Houston, TX
· Harris County
★★★★★
CMS 5/5
125 beds
For-profit
Medicaid
- Nurse hours
-
3.22
/day
- Staff turnover
-
61%
- Serious cites
-
0
East View Healthcare in Houston runs 125 certified beds under for-profit LLC ownership, and the numbers pull in two directions. Inspections are a genuine strength, the most recent one was in December 2025, and its 11 deficiencies include none at the harm level, though one is abuse-related. The concern is staffing: 3.22 nurse hours per resident day sits about 17% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover of 60.6% means most of the aides and nurses your relative meets will likely be gone within a year. Five-star inspection and quality ratings don't offset a one-star staffing picture when direct care hours are what fill the day.
Emory, TX
· Rains County
★★★☆☆
CMS 3/5
68 beds
Government
Medicaid
- Nurse hours
-
2.85
/day
- Staff turnover
-
80%
- Serious cites
-
0
Emory Health And Rehab is a 68-bed hospital-district home in Rains County, and its inspection record is genuinely strong, four out of five stars, with the most recent visit in August 2025 and no abuse deficiencies. The problem sits in the staffing numbers. At 2.85 nurse hours per resident day, it runs about 26% below the national average, and weekends dip another 5% below its own weekday levels. Annual turnover of 80% means most of the aides and nurses on a given shift are relatively new. Twenty-eight deficiencies are on record, one serious enough to cause harm. A hospital district can be a steady owner, but steady ownership doesn't staff the floor.
Pearland, TX
· Brazoria County
★☆☆☆☆
CMS 1/5
180 beds
For-profit
Medicaid
- Nurse hours
-
3.46
/day
- Staff turnover
-
50%
- Serious cites
-
0
The Colonnades at Reflection Bay is a 180-bed for-profit home in Pearland where the inspection record is the real story: 42 deficiencies on file, eight of them serious enough to involve actual harm or jeopardy, three tied to abuse. Six fines totaling $135,102 back that up, and the most recent inspection was in May 2026, so this isn't old history. Staffing sits at 3.46 nurse hours per resident day, roughly 10% under the national average, and weekends run thinner still. Turnover near 50% means the aides and nurses who know your family member may not be there next month.
Taylor, TX
· Williamson County
★☆☆☆☆
CMS 1/5
96 beds
For-profit
Medicaid
- Nurse hours
-
3.78
/day
- Staff turnover
-
51%
- Serious cites
-
0
Spjst Rest Home 1 runs 96 certified beds in Taylor under corporate for-profit ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.78 hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 8% below what the home staffs on weekdays. Annual turnover of 50.6% means about half the nursing staff leaves each year, against a national rate near 46%. The inspection history is the heavier concern: 33 deficiencies on the current record, 7 of them serious enough to involve harm or jeopardy, 4 tied to abuse. Three fines total $122,722. The last inspection was January 16, 2026.
Lubbock, TX
· Lubbock County
★★★★☆
CMS 4/5
120 beds
Government
Medicaid
- Nurse hours
-
3.11
/day
- Staff turnover
-
62%
- Serious cites
-
0
Windmill Village runs 3.11 nurse hours per resident per day, about 20% under the national average of 3.86, and weekends dip another 11% below its own weekday levels. Staff turnover is 61.6%, well above the 45.8% national figure, so the people caring for residents change often. The 27 deficiencies on record include nothing flagged at harm or jeopardy level and nothing abuse-related, which matters. Inspectors last visited in May 2025 and the health inspection rating sits at 3 out of 5. Ownership changed hands in the past year, so current management is still new to this building.
Mesquite, TX
· Dallas County
★★★★☆
CMS 4/5
142 beds
For-profit
Medicaid
- Nurse hours
-
3.30
/day
- Staff turnover
-
59%
- Serious cites
-
0
Edgewood Rehabilitation and Care Center is a for-profit limited liability company in Mesquite with 142 certified beds, and its numbers tell two different stories. The state health inspection in May 2025 produced 18 deficiencies, none rising to harm or jeopardy, though one was abuse-related, enough to hold a 4 out of 5 inspection rating and a 5 out of 5 on quality measures. Staffing is where the picture dims: 3.30 nurse hours per resident day sits about 15% under the national average, weekend coverage drops roughly 11% below weekdays, and turnover runs 58.8% against a national 45.8%. Strong inspection results and weak staffing don't cancel out, they just tell you where the risk is.
The Woodlands, TX
· Montgomery County
★★★☆☆
CMS 3/5
112 beds
For-profit
Medicaid
- Nurse hours
-
3.46
/day
- Staff turnover
-
55%
- Serious cites
-
0
The Broadmoor At Creekside Park runs 3.46 nurse hours per resident day, about ten percent under the national average, and weekend coverage dips roughly eight percent below its own weekday level, so the thinnest shifts come when families are most likely to visit. Staff turnover sits at 55.2 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year, and that churn shows up in a two-out-of-five staffing rating and a two-out-of-five health inspection rating. The current record carries 29 deficiencies, four of them at harm or jeopardy level and one abuse-related, plus $52,412 in fines. The five-out-of-five quality measure score reflects charted clinical care, not the inspection or staffing picture.
