Houston, TX · Harris County
★★★★★CMS 5/5120 bedsGovernmentMedicaid
- Nurse hours
- 4.08 /day
- Staff turnover
- 33%
- Serious cites
- 0
Richard A. Anderson, the state veterans home in Houston, runs nurse staffing at 4.08 hours per resident day, about 6% above the national average, and its 33.3% turnover is well below the 45.8% typical elsewhere. Weekend coverage does dip roughly 11% below weekday levels, so ask how that plays out on Saturdays. The record shows 14 deficiencies, one at the harm level and one abuse-related, plus a single $14,730 fine; the most recent inspection was September 2025. State-run ownership and strong quality and staffing ratings sit alongside that deficiency history, which is what pulls the overall picture down despite the numbers that look good on paper.
Andrews, TX · Andrews County
★★★★★CMS 5/5112 bedsGovernmentMedicaid
- Nurse hours
- 5.63 /day
- Staff turnover
- 35%
- Serious cites
- 0
Permian Residential Care Center is county-owned and staffed well above average, 5.63 total nurse hours per resident day against a national 3.86. Weekend coverage dips about 15% below its own weekday level, which is common but worth knowing if you'll be visiting Saturdays. Staff turnover sits at 34.9%, lower than the 45.8% national rate, and its last inspection was recent, December 2025. That inspection history isn't spotless: 8 deficiencies on record, one serious enough to reach harm or jeopardy level, plus a single fine of $20,865. The staffing and inspection star ratings both come in at 5, while quality measures land at 3.
Denton, TX · Denton County
★★★★☆CMS 4/560 bedsFor-profitMedicaid
- Nurse hours
- 3.97 /day
- Staff turnover
- 44%
- Serious cites
- 0
Lake Forest Village By Purehealth runs 60 certified beds in Denton under for-profit LLC ownership. Nurse staffing sits at 3.97 hours per resident day, modestly above the national average of 3.86, though weekends dip roughly 14% below the home's own weekday coverage, so the aide or nurse you reach on a Saturday may be stretched thinner than on a Tuesday. The 44.2% annual turnover roughly tracks the national 45.8% rate. Twelve deficiencies appear on the current record with none at harm or jeopardy level and none abuse-related; the most recent inspection was September 2025, so the picture is current. CMS gives 5 of 5 stars on quality measures, 4 of 5 on staffing, and 3 of 5 on health inspections.
Denver City, TX · Yoakum County
★★★★★CMS 5/560 bedsGovernmentMedicaid
- Nurse hours
- 5.19 /day
- Staff turnover
- 40%
- Serious cites
- 0
Shinnery Oaks runs on nurse staffing of 5.19 hours per resident day, about a third more than the national average, and it shows in the metrics: five stars for staffing, five for health inspections, four for quality measures. Weekend coverage dips only modestly below weekdays, so care doesn't thin out as much as it does at many homes. Staff turnover sits at 39.7%, better than the national figure, which matters for whether residents see the same faces. The caution is in the record: ten deficiencies, one serious enough to involve harm or jeopardy, and a $26,120 fine. County-owned, sixty beds, inspected as recently as December 2025.
Dallas, TX · Dallas County
★★★★★CMS 5/554 bedsNon-profitMedicaid
- Nurse hours
- 5.71 /day
- Staff turnover
- 33%
- Serious cites
- 0
The Legacy Midtown Park in Dallas runs a tight ship on the things that matter most: 5.71 nurse staffing hours per resident day, roughly half again the national average, with weekend coverage dipping only about 9% below weekdays. Staff turnover sits at 33.3% against a national 45.8%, so the people caring for residents tend to stay. Inspections back that up, the most recent, in September 2025, produced six deficiencies, none at harm or jeopardy level, though one was abuse-related. Four fines totaling $27,523 have accumulated on the record. As a nonprofit with 54 beds, it's small enough that problems don't hide easily, and the inspection history suggests few serious ones have.
Robert Lee, TX · Coke County
★★★★★CMS 5/570 bedsGovernmentMedicaid
- Nurse hours
- 3.73 /day
- Staff turnover
- 26%
- Serious cites
- 0
Robert Lee Care Center is a 70-bed hospital-district home, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.73 hours per resident day, roughly 3% under the national average, and weekends run about 9% lighter than weekdays, so coverage does thin out on Saturdays and Sundays. What stands out instead is retention: turnover is 25.6%, well below the national 45.8%, meaning the people caring for residents tend to stay. The inspection record shows 11 deficiencies with none at the harm level and none abuse-related, and the most recent survey was in late 2025.
