Nursing homes across Johnson County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Grandview Nursing and Rehabilitation Center runs 82 certified beds as a nonprofit, and its record splits sharply depending on where you look. The quality measures that track resident outcomes score at the top of CMS's scale, and staff turnover of 44.3% is actually slightly better than the 45.8% national average. But staffing levels earn only 1 out of 5 stars, and the inspection history shows 13 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $21,125 fine. The last inspection was in May 2025. Read those two facts together: good outcome scores and thin staffing often don't stay compatible for long.
Ridgeview is run by a hospital district, which is worth knowing, that public structure can mean steadier oversight than a for-profit chain, and the inspection record backs it up. Twenty deficiencies sounds like a lot until you see none reached the level of actual harm and none involved abuse, and a December 2025 inspection means the findings are recent rather than stale. The staffing side is where the picture softens: at 3.67 nurse hours per resident day, this home sits slightly under the national figure, weekends run noticeably thinner than weekdays, and turnover of 51.6% tops the national rate of 45.8%. Solid surveys, but ask about who's actually on the floor on a Sunday.
Park Bend runs below the national average on nurse staffing, and its own weekend hours drop about 13% below weekdays, so the coverage gap widens exactly when families tend to visit. The inspection record is the bigger concern: 25 deficiencies, seven of them at harm or jeopardy level, one abuse-related, and $65,855 in fines across three events. Staff turnover sits at 49.4%, meaning roughly half the nursing team leaves each year, which makes consistent care hard to sustain. What lifts the numbers is the quality measure score, but that reflects resident outcomes on paper, not the hands available each shift. Hospital district ownership doesn't change any of this.
Advanced Rehabilitation & Healthcare Of Burleson runs 121 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national average of 3.86. Weekends thin out further, roughly 12 percent below the home's own weekday coverage. Staff turnover is 63.6 percent against a national 45.8 percent, which means a large share of caregivers are new to the building each year. The inspection record shows 28 deficiencies, two serious enough to involve harm or jeopardy, plus $17,804 in fines across two events. Quality measures score well, but staffing and inspection results are where the concerns concentrate.
Town Hall Estates Keene runs 126 certified beds as a nonprofit, and its nursing hours come in at 3.18 per resident day, roughly 18% under the national average of 3.86. That shortfall is the main reason its staffing rating sits at the bottom of CMS's scale, and weekends dip about 10% below what the home itself staffs on weekdays. Turnover is 45.6%, essentially level with the national figure, so retention isn't the standout problem here; coverage is. The inspection record shows 23 deficiencies, two of them serious enough to reach harm or jeopardy level, with no abuse citations, and $16,209 in fines across two penalties. Its most recent inspection came in July 2025.
Colonial Manor runs about 3.78 nursing hours per resident per day, a bit under the national average, and weekends drop roughly 11% below its own weekday staffing. That thinner weekend coverage matters more when turnover sits at 52.8%, well above the 45.8% national figure, because a changing roster makes it harder to know who's on the floor. The record shows 26 deficiencies, including three at harm or jeopardy level and three tied to abuse, with $51,594 in fines and a February 2025 inspection. The quality measure stars look strong, but the inspection and staffing numbers tell a different story.
Avir At Burleson runs a 120-bed for-profit building in Johnson County, and the split in its record is worth understanding before you tour. Inspectors have found this place in good shape, a 4-out-of-5 health inspection rating, 19 deficiencies on the current record with none reaching harm or jeopardy level and nothing abuse-related, and a survey as recent as November 2025.
The staffing side tells a different story. At 2.87 nurse hours per resident day, it sits roughly 26 percent under the national average of 3.86, and weekend coverage drops about 11 percent below its own weekday level. Annual turnover of 56.4 percent runs well above the 45.8 percent national figure. Good inspections, thin coverage, ask how they staff weekends.
Heritage Trails is a 122-bed for-profit home in Cleburne, and its inspection history is genuinely decent, four out of five stars, with a survey done in August 2025. The staffing is where it comes apart. At 2.76 nurse hours per resident day, it runs about 28% under the national average, and weekend coverage drops roughly 13% below its own weekday level, which matters most when families visit and problems tend to surface. Turnover sits at 53.2%, higher than the 45.8% national figure. Twelve deficiencies are on the current record, three of them at the harm level and one tied to abuse, with seven fines totaling $67,124.
Alvarado Meadows runs on thin staffing margins: 3.36 nurse hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekdays. The turnover number is the harder one to get past, 95.7% annually, more than double the national rate, which means the aide helping your mother today is statistically unlikely to be there next year. The inspection record shows 19 deficiencies, three of them serious enough to cause harm or jeopardy and four tied to abuse, plus $85,479 in fines across five penalties. The most recent inspection was in May 2026. For-profit, limited liability ownership.