All 25 Medicare-certified nursing homes in Austin,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Longhorn Village runs on a nonprofit model with 60 certified beds in Austin, and the staffing numbers are where it separates itself: 5.71 nurse hours per resident day against a national average of 3.86. Weekends dip roughly 12% below its own weekday coverage, so ask how that gap gets covered. Turnover sits at 43.4%, slightly better than the 45.8% national figure but still worth understanding, since seven deficiencies appear on the current record, none at harm or jeopardy level, though three are abuse-related. The last inspection was March 2025, so the record is fairly fresh. All three CMS star ratings land at 5/5.
The Arbour at Westminster Manor runs about 4.96 nurse staffing hours per resident day, roughly 29 percent above the national average, and its 40.4 percent turnover sits below the national 45.8 percent, meaningful stability for a 90-bed nonprofit in Austin. Weekend staffing dips about 10 percent below its own weekday level, so coverage isn't perfectly even. The inspection record is where it gets complicated: 8 deficiencies, one at harm or jeopardy level and one abuse-related, plus a single $29,085 fine, with the most recent inspection in December 2025. Strong staffing and quality marks don't erase a harm-level finding, so ask specifically what happened and what changed since.
Querencia At Barton Creek runs 42 certified beds as a nonprofit, and the staffing number is the one worth noticing: 4.74 nurse hours per resident day, roughly a quarter above the national average. Weekends dip about 12% below its own weekday coverage, so ask how that gap gets covered. Annual turnover sits at 43.6%, slightly better than the national 45.8%, meaningful in a field where replacing nurses constantly tends to show up in daily care. The inspection record isn't spotless: eight deficiencies, one serious enough to involve harm or jeopardy, and one $13,500 fine. No abuse citations. The last inspection was December 2025. Strong staffing, decent turnover, and one incident that deserves a direct question.
The Center At Parmer runs 4.51 nurse hours per resident per day, about 17% above the national average, and its quality measure rating sits at the top of the scale. Weekend staffing, though, drops roughly 11% below its own weekday level, and annual turnover at 53.5% is well above the 45.8% national figure, so the coverage looks better on paper than it may feel on a Sunday. The 21 deficiencies on record include 2 tied to abuse, though none reached harm or jeopardy level, and the last inspection was recent, in January 2026.
Oakcrest runs lean on nursing hours, 2.68 per resident day, roughly a third below the national average, and weekends dip even further, about 7% under its own weekday staffing. That thin coverage shows up in the inspection record: 22 deficiencies, three serious enough to put residents in harm's way, and one tied to abuse, with two fines totaling nearly $32,000. Turnover at 34.1% is actually better than the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was August 2025, so the record is current. If you're weighing this one, ask how they staff weekends and what changed since that abuse finding.
Brookdale Westlake Hills runs 4.46 nursing hours per resident day, comfortably above the national average, and its 35.7% turnover beats the typical home, staffing isn't the problem here. The trouble sits in inspections: 32 deficiencies on the current record, seven serious enough to involve harm or jeopardy, three tied to abuse, and six fines totaling just over $300,000. A 2-out-of-5 inspection rating with a April 9, 2026 survey suggests recent problems rather than old ones. Weekend coverage also dips about 15% below weekday levels, so care may thin out when families visit. For-profit corporate ownership, and a record that outweighs the staffing numbers.
Heritage Park is a hospital-district home in Austin with 197 beds, and the numbers pull in opposite directions. Its quality measure score is perfect, but the health inspection side is where the trouble sits: 49 deficiencies on the current record, including five at the harm or jeopardy level and three tied to abuse, with $56,007 in fines across five penalties and a February 2026 inspection that keeps those findings current. Nurse staffing runs 3.34 hours per resident day, about 13 percent under the national average, and weekends drop roughly 14 percent below the home's own weekday coverage. Turnover is 33.6 percent, which actually beats the 45.8 percent national figure, one real bright spot, though steady staff can't offset inspection findings this serious.
Windsor Nursing and Rehabilitation Center of Duval runs on thinner nursing hours than most places, about 2.93 per resident per day against a national average near 3.86, and weekends dip roughly 9% below its own weekday coverage. That staffing picture shows up in the federal stars too, where the home earns just 2 out of 5, even as its quality measures come in at a perfect 5. The inspection record is the harder read: 29 deficiencies, two serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $23,341, with the most recent inspection in April 2025. Turnover, at 40.2%, is actually better than the 45.8% national figure.
Barton Valley runs 3.50 nurse hours per resident day, about 9 percent under the national average of 3.86, and weekends drop roughly 14 percent below its own weekday staffing. That pattern matters most on Saturdays and Sundays, when families tend to visit and when care gaps are easiest to miss.
The current record shows 24 deficiencies, none flagged at the harm or jeopardy level, but one is abuse-related, which is worth asking about directly. Staff turnover sits at 42.2 percent, slightly better than the 45.8 percent national figure, and the last inspection was in April 2026. As a hospital district home, it answers to a public board, so meeting records and complaint responses are available if you ask.
Ignite Medical Resort Round Rock runs 70 beds in Austin under for-profit LLC ownership, and its staffing sits barely above the national average, 3.89 nurse hours per resident day against 3.86, with weekends running about 14% thinner than weekdays. The bigger concern is turnover at 61.2%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. Its inspection record shows 40 deficiencies, including 7 at the harm or jeopardy level and 2 tied to abuse, plus three fines totaling $63,733, and the most recent inspection was January 2026. Strong quality-measure scores don't offset that inspection history; ask direct questions about staff retention and how the home corrected those abuse-related findings.
