Austin, TX · Williamson County
★★★★★CMS 5/580 bedsFor-profitMedicaid
- Nurse hours
- 4.51 /day
- Staff turnover
- 54%
- Serious cites
- 0
The Center At Parmer runs 4.51 nurse hours per resident per day, about 17% above the national average, and its quality measure rating sits at the top of the scale. Weekend staffing, though, drops roughly 11% below its own weekday level, and annual turnover at 53.5% is well above the 45.8% national figure, so the coverage looks better on paper than it may feel on a Sunday. The 21 deficiencies on record include 2 tied to abuse, though none reached harm or jeopardy level, and the last inspection was recent, in January 2026.
San Antonio, TX · Bexar County
★★★★★CMS 5/580 bedsNon-profit
- Nurse hours
- 4.87 /day
- Staff turnover
- 58%
- Serious cites
- 0
The Mission at Blue Skies of Texas East runs 4.87 nurse hours per resident day, about 26 percent above the national average, which is real coverage. But weekends drop roughly 18 percent below its own weekday level, and 57.6 percent of staff left last year against a national 45.8 percent, so the people providing that care keep changing. The current record shows 25 deficiencies, two at harm or jeopardy level and one abuse-related, with a $17,345 fine and an inspection in July 2025. Nonprofit ownership and a 4-star inspection rating suggest decent systems, but the turnover and weekend gaps tell you to ask who's actually on the floor on a Sunday.
Pampa, TX · Gray County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.27 /day
- Staff turnover
- 31%
- Serious cites
- 0
Avir At Pampa runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage. That's the tradeoff behind a staffing score in the middle of the pack. The good news sits elsewhere: turnover is 30.8%, well under the 45.8% national figure, so the aides and nurses here tend to stay. State inspectors found 16 deficiencies on the current record, none at the harm level, though four were abuse-related, which is worth asking about directly. The last inspection was in January 2026, and quality measures scored at the top of CMS's scale. Limited liability company ownership, 120 beds.
Brownfield, TX · Terry County
★★★★★CMS 5/554 bedsFor-profitMedicaid
- Nurse hours
- 3.26 /day
- Staff turnover
- 32%
- Serious cites
- 0
Brownfield Rehabilitation and Care Center runs about 3.26 nurse hours per resident day, roughly 16 percent under the national average, and weekends dip another 13 percent below its own weekday coverage. That thin staffing is the main reason its CMS staffing score sits at 2 out of 5, even though inspectors gave it 5 out of 5 on both health inspections and quality measures. Turnover is a genuine bright spot at 31.6 percent, well under the national 45.8 percent, so the people who are there tend to stay. The inspection record shows 16 deficiencies with none at the harm level, though one is abuse-related, and the most recent visit was August 2025.
Hallettsville, TX · Lavaca County
★★★★★CMS 5/5144 bedsGovernmentMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 30%
- Serious cites
- 0
Stevens Nursing and Rehabilitation Center of Halle in Hallettsville runs on a hospital district's license, and its inspection record is genuinely strong, a 4/5 health inspection rating with 19 deficiencies on file and none at the harm or jeopardy level. Four of those are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.43 nurse hours per resident day sits about 11% under the national figure, weekends run roughly 9% below its own weekdays, and the staffing rating lands at 2/5. Turnover is 30.2%, better than the 45.8% national average, so people tend to stay. The last inspection was recent, in May 2026.
Mexia, TX · Limestone County
★★★★★CMS 5/566 bedsFor-profitMedicaid
- Nurse hours
- 3.22 /day
- Staff turnover
- 26%
- Serious cites
- 0
The Manor Healthcare Residence runs on about 3.22 nurse hours per resident per day, roughly 17% under the national average of 3.86, and weekends dip another 8% below its own weekday staffing. Turnover is the bright spot: 25.8% against a national 45.8% means far more familiar faces than most homes manage. Inspections look strong, a perfect health inspection rating and a December 2025 visit, but 16 deficiencies sit on the current record, including one at harm level and two tied to abuse, which is worth asking about directly. For-profit, LLC-owned, 66 beds. Ask how they cover weekends when staff call out.
San Augustine, TX · San Augustine County
★★★★☆CMS 4/5107 bedsFor-profitMedicaid
- Nurse hours
- 3.72 /day
- Staff turnover
- 49%
- Serious cites
- 0
Colonial Pines runs a solid inspection record, 30 deficiencies on the books, but none rose to the level of actual harm or jeopardy, and the most recent survey came in January 2026. The staffing picture is closer to average: 3.72 nurse hours per resident day against a national 3.86, and weekends run about 12% leaner than weekdays, so coverage thins right when families tend to visit. Turnover sits at 48.8%, a few points above the national 45.8%. Two abuse-related deficiencies stand out on an otherwise clean record, and the home is owned by a for-profit limited liability company. Worth asking about weekend coverage and those abuse findings directly.
