Mesquite, TX · Dallas County
★★★★☆CMS 4/5180 bedsNon-profitMedicaid
- Nurse hours
- 3.99 /day
- Staff turnover
- 52%
- Serious cites
- 0
Nurse staffing at this Mesquite nonprofit runs 3.99 hours per resident day, slightly above the national average of 3.86, and weekends dip about 4% below its own weekday levels, a small drop, but worth asking about. The bigger concerns sit elsewhere: annual turnover is 52% against a national 45.8%, and the current record carries 15 deficiencies, four at harm or jeopardy level and one abuse-related, plus two fines totaling $28,941. The 5/5 quality measure score stands out, but that's largely self-reported data, while the 3/5 inspection rating reflects what surveyors actually found when they visited in March 2025.
Cleveland, TX · Liberty County
★★★★☆CMS 4/5142 bedsNon-profitMedicaid
- Nurse hours
- 3.83 /day
- Staff turnover
- 39%
- Serious cites
- 0
Cleveland Health Care Center runs 142 certified beds as a nonprofit corporation, and its last inspection was April 30, 2025. Nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86, but weekends drop about 12% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 39.4%, better than the 45.8% national figure, which suggests some stability in the workforce.
What pulls the record down is the inspection history: 12 deficiencies on file, 3 of them serious enough to involve harm or jeopardy, plus two fines totaling $30,198. No abuse citations appear. The day-to-day care measures and inspection scores look decent on their own; the harm-level findings are the part worth asking about directly.
Gladewater, TX · Gregg County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 4.78 /day
- Staff turnover
- 35%
- Serious cites
- 0
Truman W Smith Children's Care Center runs 4.78 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 35% beats the 45.8% national figure. Weekend coverage dips about 14% below weekday levels, though, so care may thin out on Saturdays and Sundays. The home has 13 deficiencies on record, none involving harm or abuse, and it was inspected as recently as November 2025. What pulls the grade down is the staffing star rating of 2 out of 5, even as health inspections and quality measures both score 5.
Haskell, TX · Haskell County
★★★★★CMS 5/568 bedsFor-profitMedicaid
- Nurse hours
- 3.23 /day
- Staff turnover
- 39%
- Serious cites
- 0
Avir At Haskell runs lean on nurse hours, 3.23 per resident day against a national average of 3.86, with weekends dropping roughly 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. Turnover sits at 39.4%, better than the 45.8% national figure, so the crew here is steadier than most. Eighteen deficiencies appear on the current record, though none rise to harm or jeopardy, and none involve abuse, with the last inspection in July 2025. Corporate for-profit ownership, 68 beds, and strong marks on quality measures round out a picture of a home that's safe and well-observed but thinly staffed.
Wichita Falls, TX · Wichita County
★★★☆☆CMS 3/5121 bedsFor-profitMedicaid
- Nurse hours
- 3.86 /day
- Staff turnover
- 45%
- Serious cites
- 0
Midwestern Healthcare Center runs 121 certified beds in Wichita Falls under corporate for-profit ownership. Its nurse staffing sits at 3.86 hours per resident day, which is roughly the national average, but weekends run about 13% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover is 44.9%, close to the national 45.8%, meaning nearly half the workforce is replaced each year.
The inspection record is the real concern: 23 deficiencies, three of them at the harm or jeopardy level and three abuse-related, plus one fine totaling $29,884. The most recent inspection was August 28, 2025. Quality measure scores look strong, but the health inspection side tells a different story.
Sulphur Springs, TX · Hopkins County
★★★★☆CMS 4/5144 bedsFor-profitMedicaid
- Nurse hours
- 4.29 /day
- Staff turnover
- 47%
- Serious cites
- 0
Carriage House Manor runs 144 certified beds in Sulphur Springs under individual for-profit ownership. Its 4.29 nurse staffing hours per resident day sit about 11% above the national average of 3.86, and weekends dip roughly 13% below the home's own weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 46.9%, essentially tracking the national 45.8%. The inspection record shows 26 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. CMS gives it 4 stars for health inspections and 4 for staffing, 3 for quality measures.
Fairfield, TX · Freestone County
★★★★☆CMS 4/584 bedsGovernmentMedicaid
- Nurse hours
- 3.13 /day
- Staff turnover
- 44%
- Serious cites
- 0
Fairview Healthcare Residence runs on thin nurse coverage, 3.13 hours per resident day, roughly 19 percent under the national average, and weekends drop about 11 percent below its own weekday levels. Turnover sits at 43.6 percent, slightly better than the national figure, so the staff who are there tend to stay. Inspections are recent, and the record holds 11 deficiencies, including one at the harm level and one abuse-related, plus a single $19,412 fine. The quality and inspection ratings hold up at 4 out of 5, but staffing lands at 3, and that gap is what pulls the overall picture down.
