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Here are 1,179 Nursing Homes in Texas

Every Medicare-certified nursing home in Texas, graded on inspections, staffing, turnover and enforcement history. 37 homes in the state sit in the federal Special Focus programme.

Homes

1,179

Certified beds

133,590

Avg CMS stars

2.7/5

Avg staff turnover

55%

Showing 341 to 360 of 1,179 homes

B

72/100

Immanuel's Healthcare

Fort Worth, TX · Tarrant County

CMS 3/584 bedsFor-profitMedicaid
Nurse hours
2.83 /day
Staff turnover
54%
Serious cites
0

Immanuel's Healthcare runs 84 certified beds in Fort Worth under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 2.83 nurse hours per resident day, it sits roughly 27% under the national average of 3.86, weekend coverage drops another 10% below its own weekday level, and turnover hits 53.8% against a national 45.8%. The inspection record shows 16 deficiencies, none at harm or jeopardy level, though three are abuse-related, with the most recent inspection in June 2025. Its quality measure score is perfect and inspections land middle of the pack, but one star on staffing tells you where the strain is. Ask about actual aide coverage on weekends before deciding.

B

72/100

Town Hall Estates - Arlington, Inc.

Arlington, TX · Tarrant County

CMS 2/5116 bedsNon-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
46%
Serious cites
0

Town Hall Estates Arlington is a 116-bed nonprofit home run by a church group, and its record is a study in mixed signals. The clinical quality measures look strong, but staffing sits at 3.84 nurse hours per resident day, just under the national average, and drops about 7% on weekends, with 46% annual turnover. The bigger concern is the inspection history: 31 deficiencies on the current record, three at harm or jeopardy level, one abuse-related, and two fines totaling $231,933, with the most recent inspection in July 2025. For a family weighing this one, ask hard questions about weekend coverage and how those harm-level findings were resolved.

B

72/100

Green Valley Healthcare And Rehabilitation Center

Fort Worth, TX · Tarrant County

CMS 1/5124 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
28%
Serious cites
0

Green Valley runs 124 beds under corporate ownership, and its inspection history is the hard part: 33 deficiencies on the current record, six of them serious enough to reach harm or jeopardy, plus three fines totaling just under $97,000. The last inspection was in April 2025, so that record is recent, not stale. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends run roughly 12% thinner than weekdays, which is when gaps tend to show. One genuine bright spot: turnover is 27.8%, well below the 45.8% national figure, so the people who are there tend to stay.

B

72/100

The Waterton Healthcare & Rehabilitation

Tyler, TX · Smith County

CMS 4/592 bedsGovernmentMedicaid
Nurse hours
3.38 /day
Staff turnover
51%
Serious cites
0

The Waterton is a hospital-district home in Tyler, and its inspection record is its strongest feature, a four-star health inspection rating, with the most recent visit in May 2026. But ten deficiencies sit on the current record, two of them serious enough to reach harm or jeopardy level, and CMS has fined the home twice for a combined $23,389. The bigger issue is the floor. At 3.38 nurse hours per resident day, staffing falls about 13 percent under the national average, weekend coverage drops roughly 11 percent below the home's own weekday level, and turnover runs near 51 percent against a national 45.8. A hospital district can bring stability that for-profit chains often can't, but the numbers here still point to a thin, churning direct-care staff.

B

72/100

The Heights On Huebner

San Antonio, TX · Bexar County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
43%
Serious cites
0

The Heights on Huebner runs on thinner staffing than most homes, 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the building staffs on weekdays. The two abuse-related deficiencies on record are worth asking about directly, even though none of the 18 total deficiencies rose to harm or jeopardy level, and the most recent inspection in January 2026 is recent enough to reflect current conditions. Turnover at 42.7% is slightly better than the 45.8% national figure, and inspection and quality measure ratings both came in at 4 out of 5. This for-profit corporate home's weak spot is clearly the day-to-day staffing number, not its survey history.

B

72/100

Wylie Oaks Healthcare And Rehabilitation

Wylie, TX · Dallas County

CMS 2/5106 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
33%
Serious cites
0

Wylie Oaks runs about 8% below the national average on nurse staffing, at 3.55 hours per resident day, and weekends dip roughly 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than average at 32.8%, meaning the aides and nurses you meet are more likely to still be there next year. The inspection record is the harder read: 28 deficiencies logged, two at harm or jeopardy level and two tied to abuse, with $58,390 in fines and a two-star health inspection rating. The most recent inspection was June 2025, so that picture is current, not stale.

