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.
Quitman Wellness & Rehabilitation runs 156 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. At 3.40 nurse hours per resident day, it sits about 12% under the national average, with weekends running roughly 9% thinner than weekdays, a pattern that matters most on Saturdays and Sundays when families tend to visit. Annual turnover of 81.1% is nearly double the national rate, meaning the aide or nurse you meet in month one may not be there by month six. Its inspection history shows 28 deficiencies, two serious enough to reach harm or jeopardy level, and $39,049 in fines. Quality measures score well; staffing and consistency do not.
Avir At Seguin runs 2.88 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, with weekends even thinner than weekdays. That shortfall shows up in the staffing rating and in a 60.8% annual turnover rate, well above the 45.8% norm, meaning the aides and nurses your family member sees are cycling out faster than anywhere nearby. The record holds 46 deficiencies, including three at the level that caused actual harm or jeopardy and two tied to abuse, plus one fine of $13,877. The quality measures look good on paper, but staffing is what actually gets someone to the bathroom on time.
College Street Health Care Center runs on thinner nursing coverage than most homes, 3.52 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday level. Staff turnover sits at 55.6%, well above the 45.8% national figure, so the people caring for your family member are cycling through faster than usual. The current record shows 22 deficiencies, including one at the harm level and two related to abuse. A 4-star inspection rating from August 2025 suggests the survey process itself went reasonably well, but the quality measure rating of 2 stars points to weaker clinical outcomes. It's a small, government-run home with real staffing strain underneath a decent inspection score.
Garland Nursing and Rehabilitation runs on thinner staffing than most homes, 3.38 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops about 11% below the home's own weekday level. That gap shows up in the numbers that matter: a one-star health inspection rating, 43 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, plus six tied to abuse. Fines total $91,343 across five penalties. Annual turnover of 50.9% means more than half the nursing staff leaves each year, well above the 45.8% national rate, so residents cycle through caregivers who are still learning the building.
Avante Rehabilitation Center runs on 2.58 nurse staffing hours per resident day, about a third below the national average of 3.86, and weekends dip roughly 9% under its own weekday levels. Staff turnover sits at 66% against a national 45.8%, so the people caring for residents keep changing. The current inspection record shows 19 deficiencies, six of them at harm or jeopardy level and two abuse-related, with two fines totaling $24,542. That 5/5 quality measure rating looks strong, but quality measures come from submitted assessment data, the staffing and inspection numbers describe what's actually happening on the floor. Ask about weekend coverage, turnover, and how those abuse deficiencies were resolved before you decide.
Harker Heights Nursing & Rehabilitation runs 199 certified beds under corporate ownership, and the numbers show a building stretched thin on the clinical side. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover of 55.9% outpaces the 45.8% national figure, which matters because constant churn makes consistent care hard. The inspection record is the harder read: 46 deficiencies, three at harm or jeopardy level, two tied to abuse, plus $64,760 in fines. The last inspection was February 2025. Quality measures score well; staffing and inspections don't.
Stone Oak Care Center runs about 2.88 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 14% below its own weekday levels. That matters because the people in these beds need help every day, not just Monday through Friday. Annual turnover sits at 59.8%, well above the 45.8% national figure, so the staff who are there are often new. The current record includes 39 deficiencies, one at the harm level and three tied to abuse. The last inspection was July 2025, so that record is recent.
Carrollton Health and Rehabilitation Center runs about 3.12 nurse hours per resident each day, roughly 19 percent under the national average, and weekend staffing drops another 18 percent below its own weekday levels. That thin coverage helps explain the two-out-of-five rating on CMS's staffing measure. The inspection record shows 36 deficiencies, including two at the level where harm or jeopardy occurred and three tied to abuse, along with two fines totaling $19,185. Texas surveyors last visited in May 2025. This is a 120-bed for-profit corporate home where the daily aide and nurse presence is the real story.
Mclean Care Center runs 64 beds under for-profit limited liability ownership, and its inspection record has some real positives: a four-star health inspection rating and a four-star quality measure score, with the most recent survey completed in July 2025. The trouble sits in staffing. At 3.51 nurse hours per resident day, it runs about 9% under the national average of 3.86, and weekends dip roughly 15% below its own weekday coverage. Annual staff turnover hits 100%, more than double the national 45.8%, which means the people caring for residents are largely new to the building. Thirteen deficiencies are on record, one at the harm or jeopardy level, along with a $13,070 fine.
Stonewall Living Center in Aspermont gets top marks on health inspections, a five-star rating there, but that's where the good news mostly stops. The staffing picture is thin, rated one star, and annual turnover runs 55.8% against a national average of 45.8%, meaning more than half the caregivers leave each year. Quality measures sit at two stars, and the current record shows ten deficiencies, one serious enough to reach harm or jeopardy level, plus an $8,281 fine. It's government-owned through the hospital district, which can offer stability, but stable ownership doesn't fix a workforce that keeps cycling through. The last inspection was in February 2026, so the record is recent. Families weighing this one should ask specifically how the home keeps consistent aides on the floor.
