Bellville, TX
· Austin County
★★★★☆
CMS 4/5
85 beds
For-profit
Medicaid
- Nurse hours
-
2.92
/day
- Staff turnover
-
48%
- Serious cites
-
0
Avir At Bellville runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 15% below its own weekday coverage. That thin margin is the main story behind its staffing rating of 1 out of 5, and with turnover at 47.5%, slightly above the national 45.8%, the home is regularly refilling positions. The good news is real: a 4/5 inspection rating, a clean record with no harm-level or abuse deficiencies among the 31 cited, and a recent May 2026 inspection. But a corporation-owned home with this few hands on deck asks families to watch the evening and weekend shifts closely.
Pleasanton, TX
· Atascosa County
★★★★☆
CMS 4/5
100 beds
Government
Medicaid
- Nurse hours
-
3.42
/day
- Staff turnover
-
41%
- Serious cites
-
0
The Heights of Atascosa runs lean on nursing hours: 3.42 per resident day against a national average of 3.86, and weekends drop about 16 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems tend to surface. Turnover sits at 41.2 percent, slightly better than the national 45.8 percent, so the staff who are there tend to stay. Inspections look stronger, a 4/5 health inspection rating and no deficiencies at the harm or jeopardy level, though one abuse-related citation appears on the current record among 16 total. The last inspection was in May 2025. The staffing star rating of 2/5 is the weak point; quality measures score 4/5.
Temple, TX
· Bell County
★★★★★
CMS 5/5
130 beds
For-profit
Medicaid
- Nurse hours
-
3.75
/day
- Staff turnover
-
52%
- Serious cites
-
0
Cornerstone Gardens is a 130-bed for-profit home in Temple, and its numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident per day, slightly under the national average, with weekends running about 20% lighter than weekdays, a gap families often feel when they visit Saturday or Sunday. Staff turnover is 51.5%, meaning roughly half the caregivers change out over a year, well above the national rate of 45.8%.
On paper the quality measures look decent, but 15 deficiencies on the current record, two of them at harm or jeopardy level, and one $15,757 fine are the harder facts. The last inspection was May 2025, so the record is fairly current. If you're considering this home, ask specifically about weekend coverage and how they've addressed those harm-level findings.
Caldwell, TX
· Burleson County
★★★☆☆
CMS 3/5
90 beds
For-profit
Medicaid
- Nurse hours
-
3.30
/day
- Staff turnover
-
—
- Serious cites
-
0
Copperas Hollow runs 90 certified beds in Caldwell under corporate ownership, and the staffing numbers are the first thing to notice. At 3.30 nurse hours per resident per day, it sits about 15 percent under the national average of 3.86, and weekends drop roughly 9 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 24 deficiencies on record, two of them at harm or jeopardy level, include two fines totaling $49,901, though none involve abuse. The quality measure rating of 5/5 stands out against a staffing rating of 1/5, which is worth asking about directly.
Houston, TX
· Harris County
★★★☆☆
CMS 3/5
124 beds
For-profit
Medicaid
- Nurse hours
-
3.24
/day
- Staff turnover
-
55%
- Serious cites
-
0
Copperfield Healthcare and Rehabilitation runs 124 certified beds in Houston under corporate for-profit ownership, and its staffing is the first thing to look at: 3.24 nurse hours per resident per day, roughly 16% under the national average. Weekends drop about 15% below its own weekday level, and annual turnover sits at 55% against a national 45.8%, so the aides and nurses who remain are stretched thinner on Saturdays and Sundays.
The inspection record backs that up: 28 deficiencies, three of them at harm or jeopardy level, and a two-star health inspection rating despite strong quality measure scores. One fine of $23,029 is on file, with the last inspection dated September 2025. The low staffing rating tells you where the risk sits.
San Antonio, TX
· Bexar County
★★★★☆
CMS 4/5
124 beds
For-profit
Medicaid
- Nurse hours
-
3.41
/day
- Staff turnover
-
45%
- Serious cites
-
0
Pecan Valley runs a 124-bed corporate-owned building where the aide and nurse hours per resident sit around 3.41 a day, roughly 12% under the national figure, and weekends get thinner still, about a fifth lighter than weekdays. That gap matters more than the turnover rate, which at 45.2% is basically the national norm. What stands out is the shape of the record: a five-star quality measure score sitting on top of a one-star staffing score, with 25 deficiencies logged and one serious enough to involve harm. The last inspection was January 30, 2026, so the picture is current rather than stale. If you're weighing this one, ask how they cover weekends and what that harm-level citation involved.
