Seguin, TX · Guadalupe County
★★★★☆CMS 4/5113 bedsFor-profitMedicaid
- Nurse hours
- 3.66 /day
- Staff turnover
- 58%
- Serious cites
- 0
A 113-bed for-profit home in Seguin, Avir At Walnut Springs holds a strong recent inspection record, 14 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The weaker signal is staffing: 3.66 nurse hours per resident day sits about 5% under the national average of 3.86, weekend coverage drops roughly a fifth below its own weekday level, and annual turnover runs 57.7% against a national 45.8%. That combination, high marks from surveyors on health and quality measures, low marks from CMS on staffing, is worth understanding before you visit. Ask how the weekend schedule actually looks on the floor, and how long the current director of nursing has been in the role.
Stephenville, TX · Erath County
★★★★★CMS 5/546 bedsFor-profitMedicaid
- Nurse hours
- 2.77 /day
- Staff turnover
- n/a
- Serious cites
- 0
Stephenville Nursing And Rehabilitation sits in Erath County with 46 certified beds and a for-profit LLC structure. The paper record looks strong, five stars on health inspections and quality measures, no deficiencies at the harm level, nothing abuse-related, and a clean inspection as recent as December 2025. Nine total deficiencies exist, but none rose to jeopardy. Staffing is the weak spot: one star, meaning hours per resident fall well below what CMS expects. That's the tension here. Inspectors find little wrong, residents' clinical measures track well, yet the day-to-day caregiver presence isn't there in the numbers. For a family weighing a move, that staffing figure is the one worth asking about directly.
Paris, TX · Lamar County
★★☆☆☆CMS 2/5150 bedsGovernmentMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 33%
- Serious cites
- 0
Stillhouse Rehabilitation runs on thinner nursing coverage than most homes, 3.24 hours per resident day against a national average of 3.86, and weekends are leaner still, roughly 17% below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Turnover is a genuine bright spot at 32.8%, well under the 45.8% national figure, so the staff who are there tend to stay. But the inspection record carries 45 deficiencies, including one at the harm level and three tied to abuse, plus a $8,162 fine. As a hospital district facility, it answers to public ownership, which can mean more stable oversight.
San Antonio, TX · Bexar County
★★★★★CMS 5/5118 bedsGovernmentMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 37%
- Serious cites
- 0
Lakeside runs on leaner nurse staffing than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dropping about 19% below its own weekday level. That gap is what drives the low staffing score, even though turnover at 36.8% is better than the 45.8% national figure. The inspection record is more concerning than the stars suggest: 21 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus a $14,611 fine. A recent July 2025 inspection and strong quality measures don't cancel out three harm-level findings. Government hospital-district ownership hasn't kept the care problems off the record.
Alamo, TX · Hidalgo County
★★★★★CMS 5/5130 bedsFor-profitMedicaid
- Nurse hours
- 3.18 /day
- Staff turnover
- 39%
- Serious cites
- 0
The Heights of Alamo runs lean on direct care: 3.18 nurse hours per resident day against a national average of 3.86, with weekends dropping about 15% below its own weekday coverage. That thin weekend staffing matters most when residents need help and fewer hands are on the floor. Turnover sits at 38.9%, better than the 45.8% national figure, so the crew that is there tends to stay. Inspections in June 2025 produced a 4-star health rating and 5-star quality measures, but the record carries 12 deficiencies, including one at harm level and two tied to abuse, plus an $8,414 fine. Corporate-owned and for-profit, this is a home where care quality scores well while daily staffing is the weak point.
Odessa, TX · Ector County
★★★★☆CMS 4/590 bedsFor-profitMedicaid
- Nurse hours
- 3.92 /day
- Staff turnover
- 66%
- Serious cites
- 0
Parks Health Center sits in Odessa with 90 certified beds and a for-profit LLC owner that took over within the past year. The nurse staffing number looks fine on paper, 3.92 hours per resident day, just above the national average, but weekends run about 11% thinner than weekdays, and turnover is the real problem at 66.2% against a national 45.8%. That's a lot of new faces cycling through, and it's worth asking how they cover a weekend when someone calls in.
The inspection record is the stronger side: 14 deficiencies, none at harm or jeopardy level, nothing abuse-related, and the most recent survey was October 2024.
