 nurse hours per resident day against a national 3.86. That's real coverage, though weekends dip about 10% below the home's own weekday level, and turnover sits at 65.8% against a national 45.8%, which means a lot of the people providing that care are new. The inspection record is where things get harder to wave off: 19 deficiencies, including one at the harm level and two tied to abuse, plus a $57,321 fine. The most recent inspection was June 2026, so the record is current. Strong daily staffing, shaky consistency, and a citation history worth asking about directly.

Nurse hours

3.26 /day

Staff turnover

39%

Serious cites

0

Briarcliff runs on thinner nursing coverage than most homes, 3.26 nurse hours per resident day against a national average of 3.86, and it gets thinner on weekends, when staffing drops about 8% below its own weekday level. Turnover sits at 39%, which is better than the 45.8% national figure, so the people who stay tend to stay. What pulls the record down is the inspection side: 28 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $151,713. The most recent inspection was April 2026, so that picture is recent, not stale.

Nurse hours

3.50 /day

Staff turnover

43%

Serious cites

0

Avir At Waco runs 120 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.50 nurse hours per resident day sits about 9% under the national average of 3.86, with weekends running roughly 10% thinner than weekdays. Turnover lands at 42.9%, a touch better than the 45.8% national figure, so the people who stay are reasonably stable even if the floor is lean. A recent February 2026 inspection and a four-star health inspection record support that, though 20 deficiencies sit on file, one tied to abuse and none flagged at harm or jeopardy level. Quality measures come in at three stars while staffing rates two.

Nurse hours

3.39 /day

Staff turnover

37%

Serious cites

0

Belterra Health & Rehab runs on leaner nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday. Turnover is the brighter spot: 36.7% versus 45.8% nationally, meaning aides and nurses stick around longer than is typical. The 20 deficiencies on record include none tied to harm or abuse, and the most recent inspection came in April 2026. As a hospital-district home, it answers to public ownership rather than a chain, which tends to show up in how complaints get handled. Ask about weekend staffing specifically before you decide.

Nurse hours

3.19 /day

Staff turnover

49%

Serious cites

0

Silver Spring runs on thinner staffing than most Texas homes its size, 3.19 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 13% below its own weekday coverage. That gap shows up in the numbers that matter: 34 deficiencies on the current record, seven serious enough to put residents in harm's way and three tied to abuse, plus a $25,974 fine. Annual turnover sits at 49.4%, meaning half the nursing staff leaves within a year. The corporate owner holds a 1-out-of-5 inspection rating, despite a 4-out-of-5 on quality measures. Whatever the quality data suggests, the inspection history and thin weekend coverage are what a family should weigh before choosing this one.

Nurse hours

3.30 /day

Staff turnover

50%

Serious cites

0

Legend Oaks in New Braunfels runs a government hospital district operation with 126 certified beds, and the staffing side is where the strain shows. At 3.30 total nurse hours per resident day, it's about 14% under the national average, and weekends drop roughly 13% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover sits at 49.5%, above the national 45.8%. The inspection record holds 38 deficiencies, none at harm level but three tied to abuse, with the last survey dated May 2026. Quality measures score well, but the staffing numbers are what temper the overall picture.

Nurse hours

3.71 /day

Staff turnover

49%

Serious cites

0

Forum Parkway runs 139 beds in Bedford under corporate ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average. Weekends dip roughly 8% below its own weekday coverage, and annual turnover is 49.1%, higher than the 45.8% national figure, so the faces here change often. The current record shows 23 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $19,083. Inspectors were last out in March 2026. Quality measures score well, and that's genuinely worth something for a family weighing rehab or long-term care here. But thinner weekend coverage and steady staff churn are the things to ask about directly when you tour.

Nurse hours

3.11 /day

Staff turnover

39%

Serious cites

0

Sterling Oaks runs on a thinner nursing floor than most homes its size, about 3.11 nurse hours per resident per day against a national average near 3.86, and weekends drop roughly 8% below its own weekday pace. That gap is the main thing pulling its staffing rating down to 2 out of 5. Where it holds up better: turnover sits at 39.1% against a national 45.8%, and its inspection record shows 18 deficiencies with none at the harm level and none tied to abuse. A recent May 2026 inspection and 4 out of 5 stars on both health inspections and quality measures round it out. If your family member needs heavy day-to-day hands-on care, ask specifically how weekend coverage gets filled.

