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.
Wesley Woods in Waco runs 120 certified beds under corporate ownership, and the staffing numbers tell a story worth paying attention to. Nurses provide 3.51 hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 7% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover hits 56.3%, well above the 45.8% national figure, which means fewer familiar faces and more training burden. The current inspection record carries 26 deficiencies, including three at the harm or jeopardy level and one abuse-related finding. All three CMS star ratings, health inspections, quality measures, staffing, sit at 2 out of 5.
Bastrop Lost Pines is run by a hospital district, which you might expect to mean steadier resources, but the numbers don't show that. Nurses give about 3.10 hours of care per resident each day against a national average of 3.86, and weekends run roughly 13 percent thinner than weekdays, so coverage depends heavily on when you visit. The current inspection record carries 27 deficiencies, three of them serious enough to put residents in harm's way and two tied to abuse, with $101,156 in fines across three cases. Turnover sits at 46.8 percent, slightly worse than the national figure, and the most recent inspection was January 30, 2026.
Villa Toscana At Cypress Woods runs on 3.30 nurse hours per resident day, roughly 14 percent under the national average, and weekends drop another 11 percent below its own weekday staffing. The bigger problem is turnover: 91.4 percent of staff leave within a year, double the national rate, which means whoever is at the bedside is often new to the building. Inspectors have cited 39 deficiencies on the current record, including four at the harm level and four related to abuse, with $37,827 in fines across three penalties. The 4/5 quality measure score reflects resident care measures, not the safety record or the thin staffing that surrounds it.
High Hope Care Center of Brenham is run by the local hospital district, which in theory can mean steadier resources than a for-profit chain. The numbers don't show that advantage. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average, and weekends run roughly 12% thinner than weekdays. Staff turnover is 62.2%, well above the national 45.8%, so the people caring for residents change often. Inspections turned up 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $20,699 fine. The last inspection was March 2026, and the quality and staffing ratings both sit at 2 out of 5.
Park Village runs 3.05 nurse hours per resident day against a national average of 3.86, and weekends drop another 15% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record carries 52 deficiencies, eight at harm or jeopardy level and seven tied to abuse, with six fines totaling $221,389. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. Quality measures look strong at 5/5, but that score sits alongside a 1/5 on both inspections and staffing, a split worth asking about directly.
Swan Health At Wichita Falls runs 72 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.24 hours per resident day, about 16% under the national average of 3.86. Weekends dip roughly 6% below the home's own weekday coverage, so the thinnest hours come when families often visit. The record shows 27 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection on March 20, 2025. CMS gives it 4 stars for health inspections but only 1 for staffing and 2 for quality measures. The tension is clear: surveyors found relatively few serious problems, yet the daily staffing numbers and quality metrics are where the weakness lives, especially on weekends.
River Oaks runs on a staffing model that doesn't hold. Nearly every employee who worked there a year ago is gone now, turnover sits at 95.6% against a national average of 45.8%, and the staffing star rating reflects it at 1 out of 5. That churn shows up in the record: 37 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with two fines totaling $60,095. The health inspection rating is also 1 star, though the quality measure score of 4 suggests some clinical targets are being met on paper. Ownership is a for-profit limited liability company. The most recent inspection was April 17, 2026.
Hillside Medical Lodge runs on thinner staffing than most homes its size, 3.10 nurse hours per resident day against a national average of 3.86, with weekends dropping about 16% below its own weekday levels. That's the number families should weigh hardest, since it's the one that shapes daily care. Turnover sits at 46.7%, roughly in line with the national figure, and the home changed owners within the past year, which often means new management still settling in. The good news: 13 deficiencies on record with none at harm or jeopardy level and none abuse-related, plus a four-star health inspection rating and a recent December 2025 inspection. Quality measures land at two stars.
Nurse staffing at The Highlands runs 3.32 hours per resident day against a national average of 3.86, roughly 14% lighter, and weekends drop about 11% below the home's own weekday level, so coverage is thinnest exactly when families tend to visit and aides often work short. The inspection record shows 24 deficiencies, four of them serious enough to put residents at harm or jeopardy, plus four abuse-related citations and one fine of $47,726; the most recent inspection was December 30, 2025. This is a for-profit limited liability company with 116 certified beds, and its CMS staffing rating sits at 1 out of 5 while health inspections and quality measures each sit at 2.
Larkspur runs 120 beds in Lufkin under corporate for-profit ownership, and the numbers tell a split story. The clinical side looks steady, four out of five stars on health inspections and quality measures, with the most recent inspection in April 2025. But staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average, and weekends drop about 16% below the home's own weekday coverage. Annual turnover hits 54%, well above the 45.8% national figure, and the record shows 26 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $30,928 in fines. Strong inspection results and thin, churning staffing don't cancel each other out. Ask how weekends and evenings are actually covered.
