Here are 4 Nursing Homes in Nacogdoches County, TX

Nurse hours

3.30 /day

Staff turnover

36%

Serious cites

0

Stallings Court runs lean on nurse staffing, 3.30 hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and notice things. The good news: turnover sits at 36%, better than the 45.8% national average, and the inspection record is clean where it counts, 25 deficiencies total, but none at harm or jeopardy level and none abuse-related. A February 2026 inspection is recent enough to trust. For-profit LLC ownership with 120 beds. Families should ask who's on the floor on weekend evenings.

Nurse hours

4.43 /day

Staff turnover

46%

Serious cites

0

Garrison Nursing Home reports nurse staffing of 4.43 hours per resident day, roughly 15% above the national average, but the weekend tells a different story, running about 20% thinner than its own weekday coverage. That gap matters because weekends are when families often visit and when problems tend to surface. The inspection record shows 13 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with three fines totaling $52,951. Staff turnover sits at 45.7%, essentially matching the national rate, so continuity of caregivers isn't a strength here either. The most recent inspection was July 30, 2025, so the picture is current. The quality measure rating is solid, but the staffing rating and that deficiency history are what pull the overall picture down.

Nurse hours

3.21 /day

Staff turnover

52%

Serious cites

0

Willowbrook runs about 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekends are thinner still, around 13% below its own weekday coverage. Staff turnover sits at 52%, above the 45.8% national figure, so the people providing that care keep changing. The 166-bed for-profit home has 23 deficiencies on its current record, one serious enough to involve harm or jeopardy, and a single fine of $153,439. Its last inspection was July 2025. Quality measures score well, but the staffing side is where the trouble shows, and that gap is worth asking about directly.

Nurse hours

3.27 /day

Staff turnover

n/a

Serious cites

0

Westward Trails runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends drop roughly 21% below its own weekday coverage. That's the kind of gap that shows up when a resident needs help on a Saturday afternoon. Inspectors gave the place solid marks in June 2025, but the record still carries 24 deficiencies, including two tied to abuse and two serious enough to put residents in harm's way, plus $25,036 in fines across three penalties. Corporate ownership means decisions about staffing levels get made somewhere other than Nacogdoches. Ask about weekend coverage and how those abuse deficiencies were resolved before you decide.