Houston, TX · Harris County
★★★★★CMS 5/560 bedsNon-profitMedicaid
- Nurse hours
- 0.41 /day
- Staff turnover
- 50%
- Serious cites
- 0
Clarewood House runs on a fraction of the nursing hours you'd expect. Its 0.41 hours per resident day sits far under the national average of 3.86, roughly a tenth of it, and that thin coverage is why the staffing rating lands at the bottom. Weekend staffing actually runs higher than its own weekday level, which is unusual and suggests the weekday numbers are the real problem. Turnover sits at 50%, a bit above the national 45.8%. The inspection record is clean where it counts: five deficiencies, none at harm or jeopardy level, no abuse findings, and the most recent look was December 2025. Quality measures score well. The gap between how this place documents care and how much staff it actually has is the thing to press on.
Rockwall, TX · Rockwall County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.49 /day
- Staff turnover
- 48%
- Serious cites
- 0
Highland Meadows runs about 120 beds in Rockwall under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average of 3.86, and weekends drop another 7 percent below what the home staffs on weekdays, so the coverage gaps aren't evenly spread across the calendar. Turnover runs 48.2 percent against a national 45.8 percent, meaning nearly half the nursing staff turns over in a year. On the plus side, the current record shows 13 deficiencies with none at harm or jeopardy level, and a recent inspection. One abuse-related deficiency is on file. Ownership changed within the last 12 months, which is worth asking about directly.
Socorro, TX · El Paso County
★★☆☆☆CMS 2/5126 bedsFor-profitMedicaid
- Nurse hours
- 3.63 /day
- Staff turnover
- 48%
- Serious cites
- 0
Las Ventanas De Socorro runs 126 certified beds under for-profit LLC ownership that changed hands within the past year, and the numbers show a building still finding its footing. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, thin margins on the days families tend to visit. The inspection record is the bigger concern: 47 deficiencies, including one at harm or jeopardy level and three tied to abuse, with a $8,827 fine and a February 2026 inspection as the most recent look. Staff turnover at 47.8% edges past the national rate, so the people providing care keep changing.
Farmersville, TX · Collin County
★★★★☆CMS 4/574 bedsFor-profitMedicaid
- Nurse hours
- 2.88 /day
- Staff turnover
- 47%
- Serious cites
- 0
Farmersville Health And Rehabilitation runs on thin staffing. At 2.88 nurse hours per resident day, it sits about 25% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels. That helps explain the 2-star staffing rating even as inspections came back clean: 5 stars, 13 deficiencies on record with none at the harm level. Three of those are abuse-related, worth asking about directly. Turnover is 47.1%, slightly above the 45.8% national figure. The corporate for-profit owner keeps 74 certified beds, and the most recent inspection was January 2025. Good survey results, light coverage on the floor.
Fort Worth, TX · Tarrant County
★★☆☆☆CMS 2/570 bedsFor-profit
- Nurse hours
- 4.36 /day
- Staff turnover
- 55%
- Serious cites
- 0
Ignite Medical Resort Fort Worth runs a for-profit, corporate-owned home with 70 certified beds, and the staffing numbers tell two stories. Total nurse coverage sits at 4.36 hours per resident day, about 13% above the national average, but weekends drop roughly 11% below its own weekday level, and turnover hits 54.5% against a national 45.8%. The inspection record is where things get serious: 44 deficiencies on file, 9 of them at harm or jeopardy level and 3 abuse-related, with six fines totaling $155,085 and the most recent inspection dated February 2026. A 5/5 quality measure rating sits alongside a 1/5 inspection rating and 2/5 for staffing, worth asking what that quality score actually reflects.
Burleson, TX · Johnson County
★★☆☆☆CMS 2/5121 bedsFor-profitMedicaid
- Nurse hours
- 3.36 /day
- Staff turnover
- 64%
- Serious cites
- 0
Advanced Rehabilitation & Healthcare Of Burleson runs 121 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national average of 3.86. Weekends thin out further, roughly 12 percent below the home's own weekday coverage. Staff turnover is 63.6 percent against a national 45.8 percent, which means a large share of caregivers are new to the building each year. The inspection record shows 28 deficiencies, two serious enough to involve harm or jeopardy, plus $17,804 in fines across two events. Quality measures score well, but staffing and inspection results are where the concerns concentrate.
San Antonio, TX · Bexar County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.04 /day
- Staff turnover
- 40%
- Serious cites
- 0
Silver Creek runs lean on nursing hours: 3.04 per resident day against a national average of 3.86, which is roughly a fifth less hands-on time than most homes provide. Weekends dip about 15% below the home's own weekday staffing, so coverage thins out right when families tend to visit. The inspection record is stronger than the staffing number suggests, 4 out of 5 stars, last surveyed in July 2025, with 20 deficiencies on file and none rising to actual harm, though one is abuse-related. Turnover at 39.7% beats the national 45.8%, which means caregivers stick around longer here. The Limited Liability ownership structure is worth knowing about, but the numbers themselves tell the larger story: stable staff, thin hours.