Denison, TX · Grayson County
★★★★☆CMS 4/5150 bedsFor-profitMedicaid
- Nurse hours
- 3.27 /day
- Staff turnover
- 35%
- Serious cites
- 0
Beacon Hill runs 150 certified beds in Denison under corporate ownership, and its numbers are a mixed bag worth sorting through. Nurse staffing sits at 3.27 hours per resident day, roughly 15 percent under the national average, and weekends drop about 11 percent below what the home staffs on weekdays, that gap matters when families visit and see who's actually on the floor. Turnover is the brighter spot: 34.9 percent against a national 45.8 percent, which suggests people stay. Inspections in December 2025 turned up 21 deficiencies, none at harm or jeopardy level and none abuse-related.
Hereford, TX · Deaf Smith County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.50 /day
- Staff turnover
- 33%
- Serious cites
- 0
Hereford Nursing & Rehabilitation runs 120 certified beds under individual for-profit ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average, with weekends running about 13% below its own weekday levels. Turnover is the bright spot: 32.6% against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record shows 14 deficiencies, none at the harm or jeopardy level, though three are abuse-related, which is worth asking about directly. A 4/5 on health inspections and quality measures, plus a recent August 2025 survey, suggests the care itself holds up, the thin weekend coverage is the piece to watch.
Grand Saline, TX · Van Zandt County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.68 /day
- Staff turnover
- 42%
- Serious cites
- 0
Avir At Grand Saline runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average, with weekends dipping about 8% below its own weekday coverage. That thin margin shows up in a 2-star staffing rating, even though turnover at 42% is actually a bit better than the 45.8% national figure. The inspection record carries 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,281. A 4-star quality measure score and a February 2026 inspection round out a mixed picture: adequate clinical metrics, but real gaps in daily staffing and past safety findings worth asking about directly.
Knox City, TX · Knox County
★★★☆☆CMS 3/566 bedsFor-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 39%
- Serious cites
- 0
Avir At Knox City runs on 3.24 nurse hours per resident per day, about 16% under the national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. Turnover sits at 39.3%, better than the 45.8% national figure, so the people who do stay tend to stick around. The current record carries 24 deficiencies, including one at the harm or jeopardy level and one tied to abuse, along with a single $8,018 fine. The last inspection was December 18, 2025, so the picture is recent. For-profit corporate ownership, 66 certified beds, and a quality measure score that outpaces its staffing and inspection results.
Baytown, TX · Harris County
★★★★★CMS 5/5105 bedsFor-profitMedicaid
- Nurse hours
- 3.88 /day
- Staff turnover
- 46%
- Serious cites
- 0
St. James House of Baytown runs 105 certified beds under corporate ownership, and its inspection record is genuinely strong, a 4-out-of-5 health inspection score, with the most recent survey completed in August 2025. The catch is what that record contains: 10 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $14,901. Staffing tells a similar story. Total nurse hours sit right at the national average, but weekend coverage drops about 10% below the home's own weekday level, and turnover runs slightly above the national rate. Quality measures score well; direct care staffing does not. Worth asking about weekend shifts and staff retention before you decide.
Brady, TX · Mc Culloch County
★★★★★CMS 5/5106 bedsFor-profitMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 46%
- Serious cites
- 0
Brady West Rehab & Nursing runs 106 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, no abuse-related deficiencies, and one harm-level finding among 23 total citations. The last survey was recent, in September 2025. Where it slips is staffing. At 3.33 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly 12% below its own weekday coverage. Turnover lands at 45.7%, essentially matching the national rate. Nothing here suggests danger, but the margin for error on a bad weekend is thinner than the quality scores alone would tell you.
Beaumont, TX · Jefferson County
★★★☆☆CMS 3/546 bedsNon-profit
- Nurse hours
- 5.90 /day
- Staff turnover
- 69%
- Serious cites
- 0
Calder Woods runs on unusually heavy staffing for a nursing home, 5.90 nurse hours per resident day, roughly half again the national figure. That's a real advantage for daily care, and weekend coverage barely dips below weekday levels. The trouble sits elsewhere. Staff turnover is 69.1% against a national 45.8%, so the people delivering that care keep leaving. Inspections turned up 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a $14,069 fine. The last inspection was January 2026, so the record is current. It's a nonprofit home that's well-staffed but leaks workers and carries a meaningful citation load.