Temple, TX · Bell County
★★★★★CMS 5/5138 bedsFor-profitMedicaid
- Nurse hours
- 3.46 /day
- Staff turnover
- 41%
- Serious cites
- 0
Avir At Temple East runs a 138-bed for-profit operation, and its most recent inspection in February 2026 came back clean on the things that matter most, 10 deficiencies on the current record, none of which rose to harm or jeopardy level. Staff turnover sits at 40.8%, which is actually better than the 45.8% national average, and that stability probably shows up in how consistently residents see the same faces. Where it slips is raw staffing volume: 3.46 nurse hours per resident day lands about 10% under the national average of 3.86, and weekends run slightly leaner than weekdays. One abuse-related deficiency is on the books, worth asking about directly.
El Paso, TX · El Paso County
★★☆☆☆CMS 2/5160 bedsFor-profitMedicaid
- Nurse hours
- 3.71 /day
- Staff turnover
- 40%
- Serious cites
- 0
The El Paso veterans home runs 160 certified beds under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average. Weekends drop about 12% below its own weekday coverage, so the gap families feel most is often Saturday and Sunday. That said, turnover at 39.7% beats the national 45.8%, which matters for continuity of care. The inspection record is where the caution lives: 43 deficiencies, including 4 tied to abuse, with a 2-out-of-5 health inspection rating, though none reached harm or jeopardy level. The most recent inspection was April 2026.
Dallas, TX · Dallas County
★★★★☆CMS 4/588 bedsNon-profit
- Nurse hours
- 4.46 /day
- Staff turnover
- 43%
- Serious cites
- 0
Presbyterian Village North runs 4.46 nurse hours per resident day, roughly 16% above the national average, with weekend coverage dipping about 11% below its own weekdays. Staff turnover sits at 43%, a little better than the 45.8% national figure, and the nonprofit's last inspection was mid-2025. Against that, the record shows 12 deficiencies, two of them serious enough to involve harm or jeopardy, and two fines totaling $36,505. The staffing and quality ratings both land at 4 out of 5, which is genuinely solid, but inspection history is where families should look closest, a recent visit doesn't erase what regulators already found. Worth asking about those two harm-level citations specifically.
Austin, TX · Travis County
★★★☆☆CMS 3/567 bedsFor-profitMedicaid
- Nurse hours
- 2.68 /day
- Staff turnover
- 34%
- Serious cites
- 0
Oakcrest runs lean on nursing hours, 2.68 per resident day, roughly a third below the national average, and weekends dip even further, about 7% under its own weekday staffing. That thin coverage shows up in the inspection record: 22 deficiencies, three serious enough to put residents in harm's way, and one tied to abuse, with two fines totaling nearly $32,000. Turnover at 34.1% is actually better than the national rate, so the problem isn't retention so much as how few hands are scheduled. The last inspection was August 2025, so the record is current. If you're weighing this one, ask how they staff weekends and what changed since that abuse finding.
Sterling City, TX · Sterling County
★★★★☆CMS 4/544 bedsGovernmentMedicaid
- Nurse hours
- 5.35 /day
- Staff turnover
- 53%
- Serious cites
- 0
Sterling Nursing and Rehab is county-owned, and the staffing reflects that: 5.35 nurse hours per resident day, roughly 39% above the national average. That's the strongest thing in the numbers, though weekends run about 19% lighter than weekdays, and turnover sits at 53.3% against a national 45.8%, people are cycling through here faster than average. The inspection record shows 13 deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. The last state visit was September 2025. Four stars on inspections, quality measures, and staffing put this home solidly above middle ground, with the open question being whether that staffing cushion holds up when turnover keeps grinding.
San Antonio, TX · Bexar County
★★★★☆CMS 4/560 bedsNon-profit
- Nurse hours
- 4.47 /day
- Staff turnover
- 43%
- Serious cites
- 0
Remington Transitional Care of San Antonio runs 60 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.47 hours per resident day, roughly 16% above the national average of 3.86. That staffing edge is real, though weekend coverage drops about 18% below the home's own weekday level, so care may look different on a Saturday than a Tuesday. Staff turnover is 42.9%, a bit better than the 45.8% national figure. The current record shows 23 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. The quality measure rating is strong at 5/5; health inspection and staffing ratings sit at 3/5 each.
Beaumont, TX · Jefferson County
★★★★★CMS 5/582 bedsNon-profitMedicaid
- Nurse hours
- 3.67 /day
- Staff turnover
- 43%
- Serious cites
- 0
Beaumont Health Care Center runs about 3.67 nurse hours per resident per day, roughly 5% under the national average of 3.86, and weekends dip about 13% below its own weekday staffing. Turnover sits at 43.4%, marginally better than the 45.8% national figure, though that's still a lot of churn. The inspection record is cleaner than most: 10 deficiencies, none at the harm level and none abuse-related, with a survey as recent as May 2025. What holds this home back isn't safety or quality measures, it's the day-to-day staffing margin, which runs thin and thins out further on weekends.
