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.
Honey Grove Nursing Center runs 102 certified beds under corporate for-profit ownership, and the staffing numbers are where things get uncomfortable. At 3.50 nurse hours per resident per day, it sits roughly 9% under the national average of 3.86, and weekends drop another 8% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. The inspection record backs that up: 40 deficiencies, four serious enough to reach harm or jeopardy level, and two fines totaling $213,797. No abuse citations appear on the current record, and the most recent inspection was in December 2025, so the picture is current rather than stale.
Heritage Gardens runs on thin staffing: 3.15 nurse hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday levels. That's a real gap when a resident needs help on a Saturday. Annual turnover sits at 59.7%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The current inspection record shows 22 deficiencies, one at harm or jeopardy level and four abuse-related, with a $38,840 fine and the most recent inspection in November 2024. The quality measure score looks strong, but that's built from chart data, not from how the place is actually staffed day to day.
Highland Pines is run by a hospital district, and its 171 beds get 3.70 nursing hours per resident day, about 4% under the national average, with weekends running roughly 16% lighter than weekdays. Staff turnover sits at 46.2%, right at the national figure, so this isn't a retention crisis; it's thin coverage that thins further when you're most likely to visit. The inspection record is the harder read: 48 deficiencies, including one at harm or jeopardy level and four tied to abuse, with a $17,629 fine and a survey completed January 14, 2026. Two stars on health inspections and one on staffing tell you where the weight lands.
Park Manor of McKinney is owned by a hospital district, and its clinical quality scores look decent, four out of five stars on CMS's quality measures. The problem is the people doing the work. Nurse staffing sits at 3.25 hours per resident per day, about 16 percent under the national average, and weekends run roughly 19 percent thinner than weekdays, so your mother's Sunday care isn't the same as her Tuesday care. Staff turnover is 62.4 percent against a national 45.8 percent, meaning most of the aides who know her will be gone within a year. Eighteen deficiencies sit on the current record, two serious enough to involve harm, with one fine of $29,426.
Fair Park runs about 2.97 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 20% beneath its own weekday level. That thin coverage is the big number here: staff turnover sits at 91.8% against a national average near 46%, so nearly the entire nursing staff turns over in a year. The current record shows 29 deficiencies, none at harm level but two tied to abuse, and the last inspection was in May 2025. For-profit corporate ownership and a 1-out-of-5 CMS staffing rating back up what the hours already suggest, ask who's actually on the floor on a Sunday.
San Rafael runs on 3.08 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 15% below its own weekday staffing. That thin coverage shows up in the record: 59 deficiencies, including six at the harm or jeopardy level and five tied to abuse, with four fines totaling $80,132. Turnover at 38.2% is actually better than the 45.8% national average, and the hospital district ownership means public accountability rather than a private operator. But a one-star inspection rating and a March 2025 inspection leave little room to argue the care is well-supervised. If you're considering this one, ask specifically how weekends are covered and how abuse allegations get handled.
Park Place runs lean on the people who actually deliver care. At 3.41 nurse hours per resident day, it sits about 12 percent under the national average, and weekends drop roughly another 18 percent below its own weekday coverage. The staffing picture gets harder when you look at turnover: 63.8 percent of staff left last year, against a national rate near 46 percent, meaning the aides and nurses caring for your relative are, statistically, likely to be new to the building. The government's own inspectors rated staffing and health inspections each 1 out of 5, and the record shows 32 deficiencies, three of them serious enough to put residents in harm's way and three tied to abuse. Two fines total $287,159. Texas corporate ownership, 120 beds, last inspected May 2025.
Park View is a 74-bed hospital-district home in Muleshoe, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.49 hours per resident per day, about 10% under the national average, and it thins out further on weekends, roughly 15% below the home's own weekday level. Annual turnover runs 66.7% against a national 45.8%, meaning most of the people caring for residents are relatively new.
Inspections tell the harder story: 26 deficiencies on the current record, including 2 at harm or jeopardy level and 4 abuse-related, with one fine of $21,645. The most recent inspection was January 15, 2026.
The Chateau Waco, a 123-bed hospital-district home, has a staffing problem that runs deeper than its 3.48 nurse hours per resident day, roughly 10% under the national average. Weekend coverage drops about 15% below the home's own weekday level, and 73.6% of staff left over the past year, well above the 45.8% national rate. On inspections, the record shows 33 deficiencies, six at harm or jeopardy level and one abuse-related, with four fines totaling $72,056 and a one-star health inspection rating. The quality measure score of four stars stands out against a one-star staffing rating, which tells you the clinical numbers look better on paper than the floor coverage suggests.
Vista Hills runs on thin staffing: 3.44 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 15% below what the home manages on weekdays. The bigger problem is retention, 95.8% annual turnover means the aides and nurses caring for residents are, on average, gone within about a year, against a national rate near 46%. Inspectors have cited 72 deficiencies, including five tied to abuse and one at the harm level, and fined the corporate owner $40,465. The quality measure score looks good on paper, but that's family-reported data, and it sits alongside a one-star staffing rating.
