46 Nursing Homes With a Clean Inspection Record in Houston, TX

Nurse hours

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Staff turnover

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The Vosswood Nursing Center is a 224-bed for-profit operation in Houston, and the split between its inspection record and its staffing numbers is the whole story here. On paper, the place looks clean: a 5-star health inspection rating, only three deficiencies on the current record, none of them causing harm or jeopardy, and no abuse findings, with the last inspection in June 2023. The problem is the staffing star rating, which sits at 1 out of 5, the lowest tier CMS assigns. A facility can pass inspections and still leave residents waiting too long for help getting to the bathroom, eating, or turning in bed. That gap is what pulls the grade down, and it's what you'd want to ask about directly before deciding.

Nurse hours

3.25 /day

Staff turnover

43%

Serious cites

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Ashford Gardens runs 202 beds in Houston under corporate ownership, and its nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends are thinner still, about 14 percent below its own weekday coverage, so the gaps families notice tend to show up on Saturdays and Sundays. The inspection record carries 24 deficiencies, including one at the harm level and one abuse-related, with a single fine of $11,009. Staff turnover at 43 percent is slightly better than the 45.8 percent national figure, which is some consolation. Quality measures score well; staffing and inspections do not.

Nurse hours

3.25 /day

Staff turnover

40%

Serious cites

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Park Manor of Westchase runs 125 beds in Houston under individual for-profit ownership, and its last inspection, in February 2025, turned up 29 deficiencies, seven of them serious enough to cause harm or put residents in jeopardy, four tied to abuse. Staffing sits at 3.25 nurse hours per resident per day, about 16% under the national average, and weekends run thinner still. The one bright spot in the numbers is turnover: 39.6%, lower than the 45.8% national figure, though that matters less when the hours themselves are short. The five-star quality measure score stands out against a one-star inspection record and one-star staffing, but quality measures come from self-reported data. The fines total $136,617 across three cases.

Nurse hours

3.92 /day

Staff turnover

71%

Serious cites

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North Houston Transitional Care runs 70 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the raw number suggests. Total nurse staffing sits at 3.92 hours per resident day, technically above the national average of 3.86, but a 71.3% annual turnover rate means the people providing that care are constantly changing, and CMS's own staffing rating lands at just 1 out of 5 stars. Weekend coverage drops about 5% below weekday levels, so the hours tend to thin out when families are most likely to visit. The inspection record shows 8 deficiencies, 2 of them serious enough to involve harm or jeopardy, plus one fine of $11,508 from a last survey in April 2025. The 5-star quality measure rating stands out against all of this, but scores like that largely reflect reported clinical data rather than day-to-day staffing stability.

Nurse hours

3.22 /day

Staff turnover

61%

Serious cites

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East View Healthcare in Houston runs 125 certified beds under for-profit LLC ownership, and the numbers pull in two directions. Inspections are a genuine strength, the most recent one was in December 2025, and its 11 deficiencies include none at the harm level, though one is abuse-related. The concern is staffing: 3.22 nurse hours per resident day sits about 17% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover of 60.6% means most of the aides and nurses your relative meets will likely be gone within a year. Five-star inspection and quality ratings don't offset a one-star staffing picture when direct care hours are what fill the day.

Nurse hours

3.91 /day

Staff turnover

60%

Serious cites

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Houston Transitional Care sits in Harris County with 70 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a perfect 5/5 health inspection rating with 16 deficiencies on file, none at the harm level and none abuse-related, and its most recent inspection was June 2024. Staffing is where the picture changes. Total nurse coverage of 3.91 hours per resident day barely edges the national average, weekend staffing dips about 4% below its own weekday levels, and annual turnover of 60% runs well above the 45.8% national figure. CMS scores staffing just 1 out of 5. The clinical quality measure rating holds at 4 out of 5, so care results look better than the workforce stability suggests. Worth asking how they keep that up.

