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.
Brookhaven runs on thin staffing: 3.15 nurse hours per resident day against a national average of 3.86, with weekends about 9% leaner than weekdays. Turnover sits at 75.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is the bigger concern, 48 deficiencies, including four at harm or jeopardy level and two tied to abuse, with three fines totaling $24,739 and a survey as recent as July 2025. That combination of low staffing, high turnover, and repeat serious findings is what drives the low marks across all three CMS categories.
Mineral Wells Nursing & Rehabilitation has a split personality in the federal data. Its last inspection was in April 2025, and it earned a top five-star health inspection rating with twelve deficiencies on record, one of which rose to the harm or jeopardy level and one tied to abuse. Where it struggles is staffing: 3.05 nurse hours per resident day sits about 21 percent under the national average, weekend coverage drops roughly 11 percent below its own weekdays, and annual turnover runs 95.6 percent against a national 45.8. That churn is the number that should worry you most, because it means the people caring for your relative are, more often than not, new to the building.
Paradigm At The Creek runs 120 certified beds in Wharton under for-profit LLC ownership, and the staffing numbers are the first thing to notice. Its 3.23 nurse hours per resident day sit well under the national average, weekend coverage drops further below its own weekday level, and more than half the nursing staff turned over in a year, a rate noticeably above the national figure. The inspection record backs that up: 38 deficiencies, seven serious enough to put residents in harm's way, four tied to abuse, and four fines adding up to just over $52,000. All three CMS star ratings sit at the lowest tier. If you're considering this one, ask hard questions about who's actually on the floor nights and weekends.
If you're considering Oakmont Healthcare And Rehabilitation Center Of Katy, the staffing numbers are what stand out first. Nurses provide 2.91 hours of care per resident per day, roughly a quarter below the national average, and weekend coverage drops about 10% below what the home staffs on weekdays. Annual turnover runs 92.6%, more than double the national rate of 45.8%, meaning most of the people caring for residents are new to the building.
The inspection record shows 23 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a $12,740 fine. The last inspection was November 2024, so the record is reasonably current. Ownership is a for-profit corporation.
Avir At Stephenville runs 102 certified beds and leans on a nursing staff that logs 3.33 hours per resident day, roughly 14% under the national average, with weekends about 13% thinner than its own weekdays. That shortfall shows up in the numbers: 82.3% annual turnover against a national 45.8%, a one-star staffing rating, and 31 deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse. A single fine of $204,614 sits on the books, and the most recent inspection, in July 2025, produced a two-star health inspection result. Ownership is corporate and for-profit, which may help explain the staffing math.
Avir At Western Hills runs on lean nurse staffing: 3.16 hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. That gap shows up in the payroll, 75% of staff turned over in a year, well above the 45.8% national figure, and it's a big reason the staffing rating sits at 1 out of 5 even though quality measures score 4. The inspection record carries 31 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus $16,562 in fines. The most recent inspection was May 2025, so the picture is current, and this corporate-owned home is licensed for 120 beds.
Arlington Heights runs 170 certified beds in Fort Worth, and the numbers that stand out are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends drop about 11% below the home's own weekday level, and annual turnover hits 91.6% when the national figure is 45.8%, which means the aide or nurse your mother sees on Tuesday may not be there by spring. The inspection record shows 43 deficiencies, three at harm or jeopardy level and three abuse-related, with $31,539 in fines and a 2/5 health inspection rating. Ownership is for-profit, individual.
Treemont's staff turnover runs about 94 percent a year, roughly double the national average, which tells you the people caring for residents here are, more often than not, new to the building. That instability shows up in the numbers: 41 deficiencies on the current record, five serious enough to involve harm or jeopardy, six tied to abuse, and four fines totaling $63,262. Federal inspectors last visited in July 2025 and rated the home two stars for health inspections, two for quality measures, and one for staffing. It's a for-profit limited liability company with 130 certified beds.
Santa Fe Health & Rehabilitation Center runs 116 certified beds in Weatherford under for-profit LLC ownership, and its staffing is the number that stands out. At 2.89 nurse hours per resident per day, it's about a quarter below the national average of 3.86, and weekends dip roughly 15% below its own weekday level, which matters when families visit and needs don't pause. Annual turnover of 59.7% runs well above the national 45.8%, so familiar faces are hard to keep. The inspection record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in February 2025. CMS rates its staffing 1 out of 5 stars, while inspections and quality measures each land at 3.
Sunflower Park Health Care runs 3.24 nurse hours per resident day, roughly 16 percent under the national average, and weekends dip about 15 percent below its own weekday coverage. That thin staffing sits atop 100 percent annual turnover, every nurse replaced over a year, against a national rate near 46 percent. Inspectors cited 52 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, with $190,538 in fines. The quality measure score looks strong, but it reflects charted care, not the hands available to deliver it. The most recent inspection was January 7, 2026.
Cypress Woods runs lean on nurses, 2.65 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage. That thin floor shows up in the numbers: annual turnover of 64.2% means most of the people caring for your family member are newer than the average aide elsewhere, and CMS itself rates staffing at just one star out of five.