B

72/100

The Harrison At Heritage

Fort Worth, TX · Tarrant County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
48%
Serious cites
0

The Harrison At Heritage runs on 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about another 12% below its own weekday staffing. That thin coverage sits behind a record of 31 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $65,529. Staff turnover is 47.7%, slightly worse than the 45.8% national figure, and the last inspection was December 2025. Quality measure scores look strong, but the inspection rating and the actual staffing numbers are what a family should weigh here.

B

72/100

Legacies Nursing And Rehabilitation

Hemphill, TX · Sabine County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
48%
Serious cites
0

Legacies Nursing And Rehabilitation runs 90 beds in Hemphill under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating with no deficiencies at the harm or jeopardy level and nothing abuse-related. The staffing side tells a different story. At 3.55 nurse hours per resident day, it sits about 8% under the national average, weekend coverage drops roughly 12% below its own weekday level, and turnover at 47.7% edges past the national figure. Twelve deficiencies appear on the current record, none serious. The last inspection was recent, in March 2026. Quality measures land at two stars, so care outcomes documented in the data aren't keeping pace with the clean inspections.

B

72/100

Stonemere Rehabilitation Center

Frisco, TX · Collin County

CMS 4/5136 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
34%
Serious cites
0

Stonemere runs 136 beds in Frisco under corporate ownership, and its last inspection was in April 2025, recent enough that the record reflects current conditions rather than years-old findings. The 20 deficiencies on file include none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.33 nurse hours per resident day sits about 14% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage dips when families tend to visit. Turnover, at 33.8%, actually beats the national 45.8%, a genuine plus. Inspection history grades well; day-to-day staffing is where the tradeoff shows.

B

72/100

The Shoal

Texas City, TX · Galveston County

CMS 5/5134 bedsFor-profitMedicaid
Nurse hours
3.68 /day
Staff turnover
52%
Serious cites
0

The Shoal runs 3.68 nurse hours per resident day, about 5% under the national average, and weekend coverage drops roughly 10% below what it manages on weekdays. Staff turnover sits at 52.3% against a national 45.8%, so the people around your family member keep changing. Its record shows 11 deficiencies, including one at the harm level and one tied to abuse, and the last inspection was April 25, 2025. The quality measures look strong, but those come from resident assessments the home reports, while the staffing and inspection ratings, 2 out of 5 each, come from independent review. That gap is worth asking about directly.

B

72/100

Hollymead

Flower Mound, TX · Denton County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
45%
Serious cites
0

Hollymead runs 112 certified beds in Flower Mound under corporate for-profit ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average, with weekends about 7% thinner than its own weekdays. Turnover lands at 45%, right around the national figure, so retention isn't the outlier here; the shortfall is day-to-day coverage. The current record shows 32 deficiencies, one serious enough to involve harm or jeopardy, none abuse-related, and a single fine of $9,110. Its last inspection was April 24, 2025, so the picture is reasonably current. Ask about weekend nurse coverage and what changed after that harm-level finding.

B

72/100

Park Manor Bee Cave

Bee Cave, TX · Travis County

CMS 1/5140 bedsGovernmentMedicaid
Nurse hours
3.07 /day
Staff turnover
49%
Serious cites
0

Park Manor Bee Cave is a hospital-district home with 140 beds, and its numbers point in two directions at once. The quality measures look good, but staffing runs about 3.07 nurse hours per resident day against a national average of 3.86, weekends drop roughly 14% below its own weekday levels, and turnover sits at 48.5%. The inspection record is the real concern: 36 deficiencies currently on file, 7 of them at the harm or jeopardy level, one abuse-related, and $19,608 in fines across two cases. The most recent inspection was September 2025, so that record is recent, not stale. Good clinical scores on paper don't offset thin weekend coverage and a serious deficiency history.

B

72/100

Lexington Medical Lodge

Farmersville, TX · Collin County

CMS 3/5128 bedsGovernmentMedicaid
Nurse hours
3.00 /day
Staff turnover
36%
Serious cites
0

Lexington Medical Lodge runs on 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 12% below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 1 out of 5, even though turnover at 35.8% is actually better than the 45.8% national figure, a stable crew working with fewer hands than most homes. The inspection side tells a different story: a 5/5 health inspection rating, 12 deficiencies on record with none at the harm or jeopardy level and none abuse-related, and a survey as recent as April 2025. This government hospital-district home passes its inspections cleanly; the open question is whether the daily staffing level matches what those inspections suggest.