Yorktown, TX · De Witt County
★★★☆☆CMS 3/582 bedsFor-profitMedicaid
- Nurse hours
- 3.38 /day
- Staff turnover
- n/a
- Serious cites
- 0
Yorktown Nursing and Rehabilitation Center runs 82 certified beds under for-profit LLC ownership, and its inspection record is genuinely better than most, a four-star health inspection rating, 14 deficiencies with just one at the harm level and none tied to abuse. The problem sits with staffing, which CMS rates at one star. At 3.38 nurse hours per resident day, this home runs about 13% under the national average, and weekends drop roughly 14% below its own weekday numbers. One fine of $8,018 is on record, and the last inspection was February 2026. Families should ask how the weekend floor is actually covered, because that gap is where care gets thin.
Amarillo, TX · Potter County
★★★★★CMS 5/5102 bedsFor-profitMedicaid
- Nurse hours
- 3.14 /day
- Staff turnover
- n/a
- Serious cites
- 0
Amarillo Medical Lodge runs lean on nursing hours: 3.14 per resident day against a national average of 3.86, and weekends dip about 13% below its own weekday staffing. That gap is what drives its one-star staffing rating, even as inspections and quality measures both come back strong. The 13 deficiencies on record are all low-level, none involved harm or jeopardy, and none were abuse-related, and the most recent inspection was in March 2026, so the record is current. This is a for-profit LLC with 102 certified beds. Families should ask how the weekend schedule is covered and what the nurse-to-resident ratio looks like on a Saturday evening, because the inspection record won't show it.
De Leon, TX · Comanche County
★★★★★CMS 5/598 bedsGovernmentMedicaid
- Nurse hours
- 2.95 /day
- Staff turnover
- n/a
- Serious cites
- 0
Deleon Nursing and Rehabilitation is run by a hospital district, and its inspection record is genuinely strong, a 5/5 on health inspections with 14 deficiencies on file, none of them causing harm or involving abuse, and the most recent visit was in November 2025. The catch is on the floor: total nurse staffing sits at 2.95 hours per resident per day against a national average of 3.86, roughly a quarter less, and weekends run about 10% thinner than weekdays. Quality measures also score 5/5. So the picture is a home that documents care well and inspects cleanly, but asks families to weigh that against fewer nursing hours than most places provide.
Irving, TX · Dallas County
★★★★★CMS 5/584 bedsFor-profitMedicaid
- Nurse hours
- 3.31 /day
- Staff turnover
- 48%
- Serious cites
- 0
Avir At Irving holds up well on inspections, a four-star health inspection rating, no deficiencies at the harm or jeopardy level, and a recent survey from February 2026. The quality measures are strong too. Where the numbers get thinner is staffing: 3.31 nurse hours per resident day against a national average of 3.86, with weekends running about 17% below the home's own weekday level. Annual turnover sits at 48%, slightly above the national figure. Eighteen total deficiencies include two abuse-related citations, which is worth asking about directly. For-profit, LLC-owned, 84 beds. The care outcomes look solid on paper; the question is whether there are enough hands on weekends to keep them that way.
Laredo, TX · Webb County
★★★★☆CMS 4/5112 bedsNon-profitMedicaid
- Nurse hours
- 3.19 /day
- Staff turnover
- 37%
- Serious cites
- 0
Laredo South runs lean on the floor: 3.19 nurse hours per resident day, about 17 percent under the national average of 3.86, and weekends drop roughly another 18 percent below its own weekday coverage. That gap matters more than the headline numbers, because the home's 36.7 percent turnover is actually better than the 45.8 percent national rate, meaning staff tend to stay, but there aren't enough of them scheduled. Inspections are recent, July 2025, and the record shows 26 deficiencies, including one at the harm level and one tied to abuse, plus a single $8,021 fine. Nonprofit ownership and 4-star inspection and quality ratings give you something solid to work with. Ask directly how they cover weekends.
Pleasanton, TX · Atascosa County
★★★★☆CMS 4/588 bedsGovernmentMedicaid
- Nurse hours
- 2.78 /day
- Staff turnover
- 47%
- Serious cites
- 0
Pleasanton South runs on a government hospital district license with 88 certified beds, and the staffing numbers are the first thing to notice: 2.78 nurse hours per resident per day, roughly 28% under the national average, with weekends running about 23% below its own weekday level. That thin coverage shows up in the staffing star rating and in 47.3% annual turnover, slightly above the national rate. The inspection record carries 33 deficiencies, three at harm or jeopardy level and two abuse-related, plus $24,653 in fines; the most recent inspection was December 10, 2025. Quality measures score well, but a 3/5 inspection rating and low staffing tell you where the risk sits.