The counterweight is inspection history. Twenty deficiencies on record, one serious enough to involve harm or jeopardy, and a single $22,104 fine, but a four-star health inspection rating and a recent survey from January 2025. This is a for-profit limited liability company where the care, when it happens, has generally satisfied state inspectors, even as the daily staffing margin stays slim. Ask about weekend coverage specifically.
Tomball Rehab & Nursing runs on 2.77 nurse hours per resident day, roughly 28% under the national average, and weekends drop another 8% below its own weekday coverage. That thin staffing shows up in the numbers: 68% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. The hospital district ownership doesn't change what the payroll looks like day to day.
Inspectors cited 26 deficiencies on the current record, two serious enough to involve harm or jeopardy, with $110,495 in fines across two penalties. The most recent inspection was February 2026. Quality measures score well at four stars, but that's a self-reported side of the ledger, and it sits against a two-star inspection history and staffing that's the real story here.
Focused Care At Webster runs a 120-bed for-profit operation in Harris County, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.56 hours per resident day, about 8% under the national average, and it thins out further on weekends. Annual turnover hits 66.3% against a national 45.8%, so you're looking at a building where two out of three caregivers left within the year.
The inspection record backs that up: 32 deficiencies on file, three at harm or jeopardy level, five tied to abuse, and $34,665 in fines across two penalties. The last inspection was January 30, 2025. Quality measure scores look strong, but that's largely charting, the direct-care hours and the harm-level findings are what a family will actually feel.
Georgia Manor runs on thin staffing, and the numbers show it: 3.01 nurse hours per resident day, roughly a fifth below the national average, with weekends dropping another 14% beneath its own weekday levels. Nearly every employee leaves within a year, turnover sits at 97.7% against a national average of 45.8%, so the people caring for residents are, more often than not, new to the building. The inspection record adds weight: 37 deficiencies, including one at the harm level and three tied to abuse, plus an $8,031 fine. A recent inspection date helps, but it doesn't erase a staffing pattern where continuity is nearly absent.
Reunion Plaza is run by a hospital district, and its inspection record is genuinely clean, five deficiencies on the books, none causing harm or involving abuse, and a recent survey from August 2025. The problem sits elsewhere. Nurse staffing runs 3.20 hours per resident day against a national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage, so the hours thin out exactly when families tend to visit. Annual turnover of 66.3% is well above the 45.8% national figure, which means aides and nurses are cycling through regularly. Good inspections, thin and unsettled staffing, that combination is what a C reflects here.
Matagorda Nursing & Rehabilitation Center runs a 100-bed for-profit operation in Bay City, and the staffing numbers are where the trouble shows. At 3.50 nurse hours per resident per day, it sits about 9% under the national average, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 87.8% is nearly double the national rate, meaning the people providing most of the daily care are, statistically, on their way out. Twelve deficiencies sit on the current record, one serious enough to involve harm or jeopardy, along with a $16,555 fine. A May 2025 inspection is recent, so the picture isn't stale.
Focused Care at Hogan Park runs on 2.37 nurse hours per resident day, well under the national average of 3.86, and weekend coverage drops further below its own weekday level. Staff turnover sits at 63% against a national 45.8%, so the people showing up are often new. The current inspection record carries 45 deficiencies, one serious enough to reach harm or jeopardy level, and a $9,110 fine; the last inspection was in January 2025. The government-hospital-district owner is a real distinction from a for-profit chain, but it hasn't translated into steady hands or enough of them. Ask how they hold staffing together on weekends before you decide.
Park Manor Of Cypress Station runs on thin nursing coverage: 3.09 hours per resident per day against a national average of 3.86, and weekends dip about 14% below its own weekday level. That staffing shortfall shows up in a 61% annual turnover rate, well above the 45.8% national figure, and in a one-out-of-five CMS staffing star. The inspection record is harder to look past: 27 deficiencies, seven at harm or jeopardy level, three tied to abuse, and $29,517 in fines, with the most recent inspection dated June 2025. Owned by a for-profit limited liability company, its quality measure star of four out of five stands out against everything else, though strong chart numbers don't change what happens on the floor.
Columbus Oaks runs 137 certified beds as a for-profit corporation, and the numbers show strain in a few places. Staff turnover sits at 56.5% against a national average of 45.8%, and the federal staffing and quality ratings both come in at one star out of five. The health inspection record shows 30 deficiencies, two of them serious enough to reach harm or jeopardy level, though none tied to abuse. Fines total $8,412 from a single penalty, and the most recent inspection was July 9, 2025. Nothing here suggests a home in crisis, but the combination of high turnover and low staffing marks is worth asking about directly.
Avir At Houston runs 148 certified beds as a for-profit corporation, and the numbers that matter most here are thin. Nurse staffing sits at 2.79 hours per resident day against a national average of 3.86, roughly 28% below, and weekends drop about 19% below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. The inspection record carries 35 deficiencies, six of them serious enough to involve harm or jeopardy, plus four fines totaling $178,352. The most recent inspection was May 8, 2026. Federal quality measures score well, but that sits against a 1/5 staffing rating and a 1/5 inspection rating. If you're weighing this one, ask specifically how weekend coverage is handled.