Nursing homes across Limestone County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
The Manor Healthcare Residence runs on about 3.22 nurse hours per resident per day, roughly 17% under the national average of 3.86, and weekends dip another 8% below its own weekday staffing. Turnover is the bright spot: 25.8% against a national 45.8% means far more familiar faces than most homes manage. Inspections look strong, a perfect health inspection rating and a December 2025 visit, but 16 deficiencies sit on the current record, including one at harm level and two tied to abuse, which is worth asking about directly. For-profit, LLC-owned, 66 beds. Ask how they cover weekends when staff call out.
Groesbeck LTC runs on leaner nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday coverage. The tradeoff shows up in its CMS staffing rating of 2 out of 5. What offsets that is a clean inspection record: six deficiencies total, none involving harm or abuse, and a May 2025 survey that's still recent. Staff turnover sits at 38.9%, better than the 45.8% national figure, which suggests people tend to stay. County hospital district ownership adds a layer of public accountability. The practical question for your family is whether the weekday staffing level is enough for the care your relative needs, because weekends will be thinner.
Windsor Healthcare Residence runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage dips another 8% below its own weekday levels, so the thinnest shifts land when families tend to visit. Staff turnover sits at 52.4%, above the 45.8% national figure, and that churn shows up in the inspection record: 13 deficiencies, three serious enough to flag harm or jeopardy, two tied to abuse, plus three fines totaling $34,232. The most recent inspection was August 2025. It's a for-profit, individually owned home with 90 certified beds. The quality measure score looks strong, but quality measures reflect resident health outcomes, not whether enough hands are on the floor or whether problems get fixed.
Mexia Ltc Nursing And Rehab runs 66 certified beds under corporate for-profit ownership, and its nurses put in 4.11 hours per resident day, about 6% above the national average. That staffing edge comes with a catch: weekends run roughly 12% thinner than weekdays, and annual turnover sits at 61.9% against a national 45.8%, so the faces change often. The inspection history is recent, December 2025, and 16 deficiencies are on record, including one at the harm level and one tied to abuse, plus a single $19,822 fine. Quality measure scores land at the bottom of CMS's scale while inspections sit near the top, a split worth asking about directly.
Skilled Care of Mexia is run by the local hospital district, and its inspection record is genuinely decent, a 4/5 health inspection rating, 17 deficiencies logged with three at the harm level and none tied to abuse. The problem sits almost entirely on the staffing side. At 3.17 nurse hours per resident day, this home runs about 18% under the national average, and weekends drop another 10% below its own weekday pace. Then there's turnover: 97.2% against a national average of 45.8%, meaning the aides and nurses around your relative are largely new to the building. Care can look fine on paper and still feel thin when the same faces never stay long enough to learn a resident's habits.