San Antonio, TX
· Bexar County
★★☆☆☆
CMS 2/5
140 beds
For-profit
Medicaid
- Nurse hours
-
3.34
/day
- Staff turnover
-
44%
- Serious cites
-
0
Las Colinas Of Westover runs 140 beds on the city's northwest side, and the staffing numbers are where the story starts. At 3.34 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly another 9% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover at 43.9% is slightly better than the 45.8% national figure, which helps, but doesn't offset the thin hours.
The inspection record is heavier: 39 deficiencies, four of them serious enough to involve harm or jeopardy, plus two fines totaling $38,630. State surveyors were last in on December 3, 2025. The quality measure scores look good on paper, but those come from resident assessments, not from someone watching the floor at 7 p.m. on a Sunday.
Amarillo, TX
· Potter County
★★★☆☆
CMS 3/5
122 beds
For-profit
Medicaid
- Nurse hours
-
3.31
/day
- Staff turnover
-
90%
- Serious cites
-
0
Amarillo Center For Skilled Care runs 122 certified beds as a for-profit limited liability company, and its staffing numbers are the first thing to look at. Nurses provide 3.31 hours per resident per day, roughly 14% under the national average of 3.86, and weekend coverage drops about 15% below what the home itself staffs on weekdays. Annual turnover of 89.6% is nearly double the national rate of 45.8%, that's people cycling through constantly, which matters more than any single number. The current record shows 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $21,390 fine. The last inspection was February 2026.
Houston, TX
· Harris County
★★☆☆☆
CMS 2/5
131 beds
For-profit
Medicaid
- Nurse hours
-
3.31
/day
- Staff turnover
-
48%
- Serious cites
-
0
The Heights of North Houston runs about 3.31 nurse hours per resident day, roughly 14% under the national average, and weekend coverage dips another 11% below its own weekday level. That thin staffing sits alongside a 48.2% annual turnover rate, slightly above the national 45.8%, and it shows up in the inspection record: 25 deficiencies, three serious enough to involve harm or jeopardy, plus $31,541 in fines across two penalties. A 2/5 inspection rating and a 2/5 staffing rating tell the same story, even though the 4/5 quality measure score looks better on paper, that measure reflects resident care outcomes, not whether enough hands are on deck. The most recent inspection was May 8, 2025.
Houston, TX
· Harris County
★★★☆☆
CMS 3/5
130 beds
For-profit
Medicaid
- Nurse hours
-
3.32
/day
- Staff turnover
-
50%
- Serious cites
-
0
Bridgecrest Rehabilitation Suites runs 130 beds in Houston under corporate ownership, and the staffing numbers are the first thing to notice. At 3.32 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekend coverage drops roughly 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover hits 50% against a national 45.8%, which means the people providing that care are frequently new.
The current record carries 20 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $48,802 in fines. The last inspection was June 26, 2025, so that picture is recent. Resident outcome measures look strong; the direct-care hours behind them don't match.
Carrollton, TX
· Denton County
★☆☆☆☆
CMS 1/5
120 beds
For-profit
Medicaid
- Nurse hours
-
3.11
/day
- Staff turnover
-
—
- Serious cites
-
0
Mustang Park Therapy and Living Center runs 120 certified beds in Carrollton under corporate, for-profit ownership. Nurse staffing sits at 3.11 hours per resident day against a national average of 3.86, roughly 19% below, and weekends dip another 15% under the home's own weekday numbers, which is usually when families notice. The inspection record is the harder problem: 49 deficiencies, three at harm or jeopardy level, one tied to abuse, plus two fines totaling $18,275. A quality measure score of 4 out of 5 stands out against a 1 out of 5 staffing rating, and the last inspection was April 2026. When survey results and staffing both run thin, the quality numbers rarely tell the whole story.
Missouri City, TX
· Fort Bend County
★★★☆☆
CMS 3/5
120 beds
Non-profit
Medicaid
- Nurse hours
-
3.09
/day
- Staff turnover
-
42%
- Serious cites
-
0
Windsor Quail Valley Post-Acute runs 120 beds in Missouri City under hospital district ownership, and the numbers tell a mixed story. Nursing hours come to 3.09 per resident day, roughly 20 percent under the national average of 3.86, and weekends dip about 11 percent below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover at 41.7 percent is actually a touch better than the 45.8 percent national figure, which matters for continuity. On the record are 15 deficiencies, four of them at harm or jeopardy level and three abuse-related, plus two fines totaling $52,036. The most recent inspection was March 2025. Quality measures score well; staffing and the inspection history are where the concern sits.