Gracy Woods II runs on 3.50 nurse hours per resident per day, about 9% under the national average, and weekends dip roughly 7% below its own weekday staffing. That thin margin is the main reason it lands where it does, despite steady turnover at 45.5%, essentially the national rate. What keeps it from sliding further is an inspection record with no harm-level or abuse-related deficiencies among its 16, and recent federal surveys from March 2025 that rated four out of five stars for health inspections and quality measures. The staffing star tells the more honest story. If your family member needs frequent hands-on help, ask how weekends are covered before deciding.
Onion Creek runs on thin staffing: 3.09 nurse hours per resident day, roughly a fifth below the national average, with weekends about 11% leaner than weekdays. The 1-out-of-5 staffing rating reflects that, and turnover at 50.5% means many of the aides and nurses currently on the floor weren't there a year ago. Its inspection history is the heavier concern, 26 deficiencies on record, including three at the harm or jeopardy level and one tied to abuse, plus two fines totaling $51,337. The 4-out-of-5 quality measure rating shows some clinical care is being tracked and scored well, but staffing is what families feel day to day, and the numbers there are hard to argue with.
West Oaks runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 16% below its own weekday coverage. That staffing pattern sits behind a 2-star rating from CMS, and the inspection record shows 32 deficiencies, five of them serious enough to put residents at harm or jeopardy, plus two fines totaling $39,527. What cuts the other way: staff turnover is 34.1%, well below the 45.8% national figure, and the quality measures score 4 out of 5. It's a hospital-district home with a recent February 2026 inspection, so the picture is current. The tradeoff is real, stable caregivers, but not enough of them on the floor.
Brodie Ranch runs on 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends are about 13% thinner than its own weekdays. For a 120-bed home that is a real gap, and it shows up in the staffing star rating, which sits at 2 out of 5. The inspection record is heavier than that number alone suggests: 31 deficiencies, three of them at harm or jeopardy level, three abuse-related, and $61,059 in fines across three events. Last inspection was March 26, 2025. Turnover at 40.9% is actually below the national 45.8%, and the 4/5 quality measure rating is the strongest thing here. Government hospital district ownership doesn't change what the numbers say about daily coverage.
Southpark Meadows runs lean on nurses, 2.83 hours per resident day, roughly a quarter below the national average, and weekends dip even further, about 10% under its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at the lowest tier, and in turnover: just over half the nursing staff leaves each year, above the national rate of 45.8%. The record isn't purely negative. State inspectors last visited in December 2025 and cited 22 deficiencies, three serious enough to risk harm, though none involved abuse, and fines total $10,998. Quality measures score well, but with a nonprofit owner and this staffing pattern, the daily care depends heavily on who's still on the floor.
Sage Park Austin runs 46 beds under a for-profit partnership, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. That's the good news, and it's real. But weekends run about 13% thinner than weekdays, and the quality measure rating is 2 out of 5, so the care people actually receive doesn't track with the hours on paper. Twelve deficiencies sit on the current record, two of them serious enough to cause harm or jeopardy, plus one fine of $99,713. The last inspection was May 2025, so the picture is recent.
Sedona Trace runs lean on nursing hours, 3.04 per resident day against a national average of 3.86, roughly a fifth below what's typical. That shortfall is the main reason its staffing rating sits at the bottom of CMS's scale, and weekends get thinner still, about 15% under the home's own weekday coverage. Inspections tell a better story: a recent visit in July 2025 and only one harm-level deficiency among 16 total, none tied to abuse, with a single fine of $11,168. So you're looking at a building that generally passes inspection but asks its nurses to cover more residents per shift than most. For a family weighing a move here, the question worth asking is how that weekday-to-weekend staffing dip plays out on the floor.
Avir At Park Bend runs on thinner nursing coverage than most homes, 3.18 nurse hours per resident day against a national average of 3.86, and weekends drop another 12% below its own weekday levels. That's the kind of gap families feel on a Saturday afternoon when call lights take longer to answer. Turnover sits at 46.1%, essentially matching the national rate, so staffing instability here isn't an outlier problem. The inspection record is more concerning: 28 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with $38,155 in fines. A June 2025 inspection is recent, and the 3/5 health inspection rating reflects real citations. Government hospital district ownership doesn't erase any of this.
Riverside Nursing and Rehabilitation Center is a 122-bed for-profit in Austin where the staffing numbers are the first thing to notice. At 3.38 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly 17 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 52.5 percent against a national 45.8 percent, which means caregivers cycle through faster than average. The inspection record backs that up: 28 deficiencies, five at harm or jeopardy level, two tied to abuse, and $88,227 in fines. The most recent inspection was January 15, 2026.
Stonebridge Health Rehab runs 116 beds in Austin under for-profit LLC ownership, and its staffing sits about 15% under the national average at 3.28 nurse hours per resident day, with weekends roughly 10% thinner than weekdays. That thin coverage is the main story here. The current inspection record carries 20 deficiencies, two serious enough to involve harm or jeopardy, plus $39,258 in fines across two penalties. Turnover, at 35.3%, actually beats the national 45.8%, so retention isn't the problem, hours are. The most recent inspection was April 2026. If you're weighing this one, ask how they staff weekends and what those two harm-level citations involved.