1,179 Nursing Homes in Texas

Nurse hours

2.84 /day

Staff turnover

—

Serious cites

0

Slaton Care Center runs 2.84 nursing hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, and weekends dip about 11% below its own weekday level. The state inspection record looks solid, though: 20 deficiencies on file with none at the harm level and nothing abuse-related, and a clean survey as recently as December 2025. One fine of $23,491 is the only money penalty on record. The split is ownership and staffing versus everything else, corporate-owned, thinly staffed day to day, but passing its health inspections. Quality measures read strong at 5 out of 5; staffing reads 1 out of 5.

Nurse hours

3.21 /day

Staff turnover

48%

Serious cites

0

River Pointe Of Trinity sits in a county of about 7,000 people, and its numbers tell two different stories. The care quality measures look strong and inspectors gave it four stars, with the most recent visit in April 2025. But look at who's actually on the floor: 3.21 nursing hours per resident per day against a national average of 3.86, weekend staffing roughly a fifth thinner than weekdays, and nearly half the nursing staff turning over each year. Seventeen deficiencies are on the current record, including two that put residents in harm's way and one tied to abuse, plus about $19,700 in fines. Good outcomes in a building that runs lean.

Nurse hours

3.20 /day

Staff turnover

34%

Serious cites

0

West Oaks runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 16% below its own weekday coverage. That staffing pattern sits behind a 2-star rating from CMS, and the inspection record shows 32 deficiencies, five of them serious enough to put residents at harm or jeopardy, plus two fines totaling $39,527. What cuts the other way: staff turnover is 34.1%, well below the 45.8% national figure, and the quality measures score 4 out of 5. It's a hospital-district home with a recent February 2026 inspection, so the picture is current. The tradeoff is real, stable caregivers, but not enough of them on the floor.

Nurse hours

3.20 /day

Staff turnover

32%

Serious cites

0

Mason Creek runs on 3.20 nurse hours per resident day, roughly 17 percent under the national figure of 3.86, and weekends drop about 16 percent below its own weekday staffing. That thinner coverage sits alongside 15 deficiencies on the current record, three of them at harm or jeopardy level and one abuse-related, plus two fines totaling $16,175. Turnover is the bright spot: 31.9 percent against a national 45.8 percent, and the hospital district ownership means no corporate chain pulling the strings. Last inspection was December 12, 2024, and its three CMS star ratings each sit at three out of five.

Nurse hours

3.75 /day

Staff turnover

60%

Serious cites

0

Denison Nursing and Rehab runs 71 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, but the bigger issue is consistency: weekends run about 28% below the home's own weekday level, and annual turnover hits 60% against a national 45.8%. Inspections are recent (July 2025) but the record shows 32 deficiencies, including one at the harm level and one abuse-related, plus an $8,281 fine. The five-star quality measure score stands out against a one-star staffing rating and a two-star inspection rating. Ask about weekend coverage and how they've addressed that abuse citation.

Nurse hours

3.13 /day

Staff turnover

34%

Serious cites

0

Spanish Meadows runs 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 9% below its own weekday staffing. That thin coverage shows up in the results: 31 deficiencies on the current record, including one at the harm level and three tied to abuse. Turnover is the one bright spot, 33.8% against a national 45.8%, but steady staff can only do so much when there aren't enough of them. The last inspection was January 29, 2026, and fines total $14,790 across two events. For a 119-bed for-profit home, staffing is the number worth asking about directly.

Nurse hours

3.11 /day

Staff turnover

—

Serious cites

0

The Arbors runs 110 certified beds in Rusk under corporate for-profit ownership, and its nurse staffing sits at 3.11 hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip even further, about 22% under the home's own weekday coverage, so the quietest days are also the thinnest. Inspections are a different story: a 4-out-of-5 health inspection rating and a clean record on harm-level deficiencies, though 23 total deficiencies and one abuse-related finding still sit on the current file. The last survey was January 14, 2026, so the picture is recent. Quality measures land mid-range at 3, and staffing earns just 1 star.

Nurse hours

3.12 /day

Staff turnover

—

Serious cites

0

El Paso Health & Rehabilitation Center runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday staffing. That thin coverage sits behind a one-star CMS staffing rating and 55 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Inspectors were last in on August 7, 2025, so the findings are recent, and the home carries one fine of $20,312. It's a 150-bed hospital-district facility, which can mean public oversight, but the numbers here don't show it translating into safer care.

Nurse hours

3.24 /day

Staff turnover

13%

Serious cites

0

Avir At Carthage runs a lean nursing floor: 3.24 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. The 12.9% turnover rate is genuinely low next to the 45.8% national figure, which suggests a stable core of caregivers even if there aren't enough of them. What weighs heaviest is the inspection record, 45 deficiencies, five at harm or jeopardy level and four tied to abuse, with $66,731 in fines across three penalties. The most recent inspection was September 17, 2025.

Nurse hours

2.92 /day

Staff turnover

52%

Serious cites

0

The Renaissance at Kessler Park runs 135 beds under corporate for-profit ownership, and its biggest problem shows up in the staffing numbers. At 2.92 nurse hours per resident day, it sits about 24% under the national average of 3.86, and the federal staffing rating comes in at just 1 out of 5. Weekend coverage dips slightly below weekday levels, and annual turnover of 51.6% runs above the national 45.8%, so the people caring for residents keep changing. Inspections look stronger on paper, a recent December 2025 survey and solid marks on health inspections and quality measures, but the record shows 30 deficiencies, including one at the harm level and two tied to abuse, plus an $11,031 fine.