Houston, TX
· Harris County
★★★☆☆
CMS 3/5
70 beds
For-profit
Medicaid
- Nurse hours
-
3.91
/day
- Staff turnover
-
60%
- Serious cites
-
0
Houston Transitional Care sits in Harris County with 70 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a perfect 5/5 health inspection rating with 16 deficiencies on file, none at the harm level and none abuse-related, and its most recent inspection was June 2024. Staffing is where the picture changes. Total nurse coverage of 3.91 hours per resident day barely edges the national average, weekend staffing dips about 4% below its own weekday levels, and annual turnover of 60% runs well above the 45.8% national figure. CMS scores staffing just 1 out of 5. The clinical quality measure rating holds at 4 out of 5, so care results look better than the workforce stability suggests. Worth asking how they keep that up.
Springtown, TX
· Parker County
★★★★★
CMS 5/5
120 beds
For-profit
Medicaid
- Nurse hours
-
3.19
/day
- Staff turnover
-
63%
- Serious cites
-
0
Springtown Park runs a lean nursing floor: 3.19 nurse hours per resident day against a national average of 3.86, with weekends roughly 8% thinner than weekdays. That gap shows up in the federal staffing star, which lands at the lowest mark even as inspection and quality measures both hit the top. Turnover tells the same story, 63.4% of nursing staff leaving annually, well above the 45.8% national rate, and chronic churn is often what a family feels as inconsistent care rather than anything visible on a tour. The 20 deficiencies on record carry no harm or abuse findings, and the most recent inspection was in December 2025, so the compliance picture is current.
Hurst, TX
· Tarrant County
★★☆☆☆
CMS 2/5
161 beds
For-profit
Medicaid
- Nurse hours
-
3.24
/day
- Staff turnover
-
—
- Serious cites
-
0
Oakmont Guest Care Center runs 3.24 nurse hours per resident per day, about 16% under the national average, and weekend staffing drops roughly 12% below its own weekday level, meaning the thinnest coverage hits when families tend to visit. The inspection record is the bigger issue: 50 deficiencies, five serious enough to put residents in harm's way, two tied to abuse, plus $28,792 in fines across three penalties. A 4/5 on quality measures doesn't offset a 1/5 on both health inspections and staffing, especially at 161 beds under for-profit ownership. The April 2025 inspection is recent enough that this reflects current conditions, not old problems.
Harlingen, TX
· Cameron County
★★★★☆
CMS 4/5
60 beds
For-profit
Medicaid
- Nurse hours
-
3.44
/day
- Staff turnover
-
48%
- Serious cites
-
0
Golden Palms runs 3.44 nurse hours per resident day, about 11 percent under the national average, and weekends drop roughly 16 percent below its own weekday staffing. That thinner weekend coverage matters more than the overall number, since care doesn't pause on Saturdays. The inspection record shows 23 deficiencies, two of them serious enough to put residents in harm's way and one tied to abuse, along with three fines totaling $15,997. Staff turnover sits at 47.8 percent, slightly above the national figure, which means the aides and nurses who know your family member are often new. The most recent inspection was April 15, 2026, so the picture is current rather than stale.
Denison, TX
· Grayson County
★☆☆☆☆
CMS 1/5
136 beds
For-profit
Medicaid
- Nurse hours
-
3.43
/day
- Staff turnover
-
—
- Serious cites
-
0
The Terrace at Denison runs 136 beds under for-profit LLC ownership, and its nursing hours come in around 3.43 per resident day, roughly 11 percent under the national average, with weekends running about 14 percent thinner than weekdays. That staffing picture matches the one-star CMS staffing rating, and the inspection record backs it up: 37 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse, plus a $47,097 fine. The quality measure rating sits at 4 stars, but strong clinical numbers don't offset thin coverage and a two-star inspection history. The most recent inspection was September 11, 2025, so the record is current.
Van, TX
· Van Zandt County
★★★★☆
CMS 4/5
60 beds
For-profit
Medicaid
- Nurse hours
-
3.95
/day
- Staff turnover
-
71%
- Serious cites
-
0
Van Healthcare runs about 60 beds under a for-profit LLC, and the staffing picture is where it gets uneven. Total nurse hours sit at 3.95 per resident day, just above the national average, but weekends drop roughly 17% below the home's own weekday coverage, and annual turnover hits 70.8% against a national 45.8%. That churn matters more than the headline staffing number, because it's a two-star staffing rating underneath. The inspection record is the stronger side: ten deficiencies on file, none involving harm or abuse, and a January 2026 inspection. Quality measures land mid-range. If you're weighing this one, ask how they cover weekends and how long the current director of nursing has been in place.