Nurse hours

3.02 /day

Staff turnover

39%

Serious cites

0

Riverside Oaks runs a 108-bed for-profit operation in Victoria, and the numbers pull in two directions. Its inspection record is genuinely clean, a recent visit in August 2025, ten deficiencies on the books, none of them causing harm or involving abuse. Quality measures also score at the top of the federal scale. The staffing side is where it gets thin. At 3.02 nurse hours per resident day, this home sits roughly 22 percent under the national average, and weekends drop about 15 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover at 39.4 percent is better than the 45.8 percent national figure, which suggests some stability in who's actually on the floor. Ask about weekend coverage specifically.

Nurse hours

2.82 /day

Staff turnover

42%

Serious cites

0

Advanced Rehabilitation and Healthcare of Bowie is a hospital-district home with 180 beds, and its inspection record is genuinely strong. Ten deficiencies on the current record, none causing harm or jeopardy, none abuse-related, and an inspection as recent as February 2026, with 5 out of 5 stars on both health inspections and quality measures. Staffing tells the other story. At 2.82 nurse hours per resident day, it runs roughly 27 percent under the national average of 3.86, and weekends dip about 20 percent below its own weekday level. Turnover at 42.1 percent is slightly better than the 45.8 percent national figure, so the issue isn't churn so much as how few hands are scheduled at any given time.

Nurse hours

3.35 /day

Staff turnover

40%

Serious cites

0

Veranda runs lean on nursing hours, 3.35 per resident day against a national average of 3.86, with weekends dropping about 20% below its own weekday coverage. That thin weekend staffing matters because the home's record shows 18 deficiencies, including one at the harm level and four tied to abuse, though a June 2025 inspection means the picture is recent. Turnover at 39.7% is actually better than the 45.8% national figure, and the 5/5 quality measure rating suggests clinical outcomes are being tracked well. The tension here is a corporation-owned building with strong inspection and quality marks but staffing that trails what residents may need, especially on weekends.

Nurse hours

3.27 /day

Staff turnover

38%

Serious cites

0

Hays Nursing and Rehabilitation Center runs 116 certified beds in San Marcos under corporate for-profit ownership. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average, and weekends drop about 17% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover at 37.9% actually beats the national 45.8%, which is worth noting, but the inspection record carries 26 deficiencies, including two at the harm or jeopardy level and three tied to abuse. One fine totaling $8,226 is on file, and the most recent inspection was March 2026.

Nurse hours

2.77 /day

Staff turnover

41%

Serious cites

0

Focused Care At Hamilton runs on a thin nursing staff: 2.77 hours per resident per day, roughly 28 percent below the national average, and weekends drop about 20 percent below what the home itself staffs on weekdays. That's the number that matters most, and it's why the federal staffing rating comes in at 1 out of 5. What keeps the place from looking worse is its record elsewhere, a 5/5 inspection rating with the most recent survey in September 2025, only 8 deficiencies on file and none involving harm, jeopardy, or abuse. Annual turnover of 41.4 percent actually sits below the national rate, so the problem isn't churn so much as how few hours each resident gets.

Nurse hours

3.13 /day

Staff turnover

39%

Serious cites

0

Gulf Pointe Plaza in Rockport runs lean on nursing hours, 3.13 per resident day, roughly 19% under the national average, and weekends drop about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 1 out of 5, even though turnover of 38.7% actually beats the national 45.8%, meaning the aides who are there tend to stay. The clinical side looks steadier: a 5/5 quality measure rating and a 4/5 inspection rating, with 12 deficiencies on record, none involving harm or abuse, and the last inspection was March 2026. For-profit corporate ownership, 120 beds. The tradeoff is clear, good outcomes and recent, clean inspections, but fewer hands per resident than most homes.