Galveston, TX · Galveston County
★★★☆☆CMS 3/596 bedsFor-profitMedicaid
- Nurse hours
- 4.47 /day
- Staff turnover
- 53%
- Serious cites
- 0
The Meridian runs 4.47 nurse hours per resident day, about 16% above the national average, and that staffing shows up in a 4-out-of-5 staffing rating. Weekends dip roughly 8% below its own weekday coverage, worth knowing if your visits fall on Saturdays. Turnover sits at 52.7%, higher than the 45.8% national figure, so the people caring for your family member may change often. Inspections from October 2024 produced 14 deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related. The quality measure rating of 1 out of 5 is the weak spot, Texas averages aren't kind on this measure, but that's still low.
Rockwall, TX · Rockwall County
★★★☆☆CMS 3/5140 bedsGovernmentMedicaid
- Nurse hours
- 3.37 /day
- Staff turnover
- 38%
- Serious cites
- 0
Broadmoor Medical Lodge runs 140 certified beds in Rockwall under for-profit LLC ownership, and the staffing picture is the main thing to understand here. At 3.37 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.2%, which is actually better than the 45.8% national figure. The current record shows 28 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in December 2024. Quality measures score well; staffing is the weaker spot.
Southlake, TX · Tarrant County
★★★★★CMS 5/541 bedsFor-profit
- Nurse hours
- 3.63 /day
- Staff turnover
- 43%
- Serious cites
- 0
Discovery Village At Southlake runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekends dip roughly 9% below its own weekday staffing. Turnover sits at 43.2%, slightly better than the 45.8% national figure, and the staffing star rating comes in at 4 out of 5, so the hours are thinner than average even where the ratings look solid. The inspection history is the real story: 16 deficiencies on record, including one at the harm or jeopardy level, plus a $12,649 fine, with the most recent inspection in April 2025. Ownership is for-profit corporate.
Port Arthur, TX · Jefferson County
★★★★★CMS 5/5140 bedsFor-profitMedicaid
- Nurse hours
- 3.41 /day
- Staff turnover
- 33%
- Serious cites
- 0
Bonne Vie runs lean on the floor. At 3.41 nurse hours per resident each day, it sits about 12% under the national average, and weekends drop roughly 13% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The 5/5 inspection rating looks strong next to 11 deficiencies on record, none at harm level but one abuse-related, and the most recent inspection was in March 2026. Staff turnover of 32.7% is well below the national 45.8%, which suggests people stay. Owned by a for-profit corporation, this 140-bed home in Port Arthur has consistent leadership but not enough daily hands.
Webster, TX · Harris County
★★★★★CMS 5/570 bedsFor-profit
- Nurse hours
- 4.03 /day
- Staff turnover
- 36%
- Serious cites
- 0
Ignite Medical Resort Webster runs a 70-bed for-profit partnership in Harris County, and its inspection record is strong, a clean recent survey from June 2025 and top CMS marks for health inspections and quality measures. Nurse staffing comes in at 4.03 hours per resident day, slightly above the 3.86 national average, though weekends drop about 6% below the home's own weekday coverage. Turnover sits at 35.7%, better than the 45.8% national figure. What holds it back is the record itself: 12 deficiencies, two of them at harm or jeopardy level and two tied to abuse, plus a staffing star rating of just 2 out of 5 despite the decent hours.
Livingston, TX · Polk County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.28 /day
- Staff turnover
- 41%
- Serious cites
- 0
Timberwood runs 3.28 nurse hours per resident per day, about 15% under the national average of 3.86, and weekends drop roughly 19% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 40.5%, a bit better than the 45.8% national figure, which suggests some continuity in who's actually on the floor. The inspection record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations and $8,021 in fines. The last inspection was January 14, 2026, so the record is current. Quality measures score well; staffing is the weak point.
