Nursing homes across Bell County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Nurse staffing here runs about 8.5 hours per resident day, more than double the national average, and it holds up on weekends rather than collapsing the way it does at many homes. Staff turnover sits at 34%, below the 45.8% national figure, and the single deficiency on the current record involves no harm or jeopardy to residents, with nothing abuse-related. The last inspection was in August 2025, so the record is recent. This is a 23-bed nonprofit unit, small enough that staffing ratios matter more than they would in a larger building, and the numbers suggest they're being kept up.
Avir At Temple East runs a 138-bed for-profit operation, and its most recent inspection in February 2026 came back clean on the things that matter most, 10 deficiencies on the current record, none of which rose to harm or jeopardy level. Staff turnover sits at 40.8%, which is actually better than the 45.8% national average, and that stability probably shows up in how consistently residents see the same faces. Where it slips is raw staffing volume: 3.46 nurse hours per resident day lands about 10% under the national average of 3.86, and weekends run slightly leaner than weekdays. One abuse-related deficiency is on the books, worth asking about directly.
Morada Temple runs on thin margins where it counts. The 4.77 nurse hours per resident day beats the national average by roughly a quarter, which sounds good until you notice weekends drop about 12% below the home's own weekday staffing and annual turnover sits at 55.6% against a national 45.8%, that much churn means unfamiliar faces at the bedside.
Its inspection record is the real concern: 22 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $14,722 fine. The last inspection was September 2025. For-profit, limited liability ownership, 60 beds. The staffing numbers are better than many homes; the oversight record is not.
Will-O-Bell runs lean on direct care: 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though turnover at 38.7% actually beats the national 45.8%. The inspection record is a split picture, a 4/5 health inspection rating and a recent May 2026 survey, but 30 deficiencies on file, including four at harm or jeopardy level and four tied to abuse. One fine totaling $8,279. Hospital district ownership, 90 beds. Strong quality measures, weak daily coverage.
Creekside Terrace runs about 3.41 nurse hours per resident per day, roughly 12% under the national average, and weekend coverage dips another 10% below its own weekday levels, so the thinnest staffing tends to land when families visit. Staff turnover sits at 50%, above the 45.8% national figure. Inspections are a different story: a 5/5 health inspection rating, and the 16 deficiencies on record include none at the harm or jeopardy level, though one is abuse-related, and the home has paid a single $13,070 fine. The most recent inspection was March 26, 2026. For-profit corporate ownership, 126 certified beds. Strong survey results, lighter day-to-day staffing.
Avir At Belton runs about 114 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86, with weekends dipping about 8 percent below its own weekday coverage. Turnover lands at 44.9 percent, essentially matching the national 45.8 percent, so the problem here isn't retention so much as raw hours on the floor. The inspection record is where the real weight sits: 33 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $87,661, with the most recent inspection dated January 8, 2026.
Cornerstone Gardens is a 130-bed for-profit home in Temple, and its numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident per day, slightly under the national average, with weekends running about 20% lighter than weekdays, a gap families often feel when they visit Saturday or Sunday. Staff turnover is 51.5%, meaning roughly half the caregivers change out over a year, well above the national rate of 45.8%.
On paper the quality measures look decent, but 15 deficiencies on the current record, two of them at harm or jeopardy level, and one $15,757 fine are the harder facts. The last inspection was May 2025, so the record is fairly current. If you're considering this home, ask specifically about weekend coverage and how they've addressed those harm-level findings.
Avir At Temple West runs on thin staffing, and the numbers show it: 3.26 nurse hours per resident day against a national average of 3.86, with weekends about 12% lighter than weekdays. That shortfall sits alongside a 66.7% annual turnover rate, far above the 45.8% national figure, so the aides and nurses caring for your relative are likely to keep changing. The 19 deficiencies on record include 2 at the harm or jeopardy level and 4 tied to abuse; one fine totaling $7,257 has been levied. The quality measures look strong and the last inspection was recent, but a for-profit LLC arrangement with those staffing and turnover figures deserves hard questions before you decide.