Sulphur Springs, TX · Hopkins County
★★★☆☆CMS 3/5128 bedsGovernmentMedicaid
- Nurse hours
- 3.38 /day
- Staff turnover
- 45%
- Serious cites
- 0
Sulphur Springs Health and Rehabilitation runs on a hospital-district ownership, which is a little unusual for a Texas nursing home, and its 128 beds are staffed at about 3.38 nurse hours per resident day, roughly 12% under the national average, with weekends thinner still. The inspection record is where you'll want to slow down: 50 deficiencies on file, one of them serious enough to reach harm or jeopardy, two tied to abuse, plus a $44,044 fine. Turnover sits near the national norm at 44.9%, and the last survey was March 2026, so the picture is recent. Resident care measures score well; the staffing and inspection side is doing the dragging.
Waco, TX · Mc Lennan County
★★★★★CMS 5/5165 bedsNon-profitMedicaid
- Nurse hours
- 3.94 /day
- Staff turnover
- 28%
- Serious cites
- 0
St. Catherine Center runs on a nonprofit model with 165 certified beds, and the staffing picture is genuinely strong: 3.94 nurse hours per resident day, just above the national average, with weekend coverage dipping about 8% below weekdays. Staff turnover sits at 28.2%, well under the 45.8% national figure, which matters more than any single inspection score for day-to-day consistency. The tradeoff shows up in quality measures, rated 2 out of 5, and in 12 deficiencies on the current record, one serious enough to reach harm or jeopardy level. A single $13,065 fine and a recent April 2026 inspection round out the picture. Good people, uneven clinical results.
Eldorado, TX · Schleicher County
★★★★☆CMS 4/534 bedsGovernmentMedicaid
- Nurse hours
- 4.37 /day
- Staff turnover
- 38%
- Serious cites
- 0
Schleicher County Medical Center runs on a government hospital-district model, and the staffing numbers reflect that: 4.37 nurse hours per resident day, roughly 13% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, though annual turnover sits at 37.8%, better than the 45.8% national figure, which matters in a 34-bed home where losing even a few nurses is felt. Inspections earned 4 out of 5 stars, and the last visit was December 2025, so the record is current. The catch is 13 deficiencies, 2 of them serious enough to raise harm or jeopardy concerns, with quality measures rating just 2 out of 5.
Coleman, TX · Coleman County
★★★★☆CMS 4/554 bedsFor-profitMedicaid
- Nurse hours
- 3.83 /day
- Staff turnover
- 44%
- Serious cites
- 0
Coleman Healthcare Center runs 54 certified beds under corporate for-profit ownership, and its staffing sits right at the national line, 3.83 nurse hours per resident day against a 3.86 average, with weekends roughly 10% thinner than weekdays. Turnover runs 43.9%, a touch better than the 45.8% norm, which matters because consistent caregivers tend to know residents' routines. The inspection record shows 13 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. A March 2026 inspection is recent, and the four-star marks on health inspections and quality measures carry the home past its middling staffing score.
Lubbock, TX · Lubbock County
★★★★★CMS 5/5108 bedsGovernmentMedicaid
- Nurse hours
- 5.01 /day
- Staff turnover
- 52%
- Serious cites
- 0
Crown Point Health Suites runs on a hospital district's license in Lubbock, and the staffing numbers are the first thing worth knowing: 5.01 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekends drop about 14% below its own weekday level, and annual turnover sits at 52.3%, higher than the 45.8% national figure. Inspections tell a mixed story, 18 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse, and a single fine of $8,281. The last inspection was April 2026. Strong daily coverage and quality scores, but that turnover and those deficiencies are what hold the grade down.
Eagle Lake, TX · Colorado County
★★★★☆CMS 4/580 bedsFor-profitMedicaid
- Nurse hours
- 3.30 /day
- Staff turnover
- 28%
- Serious cites
- 0
Arbor Hills runs leaner than the typical American nursing home on nursing hours, 3.30 per resident day against a national average of 3.86, with weekends dipping about 6% below its own weekday staffing. What stands out in the other direction is retention: 27.8% turnover is well below the 45.8% national figure, meaning the aides and nurses you'd see most days tend to stick around, which usually matters more to daily care than a raw staffing number does. The inspection record supports that, 11 deficiencies on file, none at the harm or jeopardy level and none abuse-related, from a June 2024 survey. Corporate-owned, 80 beds, mid-range quality and staffing marks.