Every Medicare-certified nursing home in Texas, graded on inspections, staffing, turnover
and enforcement history.
37 homes
in the state sit in the federal Special Focus programme.
Heritage Park Of Katy runs on 2.86 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 7% below its own weekday staffing. That thin coverage sits behind a two-star CMS staffing rating, even though turnover at 43.5% is slightly better than the 45.8% national figure. The inspection record shows 17 deficiencies, including 2 at harm or jeopardy level and 1 abuse-related, with one fine of $25,508; the last inspection was November 2024. Owned by a hospital district, this home carries three stars each for health inspections and quality measures, middling marks that don't offset the low staffing.
Champions Healthcare At Willowbrook runs on tighter staffing than most Texas homes, and the numbers show it: 3.52 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That thin weekend margin matters in a 98-bed building, and a 51.9% annual turnover rate, well above the 45.8% national figure, means the aides and nurses on that floor are often new to the job. The inspection record carries 19 deficiencies, three serious enough to reach harm or jeopardy, one tied to abuse, and $44,335 in fines across two penalties. The most recent inspection closed in April 2026, so the record is current rather than stale. For-profit individual ownership rounds out the picture.
Cibolo Creek runs on thinner nurse coverage than most homes in the country, 3.00 hours per resident day against a national average of 3.86, and it gets thinner on weekends, when staffing drops about 14% below its own weekday level. That's the kind of gap that shows up when a resident needs help on a Saturday night. The inspection record backs up the concern: 26 deficiencies, four of them at the harm or jeopardy level and three tied to abuse. Staff turnover sits at 60.8%, well above the 45.8% national average, meaning familiar faces are hard to keep. Hospital district ownership doesn't offset any of this. Quality measures score well, but the staffing and inspection numbers are what a family should weigh.
Riverside Nursing and Rehabilitation Center is a 122-bed for-profit in Austin where the staffing numbers are the first thing to notice. At 3.38 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly 17 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 52.5 percent against a national 45.8 percent, which means caregivers cycle through faster than average. The inspection record backs that up: 28 deficiencies, five at harm or jeopardy level, two tied to abuse, and $88,227 in fines. The most recent inspection was January 15, 2026.
Memorial City runs on 3.20 nurse hours per resident day, about 17% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin schedule sits behind 32 deficiencies on the current record, six of them at harm or jeopardy level, one abuse-related, plus four fines totaling $70,554. Annual turnover of 53.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The hospital district ownership is worth noting, but it hasn't kept the inspection record clean, the last survey was April 28, 2026, and the health inspection side scored 2 out of 5. Quality measures look strong at 5 out of 5, which raises the question of whether the day-to-day staffing can carry that.
Hidalgo Nursing and Rehabilitation Center runs on thinner nursing coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, which is when families often visit and notice. The 25 deficiencies on its current record include one at the harm level and four tied to abuse, and the health inspection rating sits low. Staff turnover at 41.6% is slightly better than the national 45.8%, and its quality measure score is strong, but a government-hospital-district owner doesn't change the math: the daily staffing number is what your family will actually feel.
The Villages On Macarthur runs leaner than most: 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays. That matters because its inspection record carries 29 deficiencies, two of them at the harm or jeopardy level and one tied to abuse, with $25,259 in fines across two penalties. The health inspection rating sits at 2 out of 5, though quality measures score 4 and staffing 3. Turnover is 43%, slightly better than the 45.8% national figure, and the most recent inspection was July 2025. A nonprofit with recent eyes on it, but the harm-level findings are the part to ask about directly.
The Pavilion At Creekwood runs 126 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national average of 3.86. Weekends are thinner still, about 13% below its own weekday level, and turnover lands at 47%, slightly above the 45.8% national figure. The inspection record shows 24 deficiencies, four of them at harm or jeopardy level, with three fines totaling $39,674 and a 2/5 health inspection star. Quality measures score 4/5, but that doesn't offset the staffing and inspection picture. The most recent inspection was April 14, 2026, so the record is current.
The Healthcare Resort Of Plano runs 70 certified beds as a nonprofit, and its staffing sits just under the national average at 3.82 nurse hours per resident day. The bigger issue is consistency: weekends drop about 9% below its own weekday coverage, and annual turnover hits 54.8% against a national 45.8%, meaning more than half the nursing staff turns over each year. That churn shows up on the inspection side too, 25 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $16,438 in fines across two events, with the most recent inspection in June 2025. Nothing here is catastrophic, but the pattern is a home running thin on staff and paying for it in citations.
Fox Hollow Post Acute runs 126 beds in Brownsville under for-profit LLC ownership, and its nurse staffing sits at 3.02 hours per resident day, roughly 22% under the national average, with weekend coverage dropping another 14% below its own weekday level. The inspection record shows 28 deficiencies, including three at the harm or jeopardy level and one tied to abuse, plus four fines totaling $77,232 and a recent inspection date of January 22, 2026. Staff turnover lands at 47%, just above the 45.8% national figure. The quality measure rating of 4 out of 5 stands out against a 1 out of 5 on both health inspections and staffing, worth asking what's driving that gap before you decide.