Denison, TX
· Grayson County
★★★☆☆
CMS 3/5
133 beds
For-profit
Medicaid
- Nurse hours
-
3.28
/day
- Staff turnover
-
45%
- Serious cites
-
0
Woodlands Place Rehabilitation Suites runs 133 beds in Denison under corporate ownership, and its staffing is the number that stands out first: 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends running about 9 percent thinner than weekdays. Turnover sits at 44.6 percent, essentially level with the national figure, so the issue isn't retention so much as how few hands are scheduled. The inspection record shows 26 deficiencies, four at harm or jeopardy level and one abuse-related, plus a $109,954 fine, with the most recent inspection dated February 26, 2026. Strong quality measure scores don't cancel out thin weekend coverage and that deficiency history.
Abilene, TX
· Taylor County
★☆☆☆☆
CMS 1/5
120 beds
For-profit
Medicaid
- Nurse hours
-
2.98
/day
- Staff turnover
-
45%
- Serious cites
-
0
Brightpointe At Lytle Lake runs on 2.98 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 13% below its own weekday numbers. That shows up in the federal staffing rating, which sits at the bottom. The inspection record is heavier still: 27 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with one fine of $23,733. Turnover at 44.9% is essentially the national rate, so the for-profit operator isn't losing staff faster than average, but it isn't keeping them either. The last full inspection was April 9, 2026, so the findings are recent.
Midland, TX
· Midland County
★★☆☆☆
CMS 2/5
144 beds
For-profit
Medicaid
- Nurse hours
-
3.39
/day
- Staff turnover
-
50%
- Serious cites
-
0
Ashton Medical Lodge runs on thinner nursing coverage than most places, 3.39 hours per resident day against a national average of 3.86, with weekends dropping another 12% below its own weekday levels. That shows up in the federal staffing rating, which sits at 1 out of 5, and in a turnover rate of 49.6% that edges past the national figure. The inspection record carries 29 deficiencies, including one at the harm level and three tied to abuse, along with a single $13,397 fine. A February 2025 inspection is recent, and the quality measure rating of 4 suggests some clinical measures look better than the day-to-day staffing picture. Government hospital district ownership doesn't change what the numbers say about coverage.
Humble, TX
· Harris County
★★★☆☆
CMS 3/5
118 beds
For-profit
Medicaid
- Nurse hours
-
3.24
/day
- Staff turnover
-
49%
- Serious cites
-
0
Crimson Heights runs 3.24 nursing hours per resident day, about 16 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday level. That thin margin shows up in a 49 percent annual turnover rate and a staffing star rating of 2 out of 5. The inspection record is the bigger concern: 33 deficiencies, four of them serious enough to put residents in harm's way, and $33,539 in fines, with the most recent state visit in August 2025. Corporate ownership has kept the quality-measure scores high at 5 out of 5, but strong chart numbers don't offset four harm-level findings or a workforce that turns over nearly half its staff each year.
Mont Belvieu, TX
· Chambers County
★☆☆☆☆
CMS 1/5
124 beds
For-profit
Medicaid
- Nurse hours
-
3.07
/day
- Staff turnover
-
49%
- Serious cites
-
0
Mont Belvieu Rehabilitation & Healthcare Center runs on less nursing time than most homes, about 3.07 hours per resident per day against a national average near 3.86, and weekends dip roughly 10% below what the building manages on weekdays. That thin margin matters more given a 48.8% annual turnover rate and a staffing rating of 1 out of 5. The record shows 40 deficiencies, including five at the harm or jeopardy level and seven tied to abuse, with three fines totaling $41,789. Its last inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are what a family should weigh here.
Penitas, TX
· Hidalgo County
★★★☆☆
CMS 3/5
130 beds
For-profit
Medicaid
- Nurse hours
-
3.31
/day
- Staff turnover
-
35%
- Serious cites
-
0
Las Alturas De Penitas runs lean on nursing hours, 3.31 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, so coverage loosens exactly when families tend to visit. The inspection record is the bigger concern: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $166,236. Turnover at 35.1% actually beats the national 45.8%, and the quality measure score is strong, but a 2/5 inspection rating and 2/5 staffing rating carry more weight for daily safety. The most recent inspection was May 2026, so the record is current, not stale.
Corpus Christi, TX
· Nueces County
★★★☆☆
CMS 3/5
146 beds
For-profit
Medicaid
- Nurse hours
-
3.64
/day
- Staff turnover
-
65%
- Serious cites
-
0
Alameda Oaks runs 146 beds in Corpus Christi under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.64 nurse hours per resident day, about 6% under the national average, with weekends dropping roughly 15% below its own weekday levels. That thin coverage shows up in a 64.6% annual turnover rate, well above the 45.8% national figure, and a two-out-of-five CMS staffing rating. Inspectors last visited in August 2025 and found 34 deficiencies on the current record, including one at the harm level and three tied to abuse, plus a $14,901 fine. Quality measures score well, but consistent staffing is the harder problem here.
