Here are 1,179 Nursing Homes in Texas

Nurse hours

3.19 /day

Staff turnover

49%

Serious cites

0

Silver Spring runs on thinner staffing than most Texas homes its size, 3.19 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 13% below its own weekday coverage. That gap shows up in the numbers that matter: 34 deficiencies on the current record, seven serious enough to put residents in harm's way and three tied to abuse, plus a $25,974 fine. Annual turnover sits at 49.4%, meaning half the nursing staff leaves within a year. The corporate owner holds a 1-out-of-5 inspection rating, despite a 4-out-of-5 on quality measures. Whatever the quality data suggests, the inspection history and thin weekend coverage are what a family should weigh before choosing this one.

Nurse hours

3.30 /day

Staff turnover

50%

Serious cites

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Legend Oaks in New Braunfels runs a government hospital district operation with 126 certified beds, and the staffing side is where the strain shows. At 3.30 total nurse hours per resident day, it's about 14% under the national average, and weekends drop roughly 13% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover sits at 49.5%, above the national 45.8%. The inspection record holds 38 deficiencies, none at harm level but three tied to abuse, with the last survey dated May 2026. Quality measures score well, but the staffing numbers are what temper the overall picture.

Nurse hours

3.71 /day

Staff turnover

49%

Serious cites

0

Forum Parkway runs 139 beds in Bedford under corporate ownership, and its nurse staffing sits at 3.71 hours per resident day, about 4% under the national average. Weekends dip roughly 8% below its own weekday coverage, and annual turnover is 49.1%, higher than the 45.8% national figure, so the faces here change often. The current record shows 23 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $19,083. Inspectors were last out in March 2026. Quality measures score well, and that's genuinely worth something for a family weighing rehab or long-term care here. But thinner weekend coverage and steady staff churn are the things to ask about directly when you tour.

Nurse hours

3.11 /day

Staff turnover

39%

Serious cites

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Sterling Oaks runs on a thinner nursing floor than most homes its size, about 3.11 nurse hours per resident per day against a national average near 3.86, and weekends drop roughly 8% below its own weekday pace. That gap is the main thing pulling its staffing rating down to 2 out of 5. Where it holds up better: turnover sits at 39.1% against a national 45.8%, and its inspection record shows 18 deficiencies with none at the harm level and none tied to abuse. A recent May 2026 inspection and 4 out of 5 stars on both health inspections and quality measures round it out. If your family member needs heavy day-to-day hands-on care, ask specifically how weekend coverage gets filled.

Nurse hours

3.02 /day

Staff turnover

39%

Serious cites

0

Riverside Oaks runs a 108-bed for-profit operation in Victoria, and the numbers pull in two directions. Its inspection record is genuinely clean, a recent visit in August 2025, ten deficiencies on the books, none of them causing harm or involving abuse. Quality measures also score at the top of the federal scale. The staffing side is where it gets thin. At 3.02 nurse hours per resident day, this home sits roughly 22 percent under the national average, and weekends drop about 15 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover at 39.4 percent is better than the 45.8 percent national figure, which suggests some stability in who's actually on the floor. Ask about weekend coverage specifically.

Nurse hours

2.82 /day

Staff turnover

42%

Serious cites

0

Advanced Rehabilitation and Healthcare of Bowie is a hospital-district home with 180 beds, and its inspection record is genuinely strong. Ten deficiencies on the current record, none causing harm or jeopardy, none abuse-related, and an inspection as recent as February 2026, with 5 out of 5 stars on both health inspections and quality measures. Staffing tells the other story. At 2.82 nurse hours per resident day, it runs roughly 27 percent under the national average of 3.86, and weekends dip about 20 percent below its own weekday level. Turnover at 42.1 percent is slightly better than the 45.8 percent national figure, so the issue isn't churn so much as how few hands are scheduled at any given time.

Nurse hours

3.35 /day

Staff turnover

40%

Serious cites

0

Veranda runs lean on nursing hours, 3.35 per resident day against a national average of 3.86, with weekends dropping about 20% below its own weekday coverage. That thin weekend staffing matters because the home's record shows 18 deficiencies, including one at the harm level and four tied to abuse, though a June 2025 inspection means the picture is recent. Turnover at 39.7% is actually better than the 45.8% national figure, and the 5/5 quality measure rating suggests clinical outcomes are being tracked well. The tension here is a corporation-owned building with strong inspection and quality marks but staffing that trails what residents may need, especially on weekends.

Nurse hours

3.27 /day

Staff turnover

38%

Serious cites

0

Hays Nursing and Rehabilitation Center runs 116 certified beds in San Marcos under corporate for-profit ownership. Nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average, and weekends drop about 17% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover at 37.9% actually beats the national 45.8%, which is worth noting, but the inspection record carries 26 deficiencies, including two at the harm or jeopardy level and three tied to abuse. One fine totaling $8,226 is on file, and the most recent inspection was March 2026.

Nurse hours

2.77 /day

Staff turnover

41%

Serious cites

0

Focused Care At Hamilton runs on a thin nursing staff: 2.77 hours per resident per day, roughly 28 percent below the national average, and weekends drop about 20 percent below what the home itself staffs on weekdays. That's the number that matters most, and it's why the federal staffing rating comes in at 1 out of 5. What keeps the place from looking worse is its record elsewhere, a 5/5 inspection rating with the most recent survey in September 2025, only 8 deficiencies on file and none involving harm, jeopardy, or abuse. Annual turnover of 41.4 percent actually sits below the national rate, so the problem isn't churn so much as how few hours each resident gets.