Gainesville, TX · Cooke County
★★★☆☆CMS 3/591 bedsFor-profitMedicaid
- Nurse hours
- 3.04 /day
- Staff turnover
- 49%
- Serious cites
- 0
Renaissance Care Center runs 91 beds in Gainesville under individual for-profit ownership, and the staffing numbers are where families should focus. At 3.04 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 16% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 49.1%, above the 45.8% national figure. The inspection record shows 29 deficiencies, three tied to abuse, though none rose to harm or jeopardy level; the most recent inspection was April 30, 2025. Quality measures score well, but that staffing figure is the thing to ask about directly.
Abilene, TX · Taylor County
★★☆☆☆CMS 2/589 bedsFor-profitMedicaid
- Nurse hours
- 3.45 /day
- Staff turnover
- n/a
- Serious cites
- 0
Mesa Springs runs 89 certified beds in Abilene under corporate for-profit ownership, and its staffing is the weak spot: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, with weekends dropping roughly 13% below its own weekday levels. The inspection record carries 33 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, plus a single $8,190 fine. Federal ratings split sharply here, three stars for health inspections, four for quality measures, but one for staffing. The most recent inspection was March 19, 2026. If you're weighing this one, ask directly how nurse coverage holds up on Saturday and Sunday.
La Vernia, TX · Wilson County
★★★★☆CMS 4/591 bedsGovernmentMedicaid
- Nurse hours
- 3.17 /day
- Staff turnover
- 39%
- Serious cites
- 0
Country Care Manor runs lean on the floor. At 3.17 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly another 21% below its own weekday pace, the gap families feel most on Saturday and Sunday. Turnover is the brighter spot: 38.5% against a national 45.8% means the staff who are there tend to stay, which matters for consistency even when the numbers are thin. On paper, inspections and quality measures both rate well, with no harm-level or abuse-related deficiencies among the 12 on record and $22,143 in fines across two events. A hospital district runs it, and the last inspection was recent.
Castroville, TX · Medina County
★★★☆☆CMS 3/5116 bedsFor-profitMedicaid
- Nurse hours
- 2.95 /day
- Staff turnover
- 38%
- Serious cites
- 0
Medina Valley runs lean on nurses: 2.95 hours per resident per day against a national average of 3.86, and weekends drop about 19% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at the bottom of the federal scale, even though annual turnover of 37.5% is actually better than the 45.8% national figure. Inspections look stronger, a recent visit in February 2026 and no deficiencies at the harm or jeopardy level, but the record still carries 36 total deficiencies, three of them abuse-related, which matters more than the clean severity finding suggests.
San Antonio, TX · Bexar County
★★★☆☆CMS 3/5119 bedsFor-profitMedicaid
- Nurse hours
- 3.23 /day
- Staff turnover
- 36%
- Serious cites
- 0
Mystic Park runs at 3.23 nurse staffing hours per resident per day, about 16 percent under the national average, and weekends drop roughly 18 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 35.6 percent, better than the 45.8 percent national figure, which suggests some stability in who's actually on the floor. The record also carries 22 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a single $111,121 fine. Inspectors last visited in April 2026. The quality measure score looks strong, but that's built from resident assessments, not direct observation of care, the staffing and inspection numbers tell a harder story.
Groves, TX · Jefferson County
★★★★☆CMS 4/5120 bedsGovernmentMedicaid
- Nurse hours
- 3.73 /day
- Staff turnover
- n/a
- Serious cites
- 0
Oak Grove Nursing Home runs on thin staffing. Its CMS staffing rating sits at 1 out of 5, meaning nurse hours per resident fall well below what most Texas homes report, and that's the number that shapes daily life, not the inspection sheet. The health inspection side looks better, a 4 out of 5 with 14 deficiencies on record and none at harm level, though three abuse-related citations are worth asking about directly. Quality measures come in at 2 out of 5. Government hospital district ownership is stable, and the most recent inspection was September 2025, so the record is current. Weigh the low staffing against the recent clean inspection before deciding.
Wichita Falls, TX · Wichita County
★★★★☆CMS 4/5144 bedsGovernmentMedicaid
- Nurse hours
- 3.15 /day
- Staff turnover
- 41%
- Serious cites
- 0
Senior Care Health & Rehabilitation Center in Wichita Falls runs on a government hospital district license and holds a five-star inspection record, with its most recent survey completed in February 2025. That inspection history is clean where it matters most: no deficiencies tied to harm or jeopardy, none related to abuse. Where the home falls short is staffing. At 3.15 nurse hours per resident day, it sits roughly 18% under the national average of 3.86, and weekend coverage drops another 16% below its own weekday levels, a real concern if your family visits or needs help on Saturdays and Sundays. Turnover at 40.7% is better than the 45.8% national figure, so the people who are there tend to stay.