Huntsville, TX
· Walker County
★★★★☆
CMS 4/5
88 beds
For-profit
Medicaid
- Nurse hours
-
2.71
/day
- Staff turnover
-
57%
- Serious cites
-
0
Focused Care At Huntsville runs on 2.71 nursing hours per resident per day, roughly 30% under the national average of 3.86, and weekends drop about 15% below its own weekday level. That thin staffing shows up in the numbers: a 1/5 CMS staffing rating and 56.8% annual turnover, well above the 45.8% national figure. The 21 deficiencies on record include 4 abuse-related citations, though none rose to harm or jeopardy, and the last inspection was May 2025. Quality measures score 5/5, but with 88 beds under for-profit partnership ownership, ask direct questions about who's actually on the floor nights and weekends.
Austin, TX
· Travis County
★★★☆☆
CMS 3/5
46 beds
For-profit
Medicaid
- Nurse hours
-
4.24
/day
- Staff turnover
-
—
- Serious cites
-
0
Sage Park Austin runs 46 beds under a for-profit partnership, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. That's the good news, and it's real. But weekends run about 13% thinner than weekdays, and the quality measure rating is 2 out of 5, so the care people actually receive doesn't track with the hours on paper. Twelve deficiencies sit on the current record, two of them serious enough to cause harm or jeopardy, plus one fine of $99,713. The last inspection was May 2025, so the picture is recent.
Arlington, TX
· Tarrant County
★☆☆☆☆
CMS 1/5
148 beds
For-profit
Medicaid
- Nurse hours
-
—
/day
- Staff turnover
-
—
- Serious cites
-
0
Matlock Place runs on 2.99 nursing hours per resident day, about a quarter below the national average, and the weekend shift is even thinner than its weekdays. That staffing sits alongside a 54.6% annual turnover rate, higher than the 45.8% national figure, which means the people caring for residents are, more often than not, new to the building. The current record carries 47 deficiencies, five of them at the level where harm or immediate jeopardy was found, and five tied to abuse. Three fines totaling $26,006 are on file, with the most recent inspection in May 2025. The quality measure score sits mid-range, but the inspection and staffing numbers tell the more troubling story.
San Antonio, TX
· Bexar County
★★☆☆☆
CMS 2/5
112 beds
For-profit
Medicaid
- Nurse hours
-
3.55
/day
- Staff turnover
-
55%
- Serious cites
-
0
Sorrento runs 112 certified beds in San Antonio under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.55 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 16% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover at 55.2% runs nearly ten points above the national rate, meaning the people providing that care are frequently new. Inspections closed in August 2025 with 50 deficiencies on record, two tied to abuse, though none reached harm or jeopardy level. The five-star quality measure score reflects reported clinical outcomes, not the hands available to deliver them.
Clarendon, TX
· Donley County
★★★☆☆
CMS 3/5
61 beds
For-profit
Medicaid
- Nurse hours
-
2.36
/day
- Staff turnover
-
22%
- Serious cites
-
0
Clarendon Nursing Home runs lean on nursing staff, 2.36 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday coverage. That thin floor is the real story behind its staffing grade. Turnover at 22.2% is genuinely low compared to the 45.8% national average, so the people who are there tend to stay, which matters for continuity. But the record shows 23 deficiencies, including one at the harm level and two tied to abuse, plus a $7,551 fine. Its last inspection was January 2026, and the health inspection rating sits at 4 of 5. Ownership is corporate, for-profit.
Waco, TX
· Mc Lennan County
★★★☆☆
CMS 3/5
95 beds
For-profit
Medicaid
- Nurse hours
-
3.31
/day
- Staff turnover
-
62%
- Serious cites
-
0
Avir At Jeffrey Place runs thinner on nursing hours than most homes, about 3.31 per resident day against a national average near 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover sits at 62.1%, well above the 45.8% national figure, so the people caring for residents change often. The inspection record shows 33 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $22,301 in fines across two penalties; the last inspection was April 9, 2026. A for-profit LLC operates the 95-bed building. Quality measures score well, but staffing and the deficiency history are where the concerns sit.
Center, TX
· Shelby County
★★★★☆
CMS 4/5
137 beds
For-profit
Medicaid
- Nurse hours
-
3.53
/day
- Staff turnover
-
57%
- Serious cites
-
0
Avir At Center runs 3.53 nurse hours per resident day, about 9% under the national average, and weekends drop roughly 13% below its own weekday staffing. That thin coverage adds up over time: 56.8% annual turnover means more than half the nursing staff leaves each year, against a national rate of 45.8%. The inspection history shows 17 deficiencies on record, including one at the harm level and one tied to abuse, plus a $9,113 fine. The health inspection rating of 4 out of 5 is genuinely good, and the most recent survey was July 2025. But staffing and quality measure ratings both sit at 2 out of 5, and that gap between a clean-looking inspection and weak day-to-day numbers is the part worth asking about directly.