Needville, TX · Fort Bend County
★★★★★CMS 5/558 bedsNon-profitMedicaid
- Nurse hours
- 3.72 /day
- Staff turnover
- 45%
- Serious cites
- 0
Spjst Rest Home No 2 runs about 3.72 nurse staffing hours per resident day, roughly 4% under the national average, and weekends drop another 9% below its own weekday numbers, so coverage thins out exactly when families tend to visit. Staff turnover sits at 45.2%, essentially at the national rate. The inspection record is the strongest part of this home: a five-star health inspection rating, last survey in December 2025, and seven deficiencies total, one of them serious enough to reach harm or jeopardy level, with no abuse citations. One fine of $12,649 is on record. Quality measures land mid-range at three stars, which is where the softer spots show up.
Richmond, TX · Fort Bend County
★★★★★CMS 5/556 bedsFor-profitMedicaid
- Nurse hours
- 3.19 /day
- Staff turnover
- 21%
- Serious cites
- 0
Paradigm At The Brazos runs lean on nurse staffing, 3.19 hours per resident day against a national average of 3.86, with weekends about 15% thinner than weekdays. That's the number to weigh against the home's otherwise strong record: a five-star inspection rating and a five-star quality measure score, with six deficiencies on file and none at the harm or jeopardy level, though one is abuse-related. Staff turnover sits at 21.4%, well below the 45.8% national figure, which matters for consistency of care. The last inspection was recent, in August 2025. If your family member needs steady hands on weekends, ask how the floor is covered then.
Rosenberg, TX · Fort Bend County
★★★★☆CMS 4/536 bedsFor-profit
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Oak Bend Medical Center in Richmond is a small nonprofit home, 36 beds, and its inspection record is genuinely strong: a five-star health inspection rating, five deficiencies on file with none at the harm level and nothing abuse-related, and a survey completed in May 2025. Quality measures also come in at five stars. The problem sits in staffing, which CMS rates at just one star, the lowest tier, meaning nurse coverage here is well below what the federal formula expects for a building this size. That gap is what pulls the overall picture down despite the clean surveys. Three fines totaling $17,560 are also on record. If you tour, ask directly about direct-care hours per resident per day and how often shifts run short.
Sugar Land, TX · Fort Bend County
★★★★☆CMS 4/5150 bedsNon-profitMedicaid
- 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.
Missouri City, TX · Fort Bend County
★★☆☆☆CMS 2/5125 bedsFor-profitMedicaid
- 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.
Richmond, TX · Fort Bend County
★★☆☆☆CMS 2/5158 bedsFor-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 41%
- Serious cites
- 0
Cambridge Health and Rehabilitation Center runs 158 certified beds under for-profit, limited-liability ownership, and its nurse staffing sits at 3.24 hours per resident per day, about 16% under the 3.86 national average, with weekends roughly 9% thinner than weekdays. The inspection record is where the real weight sits: 26 deficiencies on file, seven of them at harm or jeopardy level and two tied to abuse, plus four fines totaling $68,342, most recently inspected May 15, 2025. Staff turnover of 40.6% is actually a touch better than the 45.8% national figure, and the quality measure score is strong, but thin daily staffing against that deficiency history is the tradeoff families should weigh.
Rosenberg, TX · Fort Bend County
★★★☆☆CMS 3/556 bedsFor-profitMedicaid
- Nurse hours
- 3.15 /day
- Staff turnover
- 43%
- Serious cites
- 0
Fort Bend Healthcare Center runs 56 beds in Rosenberg under for-profit partnership ownership, and its staffing is the weak spot: 3.15 nurse hours per resident day against a national average of 3.86, with weekends running about 18% thinner than weekdays. Turnover lands at 43.2%, slightly better than the 45.8% national figure, so retention isn't the problem, raw coverage is. The inspection record shows 15 deficiencies, including one at the harm level and two tied to abuse, plus a single $22,929 fine; the most recent inspection was August 2025. CMS rates quality measures 5 out of 5 but staffing 1 out of 5, which tells you the clinical outcomes look good on paper even as daily floor coverage lags.
Missouri City, TX · Fort Bend County
★★★☆☆CMS 3/5120 bedsNon-profitMedicaid
- Nurse hours
- 3.09 /day
- Staff turnover
- 42%
- Serious cites
- 0
Windsor Quail Valley Post-Acute runs 120 beds in Missouri City under hospital district ownership, and the numbers tell a mixed story. Nursing hours come to 3.09 per resident day, roughly 20 percent under the national average of 3.86, and weekends dip about 11 percent below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover at 41.7 percent is actually a touch better than the 45.8 percent national figure, which matters for continuity. On the record are 15 deficiencies, four of them at harm or jeopardy level and three abuse-related, plus two fines totaling $52,036. The most recent inspection was March 2025. Quality measures score well; staffing and the inspection history are where the concern sits.