Kyle, TX
· Hays County
★★★☆☆
CMS 3/5
126 beds
For-profit
Medicaid
- Nurse hours
-
3.38
/day
- Staff turnover
-
38%
- Serious cites
-
0
Legend Oaks-Kyle runs on thinner nursing coverage than most homes, 3.38 hours per resident day against a national average of 3.86, with the gap widening on weekends, when staffing drops about 19% below its own weekday level. That pattern matters for a 126-bed building, because fewer hands on Saturdays and Sundays is when falls and missed care tend to happen. Turnover at 38.1% is actually better than the 45.8% national figure, so the problem isn't retention so much as how many nurses are scheduled in the first place. The inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, with a $8,278 fine. Inspectors last visited in December 2025.
Seguin, TX
· Guadalupe County
★☆☆☆☆
CMS 1/5
115 beds
Government
Medicaid
- Nurse hours
-
3.39
/day
- Staff turnover
-
—
- Serious cites
-
0
River Bend Healthcare runs on thinner nursing coverage than most homes in the country, 3.39 hours per resident day against a national average of 3.86, and weekends drop roughly 13% below what the building staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. The inspection record shows 49 deficiencies, including two at the harm level and two tied to abuse, with $18,225 in fines across two cases; the last survey was February 13, 2026. It's a hospital-district-owned home, which can mean steadier public oversight but doesn't change what the numbers say about daily coverage. The quality measure score runs high, yet staffing sits at the bottom of the federal scale.
Hearne, TX
· Robertson County
★★★☆☆
CMS 3/5
80 beds
For-profit
Medicaid
- Nurse hours
-
3.07
/day
- Staff turnover
-
—
- Serious cites
-
0
Crossroads Nursing & Rehabilitation runs on 3.07 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 15% below what the home itself staffs on weekdays. That thin coverage is the main reason its staffing rating sits at the bottom of CMS's scale, even though its quality measure score is perfect and its inspection record shows 30 deficiencies with none at the harm or jeopardy level and none abuse-related. The last inspection in December 2025 was recent. For-profit corporate ownership out of Hearne, 80 beds. Families should ask who is actually on the floor on Saturday and Sunday.
New Braunfels, TX
· Comal County
★★★☆☆
CMS 3/5
128 beds
For-profit
Medicaid
- Nurse hours
-
3.58
/day
- Staff turnover
-
47%
- Serious cites
-
0
Sundance Inn runs 128 certified beds in New Braunfels under corporate for-profit ownership, and its nursing hours sit at 3.58 per resident day, about 7% under the national average of 3.86, with weekend coverage dropping roughly 17% below what the home staffs on weekdays. The inspection record is the bigger concern: 27 deficiencies, two of them serious enough to involve harm or jeopardy, four tied to abuse. Staff turnover lands at 47.1%, slightly above the 45.8% national figure, and the most recent inspection came in August 2025. Quality measures score well, but staffing and inspection results tell a different story about day-to-day conditions.
Brownsville, TX
· Cameron County
★★★☆☆
CMS 3/5
122 beds
For-profit
Medicaid
- Nurse hours
-
3.31
/day
- Staff turnover
-
—
- Serious cites
-
0
Las Alturas runs on 3.31 nurse hours per resident day, about 14% under the national average, and weekends drop roughly another 11% below its own weekday staffing. That thin coverage is what pulls its staffing rating down to 1 out of 5 stars, even though state inspectors gave it 4 out of 5 on health inspections and 4 out of 5 on quality measures. The current record shows 13 deficiencies, one serious enough to reach harm or jeopardy level, none tied to abuse, plus a single fine of $8,434. A recent July 2025 inspection means the picture is current, not stale. The split here is real: care processes look decent, but the daily nurse hours behind them are below what most homes provide.
Dallas, TX
· Dallas County
★★★☆☆
CMS 3/5
150 beds
For-profit
Medicaid
- Nurse hours
-
2.62
/day
- Staff turnover
-
—
- Serious cites
-
0
Southern Oaks runs lean on nursing staff, 2.62 hours per resident per day against a national average of 3.86, roughly a third less. Weekends dip about 5% below its own weekday level, so the thinnest coverage lands when families tend to visit. The 21 deficiencies on record don't include any at the harm or jeopardy level and none tied to abuse, which matters. The trade-off shows up elsewhere: strong quality measures, middling inspections, and staffing that pulls the overall picture down. State surveyors were last in the building in September 2025, so the inspection record is recent. Ask what the direct-care aide-to-resident ratio looks like on a Sunday afternoon.
Houston, TX
· Harris County
★☆☆☆☆
CMS 1/5
134 beds
Non-profit
Medicaid
- Nurse hours
-
3.07
/day
- Staff turnover
-
36%
- Serious cites
-
0
Sharpville Residence runs lean on nursing hours, 3.07 per resident day, roughly a fifth below the national figure, and weekends dip about 8% below its own weekday coverage, which is when gaps tend to show up. Turnover works in its favor: 35.9% against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Its inspection record backs that up, with 12 deficiencies on file, none involving harm or abuse, and one fine of $8,431. The hospital district ownership and a clean June 2024 inspection suggest steady management. Go in asking how the weekend floor actually gets covered.