Pilot Point, TX · Denton County
★★★☆☆CMS 3/5108 bedsFor-profitMedicaid
- Nurse hours
- 3.57 /day
- Staff turnover
- 50%
- Serious cites
- 0
Cedar Ridge runs about 108 certified beds in Pilot Point under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.57 nurse hours per resident day, it sits roughly 7 percent below the national average, and weekends dip another 5 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is nearly 50 percent, above the national figure, meaning aides and nurses cycle through faster than average. The inspection record shows 35 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was April 2026, so the picture is relatively current.
Vernon, TX · Wilbarger County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.13 /day
- Staff turnover
- 49%
- Serious cites
- 0
Advanced Rehabilitation And Healthcare Of Vernon runs 120 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: 17 deficiencies on file but none at the harm or jeopardy level, none abuse-related, and a survey completed as recently as August 2025. Where it slips is staffing. At 3.13 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends run roughly 12 percent thinner than its own weekdays. Annual turnover of 49 percent tops the national figure of 45.8. So you have a home that inspects cleanly but depends on a thin, churning workforce to get there, worth asking about on a tour.
El Paso, TX · El Paso County
★★☆☆☆CMS 2/574 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 50%
- Serious cites
- 0
White Acres runs leaner than most. At 3.32 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 50% is higher than the 45.8% national figure, which means aides and nurses cycle through and familiarity suffers.
The inspection record shows 28 deficiencies, none at harm or jeopardy level, but one tied to abuse, and a single fine of $4,475. The last inspection was October 2024. Nonprofit ownership helps, and the 4/5 quality measure rating suggests residents' clinical outcomes hold up despite the staffing math.
Pittsburg, TX · Camp County
★★★★★CMS 5/5102 bedsGovernmentMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 70%
- Serious cites
- 0
Avir At Pittsburg runs 102 certified beds under a hospital district, and the numbers behind its record are mostly about people, not buildings. Its staffing rating sits at 1 out of 5, and the annual turnover rate is 70.2%, a little over half again the national average of 45.8%, which means the aides and nurses at the bedside keep changing. On the inspection side, there are 31 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, with two fines totaling $106,438; the last inspection was February 11, 2026. The 5/5 quality measure rating stands out, but quality measures are largely self-reported, and it's hard to separate that from the staffing picture.
Bremond, TX · Robertson County
★★☆☆☆CMS 2/582 bedsGovernmentMedicaid
- Nurse hours
- 3.56 /day
- Staff turnover
- 75%
- Serious cites
- 0
Bremond Nursing and Rehabilitation Center runs 82 certified beds under hospital district ownership in Robertson County. The staffing numbers are the part to watch: 3.56 nurse hours per resident per day sits about 8% under the national average, weekend coverage dips roughly 5% below its own weekday level, and annual turnover hits 75% against a national 45.8%. That churn matters more than any single shift count, since new aides rarely know residents' routines.
The inspection record shows 26 deficiencies, one serious enough to involve harm or jeopardy, plus a $24,369 fine; the last survey was August 2025. Quality measures score well, but the 2/5 inspection and staffing ratings point to a home where care depends heavily on who happens to be working that day.
Elkhart, TX · Anderson County
★★★☆☆CMS 3/598 bedsGovernmentMedicaid
- Nurse hours
- 3.38 /day
- Staff turnover
- 54%
- Serious cites
- 0
Avir At Elkhart runs 98 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.38 hours per resident per day, roughly 13% under the national average of 3.86. Weekends drop another 13% below its own weekday level, which matters because that's often when families visit and when problems surface. Staff turnover is 54.3%, well above the 45.8% national figure, so caregivers are cycling through faster than average. The current record shows 26 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $65,397 fine. Its last inspection was April 9, 2025. Ask about weekend coverage and how they screen staff before you decide.
Carthage, TX · Panola County
★★★☆☆CMS 3/5108 bedsFor-profitMedicaid
- Nurse hours
- 2.97 /day
- Staff turnover
- 46%
- Serious cites
- 0
Panola County Nursing & Rehabilitation runs on 2.97 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 13% below its own weekday staffing. That lands the home at 2 out of 5 stars on CMS staffing, though its inspection and quality measure ratings both sit at 3. Turnover is 46.3%, essentially matching the national 45.8%. The current record shows 34 deficiencies, none at harm or jeopardy level, one abuse-related, with the most recent inspection in August 2025.