B

72/100

The Brightpointe

Conroe, TX · Montgomery County

CMS 3/5150 bedsFor-profitMedicaid
Nurse hours
4.26 /day
Staff turnover
55%
Serious cites
0

The Brightpointe runs 150 certified beds in Conroe under corporate for-profit ownership, and its nurse staffing comes in at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That sounds solid until you notice weekends run about 12% lighter than weekdays, and turnover sits at 54.9% against a national 45.8%, so the people providing that care keep changing. The current inspection record carries 13 deficiencies, including three at the harm or jeopardy level and two tied to abuse, plus one fine of $21,037. The most recent inspection was July 9, 2025. Staffing beats the average on paper; the record behind it is what gives a family pause.

B

72/100

Carrara

Plano, TX · Collin County

CMS 4/5112 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
52%
Serious cites
0

The Plano home run by the hospital district is licensed for 112 beds and gets decent marks on health inspections and quality measures, 4 out of 5 stars on both, with its most recent inspection in May 2025. Where it slips is staffing: 3.70 nurse hours per resident day sits about 4% under the national average, weekends run roughly 10% thinner than weekdays, and turnover hits 51.8% against a national 45.8%. Twenty deficiencies are on the current record, three serious enough to reach harm or jeopardy level, though none involve abuse, and fines total just over $10,000. The care picture looks steadier than the workforce holding it together.

B

72/100

Las Alturas Nursing & Transitional Care

Laredo, TX · Webb County

CMS 3/5138 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
49%
Serious cites
0

Las Alturas runs 3.13 nurse hours per resident per day, about 19% under the national average, and the gap widens on weekends, when staffing drops roughly 13% below its own weekday level. That thin coverage is the main reason its staffing rating sits at 1 out of 5 even though quality measures score 5 out of 5, those measures reflect clinical outcomes, not how many hands are on the floor. The 22 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and turnover at 49.2% means nearly half the nursing staff leaves within a year. The last inspection was February 2026.

B

72/100

Starr County Nursing And Transitional Care

Rio Grande City, TX · Starr County

CMS 4/5120 bedsGovernmentMedicaid
Nurse hours
2.99 /day
Staff turnover
43%
Serious cites
0

Starr County Nursing And Transitional Care runs on thin nursing hours, 2.99 per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home itself staffs on weekdays. Turnover sits at 42.7%, a bit better than the 45.8% national figure, and the home is government-owned through a hospital district. Inspections look strong on paper: 4 of 5 stars, most recent visit January 13, 2026, and 27 deficiencies with none rising to harm or jeopardy. Three abuse-related citations are on the record, though. The staffing gap is what pulls this home's overall standing down.

B

71.5/100

Mccamey Convalescent Center

Mccamey, TX · Upton County

CMS 2/530 bedsGovernmentMedicaid
Nurse hours
3.85 /day
Staff turnover
n/a
Serious cites
0

Mccamey Convalescent Center is a 30-bed hospital-district home, which means it answers to local government rather than a chain. Its total nurse staffing of 3.85 hours per resident day sits essentially right at the national average of 3.86, but weekends drop about 10% below its own weekday coverage, worth asking about if your family visits or needs help on Saturdays and Sundays. The health inspection side looks solid, with a 4-out-of-5 star rating and a recent survey completed in December 2025, and none of its 14 deficiencies rose to the harm or jeopardy level. One is abuse-related, though, and the quality measure and staffing star ratings both come in at 1 out of 5.

B

71.5/100

Parklane West Healthcare Center

San Antonio, TX · Bexar County

CMS 1/5124 bedsGovernmentMedicaid
Nurse hours
3.74 /day
Staff turnover
63%
Serious cites
0

Parklane West runs on thin nursing coverage, 3.74 hours per resident day, a bit under the national average, and weekends drop about 17% below what the home staffs on weekdays. That gap matters when someone falls on a Sunday. Annual turnover sits at 63.4% against a national 45.8%, so the aides and nurses caring for your family member are likely newer than the building itself. The record shows 64 deficiencies, none at harm level but one tied to abuse, and the last inspection was May 2025. The hospital district ownership is a steadying factor, and resident outcomes score well even as the staffing and inspection ratings sit at the bottom.

B

71.5/100

Rose Haven Retreat

Atlanta, TX · Cass County

CMS 4/5108 bedsFor-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
62%
Serious cites
0

Rose Haven Retreat carries a government-hospital-district ownership, and its 108 certified beds get more nursing time than most: 4.53 hours per resident day, roughly 17 percent above the national average of 3.86. That staffing edge is real, but weekends run about 16 percent leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Turnover sits at 62.3 percent against a national 45.8 percent, meaning the people at the bedside change often. The current record lists 33 deficiencies, including one at the harm level and two tied to abuse, with $8,281 in fines. The last inspection was May 7, 2025.

Before you shortlist in Texas