Granbury, TX · Hood County
★★★★★CMS 5/5142 bedsFor-profitMedicaid
- Nurse hours
- 3.30 /day
- Staff turnover
- 39%
- Serious cites
- 0
Harbor Lakes runs on a paradox: excellent inspections and quality scores, but thin staffing. At 3.30 nurse hours per resident day, it sits about 15% below the national average, and weekends drop roughly 13% below its own weekday level, so the coverage you see on a Tuesday isn't what you get on a Sunday. Turnover is 38.5%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. Sixteen deficiencies sit on the current record with none at harm or jeopardy level, though one is abuse-related, worth asking about directly. A recent September 2025 inspection and five stars each for health inspections and quality measures explain the solid grade despite the staffing score.
Colorado City, TX · Mitchell County
★★★☆☆CMS 3/554 bedsGovernmentMedicaid
- Nurse hours
- 3.28 /day
- Staff turnover
- 35%
- Serious cites
- 0
Mitchell County Nursing and Rehabilitation Center runs on leaner nursing hours than most places, 3.28 per resident day against a national average of 3.86, and weekends get noticeably thinner, with staffing dropping roughly 45% below weekday levels. That pattern matters for families who visit on Saturdays and Sundays.
The home is owned by a hospital district, which tends to mean steadier public accountability than a for-profit chain. Staff turnover sits at 35.3%, better than the 45.8% national figure, so the people caring for residents are more likely to stick around. Its inspection record shows 22 deficiencies, none at the harm level, though one is abuse-related, worth asking about directly. The most recent inspection was April 28, 2026, so the picture is current.
Houston, TX · Harris County
★★★★☆CMS 4/544 bedsNon-profitMedicaid
- Nurse hours
- 5.08 /day
- Staff turnover
- 53%
- Serious cites
- 0
Continuing Care at Eagles Trace is a small nonprofit home in west Houston with 44 beds, and its staffing is genuinely above average, 5.08 nurse hours per resident day against a national figure of 3.86. Weekends run about 14 percent thinner than weekdays, though, and turnover sits at 53.3 percent, higher than the 45.8 percent national rate, so that strong average masks real churn. Nine deficiencies are on the current record, two of them serious enough to involve harm or jeopardy, with $22,486 in fines across two penalties. Inspections are recent, from August 2024, and there's nothing abuse-related. The staffing and inspection stars look good; the harm-level findings and turnover are what pull the overall picture down.
Round Rock, TX · Williamson County
★★★☆☆CMS 3/5112 bedsFor-profitMedicaid
- Nurse hours
- 3.38 /day
- Staff turnover
- 43%
- Serious cites
- 0
Bel Air At Teravista runs 112 certified beds in Round Rock under corporate ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 11% below the home's own weekday coverage, so the thinnest shifts land exactly when families tend to visit. Turnover is 42.9%, a touch better than the 45.8% national figure, and the quality measure rating is a perfect 5 out of 5. The inspection record is the weaker side: 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus $19,188 in fines, with the most recent inspection in April 2025.
Cedar Park, TX · Williamson County
★★★★☆CMS 4/5122 bedsGovernmentMedicaid
- Nurse hours
- 3.48 /day
- Staff turnover
- 27%
- Serious cites
- 0
Cedar Pointe runs lean on the floor: 3.48 nurse hours per resident day, roughly 10% under the national average, and weekends drop about 11% below its own weekday numbers. That thin coverage is the main thing pulling its staffing rating down to 2 out of 5, though the staff who are there tend to stay, 27.2% turnover versus 45.8% nationally, which is a real point in its favor. Inspections look solid: 4 out of 5 stars, nine deficiencies on record, one at the harm level and none abuse-related, with the last visit in January 2026. Quality measures also land at 4. Hospital district ownership adds a layer of public accountability.
San Antonio, TX · Bexar County
★★★☆☆CMS 3/5105 bedsFor-profit
- Nurse hours
- 4.05 /day
- Staff turnover
- 45%
- Serious cites
- 0
Ignite Medical Resort San Antonio runs 105 certified beds as a for-profit corporation, and its staffing sits at 4.05 nurse hours per resident day, about 5% above the national average. That headline number looks fine until you see weekends drop roughly 13% below weekday coverage, and the staffing star rating land at 2 out of 5. Turnover is 44.7%, essentially matching the national rate. The health inspection side is the real weak spot: 36 deficiencies on the current record, though none at harm or jeopardy level and none abuse-related. The most recent inspection was December 8, 2025. Quality measures score 5 out of 5, which is a genuine bright spot, but strong outcome data doesn't erase thin weekend coverage or a long deficiency list.