Palomino Place runs 120 beds in Mesquite, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 52.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. The inspection record shows 32 deficiencies, five serious enough to involve harm or jeopardy, plus one tied to abuse, and $165,086 in fines across three penalties. The last inspection was December 11, 2025, so the record is current. For-profit corporate ownership rounds out the picture.
Cypress Springs runs 95 certified beds in Mount Vernon as a for-profit LLC, and the numbers a family should sit with are the workforce ones. Total nurse staffing sits at 3.57 hours per resident day, about 8% under the national figure, and weekends drop roughly another 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 81.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Inspections in June 2025 turned up 22 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a $29,438 fine on record. Quality measures score well; consistent hands-on care is the open question.
Harbor Valley runs leaner on nursing hours than most homes in the country, 3.58 per resident day against a national average of 3.86, and weekends get thinner still, with about 12% less coverage than weekdays. That matters, because 40 deficiencies sit on the current record, including two at the harm level and three tied to abuse, and the last inspection was in December 2025. Staff turnover at 43.8% is actually slightly better than the typical home, which suggests the problem isn't retention so much as how many hands are scheduled. For-profit, individually owned, 120 beds. Ask about weekend staffing and how the abuse citations were resolved.
Lavaca Bay runs on 2.99 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% below its own weekday staffing. That thin coverage shows up in the record: 37 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus $21,720 in fines across two penalties. Turnover sits at 51.4%, higher than the 45.8% national figure, so residents see a rotating cast of caregivers. The hospital district ownership doesn't change the math here, the staffing rating reflects the hours actually worked, not who signs the paycheck.
The Brixton at Horseshoe Bay runs 3.69 nurse hours per resident day, about 4% under the national average, and weekend coverage drops roughly 13% below its own weekday level, so the thinnest staffing tends to land when families visit. Annual turnover sits at 57.8%, well above the 45.8% national figure, which at 120 beds means a lot of unfamiliar faces. Inspectors cited 10 deficiencies on the current record, one serious enough to involve harm or jeopardy, and a single fine of $85,007. The most recent inspection was June 26, 2025. A for-profit LLC operates the home.
James L West Center runs on a dementia-specific model in Fort Worth, and its staffing reflects that: 4.57 nurse hours per resident day, roughly 18% above the national average, with weekend coverage dipping about 6% below its own weekdays. Turnover sits at 33.9%, well under the national 45.8%, so the people caring for residents tend to stay. The trouble is on the inspection side. Seventeen deficiencies are on record, eight of them at harm or jeopardy level and eight abuse-related, with nine fines totaling $63,236 and a 2-out-of-5 health inspection rating. A recent June 2025 inspection means the picture is current. Strong daily care, but a documented history of serious safety problems.
The Tuskegee Airmen Texas State Veterans Home in Fort Worth is a 120-bed nonprofit, and its inspection record carries some weight worth knowing about. Eleven deficiencies show up on the current record, including three at the harm or jeopardy level and two tied to abuse, not the kind of findings a family should gloss over. One CMS fine of $14,280 is on file, and the most recent inspection was May 14, 2025, so the picture is fairly fresh. We don't have enough verified data here to compute a grade for this home, which means the deficiency pattern is the main thing you can actually judge. Ask about those harm-level findings and the abuse citations directly before deciding.
Lampasas Nursing And Rehabilitation Center runs on 3.43 nurse hours per resident day, about 11% under the national average, and weekend coverage drops roughly 13% below what it manages on weekdays. The current inspection record carries 15 deficiencies, two of them serious enough to put residents in harm's way, along with two fines totaling $33,198. It's a hospital-district-owned home with 68 beds, inspected recently in January 2026, and its federal ratings sit at two stars for health inspections, two for quality measures, and one for staffing. The pattern worth noticing is the staffing number: when a building runs lean every day and leaner on weekends, the inspection findings tend to follow.
Falcon Point Post Acute runs 130 beds in Katy under for-profit limited liability ownership, and the numbers tell you where the strain sits: 3.22 nurse hours per resident day against a national average of 3.86, with weekends running about 15% thinner than weekdays. Annual turnover hits 58.8%, well above the 45.8% national figure, which matters because 31 deficiencies sit on the current record, including one abuse-related citation, though none reached harm or jeopardy level. A single fine of $19,684 has been levied, and the last inspection was January 10, 2025. The staffing star comes in at 1 out of 5, and that's the piece to weigh hardest when you visit.
The Heights of Bulverde runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and weekends drop about 17% below its own weekday staffing, so the days families visit most are often the leanest. Turnover sits at 55.9% against a national 45.8%, which means many of the aides and nurses on the floor are still learning the building. That inspection record carries 47 deficiencies, including one at the harm level and four tied to abuse, though the most recent visit was in June 2025 and quality measures scored well.