Nurse hours

3.45 /day

Staff turnover

59%

Serious cites

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Avir At Courtyard runs 3.45 nurse hours per resident day, roughly 11% under the national average, and weekend coverage dips about 6% below its own weekday level. Staff turnover sits at 59% against a national 45.8%, so the people caring for residents keep changing. The inspection history is mixed: a five-star health inspection rating, but 18 deficiencies on record, including one at harm level and two abuse-related, with the most recent inspection in September 2025. Ownership changed within the past year, and the one-star staffing rating tells you the hours and retention problems are the real story here.

Nurse hours

2.92 /day

Staff turnover

42%

Serious cites

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The Lev At Town Park runs on thin nursing coverage: 2.92 hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday levels. Its inspection record is the bigger problem, 29 deficiencies, three of them at harm or jeopardy level and one abuse-related, with a $31,031 fine, all from a June 2025 inspection. Turnover at 42.4% is slightly better than the 45.8% national figure, and resident outcome measures score well, but the staffing rating is 2/5 and inspections 1/5. Government hospital district ownership hasn't translated into stronger oversight here.

Nurse hours

3.09 /day

Staff turnover

45%

Serious cites

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Cascades At Jacinto Rehab runs 148 certified beds in Houston under for-profit LLC ownership, and its staffing is the part I'd want you to sit with. At 3.09 nurse hours per resident per day, it sits about 20% under the national average of 3.86, and weekends drop roughly 11% below its own weekday level, so coverage thins exactly when families tend to visit. Turnover at 44.8% is basically in line with the national 45.8%, so that's not the outlier here; the raw hours are. The current inspection record shows 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with three fines totaling $64,326. CMS gave it 1 out of 5 stars for staffing and 2 for health inspections, and the last inspection was February 2026.

Nurse hours

3.31 /day

Staff turnover

48%

Serious cites

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The Heights of North Houston runs about 3.31 nurse hours per resident day, roughly 14% under the national average, and weekend coverage dips another 11% below its own weekday level. That thin staffing sits alongside a 48.2% annual turnover rate, slightly above the national 45.8%, and it shows up in the inspection record: 25 deficiencies, three serious enough to involve harm or jeopardy, plus $31,541 in fines across two penalties. A 2/5 inspection rating and a 2/5 staffing rating tell the same story, even though the 4/5 quality measure score looks better on paper, that measure reflects resident care outcomes, not whether enough hands are on deck. The most recent inspection was May 8, 2025.

Nurse hours

3.32 /day

Staff turnover

50%

Serious cites

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Bridgecrest Rehabilitation Suites runs 130 beds in Houston under corporate ownership, and the staffing numbers are the first thing to notice. At 3.32 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekend coverage drops roughly 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover hits 50% against a national 45.8%, which means the people providing that care are frequently new. The current record carries 20 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $48,802 in fines. The last inspection was June 26, 2025, so that picture is recent. Resident outcome measures look strong; the direct-care hours behind them don't match.

Nurse hours

2.43 /day

Staff turnover

61%

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Cypress Pointe runs on 2.43 nurse hours per resident day, roughly 37% under the national average, and that thinness gets worse on weekends, when staffing drops about 12% below its own weekday level. Annual turnover sits at 61.1% against a national 45.8%, so the aides and nurses your family would see are cycling through faster than at the typical home. The 14 deficiencies on record, including two at the harm level, came out of a March 2026 inspection, and $8,018 in fines has been assessed. Corporate-owned and certified for 124 beds, it earns top marks on quality measures but the staffing side is where the risk lives.

Nurse hours

2.96 /day

Staff turnover

36%

Serious cites

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Focused Care At Beechnut carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a pattern of persistent problems. Its record shows 27 deficiencies, 11 of them serious enough to cause harm or put residents in jeopardy, plus four fines totaling $90,403. Nurse staffing runs about 2.96 hours per resident day, roughly a quarter below the national average, and weekends drop further. Turnover at 36.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as having enough hands on shift.

