Pasadena, TX · Harris County
★★★★☆CMS 4/5124 bedsFor-profitMedicaid
- Nurse hours
- 3.00 /day
- Staff turnover
- 43%
- Serious cites
- 0
Baywood Crossing runs 3.00 nurse hours per resident per day, about 22% under the national average of 3.86, and weekends dip roughly 9% below its own weekday level. That low staffing shows in the one-star staffing rating, though turnover at 43.3% is slightly better than the 45.8% national figure. The record is otherwise clean: a recent May 2025 inspection, 16 deficiencies with none at harm or jeopardy level and none abuse-related, plus four stars on health inspections and five on quality measures. If you're weighing this one, the question is whether the floor coverage on weekends works for your family member's needs.
Tyler, TX · Smith County
★★★★☆CMS 4/5100 bedsFor-profitMedicaid
- Nurse hours
- 6.31 /day
- Staff turnover
- 34%
- Serious cites
- 0
Nurse staffing at this Tyler home runs 6.31 hours per resident day, about 64% above the national average, and 33.6% of staff left last year against a national 45.8%, that's a real edge in keeping people. Weekends drop roughly 13% below weekday coverage, so ask how weekends are actually covered. The inspection record is where it gets harder: 17 deficiencies, three at harm or jeopardy level, one tied to abuse, and two fines totaling $214,759. Quality measures score 2 of 5. The last inspection was June 2025, so the record is current, not stale. Strong floor staff, thinner weekends, and a serious citation history worth asking about directly before you sign anything.
Levelland, TX · Hockley County
★★★☆☆CMS 3/587 bedsFor-profitMedicaid
- Nurse hours
- 3.11 /day
- Staff turnover
- 33%
- Serious cites
- 0
Levelland Nursing & Rehabilitation Center runs 87 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.11 hours per resident day, roughly 19% under the national average of 3.86. Weekends thin out further, running about 20% below the home's own weekday level, so coverage depends heavily on when you visit. Turnover is the brighter spot: 32.5% versus 45.8% nationally, meaning caregivers stick around longer than at the typical home. The current inspection record carries 24 deficiencies, including two at the harm or jeopardy level and one abuse-related, plus $18,516 in fines across two penalties. The most recent inspection was January 16, 2026.
Rising Star, TX · Eastland County
★★★★☆CMS 4/560 bedsFor-profitMedicaid
- Nurse hours
- 3.78 /day
- Staff turnover
- 49%
- Serious cites
- 0
Rising Star Nursing Center runs 60 certified beds in Eastland County under for-profit LLC ownership, and its inspection record is the strongest part of the story: 13 deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, with a December 2025 inspection that's recent enough to trust. What holds it back is staffing. Total nurse hours come in at 3.78 per resident day, roughly 2% under the national average, and weekend coverage drops about 19% below the home's own weekday level, so the hours thin out exactly when families tend to visit. Annual turnover sits at 48.6%, a few points above the national 45.8%. Clean inspections, but watch the weekends.
Gatesville, TX · Coryell County
★★★★☆CMS 4/5106 bedsGovernmentMedicaid
- Nurse hours
- 4.08 /day
- Staff turnover
- n/a
- Serious cites
- 0
Coryell Health Rehab Living At The Meadows is run by the local hospital district, and its 106 beds get more nursing time than most Texas homes, 4.08 hours per resident day against a national average of 3.86. Weekends dip about 6% below weekday staffing, so ask how coverage holds up on Saturdays. The inspection record is the strong part: 17 deficiencies, none at harm or jeopardy level, though two are abuse-related and one fine of $20,622 is on file. Quality measure scores sit at 2 out of 5, which tracks with the lower marks there. Recent inspection in February 2026.
Shiner, TX · Lavaca County
★★★☆☆CMS 3/595 bedsFor-profitMedicaid
- Nurse hours
- 3.13 /day
- Staff turnover
- n/a
- Serious cites
- 0
Shiner Nursing and Rehabilitation Center runs 95 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.13 hours per resident day, roughly 19 percent below the national average of 3.86. Weekends dip about 11 percent below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection record shows 29 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated March 20, 2026. Federal ratings land at 3 out of 5 for health inspections and quality measures, but only 2 for staffing. Enough direct-care time is the open question here, not safety or mistreatment.
Hughes Springs, TX · Cass County
★★★★☆CMS 4/569 bedsFor-profitMedicaid
- Nurse hours
- 4.16 /day
- Staff turnover
- 47%
- Serious cites
- 0
Capstone Healthcare of Hughes Springs runs on 4.16 nurse hours per resident day, about 8% above the national average, that's the strongest thing in its file. But weekends drop roughly 21% below its own weekday staffing, so the coverage your family sees on a Saturday won't match a Tuesday. Turnover sits at 47.1%, slightly worse than the national 45.8%, and the current record carries 30 deficiencies, including one tied to abuse, though none reached harm or jeopardy level. The last inspection was April 2025, and all three CMS star ratings land at 3 out of 5. Limited liability ownership, for-profit. Solid weekday staffing, real weekend gaps, and a deficiency history worth asking about directly.