Nurse hours

3.13 /day

Staff turnover

39%

Serious cites

0

Gulf Pointe Plaza in Rockport runs lean on nursing hours, 3.13 per resident day, roughly 19% under the national average, and weekends drop about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 1 out of 5, even though turnover of 38.7% actually beats the national 45.8%, meaning the aides who are there tend to stay. The clinical side looks steadier: a 5/5 quality measure rating and a 4/5 inspection rating, with 12 deficiencies on record, none involving harm or abuse, and the last inspection was March 2026. For-profit corporate ownership, 120 beds. The tradeoff is clear, good outcomes and recent, clean inspections, but fewer hands per resident than most homes.

Nurse hours

3.24 /day

Staff turnover

n/a

Serious cites

0

Legacy Rehabilitation And Living runs 150 certified beds in Amarillo under for-profit LLC ownership, and its staffing numbers are the first thing to look at. At 3.24 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The health inspection record shows 23 deficiencies, including one at the harm level and two tied to abuse, with a single $13,070 fine. Its quality measure stars are strong, but that score reflects resident data, not the hands available to help.

Nurse hours

3.29 /day

Staff turnover

39%

Serious cites

0

Will-O-Bell runs lean on direct care: 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends dip about 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 2 out of 5, even though turnover at 38.7% actually beats the national 45.8%. The inspection record is a split picture, a 4/5 health inspection rating and a recent May 2026 survey, but 30 deficiencies on file, including four at harm or jeopardy level and four tied to abuse. One fine totaling $8,279. Hospital district ownership, 90 beds. Strong quality measures, weak daily coverage.

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

3.67 /day

Staff turnover

61%

Serious cites

0

Rambling Oaks Courtyard runs 70 certified beds in Highland Village, and the staffing numbers tell the clearest story: 3.67 nurse hours per resident day, about 5% under the national figure, with weekends running roughly 16% thinner than weekdays. That gap matters because weekends are when families often can't visit and problems go unnoticed. Annual turnover sits at 61.4% against a national average of 45.8%, meaning most of the people caring for your relative will likely be gone within a year. The current record shows 32 deficiencies, one serious enough to involve harm or jeopardy, and a $21,640 fine. Ownership is for-profit corporate. Quality measures score well; consistent hands-on care is the weaker part.

Nurse hours

3.27 /day

Staff turnover

36%

Serious cites

0

Alta Vista runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 12% below what the home staffs on weekdays. That matters because the inspection record carries 26 deficiencies, four of them serious enough to put residents in harm's way and two tied to abuse, with one $14,433 fine and a survey completed in November 2025. Staff turnover sits at 36.4%, better than the 45.8% national figure, so the same faces tend to stick around. The puzzle is how a home can post top marks on clinical quality measures while its staffing and inspection results sit at the bottom, the answer usually lives in whether there are enough hands on the floor on any given afternoon.

Nurse hours

3.67 /day

Staff turnover

46%

Serious cites

0

San Pedro Manor runs 3.67 nursing hours per resident day, about 5% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin weekend coverage matters more than the headline number, because 30 deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse. Staff turnover is 45.6%, essentially matching the national rate, so retention isn't the problem here, coverage is. The hospital district ownership hasn't kept the inspection record clean, and two fines totaling $24,285 are on file. The last inspection was August 2025. Quality measures look strong; the staffing and inspection side is where the risk lives.

Nurse hours

3.42 /day

Staff turnover

33%

Serious cites

0

Mission Nursing & Rehabilitation Center runs lean on the floor. At 3.42 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so a 170-bed home can feel the difference when families visit Saturday and Sunday. Turnover is the bright spot: 33.3% against a national 45.8% means aides and nurses stick around longer than most. The tradeoff shows up in the record, 24 deficiencies, including one at the harm level and two tied to abuse, with a single $8,190 fine. Inspections are recent, and the for-profit LLC ownership has kept quality measures decent while staffing lags.

Nurse hours

2.80 /day

Staff turnover

33%

Serious cites

0

Focused Care At Clarksville runs lean on nursing hours, 2.80 per resident day against a national average of 3.86, roughly 28% below, and weekends dip about 13% below its own weekday staffing, which matters when families visit and needs don't pause. Turnover at 32.6% is actually better than the 45.8% national figure, so the concern isn't retention; it's raw coverage. The inspection record shows 32 deficiencies, including one at harm or jeopardy level and three tied to abuse, though the most recent inspection was February 2026 and fines total just $5,211. Quality measures score well, but staffing is where the numbers get thin for a 120-bed for-profit.

Nurse hours

5.80 /day

Staff turnover

74%

Serious cites

0

Twin Oaks Manor is a 40-bed hospital-district home in Booker, and the staffing numbers are genuinely strong: 5.80 nurse hours per resident day, about half again the national average. Weekends dip roughly 13% below weekdays, which is worth asking about, since that's often when families visit. The bigger concern is turnover, 74.1% versus 45.8% nationally, meaning most of the people caring for residents this year likely won't be there next year. Inspections look solid (4 of 5 stars, 12 deficiencies, none at harm level, none abuse-related) and the most recent visit was April 2025. Quality measure scores sit at 1 of 5, so ask what specifically is driving those.

Nurse hours

3.23 /day

Staff turnover

59%

Serious cites

0

Mesquite Tree runs on 3.23 nurse hours per resident day, roughly 16% under the national average, and weekends drop about 12% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.8%, well above the 45.8% national figure, which means the aides and nurses caring for your relative are often new to the building. The inspection record shows 25 deficiencies, including one at the harm level and one abuse-related, plus a $13,397 fine; the most recent inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are where the real story sits.