Mathis, TX · San Patricio County
★★★★★CMS 5/590 bedsFor-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 32%
- Serious cites
- 0
Palma Real runs lean on direct care: 3.24 nurse hours per resident day, roughly 16 percent under the national figure, with weekends dipping about 16 percent below its own weekday staffing. That thin coverage is the main reason its staffing rating sits low even though turnover, at 31.9 percent, beats the national 45.8 percent and suggests a relatively stable crew. The record shows 15 deficiencies with none at harm level, one tied to abuse, and a recent April 2025 inspection. Quality measures and inspections score well; staffing is where the numbers pull the overall picture down, so ask how afternoons and weekends are actually covered before deciding.
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.
Houston, TX · Harris County
★★☆☆☆CMS 2/5120 bedsFor-profit
- Nurse hours
- 4.33 /day
- Staff turnover
- 49%
- Serious cites
- 0
Garden Terrace Healthcare Center of Houston runs 120 beds under corporate for-profit ownership, and its staffing is the one clear strength: 4.33 nurse hours per resident day, roughly 12% above the national average. But weekends drop about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the real problem, a 1-out-of-5 health inspection rating, 22 deficiencies with 4 at harm or jeopardy level, and three fines totaling $138,543. Staff turnover sits at 48.9%, above the national 45.8%, meaning nearly half the nursing staff leaves each year. The 5/5 quality measure score reflects resident assessments, not the inspection findings that matter most.
Del Rio, TX · Val Verde County
★★★★☆CMS 4/560 bedsGovernmentMedicaid
- Nurse hours
- 2.95 /day
- Staff turnover
- 37%
- Serious cites
- 0
Del Rio Nursing and Rehabilitation Center is run by a hospital district, and its inspection record is strong, four stars, with the most recent survey in May 2025. Quality measures also score five stars. The tradeoff sits in direct care: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends run about 19% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. Eighteen deficiencies are on file, including one at the harm level and two tied to abuse, plus an $8,018 fine. Turnover, at 36.7%, is better than the national 45.8%, which suggests a steadier crew than most.
Bronte, TX · Coke County
★★★★☆CMS 4/555 bedsGovernmentMedicaid
- Nurse hours
- 3.63 /day
- Staff turnover
- 54%
- Serious cites
- 0
Bronte Health and Rehab Center runs on thinner nursing coverage than most homes in the country, 3.63 hours per resident day against a national average of 3.86, with weekends dipping roughly 18% below its own weekday levels. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor.
The hospital district ownership is a point in its favor, and a 4-star health inspection rating reflects real strength in how the place is run day to day. But 23 deficiencies on the current record, including one at the harm level and three tied to abuse, is a lot to carry, and 54.3% annual turnover means the staff who know your parent may not be there next year.
Houston, TX · Harris County
★★★☆☆CMS 3/556 bedsFor-profit
- Nurse hours
- 4.62 /day
- Staff turnover
- 65%
- Serious cites
- 0
Brookdale Galleria runs 4.62 nurse staffing hours per resident day, roughly 20% above the national average, but weekends drop about 15% below its own weekday level. Staff turnover sits at 65.4% against a national 45.8%, so residents cycle through a lot of unfamiliar faces. The inspection record shows 27 deficiencies, 5 of them at harm or jeopardy level, plus four fines totaling $78,844; the last inspection was June 2025. Quality measures score well, but a two-star health inspection rating and that turnover number are what pull the overall picture down.
Comanche, TX · Comanche County
★★★★☆CMS 4/5100 bedsGovernmentMedicaid
- Nurse hours
- 3.79 /day
- Staff turnover
- n/a
- Serious cites
- 0
Legacy Estate Long Term Care runs 100 certified beds in Comanche, owned by a hospital district rather than a for-profit chain. Its last inspection was July 2025, and the record shows three deficiencies with none at the harm level and nothing abuse-related, which is a fairly clean sheet. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, worth asking about if your family member needs help most on Saturdays and Sundays. Quality measures come in lower than the inspection and staffing ratings suggest.
Lake Jackson, TX · Brazoria County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.95 /day
- Staff turnover
- 55%
- Serious cites
- 0
Brazos Healthcare Center runs 120 certified beds in Lake Jackson under corporate for-profit ownership, and its nurse staffing sits at 3.95 hours per resident day, a bit above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 13% below the home's own weekday level, so the hours families might visit are the hours with the thinnest staff on hand. Annual turnover is 54.8% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated July 2, 2025.