Nurse hours

5.17 /day

Staff turnover

98%

Serious cites

0

Mesa View Senior Living in Canadian runs on a hospital district's license and staffs at 5.17 nurse hours per resident day, roughly a third more than the national average of 3.86, with weekends dipping only slightly below weekdays. That kind of coverage is hard to find. The complications sit elsewhere: staff turnover hits 98.2% against a national 45.8%, meaning the people providing that generous coverage are largely new faces. Sixteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in December 2025. Quality measure scores land at 1 out of 5 stars, which reflects resident-level clinical outcomes rather than the staffing numbers.

Nurse hours

3.36 /day

Staff turnover

31%

Serious cites

0

Renaissance Rehabilitation runs on a government hospital district's license in Italy, Texas, with 74 certified beds. The inspection record is the standout: a five-star federal rating, 11 deficiencies on file and none of them at the harm or jeopardy level, with the most recent survey done in September 2025. Staffing tells a different story. At 3.36 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, weekends run roughly a tenth thinner than weekdays, and the government's staffing rating lands at two stars. Turnover, though, is genuinely low at 31.1 percent against a 45.8 percent national figure. Quality measures rate two stars.

Nurse hours

— /day

Staff turnover

100%

Serious cites

0

The Rosebud home is a for-profit corporation with 85 certified beds, and its inspection record looks solid on paper, a 4 out of 5 on health inspections and a perfect 5 on quality measures, with the most recent survey done in January 2026. The problem sits in staffing: a 1 out of 5, paired with 100% annual turnover against a national average near 46%. That means the entire workforce, roughly speaking, turns over every year, which is hard on residents who rely on familiar faces. Ten deficiencies on the current record, one serious enough to cause harm, and a $13,804 fine round out the picture. Good outcomes in the data, but a workforce that can't stay put.

Nurse hours

3.42 /day

Staff turnover

98%

Serious cites

0

Avalon Place Kirbyville runs on thin staffing: 3.42 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. The bigger red flag is turnover, 97.8% annually, meaning the whole nursing workforce essentially turns over every year, more than double the national rate. Inspections look solid on paper (4 stars, most recent visit December 2025), but the record carries 17 deficiencies, including one at harm level and one abuse-related, plus $9,113 in fines. Government hospital-district ownership hasn't translated into stable caregivers. Families should ask hard questions about who's actually on the floor, especially Saturdays and Sundays, and how often the staff you meet will still be there in six months.

Nurse hours

3.23 /day

Staff turnover

70%

Serious cites

0

Care Inn Of La Grange runs on thin staffing. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 12% below its own weekday levels, so the hours when families visit most are often the leanest. That shows up in the one-star staffing rating, and in turnover: 70% of staff leave each year against a national rate near 46%, meaning many of the people caring for residents are still learning the building. The good news is the clinical picture. A five-star quality measure rating and a clean inspection record, 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last survey in March 2026. Government hospital district ownership adds some stability. The tradeoff is real: strong outcomes, strained hands.

Nurse hours

3.26 /day

Staff turnover

92%

Serious cites

0

Rockwall Nursing Care Center runs 192 beds under corporate ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86, with weekends dipping about 9% below its own weekday levels. That thin coverage shows up in the workforce itself: annual turnover is 92.4%, more than double the 45.8% national figure, which means the people caring for residents are constantly changing. Inspectors have cited 45 deficiencies on the current record, including 4 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $66,755. The last inspection was January 16, 2025, so the record is recent.

Nurse hours

4.79 /day

Staff turnover

54%

Serious cites

0

Nurse staffing at Golden Villa runs about 24% above the national average, which sounds like the headline until you notice weekends drop roughly 29% below the home's own weekday level, coverage you can count on Monday may not be there Saturday. Staff turnover sits at 54.3% against a national 45.8%, and the inspection record shows 42 deficiencies, five of them at harm or jeopardy level, plus one abuse-related finding and $122,216 in fines. The quality measure score looks good, but that reflects resident care metrics, not whether the building is run safely. A for-profit individual owner, a recent June 2025 inspection, and a two-star health inspection rating round out the picture.

Nurse hours

3.20 /day

Staff turnover

56%

Serious cites

0

The Laurenwood Nursing and Rehabilitation runs 103 certified beds in Duncanville under corporate ownership, and its staffing is the part that stands out. At 3.20 nurse hours per resident day, it sits about 17% below the national average, and weekend coverage drops roughly 8% below its own weekday levels, so the thinnest shifts are the ones families tend to visit. Annual turnover of 55.6% runs well above the 45.8% national figure, meaning the aides and nurses you meet may not be there long. The 22 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with $38,522 in fines. Strong quality-measure scores don't offset that pattern.

Nurse hours

3.31 /day

Staff turnover

58%

Serious cites

0

Pleasant Manor runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover sits at 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $29,011 in fines across two penalties. Its quality measure score looks strong on paper, but that reflects charted clinical data, not the staffing and safety picture. The most recent inspection was March 2026. For-profit, LLC-owned, 132 beds.

Nurse hours

2.96 /day

Staff turnover

58%

Serious cites

0

Keller Oaks runs on thin staffing. At 2.96 nurse hours per resident per day, it sits well under the national average of 3.86, and weekends drop about 12% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover is 58.3%, noticeably above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. Inspections look better: a May 2025 survey, 19 deficiencies with none at harm or jeopardy level and no abuse findings. The hospital-district ownership is unusual for a Texas nursing home. Clinical quality measures score well; direct care hours don't. That gap is the whole story here.