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.
Llano Nursing and Rehabilitation Center runs on 3.00 nurse staffing hours per resident per day, roughly 22% under the national average of 3.86, and weekends drop about 10% below its own weekday levels. That thin coverage shows up in the numbers: 70.4% annual staff turnover against a national average of 45.8%, and 27 deficiencies on the current record, four serious enough to cause harm or jeopardy and two tied to abuse, with one fine totaling $40,170. The most recent inspection was September 2025. The 4/5 quality measure rating reflects resident care data, but it sits alongside a 1/5 staffing rating, and that gap is worth asking about directly.
Dogwood Trails Manor runs on thin staffing: 3.38 nurse hours per resident day, about 13 percent under the national average, and weekends drop roughly 12 percent below its own weekday levels. That gap matters because fewer aides on Saturday and Sunday means slower responses. The bigger warning sign is turnover, 93.9 percent annually against a national average near 46 percent, meaning most of the staff you'd meet likely weren't there a year ago. Eighteen deficiencies sit on the current record, including two at the harm or jeopardy level and five tied to abuse, with $23,104 in fines. Inspectors last visited in August 2025, and the corporation that owns it is for-profit.
Park Highlands is a hospital-district home in Athens, and its inspection record is genuinely strong, five stars, nine deficiencies with none at the harm level and no abuse findings, and a survey done as recently as May 2025. The trouble is what happens between inspections. Nurses give residents 3.05 hours of care per day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Nearly nine in ten employees turned over last year, roughly double the national rate, which means the people at the bedside keep changing. Stable hands matter most in a nursing home, and this one struggles to keep them.
Woodland Park runs a hundred beds in Shepherd under hospital district ownership, and the numbers there deserve a close look. Nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average, and weekends drop about 8% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 57.4%, well above the 45.8% national figure, which usually means less continuity for residents who need consistent hands. The current record carries 31 deficiencies, five of them serious enough to involve harm or jeopardy, plus two fines totaling $41,515. The last inspection was July 2025.
The Bradford At Brookside runs lean on nursing staff, 3.39 hours per resident day against a national average of 3.86. Weekends are thinner still, roughly 13 percent below its own weekday coverage. Turnover sits at 65.2%, well above the 45.8% national figure, so the people caring for residents change often.
Against that, the home's most recent health inspection in August 2025 produced a strong four-star result and 31 deficiencies with none at the harm or jeopardy level, though one is abuse-related. State inspectors have looked recently and found no serious harm.
What you're weighing is a home that passes inspection but runs short-staffed with high turnover. Ask about weekend coverage and how long aides typically stay.
Oasis At Pearland runs 138 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.50 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends dip roughly 8% below its own weekday level. Turnover tells a harder story: 71.8% of staff leave annually, against a national 45.8%. The inspection record backs that up, 42 deficiencies, including 6 at harm or jeopardy level and 3 abuse-related, with $34,510 in fines across three events. A 1-out-of-5 health inspection rating and 1-out-of-5 staffing rating, last surveyed June 12, 2025, describe a home where both the workforce and the oversight have been thin.
Benbrook Nursing & Rehabilitation Center runs on 2.81 nurse staffing hours per resident day, roughly 27% under the national average of 3.86, and weekend coverage drops about 10% below its own weekday level. When a facility leans that thin on staff, the numbers elsewhere tend to follow: 53 deficiencies on the current record, including 2 at the harm or jeopardy level and 7 tied to abuse, plus $41,143 in fines. Annual turnover of 62.8%, well above the 45.8% national average, means the people caring for residents are often new to the building. The most recent inspection was September 11, 2025, so the picture is current, not dated.
Houston Heights Nursing and Rehabilitation Center runs on 3.03 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 8% below its own weekday level. Staff turnover sits at 59.1% against a national 45.8%, so the people doing the bedside work change often, and a 1-out-of-5 CMS staffing rating reflects that reality. The inspection record shows 23 deficiencies, including six at the harm or jeopardy level and two tied to abuse, with four fines totaling $105,536 and a 2-out-of-5 health inspection rating. The 4-of-5 quality measure score stands out, but it rests on a staffing and inspection foundation that is thin.
The Lodge of Saginaw runs on about 3.10 nurse hours per resident per day, roughly a fifth below the national average, and weekends are thinner still, about 9% under its own weekday coverage. Staff turnover sits at 55.3% against a national 45.8%, so aides and nurses cycle through faster than at the typical home. That shows up in the staffing star rating, which CMS puts at 1 out of 5, even while the quality measure score reaches 5. Twenty-three deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus a $15,944 fine. The last inspection was recent, December 2025. For-profit, LLC-owned, 130 beds.
The Palms runs 204 beds in Corpus Christi under corporate for-profit ownership, and its nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86. Weekends are thinner still, about 18 percent lighter than the home's own weekday coverage, and annual turnover of 51.2 percent means the aides and nurses showing up are often new to the building.