Palestine, TX · Anderson County
★★★☆☆CMS 3/5102 bedsFor-profitMedicaid
- Nurse hours
- 3.76 /day
- Staff turnover
- 47%
- Serious cites
- 0
Avir At Town Creek runs 102 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends thin out about 10% below what the home staffs on weekdays, and annual turnover of 47.1% edges past the national 45.8%, so the people giving care keep changing. The inspection record carries 23 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with two fines totaling $49,065. The most recent inspection was August 2025, so that record is current, not stale.
Kountze, TX · Hardin County
★★★★☆CMS 4/560 bedsFor-profitMedicaid
- Nurse hours
- 3.23 /day
- Staff turnover
- 26%
- Serious cites
- 0
Paradigm At Kountze runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. That thinner weekend schedule matters, since two of the 25 deficiencies on record sit at the harm or jeopardy level and two are abuse-related, with one fine of $16,801. What works in its favor is stability: staff turnover of 25.6% is well below the 45.8% national figure, and the quality measure rating is strong. The inspection on file is recent, from August 2025. A for-profit corporation operates the 60-bed home. The tradeoff is real: consistent caregivers, fewer of them per resident.
Electra, TX · Wichita County
★★★★★CMS 5/562 bedsGovernmentMedicaid
- Nurse hours
- 4.31 /day
- Staff turnover
- 55%
- Serious cites
- 0
Electra Healthcare Center runs on more nursing hours than most places, 4.31 per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday levels, so coverage thins when families tend to visit. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters for whether you'll see the same faces month to month. The inspection record is clean where it counts most: 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. Hospital district ownership and a recent March 2026 inspection round out a picture of a home that's well-staffed on paper but cycling through caregivers.
Dallas, TX · Dallas County
★★★☆☆CMS 3/5264 bedsFor-profitMedicaid
- Nurse hours
- 3.76 /day
- Staff turnover
- 47%
- Serious cites
- 0
Golden Acres runs 264 beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends run about 9% leaner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Staff turnover is 46.6%, slightly worse than the 45.8% national figure, which usually means less continuity for residents who need consistent caregivers. The current record carries 33 deficiencies, two tied to abuse, though none rose to harm or jeopardy level. The last inspection was January 22, 2026, so the picture is fairly current. Three stars each on health inspections, quality measures, and staffing puts this home squarely in the middle of the pack.
Plano, TX · Collin County
★★☆☆☆CMS 2/5120 bedsNon-profitMedicaid
- Nurse hours
- 3.20 /day
- Staff turnover
- 23%
- Serious cites
- 0
Collinwood runs on 3.19 nurse hours per resident day, roughly 17% under the national average, and weekends dip even further below its own weekday coverage. That thin floor shows up in the inspection record: 24 deficiencies, three at harm or jeopardy level and five tied to abuse, with a $51,113 fine. Staff turnover of 23.1% is genuinely better than the 45.8% national figure, which matters for continuity of care, and the 4/5 quality measure rating suggests clinical outcomes aren't the weak spot. The church-affiliated nonprofit ownership is a plus. But the last inspection was August 2025, and the staffing math combined with that deficiency count is what drives the low grade.
Harlingen, TX · Cameron County
★★★☆☆CMS 3/5120 bedsGovernmentMedicaid
- Nurse hours
- 3.48 /day
- Staff turnover
- 33%
- Serious cites
- 0
Harlingen Nursing and Rehabilitation Center is a 120-bed hospital-district home where the clinical quality measures look strong, but the inspection record tells a more mixed story. Nineteen deficiencies, including two at the level that caused actual harm or put residents in jeopardy, and a one-time fine of just over $6,000. Nurse staffing sits about 10% under the national average, and weekends run roughly 11% thinner than weekdays, that's when families tend to notice. Turnover is the bright spot: 32.9% against a national 45.8%, meaning fewer unfamiliar faces. The last inspection was February 2026, so the record is current.