Lufkin, TX
· Angelina County
★★★☆☆
CMS 3/5
140 beds
Government
Medicaid
- Nurse hours
-
3.14
/day
- Staff turnover
-
55%
- Serious cites
-
0
Parkwood In The Pines runs on thin staffing: 3.14 nurse hours per resident day, about 19% under the national average, and weekends drop roughly 11% below its own weekday levels. That gap shows up in the federal staffing rating, which sits at 1 out of 5 stars, while annual turnover of 54.6% means more than half the nursing staff leaves each year. The inspection record carries 32 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $21,473. Quality measures score 5 stars, but a hospital-district home with this much turnover and this few hands is one to visit unannounced.
Robstown, TX
· Nueces County
★★☆☆☆
CMS 2/5
94 beds
Government
Medicaid
- Nurse hours
-
2.71
/day
- Staff turnover
-
53%
- Serious cites
-
0
Robstown Nursing and Rehabilitation Center runs on 2.71 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekends dip about 9% below its own weekday staffing. That thin coverage lines up with a one-star CMS staffing rating, and more than half the nursing staff turned over in a year, 53.1% against a national 45.8%, so the people at the bedside keep changing. The record shows 17 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus a $12,055 fine. It's a hospital-district home with 94 beds, last inspected January 6, 2026; its quality measures score well, but quality scores and daily staffing aren't the same thing.
Levelland, TX
· Hockley County
★★★★☆
CMS 4/5
120 beds
For-profit
Medicaid
- Nurse hours
-
2.80
/day
- Staff turnover
-
48%
- Serious cites
-
0
Lynwood Nursing and Rehabilitation runs 120 beds in Levelland under corporate for-profit ownership, and the staffing numbers are the first thing you'd want to know about. At 2.80 nurse hours per resident day, it sits roughly 27% under the national average of 3.86, and weekends drop another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 47.9% against 45.8% nationally, meaning the faces change about as often as anywhere. Inspections last January produced 31 deficiencies, one serious enough to involve harm or jeopardy, plus an $8,281 fine, though nothing abuse-related. Quality measures score well; staffing is where the gaps show.
Brownwood, TX
· Brown County
★★★☆☆
CMS 3/5
94 beds
For-profit
Medicaid
- Nurse hours
-
3.60
/day
- Staff turnover
-
58%
- Serious cites
-
0
Cross Country Healthcare Center runs 94 certified beds in Brownwood under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 12% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover of 57.9% is well above the 45.8% national figure, which means the people caring for your relative are changing often. The inspection record shows 27 deficiencies, including two at the harm level and one tied to abuse, plus $22,084 in fines across two events. The most recent inspection was April 2025, so the picture is current.
Childress, TX
· Childress County
★★☆☆☆
CMS 2/5
120 beds
For-profit
Medicaid
- Nurse hours
-
3.25
/day
- Staff turnover
-
66%
- Serious cites
-
0
Avir At Childress runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.25 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 11% below what the home manages on weekdays, and annual turnover hits 65.6% against a national 45.8%, meaning most of the aides and nurses your family member sees are likely newer than they should be. The current inspection record carries 31 deficiencies, one tied to abuse, though none at the harm or jeopardy level, and the most recent survey came in May 2025. Quality measures score well; staffing and inspections do not.
Houston, TX
· Harris County
★★★★☆
CMS 4/5
224 beds
For-profit
- Nurse hours
-
—
/day
- Staff turnover
-
—
- Serious cites
-
0
The Vosswood Nursing Center is a 224-bed for-profit operation in Houston, and the split between its inspection record and its staffing numbers is the whole story here. On paper, the place looks clean: a 5-star health inspection rating, only three deficiencies on the current record, none of them causing harm or jeopardy, and no abuse findings, with the last inspection in June 2023. The problem is the staffing star rating, which sits at 1 out of 5, the lowest tier CMS assigns. A facility can pass inspections and still leave residents waiting too long for help getting to the bathroom, eating, or turning in bed. That gap is what pulls the grade down, and it's what you'd want to ask about directly before deciding.
Giddings, TX
· Lee County
★☆☆☆☆
CMS 1/5
102 beds
For-profit
Medicaid
- Nurse hours
-
3.00
/day
- Staff turnover
-
30%
- Serious cites
-
0
Avir At Giddings runs lean on nursing hours, 3.00 per resident day against a national average of 3.86, and weekends are roughly 12% thinner than weekdays, which is when families tend to visit and notice. The inspection record is the bigger concern: 39 deficiencies, three serious enough to put residents in harm's way, two tied to abuse, and $39,527 in fines. Staff turnover of 30.3% is actually better than the 45.8% national figure, so the problem looks less like retention and more like how few hands are on deck. With a 1-out-of-5 rating on both inspections and staffing, the recent survey date hasn't erased what's accumulated.