Heritage Plaza runs 3.15 nurse staffing hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends drop about 16 percent below its own weekday levels. That thin coverage shows up in the numbers: 57.4 percent annual turnover against a national 45.8 percent, and 43 deficiencies on the current record, including three at the harm or jeopardy level and five tied to abuse. Three fines total $89,633, and the most recent inspection was April 23, 2025. Corporate-owned and certified for 95 beds, it scores well on quality measures but poorly on inspections and staffing, a pattern worth asking about directly before you visit.
Twin Pines runs 3.01 nurse staffing hours per resident day, roughly 22% under the national average of 3.86, and weekends dip about 8% below its own weekday levels. That thin coverage sits behind a one-star staffing rating and a one-star inspection record: 63 deficiencies on file, four serious enough to put residents in harm or jeopardy, one tied to abuse, plus three fines totaling $37,199. The most recent inspection was February 2026, so the record is current, not stale. With 200 beds under corporate for-profit ownership, families should ask directly who is on the floor overnight and on weekends, and request the latest inspection report before deciding.
Golden Estates runs 3.29 nurse hours per resident day, about 15% under the national average, and weekends drop roughly another 20% below its own weekday staffing. Nearly six in ten staff left over the past year, 58.5% turnover against a 45.8% national figure, which means the people caring for your relative are often new and still learning the building. The record shows 32 deficiencies, including six at harm or jeopardy level and two tied to abuse, plus three fines totaling $161,844. That inspection history and thin staffing sit behind the low marks, even though the quality measure score looks better on paper.
Ridgewood At The Woodlands is owned by a hospital district and holds 126 certified beds, but the numbers on its current record are hard to ignore. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and the gap widens on weekends, when coverage drops roughly 16% below its own weekday level. Annual turnover of 70.8% is well above the national 45.8%, which matters because constant churn makes consistent care harder to deliver.
The inspection history backs that up: 21 deficiencies on record, including two at the harm or jeopardy level and one tied to abuse, plus a $14,020 fine. Its last inspection was June 2025.
Cedar Creek runs on thin staffing. At 3.35 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly 18 percent below what the home manages during the week, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 94.4 percent of staff leaving in a year, more than double the national rate, which means the aides and nurses who know your mother's routines are constantly being replaced by people learning them for the first time. Forty total deficiencies on record, three tied to abuse, with the last inspection in May 2026. Corporate-owned, 62 beds. Ask to see weekday and weekend staffing schedules side by side before you decide.
Legacy At Jacksonville runs a 101-bed for-profit operation that just got through a health inspection with no findings at the harm or jeopardy level, which is worth something, 11 deficiencies on the record and only one tied to abuse, none serious enough to endanger a resident. But the nursing side tells a different story: 3.17 nurse hours per resident per day against a national average of 3.86, a staffing rating of 1 out of 5, and weekends running about 13% thinner than weekdays. Quality measures land at 2 out of 5, with two fines totaling $27,345 on the books. Inspection day looked fine; the daily staffing math is the part I'd ask about.
Brookdale Lakeway runs on thinner staffing than most homes its size, 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what it manages Monday through Friday. That gap matters because care doesn't pause on Saturdays. Annual turnover sits at 55.3%, well above the 45.8% national figure, so the aides and nurses your family member sees are cycling through faster than average. The inspection record backs this up: 23 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and $91,420 in fines. The most recent inspection was in August 2025. Quality measures score well, but the staffing and oversight numbers are where the concern lives.
Legend Oaks in Waxahachie runs 121 certified beds under individual for-profit ownership, and the staffing picture is the first thing to notice: 3.55 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 19% below its own weekday levels. That thin weekend coverage matters, because turnover sits at 57.6%, well above the 45.8% national figure, meaning the aides and nurses at the bedside keep changing. The inspection record backs it up: 35 deficiencies, five serious enough to put residents in harm's way, one tied to abuse, and $41,215 in fines across three actions, with the most recent inspection in February 2026.
Nurse staffing at The Bartlett runs about 3.58 hours per resident day, roughly 7 percent below the national average, and weekend coverage drops about 12 percent below the home's own weekday level, so care thins out exactly when families tend to visit. The current record shows 36 deficiencies, including 4 tied to abuse and 2 serious enough to put residents in harm's way, along with two fines totaling $34,613. A 1-out-of-5 staffing rating paired with 2s for health inspections and quality measures points to a pattern, not a one-time stumble. The last inspection was August 2025. The for-profit partnership has real ground to make up.
Cypress Creek runs 122 certified beds under individual for-profit ownership, and its staffing is the number that stands out: 3.23 nurse hours per resident day, roughly 16% under the national average, with weekends dipping about 16% below its own weekday levels. Annual turnover sits at 66.7% against a national average of 45.8%, so the aides and nurses in the building change often. The record shows 20 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, plus $74,263 in fines across two penalties; the most recent inspection was May 29, 2025.