Perryton, TX · Ochiltree County
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 4.08 /day
- Staff turnover
- 33%
- Serious cites
- 0
Capstone Healthcare Of Perryton runs on 4.08 nurse hours per resident day, roughly 6% above the national average, and its staff retention is a real bright spot: 33.3% turnover against a national 45.8%. Weekend coverage drops about 14% below weekday levels, so ask how that plays out on Saturdays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level, with one abuse-related finding, worth asking about directly. A 2025-04-09 inspection means the record is recent. Corporate, for-profit ownership, 60 beds. The staffing numbers and retention carry this home; the abuse citation and weekend dip are the two things to press on.
Dallas, TX · Dallas County
★★★☆☆CMS 3/544 bedsNon-profitMedicaid
- Nurse hours
- 4.29 /day
- Staff turnover
- 31%
- Serious cites
- 0
Continuing Care At Highland Springs runs 44 certified beds as a nonprofit, and its staffing is a genuine bright spot: 4.29 nurse hours per resident day, roughly 11% above the national average, with weekend coverage dipping about 10% below its own weekday levels. Turnover sits at 31.4%, well under the 45.8% national figure, so the people caring for residents tend to stay. The friction is on the inspection side, 17 deficiencies on record, two of them serious enough to reach harm or jeopardy, plus one $46,105 fine, with the most recent inspection in September 2025. That combination of strong daily staffing and a troublesome survey history is what pulls the overall picture down.
Cuero, TX · De Witt County
★★★★☆CMS 4/598 bedsFor-profitMedicaid
- Nurse hours
- 4.06 /day
- Staff turnover
- 37%
- Serious cites
- 0
Whispering Oaks runs on more nursing hours than the typical American home, about 4.06 per resident per day, roughly 5% above the national figure, and its staff turnover of 36.6% is notably better than the 45.8% norm, which matters for continuity of care. The tradeoffs are thinner weekend coverage, about 15% below its own weekday level, and a deficiency record of 27 findings, one of them serious enough to involve harm or jeopardy. Inspectors were last on site in July 2025. This is a for-profit LLC with a decent recent inspection history but a real pile of past citations to weigh.
San Antonio, TX · Bexar County
★★★★★CMS 5/591 bedsNon-profit
- Nurse hours
- 4.19 /day
- Staff turnover
- 40%
- Serious cites
- 0
Nurse staffing here runs about 4.19 hours per resident per day, roughly 8% above the national average, and the health inspection and quality measure ratings both come in at 5 out of 5. Weekend coverage drops about 16% below the home's own weekday level, though, so care can look thinner on Saturdays and Sundays than the weekday numbers suggest. Staff turnover sits at 40%, a bit better than the 45.8% national figure. The current record shows 18 deficiencies, none at the harm or jeopardy level, but two tied to abuse, which is worth asking about directly.
El Paso, TX · El Paso County
★★★★☆CMS 4/580 bedsFor-profitMedicaid
- Nurse hours
- 4.79 /day
- Staff turnover
- 45%
- Serious cites
- 0
The Center at Zaragoza runs 4.79 nursing hours per resident per day, about a quarter more than the national average, which is the number that matters most when you're weighing care. Weekend staffing drops roughly 16% from weekday levels, so ask how that plays out on Saturdays and Sundays. Turnover sits at 44.7%, essentially at the national average, and the home has 31 deficiencies on record, none at harm or jeopardy level, none abuse-related. Its last inspection was July 2025, so the picture is current. Quality measures score 5/5 and inspections 3/5 under a for-profit corporate owner.
San Antonio, TX · Bexar County
★★★★☆CMS 4/5147 bedsNon-profitMedicaid
- Nurse hours
- 3.60 /day
- Staff turnover
- 16%
- Serious cites
- 0
Morningside Manor runs on a non-profit model with 147 beds, and the numbers show a stable operation. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends dip roughly 4% below its own weekday levels, worth knowing if your family visits mostly on Saturdays and Sundays. What stands out is turnover: 15.8% against a national average of 45.8%, which suggests caregivers here tend to stay. The inspection record shows 26 deficiencies, none at harm or jeopardy level, though one is abuse-related. State inspectors were last in on August 7, 2025, so the picture is current.
Paris, TX · Lamar County
★★★★★CMS 5/598 bedsFor-profitMedicaid
- Nurse hours
- 3.04 /day
- Staff turnover
- 41%
- Serious cites
- 0
Avir At Paris runs 98 certified beds under corporate ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. That gap widens on weekends, when coverage drops about 10% below the home's own weekday level. Turnover is 40.7%, a bit better than the 45.8% national figure, but the inspection record carries 40 deficiencies, including five at the harm or jeopardy level and four tied to abuse, plus one fine of $136,756. The most recent inspection was December 2025. Strong marks on inspections and quality measures don't erase what those staffing hours and deficiency counts mean day to day.