Devine, TX · Medina County
★★★★★CMS 5/596 bedsFor-profitMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 86%
- Serious cites
- 0
Devine Health & Rehabilitation runs on thin staffing relative to what most Texas homes provide, 3.33 nurse hours per resident per day against a national average of 3.86. The bigger concern is who's left to cover those hours: annual turnover of 86.2% means most of the nursing staff from a year ago is gone, and weekend coverage dips even further below the weekday level. A five-star inspection record with 11 deficiencies and nothing at the harm level shows this isn't a dangerous building. It's a home that passes review but struggles to keep enough consistent hands on deck, and that gap between inspection results and staffing is what holds it back.
Burnet, TX · Burnet County
★★★☆☆CMS 3/5112 bedsFor-profitMedicaid
- Nurse hours
- 3.02 /day
- Staff turnover
- 51%
- Serious cites
- 0
Avir At Burnet runs a 112-bed for-profit home where the people on the floor matter most, and the numbers there are thin: 3.02 nurse hours per resident per day against a national average of 3.86. Weekends drop roughly 9% below the home's own weekday staffing, and annual turnover sits at 51.2%, above the 45.8% national figure, so the aide helping your mother on a Sunday is likelier than average to be new. Inspections are a different story, a recent April 2026 survey, a 4/5 health inspection rating, and 13 deficiencies with none at harm or jeopardy level and no abuse citations. Ask what weekend coverage actually looks like on the shift you'd visit.
Snyder, TX · Scurry County
★★☆☆☆CMS 2/580 bedsFor-profitMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 67%
- Serious cites
- 0
Avir At Snyder runs 80 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage, so the thinnest hours come when families are most likely to visit. Annual turnover of 67.4% is well above the 45.8% national figure, which means caregivers are cycling through constantly. The inspection record shows 26 deficiencies, including four tied to abuse and two at the harm level, with a $15,631 fine and a survey as recent as January 2026. Strong quality-measure scores don't offset a 1-out-of-5 staffing rating and a 2-out-of-5 inspection rating.
Corpus Christi, TX · Nueces County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.15 /day
- Staff turnover
- 61%
- Serious cites
- 0
Avir At River Ridge runs on 3.15 nursing hours per resident day, roughly 18% below the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows up in turnover: 60.9% of nurses left over the past year, against a national average of 45.8%. The inspection record is the harder problem, 29 deficiencies, three serious enough to threaten resident harm, one tied to abuse, plus two fines totaling $22,932. Its last inspection was in January 2026. Quality measures score well, but that's largely self-reported data, while staffing and inspections are where the trouble sits. For-profit, limited liability ownership rounds out the picture.
Abilene, TX · Taylor County
★☆☆☆☆CMS 1/5188 bedsFor-profitMedicaid
- Nurse hours
- 3.28 /day
- Staff turnover
- 49%
- Serious cites
- 0
Avir At Coronado runs 188 beds in Abilene, and its nurse staffing sits at 3.28 hours per resident day, about 15% under the national average of 3.86. Weekends run roughly 11% leaner than weekdays already are, and nearly half the staff turns over each year, slightly worse than the 45.8% national rate. The inspection record is the harder reading: 44 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, with $184,619 in fines behind them. Quality measures score well, but that 2-out-of-5 inspection rating and an April 2026 survey tell you the day-to-day care side is where the problems live.
Kingsville, TX · Kleberg County
★★★★☆CMS 4/5120 bedsNon-profitMedicaid
- Nurse hours
- 3.49 /day
- Staff turnover
- 45%
- Serious cites
- 0
Kingsville Nursing and Rehabilitation Center runs on thinner staffing than most homes its size, 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below what the building manages Monday through Friday. That shortfall shows up in its federal staffing rating, which sits near the bottom of the scale, even though its inspection record is genuinely strong: 16 deficiencies on file, none at the harm level, and the most recent survey done in July 2025. Two abuse-related citations are worth asking about directly. Turnover at 45.2% tracks almost exactly with the national figure, so retention here isn't the problem, hours per resident are. Nonprofit ownership tends to mean steadier budgets, but that hasn't translated into more bedside time.
Houston, TX · Harris County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.22 /day
- Staff turnover
- 45%
- Serious cites
- 0
Park Manor Of South Belt runs 3.22 nursing hours per resident day, about 17 percent under the national average of 3.86, and weekends drop roughly 15 percent below its own weekday coverage. That thin staffing is the main reason its staffing rating sits at 2 out of 5 even though inspections and quality measures both come in at 4 out of 5. Turnover is 45.4 percent, basically level with the national figure. The current record shows 9 deficiencies, none at the harm level, though one is abuse-related. A June 2025 inspection means the picture is recent. For-profit limited liability ownership. Families should ask how weekend coverage is handled on the specific unit their relative would live on.