Amherst, TX · Lamb County
★★☆☆☆CMS 2/535 bedsFor-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Harmonee House is a 35-bed for-profit home in Amherst with a decent inspection history and a serious staffing problem. The health inspection rating sits at 3 out of 5, and the 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, which matters, because it means the problems found were mostly paperwork and process, not residents getting hurt. But the staffing rating is 1 out of 5, and that's the number a family should sit with. Quality measures come in at 4 out of 5, which suggests the care itself is tracking well when it happens. The last inspection was in September 2024, so the record is recent. A B grade here reflects a home that inspects fine but may not have enough hands on deck.
Marshall, TX · Harrison County
★★★★☆CMS 4/5179 bedsGovernmentMedicaid
- Nurse hours
- 3.85 /day
- Staff turnover
- 48%
- Serious cites
- 0
Marshall Manor runs 179 certified beds under hospital district ownership, and its staffing sits right at the national average, 3.85 total nurse hours per resident day against 3.86 nationally. That average comes with a catch: weekends run about 13% thinner than weekdays, and turnover is 48.1%, a bit above the 45.8% national figure. The health inspection record shows 25 deficiencies, none at harm or jeopardy level, though six are abuse-related. With a May 2025 inspection and 4/5 stars on both health inspections and quality measures, the clinical picture holds up. The staffing rating tells a different story.
Stephenville, TX · Erath County
★★★★☆CMS 4/5122 bedsFor-profitMedicaid
- Nurse hours
- 2.73 /day
- Staff turnover
- 34%
- Serious cites
- 0
Lone Star Rehabilitation & Wellness Center runs about 2.73 nurse hours per resident per day, roughly 29% under the national average of 3.86, and weekends dip another 14% below its own weekday level. That staffing pattern matters more than the 13 deficiencies on record, none of which involved harm or jeopardy, though one was abuse-related. Turnover sits at 33.8%, better than the national 45.8%, and the last inspection was recent, in September 2025. With 122 certified beds under for-profit LLC ownership, the inspection record looks solid enough, it's the daily nurse coverage, especially on weekends, that families should ask about directly.
San Antonio, TX · Bexar County
★★★☆☆CMS 3/5134 bedsFor-profitMedicaid
- Nurse hours
- 3.21 /day
- Staff turnover
- 41%
- Serious cites
- 0
Inspiration Hills runs on 3.21 nurse hours per resident day, about 17% under the national average of 3.86, and weekends drop roughly 7% below its own weekday coverage. Turnover sits at 41.4%, a bit better than the 45.8% national figure, which matters because fewer familiar faces usually means more consistent care. The current record shows 31 deficiencies, none flagged at harm or jeopardy level, but one is abuse-related, that's the number worth asking about directly. Inspections are recent, and the for-profit individual ownership means one person answers for how the place runs.
San Antonio, TX · Bexar County
★★★★☆CMS 4/587 bedsFor-profitMedicaid
- Nurse hours
- 4.31 /day
- Staff turnover
- 64%
- Serious cites
- 0
The Atrium Rehabilitation Center runs 87 beds on San Antonio's for-profit circuit, and the numbers tell a mixed story. Nurse staffing sits at 4.31 hours per resident day, about 12% above the national average, and weekend coverage barely dips below weekday levels, a good sign, since weekend gaps are where problems often hide. But that staffing comes with churn: 64% annual turnover against a national 45.8% means aides and nurses are cycling through constantly, which undercuts consistency of care even when raw hours look fine. The inspection record shows 35 deficiencies, none at harm or jeopardy level, one abuse-related, and a single $9,600 fine, with the last survey in May 2025. Quality and inspection scores hold at 4 stars; staffing earns 2.
Sulphur Springs, TX · Hopkins County
★★☆☆☆CMS 2/595 bedsGovernmentMedicaid
- Nurse hours
- 3.36 /day
- Staff turnover
- 45%
- Serious cites
- 0
Sunny Springs is run by the hospital district, which is worth knowing since government-owned homes often operate differently than chains. The staffing numbers are the real story here: 3.36 nurse hours per resident day puts it about 13% under the national average, and weekends drop roughly 8% below its own weekday levels. That shows up in the staffing rating. The inspection record is heavy, 57 deficiencies, including two at harm or jeopardy level and seven tied to abuse. Turnover at 44.9% is basically the national norm, so that's not the problem. The 4/5 quality measure score suggests some clinical metrics look fine, but staffing and inspections tell a different story.