Focused Care At Summer Place runs on thin staffing. At 2.95 nurse hours per resident day, it sits about 24% under the national average of 3.86, and weekends drop roughly another 13% below its own weekday levels. That gap shows up in a 1-out-of-5 CMS staffing rating and a 63.2% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are often new and frequently leaving. The inspection record lists 36 deficiencies, including one at the harm level and two tied to abuse. A for-profit corporation owns the 132-bed home. Its 4-out-of-5 quality measure score stands out against the weaker staffing and inspection marks, but quality measures alone don't cover a resident's daily care.
Hewitt Nursing and Rehabilitation runs 140 beds under for-profit LLC ownership, and the numbers families tend to care about most don't line up well. Nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average, and weekend coverage drops another 14% below the home's own weekday level, so the thinnest shifts land exactly when families often visit. Annual turnover of 62.5% means most of the people caring for your relative in any given year will be new, against a national rate of 45.8%. The inspection record shows 30 deficiencies, six serious enough to involve harm or jeopardy, one tied to abuse, and $33,539 in fines. Quality measures score well; staffing and inspections don't.
If you're weighing Jefferson Nursing and Rehabilitation Center, start with the staffing math, because it drives everything else here. At 3.30 nurse hours per resident per day, this nonprofit runs about 15% under the national average, and weekends dip roughly 8% below its own weekday level, meaning the thinnest coverage lands exactly when families tend to visit. Turnover sits at 52.2% against a national 45.8%, so the aides and nurses on the floor are changing often. The inspection record shows 20 deficiencies, three at harm or jeopardy level and three abuse-related, with a single $194,652 fine. One recent inspection doesn't erase a pattern; ask what's changed since July 2025.
Brentwood Place Four runs on 3.19 nurse hours per resident per day, about 17% under the national average of 3.86, and weekend coverage dips roughly another 10% below its own weekday numbers. That thin staffing shows up in the turnover figure: 65.2% annually against a national 45.8%, meaning most of the people caring for residents were not there a year ago. The health inspection record carries 30 deficiencies, none at harm or jeopardy level, but 3 tied to abuse. Its quality measure score is perfect, which tends to reflect charted care rather than the hands available to deliver it. A June 2025 inspection is recent, so the picture is current, not stale.
Ignite Medical Resort Katy runs 4.05 nurse hours per resident day, about 5% above the national average, and weekend staffing holds steady rather than dropping off. That's the good news. The rest is harder to ignore: staff turnover sits at 71.4% against a national average of 45.8%, which means most of the people caring for residents this year likely won't be there next year. Inspectors have logged 24 deficiencies, two serious enough to put residents at risk of harm, and fined the home five times for $51,914 total. The last inspection was in May 2025. Family surveys look strong, but stable hands matter more day to day. Ask who's actually on the floor.
Park Valley Inn runs on thin staffing. At 3.28 nurse hours per resident day, it sits about 15% under the national average, weekends drop roughly 13% below its own weekday coverage, and more than half the nursing staff turns over each year, 55.3% against a national 45.8%. The inspection record backs that up: 35 deficiencies, three serious enough to put residents in harm's way, six tied to abuse, and $97,032 in fines. The 5/5 quality measure score looks good on paper, but quality measures are largely self-reported, and a home can chart well while running short-staffed. Williamson County families comparing options should weigh the 1/5 staffing rating and the March 2026 inspection against that number, not instead of it.
The Estates at Shavano Park runs on thinner nursing coverage than most homes nationally, 3.67 nurse hours per resident day against a 3.86 average, and weekends get leaner still, dropping roughly 12% below its own weekday pace. That gap matters most when families visit on Saturdays and Sundays. Staff turnover sits at 63.4%, well above the 45.8% national figure, so the aides and nurses caring for residents are changing often. Inspectors cited 32 deficiencies, two tied to abuse, though none rose to the harm level; the most recent visit was March 2026, so the record is current. The for-profit LLC ownership structure adds no care capacity on its own.
Mesa Vista Inn Health Center runs 144 certified beds in San Antonio under corporate for-profit ownership, and its nurse staffing sits at 2.59 hours per resident day, about a third below the national average of 3.86. Weekends drop roughly another 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 44 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,160. CMS gives the home one star for staffing and two for health inspections, though its quality measure score is a middle-of-the-road three. The most recent inspection was April 24, 2026.
Richardson Nursing and Rehabilitation runs 280 certified beds under a hospital district, and the staffing numbers are the first thing you should notice. At 2.60 nurse hours per resident day, it's about a third below the national average of 3.86, and weekends drop roughly another 14% from its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record shows 47 deficiencies, including two at the harm level and two tied to abuse; a single fine of $8,977 is on file, and the last inspection was December 2024. CMS rates the home 1 out of 5 on staffing and 2 out of 5 on health inspections, which tells you the quality measure score isn't the whole picture here.
Parkview runs about 2.87 nurse hours per resident day, roughly a quarter below the national average, and weekends drop another 19% under its own weekday numbers. That thin coverage shows up in the inspection record: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $64,967 and a two-star health inspection rating. Staff turnover sits at 47.5%, slightly above the national figure. The quality measure score of 4/5 is the one bright spot, but it reflects reported care measures rather than the staffing and safety problems regulators have actually cited here.