The state veterans home in Temple is a 160-bed for-profit operation, and its inspection record is the first thing to look at: 32 deficiencies on the current record, seven of them serious enough to cause harm or put residents in jeopardy, and five tied to abuse. Three fines totaling $53,476 followed. Staffing is the other concern, CMS rates it at the bottom of its scale, meaning the hours of direct care per resident fall well below what most Texas homes provide, even though the home's own quality measures score well. The last full inspection was March 2025, so the findings are recent. Ownership is a limited liability company. Families with a choice should ask hard questions here.
Harker Heights Nursing & Rehabilitation runs 199 certified beds under corporate ownership, and the numbers show a building stretched thin on the clinical side. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover of 55.9% outpaces the 45.8% national figure, which matters because constant churn makes consistent care hard. The inspection record is the harder read: 46 deficiencies, three at harm or jeopardy level, two tied to abuse, plus $64,760 in fines. The last inspection was February 2025. Quality measures score well; staffing and inspections don't.
Rosewood Heights runs 64 beds in Killeen under corporate ownership, and its staffing is the number that stands out. At 3.81 nurse hours per resident day it sits just under the national average, but weekends drop roughly 12% below its own weekday level, and turnover runs 67.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 15 deficiencies, 5 of them at harm or jeopardy level, plus $42,298 in fines across three penalties. A recent August 2025 inspection and no abuse citations are the bright spots. Ask about weekend coverage and how they keep CNAs.
Avir At Adams runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop about 12% below its own weekday coverage. That thin margin shows up in the numbers that matter most: a 66.2% annual turnover rate against a 45.8% national figure, meaning most of the people caring for your relative are new to the building. The current record carries 46 deficiencies, five at harm or jeopardy level and three tied to abuse, plus $24,819 in fines. The most recent inspection was June 19, 2025. For-profit corporate ownership, 118 certified beds, and a staffing rating that matches what those hours suggest.
Avir At Western Hills runs on lean nurse staffing: 3.16 hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. That gap shows up in the payroll, 75% of staff turned over in a year, well above the 45.8% national figure, and it's a big reason the staffing rating sits at 1 out of 5 even though quality measures score 4. The inspection record carries 31 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus $16,562 in fines. The most recent inspection was May 2025, so the picture is current, and this corporate-owned home is licensed for 120 beds.
Avir At Killeen runs on 3.18 nursing hours per resident day, about 18 percent under the national average, and weekend coverage drops roughly 15 percent below its own weekday level. Staff turnover sits at 52.1 percent against a national 45.8 percent, so the people caring for residents keep changing. The inspection record shows 60 deficiencies, ten of them at the harm or jeopardy level and six tied to abuse, with six fines totaling $137,749. The last inspection was April 17, 2025. Ownership is a for-profit corporation, and 120 beds are certified. The quality measure score looks better than the rest, but it's the staffing and inspection numbers a family should weigh.
Wellington Rehabilitation and Healthcare runs on 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekends drop about 20% below its own weekday staffing. That thin coverage shows up in the workforce itself: 78.4% annual turnover against a national 45.8%, meaning most of the people caring for your family member are new to the building. The current inspection record carries 28 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and $32,275 in fines across three penalties. The most recent inspection was June 5, 2025. It's owned by a hospital district, and the quality measures score well, but measure scores don't staff a night shift.
Avir At Weston runs 120 certified beds in Temple under individual for-profit ownership, and the staffing numbers are where the trouble starts. At 3.03 nurse hours per resident day, it sits roughly 21% below the national average of 3.86, and weekend coverage drops about 12% below its own weekday level, so the thinnest shifts get even thinner. Staff turnover hits 83.3% against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record backs that up: 29 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $154,589. The most recent inspection was June 13, 2025.