The inspection record is the heavier concern: 60 deficiencies, five serious enough to put residents in harm's way, and 11 tied to abuse. Four fines total $79,987. Federal quality measures land at 1 out of 5 stars, and the most recent inspection came in December 2025, recent enough that this picture reflects how the home operates now, not years ago.
The Lennwood Nursing And Rehabilitation runs 124 certified beds in Dallas under county government ownership, and the staffing numbers are where the trouble starts. At 2.90 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends drop another 17% beneath its own weekday level. Turnover tells a similar story: 68.6% annually, against 45.8% nationally, which means the aides and nurses your relative sees may not be there in six months. The current record shows 24 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse, with two fines totaling $29,969. The last inspection was August 29, 2024.
Oak Ridge Manor runs 114 beds in Brownwood under for-profit LLC ownership, and its inspection record is genuinely decent, a four-star health inspection rating, fifteen deficiencies with none rising to harm or jeopardy, and a survey completed in late December 2025. The problem sits in the staffing column, where the home earns one star. Nurses provide 3.29 hours per resident day against a national average of 3.86, weekends drop about 19% below the home's own weekday coverage, and annual turnover hits 96.4% when the national figure is 45.8%. That's a workforce cycling through nearly completely each year. Two abuse-related deficiencies and a $129,761 fine round out a record where care appears adequate on paper but the people delivering it keep leaving.
Merkel Nursing Center runs on thin coverage. At 3.35 nurse hours per resident day, it sits about 13 percent under the national average, and weekends drop roughly a quarter below what the home itself staffs on weekdays. That gap matters, because turnover runs 71.1 percent against a national 45.8, most of the people caring for your family member are new, and many won't stay a year. The inspection record is where the real weight sits: 64 deficiencies, five at harm or jeopardy level, six tied to abuse, and $391,887 in fines. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes.
Avir At San Angelo runs on 2.99 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 9% below what it manages on weekdays. The inspection record shows 36 deficiencies, seven of them at the level where residents were actually harmed or put in jeopardy, and five tied to abuse. Four fines total $217,215, and the last inspection was March 6, 2025. This is an individually owned for-profit home, and the federal star ratings sit at 1 for health inspections, 1 for staffing, and 2 for quality measures. When staffing is thin, harm-level findings stack up, and fines reach six figures, the pattern is worth taking seriously before you visit.
Avir At Athens runs on 2.92 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 13% below what the home already provides during the week. That thin coverage shows up elsewhere: annual turnover is 57.5% against a national 45.8%, so the aides and nurses your family meets may not be there in six months. The inspection record carries 22 deficiencies, four serious enough to put residents in harm's way and four tied to abuse, with $243,325 in fines across four penalties. The most recent inspection was February 2026. A 112-bed for-profit partnership, it's licensed and it takes Medicare and Medicaid, but the staffing and inspection numbers are the ones to ask about directly.
Granbury Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: a staff turnover rate of 94.2%, where the national figure sits near 46%, meaning most of the people caring for residents this year likely won't be there next year. The home carries 37 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus $37,501 in fines. Inspectors were last out in February 2026, and the health inspection rating sits at 2 out of 5.
Graham Oaks runs on 2.99 nurse hours per resident per day, roughly a fifth below the national average, and weekends are thinner still, about 14 percent lighter than its own weekdays. That staffing picture comes with a 94.4 percent annual turnover rate, more than double the national figure, meaning the aides and nurses your family member sees are, more likely than not, new to the building within the year. The inspection record shows 21 deficiencies, three serious enough to put residents in harm's way and four tied to abuse, with $34,690 in fines. A for-profit LLC owns it. The most recent inspection was January 2025.
Trinity Nursing & Rehab Of Granbury runs on 3.12 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 15% below what the home staffs on weekdays. Turnover sits at 69.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 28 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $66,367 fine. The last inspection was June 4, 2025. For-profit, LLC-owned, 90 beds. If you're considering this one, ask directly how they cover weekends and what's changed since that June inspection.
Franklin Heights runs on 3.07 nurse hours per resident per day, roughly a fifth less than the national average, and weekends drop another 14 percent below its own weekday levels. Staff turnover sits at 96.2 percent, more than double the national figure, so the people caring for residents are, statistically, almost all new. The inspection record is heavier: 77 deficiencies, five involving harm or jeopardy, 11 tied to abuse, and two fines totaling $191,503. State inspectors were last on site in July 2025. Ownership is a for-profit partnership. With 132 certified beds, that ratio of direct care to residents, especially on weekends, is the number worth asking about when you visit.
Southern Specialty Rehab & Nursing runs 144 beds in Lubbock under corporate ownership, and its staffing numbers look decent at first glance, 3.99 nurse hours per resident day, just above the national average. But that average hides a churn problem: turnover sits at 98.7%, more than double the national rate, meaning the aides and nurses at your mother's bedside are likely new to the building and still learning it. Weekend coverage drops about 6% below weekday levels, so the shifts when families visit least are the thinnest. The inspection record is harder to explain away: 30 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $36,652, with the most recent inspection in June 2026.