Dumas, TX · Moore County
★★★★★CMS 5/546 bedsGovernmentMedicaid
- Nurse hours
- 4.59 /day
- Staff turnover
- n/a
- Serious cites
- 0
Memorial Nursing And Rehabilitation Center in Dumas runs on 4.59 total nurse hours per resident day, roughly 19% above the national average of 3.86, and weekend coverage drops about 20% from its own weekday level. That gap matters if you're looking at a Saturday admission or a family member who needs help on Sundays. The current record shows five deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in June 2025. Hospital district ownership means public accountability rather than a chain's bottom line.
Houston, TX · Harris County
★★★★★CMS 5/542 bedsNon-profit
- Nurse hours
- 4.32 /day
- Staff turnover
- 31%
- Serious cites
- 0
Parkway Place runs about 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 31% sits well below the 45.8% typical elsewhere, both real strengths. The trade-off shows up in its inspection record: 18 deficiencies, three of them serious enough to involve harm or jeopardy, plus a $45,741 fine. The last inspection was recent, in May 2025. With 42 beds and nonprofit ownership, this is a small home where consistent staffing helps, but the harm-level findings and the fine are the kind of thing worth asking about directly before you decide.
Houston, TX · Harris County
★★★★☆CMS 4/592 bedsNon-profit
- Nurse hours
- 5.66 /day
- Staff turnover
- 30%
- Serious cites
- 0
The Buckingham runs 5.66 nurse hours per resident day, roughly 47% above the national average, and its turnover of 30.3% sits well below the 45.8% norm, that combination usually signals a home that can actually keep the aides and nurses it hires. Weekends thin out about 14% against its own weekdays, so if you're visiting or calling on a Saturday, expect a lighter floor. The softer numbers are on the record itself: 25 deficiencies, two of them serious enough to reach harm or jeopardy, plus $32,418 in fines across three penalties. Quality measure scores land at 2 of 5, and the last inspection was August 2025. Staffing is the strong suit; the compliance history is what's weighing things down.
Lufkin, TX · Angelina County
★★★★★CMS 5/551 bedsNon-profitMedicaid
- Nurse hours
- 4.72 /day
- Staff turnover
- 52%
- Serious cites
- 0
Pinecrest runs a nonprofit home with 51 beds in Lufkin, and the staffing numbers are the strongest part of the picture: 4.72 nurse hours per resident day, about 22% above the national average, which is a real cushion when someone needs help at 2 a.m. Weekends dip roughly 8% below its own weekday level, so ask how that plays out on Sundays. Turnover sits at 51.5% against a national 45.8%, meaning aides and nurses cycle through faster than average even with the generous hours. The current record shows 11 deficiencies, none at harm level and none abuse-related; the last inspection was June 2025, so the findings are recent, not stale.
Pasadena, TX · Harris County
★★★★★CMS 5/530 bedsFor-profit
- Nurse hours
- 6.90 /day
- Staff turnover
- n/a
- Serious cites
- 0
Hca Houston Healthcare Southeast runs a small 30-bed unit in Pasadena under corporate for-profit ownership, and the staffing numbers stand out: about 6.90 nurse hours per resident day, roughly 79% above the national average of 3.86. That is a lot of nursing time for a home this size. Weekend coverage drops about 18% below its own weekday level, which is worth asking about if your family visits or calls primarily on Saturdays and Sundays. The current record shows zero deficiencies, none at the harm or jeopardy level, and no abuse-related citations, with the last inspection dated April 12, 2024.
Wichita Falls, TX · Wichita County
★★★★★CMS 5/5234 bedsGovernmentMedicaid
- Nurse hours
- 3.93 /day
- Staff turnover
- 41%
- Serious cites
- 0
Texhoma Christian Care Center runs 234 beds in Wichita Falls under hospital district ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, though weekend coverage drops roughly 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 41.1%, better than the national 45.8%, which suggests people tend to stay. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean five-star health inspection and an inspection as recent as December 2025. The weaker spot is staffing star rating at three.
San Antonio, TX · Bexar County
★★★★☆CMS 4/5107 bedsFor-profitMedicaid
- Nurse hours
- 3.34 /day
- Staff turnover
- 23%
- Serious cites
- 0
St. Francis runs a tight ship on retention, 22.9% turnover is roughly half the national rate, which means the aides and nurses you meet on Monday are likely still there in six months. That consistency matters more than headline numbers when you're trusting strangers with daily care.
The tradeoff shows up in hours: 3.34 nurse staffing hours per resident day, about 14% under the national average, and weekends dip roughly 4% below the home's own weekday level. State inspectors last visited in January 2026 and logged 20 deficiencies, two serious enough to involve harm or jeopardy.
The building is corporate-owned and has solid inspection and quality marks, but the staffing number is the one to ask about on your tour.