Nurse hours

3.06 /day

Staff turnover

43%

Serious cites

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Avir At Golfcrest runs 200 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.06 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 42.9%, slightly better than the 45.8% national figure, but the inspection record is the harder read: 21 deficiencies, five at harm or jeopardy level, one abuse-related, and $43,799 in fines across three penalties. The last inspection was April 2025. Federal stars put quality measures at 4 out of 5 but staffing and health inspections at 2, a split that says the care processes may look fine on paper while the hands-on coverage and survey history raise real questions.

Nurse hours

3.32 /day

Staff turnover

71%

Serious cites

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Legend Oaks runs 3.32 nurse hours per resident day, roughly 14% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage shows up in the staffing rating: 1 out of 5. Annual turnover hits 70.9% against a national 45.8%, meaning most of the people caring for your relative are new or about to leave. Inspections tell a similar story, 20 deficiencies on record, two serious enough to involve harm or jeopardy, and a $39,045 fine. The quality measures look strong at 5 out of 5, but those are self-reported numbers, and the last inspection was June 2025. Ask what changed since.

Nurse hours

3.41 /day

Staff turnover

44%

Serious cites

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Solera At West Houston runs 112 certified beds under for-profit LLC ownership, and its nurses deliver 3.41 hours per resident day, roughly 12% below the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 43.6%, slightly better than the 45.8% national figure, but that's about the only number here that isn't working against the home. The current record carries 34 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus three fines totaling $87,386. A 5/5 quality measure score exists, but with a 2/5 inspection rating and a 2/5 staffing rating, the pattern is consistent: thin floor coverage, a long citation history, and compliance problems serious enough to draw federal penalties.

Nurse hours

3.65 /day

Staff turnover

57%

Serious cites

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Highland Park Care Center is a 120-bed nonprofit home in Houston where the direct-care numbers are thin. Nurses and aides give residents 3.65 hours of care per resident day, under the national average, and weekends drop about 15% below the home's own weekday staffing, so the coverage your family sees on a Tuesday isn't what shows up on a Saturday. Staff turnover sits at 56.9% against a national 45.8%, meaning more than half the workforce leaves each year. Eighteen deficiencies sit on the current record, two serious enough to involve harm or jeopardy, with one fine of $40,186. The quality measure score looks strong, but quality measures reflect resident health outcomes, not whether enough hands are present.

Nurse hours

3.48 /day

Staff turnover

52%

Serious cites

0

Harmony Care At Golfcrest runs on 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in the inspection record: 23 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and $71,472 in fines across three penalties. Staff turnover sits at 51.5%, well above the 45.8% national figure, which matters for a 120-bed for-profit where familiarity with residents is part of the safety net. The most recent inspection was July 2025, so the record is current. Ask the administrator what specifically has changed since then.

Nurse hours

2.96 /day

Staff turnover

52%

Serious cites

0

Paradigm Northwest runs 148 beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 2.96 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 11% below its own weekday levels, and annual turnover of 52.3% outpaces the national 45.8%, so the aides and nurses your family would see are cycling through steadily. Its inspection record carries 33 deficiencies, five serious enough to involve harm or jeopardy and one tied to abuse, with four fines totaling $51,400. The most recent inspection was December 2025, so that picture is current. CMS rates staffing and health inspections 1 out of 5; quality measures land at 3.

Nurse hours

3.30 /day

Staff turnover

91%

Serious cites

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Villa Toscana At Cypress Woods runs on 3.30 nurse hours per resident day, roughly 14 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. The bigger problem is turnover: 91.4 percent of staff leave within a year, double the national rate, which means whoever is at the bedside is often new to the building. Inspectors have cited 39 deficiencies on the current record, including four at the harm level and four related to abuse, with $37,827 in fines across three penalties. The 4/5 quality measure score reflects resident care measures, not the safety record or the thin staffing that surrounds it.