Abilene, TX
· Taylor County
★★★☆☆
CMS 3/5
96 beds
For-profit
Medicaid
- Nurse hours
-
3.02
/day
- Staff turnover
-
—
- Serious cites
-
0
Northern Oaks runs a 96-bed for-profit operation in Abilene, and the staffing numbers are where you'll want to focus. At 3.02 nurse hours per resident day, it sits about 22% below the national average of 3.86, and weekends drop roughly another 12% below its own weekday levels. That thin coverage is likely why CMS gives it a single star for staffing. The health inspection record shows 30 deficiencies, none at the harm level but one tied to abuse, and the most recent inspection was October 2024. Quality measures score well at four stars, so the clinical tracking looks fine on paper, but the day-to-day hands available to residents tell a different story.
Post, TX
· Garza County
★★★★☆
CMS 4/5
65 beds
For-profit
Medicaid
- Nurse hours
-
—
/day
- Staff turnover
-
—
- Serious cites
-
0
Post Nursing & Rehab Center runs on 2.54 nurse hours per resident per day, roughly a third below the national average of 3.86, and weekends drop about 6% below what the home itself staffs on weekdays. That thin coverage is the main thing dragging its profile down, and it lines up with 11 deficiencies on the current record, though none reached harm or jeopardy level and none were abuse-related. The inspection side is genuinely strong, with a recent December 2025 survey and a 4-star health inspection rating, but quality measures sit at 2 stars and staffing at 1. So you're looking at a home that inspects clean but may not have enough hands on deck day to day, especially Saturdays and Sundays.
Madisonville, TX
· Madison County
★★☆☆☆
CMS 2/5
106 beds
For-profit
Medicaid
- Nurse hours
-
3.19
/day
- Staff turnover
-
—
- Serious cites
-
0
Madisonville Care Center runs 106 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 13% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 13 deficiencies, three of them serious enough to reach harm or jeopardy level, though none involve abuse; two fines total $18,852. Federal ratings land at 3 out of 5 for both health inspections and quality measures, but just 1 out of 5 for staffing. The last inspection was March 19, 2026. If you're weighing this one, ask directly how they staff weekends.
Arlington, TX
· Tarrant County
★★★☆☆
CMS 3/5
120 beds
For-profit
Medicaid
- Nurse hours
-
3.45
/day
- Staff turnover
-
49%
- Serious cites
-
0
Arbrook Plaza runs 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86, and weekends drop another 15% below its own weekday staffing. That gap is what drives its 2-star staffing rating, even though its quality measure score sits higher at 4 stars. Turnover runs 48.5% against a national 45.8%, so caregivers cycle through faster than average. The current record shows 25 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. The last inspection was January 15, 2026. For-profit corporate ownership and thin weekend coverage mean you should ask specifically who's on the floor on Saturdays and Sundays.
Humble, TX
· Harris County
★★★★☆
CMS 4/5
125 beds
For-profit
Medicaid
- Nurse hours
-
3.29
/day
- Staff turnover
-
52%
- Serious cites
-
0
Park Manor Of Humble runs on 3.29 nurse hours per resident day, about 15% under the national average, and weekends dip another 15% below its own weekday staffing. That thin coverage shows up in the numbers: 18 deficiencies on the current record, three of them at the harm or jeopardy level and one tied to abuse, plus a single $181,138 fine. Staff turnover sits at 52.1%, above the 45.8% national average, which matters when consistent caregivers are the ones who notice changes first. The quality measure score is strong, but quality measures rely on what the building reports, while the staffing and inspection results come from outside review. It's worth asking how the home covers weekends.
San Antonio, TX
· Bexar County
★★☆☆☆
CMS 2/5
60 beds
For-profit
Medicaid
- Nurse hours
-
3.27
/day
- Staff turnover
-
—
- Serious cites
-
0
The Sarah Roberts French Home runs 3.27 nurse hours per resident day, about 15% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest staffing lands when families tend to visit. Its record shows 32 deficiencies, two at harm or jeopardy level and three abuse-related, with a 3/5 inspection rating and a 4/5 on quality measures. The staffing star sits at 1/5, and the last inspection was February 2026. A for-profit corporation owns the 60-bed home. Quality scores can look fine while daily coverage stays lean, which is the tension running through this record.
Mcallen, TX
· Hidalgo County
★★★☆☆
CMS 3/5
122 beds
Government
Medicaid
- Nurse hours
-
2.90
/day
- Staff turnover
-
41%
- Serious cites
-
0
McAllen Nursing Center runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 10% below its own weekday level. The 2/5 inspection rating reflects 28 deficiencies on the current record, three of them at harm or jeopardy level, plus two abuse-related citations, and the state has fined the home twice, totaling $17,459. Staff turnover at 40.7% is actually a little better than the national 45.8%, though that is the one number here that leans your way. The limited liability company operating it last faced inspection in April 2025, so the record is recent.