Greenville, TX · Hunt County
★★★★☆CMS 4/5126 bedsFor-profitMedicaid
- Nurse hours
- 3.26 /day
- Staff turnover
- 48%
- Serious cites
- 0
Legend Healthcare and Rehabilitation in Greenville runs 126 beds under corporate ownership, and the numbers tell a split story. The health inspection and quality ratings both sit at four out of five stars, and there's nothing on the current record flagged as harm or jeopardy, but 32 deficiencies total, including one tied to abuse, is a lot of paperwork for a home to carry. Nurse staffing lands at 3.26 hours per resident day, roughly 15 percent under the national average, and weekends dip about 10 percent below the home's own weekday levels. Turnover runs slightly above the national rate. Inspectors were last in during August 2025.
Teague, TX · Freestone County
★★★★★CMS 5/576 bedsFor-profitMedicaid
- Nurse hours
- 3.07 /day
- Staff turnover
- 47%
- Serious cites
- 0
Teague Nursing And Rehabilitation runs a 76-bed for-profit operation in Freestone County, and the numbers pull in two directions. On paper, the place just cleared a federal inspection in February 2026 with no deficiencies at the harm or jeopardy level, a genuinely good sign, and its five-star health inspection rating reflects that. But look at staffing: 3.07 nurse hours per resident per day against a national average of 3.86, with weekends running about 9% thinner than weekdays, and that two-star staffing rating starts to make sense. Eight deficiencies sit on the current record, two tied to abuse. Turnover lands at 46.7%, roughly where the national average sits. The care may be sound, but the people delivering it are stretched.
Lubbock, TX · Lubbock County
★★★☆☆CMS 3/5100 bedsNon-profit
- Nurse hours
- 4.66 /day
- Staff turnover
- 66%
- Serious cites
- 0
Carillon runs a nonprofit shop with 100 beds in Lubbock, and the staffing numbers are genuinely above average, 4.66 nurse hours per resident day against a national 3.86. That's real coverage, though weekends dip about 10% below the home's own weekday level, and turnover sits at 65.8% against a national 45.8%, which means a lot of the people providing that care are new. The inspection record is where things get harder to wave off: 19 deficiencies, including one at the harm level and two tied to abuse, plus a $57,321 fine. The most recent inspection was June 2026, so the record is current. Strong daily staffing, shaky consistency, and a citation history worth asking about directly.
Midland, TX · Midland County
★★★★☆CMS 4/544 bedsNon-profitMedicaid
- Nurse hours
- 3.76 /day
- Staff turnover
- 84%
- Serious cites
- 0
Mabee Health Care Center runs 44 beds in Midland as a nonprofit, and its quality measure score is genuinely strong, 5 out of 5. The trouble sits on the staffing side. At 3.76 nurse hours per resident day, it's slightly under the national average, and weekend coverage actually holds above weekday levels, which is unusual and worth something. What stands out more is turnover: 83.8% annually, nearly double the national 45.8%. Fourteen deficiencies sit on the current record, none at harm level, one abuse-related, and the last inspection was February 2026, so the picture is fairly fresh. Clinical outcomes look good; keeping caregivers is the open question.
Carthage, TX · Panola County
★★★☆☆CMS 3/591 bedsFor-profitMedicaid
- Nurse hours
- 3.26 /day
- Staff turnover
- 39%
- Serious cites
- 0
Briarcliff runs on thinner nursing coverage than most homes, 3.26 nurse hours per resident day against a national average of 3.86, and it gets thinner on weekends, when staffing drops about 8% below its own weekday level. Turnover sits at 39%, which is better than the 45.8% national figure, so the people who stay tend to stay. What pulls the record down is the inspection side: 28 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $151,713. The most recent inspection was April 2026, so that picture is recent, not stale.
Waco, TX · Mc Lennan County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.50 /day
- Staff turnover
- 43%
- Serious cites
- 0
Avir At Waco runs 120 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.50 nurse hours per resident day sits about 9% under the national average of 3.86, with weekends running roughly 10% thinner than weekdays. Turnover lands at 42.9%, a touch better than the 45.8% national figure, so the people who stay are reasonably stable even if the floor is lean. A recent February 2026 inspection and a four-star health inspection record support that, though 20 deficiencies sit on file, one tied to abuse and none flagged at harm or jeopardy level. Quality measures come in at three stars while staffing rates two.
Mckinney, TX · Collin County
★★★★☆CMS 4/5103 bedsGovernmentMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 37%
- Serious cites
- 0
Belterra Health & Rehab runs on leaner nursing hours than most homes, 3.39 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday. Turnover is the brighter spot: 36.7% versus 45.8% nationally, meaning aides and nurses stick around longer than is typical. The 20 deficiencies on record include none tied to harm or abuse, and the most recent inspection came in April 2026. As a hospital-district home, it answers to public ownership rather than a chain, which tends to show up in how complaints get handled. Ask about weekend staffing specifically before you decide.