Bay Ridge Healthcare Center runs 58 certified beds in La Porte under corporate for-profit ownership, and the numbers on its current record are worth a close look. Nurse staffing sits at 3.71 hours per resident day, a bit under the national average, and weekend coverage drops roughly 13% below the home's own weekday level, the stretch when families often can't visit. Staff turnover runs 57.7% against a national 45.8%, so the people caring for your relative may keep changing. The inspection record shows 32 deficiencies, six at harm or jeopardy level and six abuse-related, with $18,054 in fines. The most recent inspection was February 2025.
Avir At Azalea Heights runs 120 certified beds in Tyler under for-profit LLC ownership, and its nurse staffing sits at 2.60 hours per resident day, roughly a third below the national average of 3.86. Weekends dip about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 25 deficiencies, three of them serious enough to put residents at harm or jeopardy, with two fines totaling $27,550 and a December 2025 inspection. Staff turnover of 43.8% is close to the national 45.8%, so the problem isn't retention so much as how few hands are scheduled per resident.
Ballinger Healthcare and Rehabilitation Center runs on thin staffing. At 3.04 nurse hours per resident per day, it sits about 21% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The bigger flag is turnover: 96.1% annually, meaning the aides and nurses caring for residents are, in large part, new to the building, against a national rate near 46%. Its 13 deficiencies include one abuse-related citation but none at the harm level, and the last inspection was November 2024. For-profit LLC ownership. Ask about weekend coverage and how long current staff have actually been there.
Avir At Winnsboro runs a 112-bed for-profit home, and its nurse staffing sits at 2.71 hours per resident day, roughly 30 percent under the national average. Weekends drop another 14 percent below its own weekday levels, and staff turnover hits 59.4 percent against a national figure of 45.8. That combination matters more than any single number here, because thin coverage and constant turnover tend to reinforce each other. The current inspection record carries 50 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with $21,554 in fines. The most recent inspection was June 25, 2025. If you're considering this one, ask directly how they cover weekends and what they've changed since that inspection.
Regency Village runs 122 certified beds in Webster under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 68.8% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are often new to the building.
The inspection record is heavier still: 28 deficiencies, including 5 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $22,718. State inspectors last visited in May 2025.
Winfield Rehab & Nursing runs about 3.2 nurse hours per resident per day, roughly 17% under the national average, and weekend coverage dips another 11% below its own weekday level. Staff turnover sits at 62.1%, well above the 45.8% national figure, that's a lot of unfamiliar faces cycling through an 83-bed building. The inspection record is where things get serious: 48 deficiencies, nine at harm or jeopardy level, ten tied to abuse, and five fines totaling $355,773. The quality measure score looks fine on paper, but that reflects charted care processes, not the staffing and safety problems inspectors keep documenting. For-profit individual ownership, and the last inspection was December 2025.
Arbor Grace runs on thinner staffing than most homes, about 3.08 nurse hours per resident day against a national average near 3.86, and weekends dip roughly 6% below its own weekday levels. That shortfall shows up in the numbers: 58.6% annual turnover, well above the 45.8% national figure, plus 38 deficiencies on record, four serious enough to involve harm or jeopardy and one tied to abuse. Two fines totaling $44,434 round out the picture. The last inspection was February 2026, so the record is current, this isn't stale history. A for-profit LLC operating 80 beds with a 1/5 quality measure rating is a home where you'd want to ask hard questions about who's actually on the floor.
If you're weighing Brownsville Nursing and Rehabilitation Center for someone you love, the staffing numbers are the thing to sit with. Nurses provide 2.88 hours of care per resident per day, roughly a quarter below the national average, and weekends run about 13 percent thinner than weekdays. Staff turnover sits at 62 percent, well above the 45.8 percent national figure, which means caregivers cycle through fast and familiarity suffers. The inspection record is heavier still: 42 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, plus $63,287 in fines. A recent August 2025 inspection and a strong quality-measure score don't offset a 1-out-of-5 staffing rating and a 1-out-of-5 inspection rating. Ask hard questions before choosing this one.
Corpus Christi Nursing and Rehabilitation Center runs on 3.00 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage dips about 11% below its own weekday level. That thin margin matters because turnover sits at 59.8% against a national 45.8%, close to six in ten staff leaving in a year, which makes consistent care hard to hold onto. The inspection record shows 31 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with one fine of $13,397 and a survey dated June 2025. Nonprofit ownership hasn't translated into stronger staffing here.
Groveton Nursing Home is a 47-bed for-profit in Trinity County, and the split in its federal ratings is the whole story. Inspectors rate it well, four stars, six deficiencies total, only one serious enough to cause harm, none tied to abuse, and the most recent visit was in September 2025. But staffing sits at one star, and that gap matters: a home can pass inspection on any given day while running thin the rest of the year. One fine has been levied, $56,378, which isn't small for a building this size. If you're considering it, ask how many direct-care hours residents actually get per day and how often they use agency or temporary staff.