Richmond, TX · Fort Bend County
★★★★☆CMS 4/592 bedsNon-profitMedicaid
- Nurse hours
- 3.66 /day
- Staff turnover
- 66%
- Serious cites
- 0
Richmond Health Care Center runs about 3.66 nurse hours per resident day, roughly 5% under the national average, and weekend coverage dips another 8% below its own weekday level. Staff turnover sits at 65.5%, well above the 45.8% national figure, which is a lot of churn for a 92-bed nonprofit home. Its inspection record shows 23 deficiencies, including one at the harm level and one abuse-related, plus two fines totaling $78,036. Inspections were current as of September 2025, and the health and quality ratings hold at 4 stars each. The staffing number is where this one separates from the pack.
Sugar Land, TX · Fort Bend County
★☆☆☆☆CMS 1/5112 bedsFor-profitMedicaid
- Nurse hours
- 3.61 /day
- Staff turnover
- 59%
- Serious cites
- 0
The Crescent runs on thinner staffing than most homes in Texas and across the country, 3.61 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops about 13% below its own weekday level. That matters when you consider the inspection record: 41 deficiencies, seven of them serious enough to put residents in harm's way, seven tied to abuse, and $107,921 in fines across seven separate penalties. Annual staff turnover sits at 59.4%, well above the 45.8% national figure, so the people caring for your family member are probably new and likely to leave. The most recent inspection was February 26, 2026.
Missouri City, TX · Fort Bend County
★☆☆☆☆CMS 1/560 bedsFor-profitMedicaid
- Nurse hours
- 3.74 /day
- Staff turnover
- 58%
- Serious cites
- 0
Chelsea Gardens runs about 3% below the national average for nurse staffing, and weekends dip roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The bigger issue is consistency: 57.5% of staff turned over in a year against a national average of 45.8%, which means the people caring for residents keep changing. On inspections, 13 deficiencies sit on the current record, three at harm or jeopardy level and one tied to abuse, with two fines totaling $64,918. Inspectors were last there in October 2025. It's a for-profit partnership with 60 beds.
Missouri City, TX · Fort Bend County
★☆☆☆☆CMS 1/5150 bedsFor-profitMedicaid
- Nurse hours
- 3.36 /day
- Staff turnover
- 67%
- Serious cites
- 0
Paradigm At First Colony runs about 3.36 nursing hours per resident per day, roughly 13% under the national average, and weekend coverage drops another 14% below its own weekday levels. That thin margin shows up in the workforce itself: 67% of staff turned over in a year, against a national rate near 46%. The inspection record is harder to explain away, 41 deficiencies, eight serious enough to put residents in harm's way, four tied to abuse, and three fines reaching $211,113. A 150-bed for-profit LLC in Missouri City, recently inspected in January 2026. Whatever the quality measures suggest, the staffing and survey history carry more weight when you're choosing care for someone you love.
Sugar Land, TX · Fort Bend County
★☆☆☆☆CMS 1/590 bedsFor-profitMedicaid
- Nurse hours
- 3.82 /day
- Staff turnover
- 62%
- Serious cites
- 0
Ignite Medical Resort Sugar Land runs 90 certified beds and reports 13 deficiencies on its current record, three of them serious enough to involve actual harm or jeopardy. Fines total $155,401 across eight separate penalties, which tells you the problems aren't isolated incidents. Staffing sits slightly under the national average at 3.82 hours per resident day, but the bigger issue is turnover: 62.2% of staff leave each year, well above the 45.8% national rate, and weekend coverage dips below what the home manages on weekdays. The most recent inspection came in December 2025. High turnover with thin weekend staffing is where quality problems tend to surface.
Katy, TX · Fort Bend County
★☆☆☆☆CMS 1/5125 bedsFor-profitMedicaid
- Nurse hours
- 4.41 /day
- Staff turnover
- 91%
- Serious cites
- 0
Paradigm At Katy has 125 certified beds and a for-profit LLC owner. Its nurse staffing comes in at 4.41 hours per resident day, roughly 14% above the national average, but the workforce behind those hours is unstable: annual turnover runs 91.1% against a national 45.8%, and weekends already sit about 6% below weekday coverage. The inspection record is the harder problem, 51 deficiencies on file, 7 of them serious enough to involve harm or jeopardy and 2 tied to abuse, with $241,445 in fines across 5 penalties and a health inspection star rating of 1 out of 5. Quality measures score 4 out of 5, but that sits alongside a 1 out of 5 staffing rating despite the above-average hours.
Rosenberg, TX · Fort Bend County
★☆☆☆☆CMS 1/5124 bedsGovernmentMedicaid
- Nurse hours
- 2.99 /day
- Staff turnover
- 62%
- Serious cites
- 0
Rosenberg Health & Rehabilitation Center runs on 2.99 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops another 13% from its already thin weekday level. That staffing gap shows up in the inspection record: 27 deficiencies, 8 of them serious enough to put residents at harm or jeopardy, with four fines totaling $97,334. Staff turnover sits at 61.7%, well above the 45.8% national figure, meaning the aides and nurses who know your family member are likely to leave within the year. It's hospital-district owned, which sometimes signals stability, but the numbers here say otherwise. The most recent inspection was May 2026, so this is a current picture, not an old one.