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Here are 1,179 Nursing Homes in Texas

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.

Homes

1,179

Certified beds

133,590

Avg CMS stars

2.7/5

Avg staff turnover

55%

Showing 141 to 160 of 1,179 homes

B

78/100

Pearsall Nursing And Rehabilitation Center

Pearsall, TX · Frio County

CMS 4/5150 bedsNon-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
27%
Serious cites
0

Pearsall Nursing and Rehabilitation Center runs 150 certified beds under nonprofit corporate ownership, and its strongest numbers are in inspections and quality measures, both rated 4 out of 5 by CMS, with the most recent inspection completed in May 2025. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse, though one fine totaling $14,255 has been assessed. Where the home gives ground is staffing: 3.29 nurse hours per resident day sits roughly 15% under the national average, and weekends run about 11% thinner than its own weekdays. Staff turnover, at 27.2%, is well below the national 45.8%, people tend to stay here.

B

78/100

Avir At Jacksboro

Jacksboro, TX · Jack County

CMS 4/5104 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
57%
Serious cites
0

Avir At Jacksboro runs on thinner nurse coverage than most homes, 3.53 hours per resident per day against a national average of 3.86, with weekends about 9% leaner than weekdays. That staffing level earned the home two stars from CMS, and it comes alongside a 57.1% annual turnover rate, well above the 45.8% national figure. Turnover that high means aides and nurses are constantly new to residents and to each other, which matters most on weekends when the schedule is thinnest. The inspection record is recent, January 2026, and includes 19 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involved abuse. A single fine of $23,813 is on file. Quality measures score well, but strong chart numbers don't staff a night shift.

B

78/100

Windsor Nursing And Rehabilitation Center Of Harli

Harlingen, TX · Cameron County

CMS 5/5154 bedsNon-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
23%
Serious cites
0

Windsor Nursing and Rehabilitation Center of Harlingen runs on a non-profit corporate model with 154 certified beds, and its inspection record is solid, a 4/5 health inspection rating with a recent June 2025 survey and no deficiencies at the harm or jeopardy level. That's meaningful. But the staffing picture is thinner than it looks: 3.29 nurse hours per resident day sits roughly 15% below the national average, weekends run about 11% below the home's own weekday coverage, and CMS gives it just 2/5 for staffing. The one abuse-related deficiency on record is worth asking about directly. Turnover at 23.1% is notably better than the national 45.8%, which suggests some stability in the workforce even if raw hours are low.

B

78/100

Life Care Center Of Plano

Plano, TX · Collin County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
43%
Serious cites
0

Life Care Center Of Plano runs on 3.76 nurse hours per resident day, a bit under the national average, and weekends drop about 11% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover sits at 42.5%, slightly better than the typical home but hardly stable. The inspection record shows 21 deficiencies, one of them serious enough to put a resident in harm's way, and a single fine of $8,281, with the most recent state visit in April 2025. What lifts this home is its quality measures, where it scores at the top of the federal scale, the day-to-day care metrics look strong even as the safety and staffing picture stays merely adequate.

B

78/100

Hansford Manor

Spearman, TX · Hansford County

CMS 4/560 bedsGovernmentMedicaid
Nurse hours
4.83 /day
Staff turnover
n/a
Serious cites
0

Hansford Manor runs on a thin staffing margin, the federal data puts it at one star, well below what you'd want for a 60-bed home, and that's the number I'd weigh hardest. The quality measure score is also low at two stars, which tracks with a building that may not be moving residents toward better outcomes. On the other hand, inspections look solid: four stars, ten deficiencies on record, none at the level where someone was harmed or put in immediate danger, and none tied to abuse. The last survey was in September 2025, so the picture is current. Government hospital-district ownership can mean steadier funding than a for-profit chain, but it doesn't fix a direct-care hours problem.

B

78/100

Pine Grove Nursing Center

Center, TX · Shelby County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
40%
Serious cites
0

Pine Grove Nursing Center runs 3.40 nurse hours per resident day, roughly 12% under the national average of 3.86, and weekend staffing drops another 12% below its own weekday levels, so coverage thins out right when families tend to visit. The 120-bed nonprofit in Center carries 22 deficiencies on its current record, including one at the harm level and one abuse-related, plus a single fine of $8,278. Its quality measure score is perfect, but staffing sits mid-range and health inspections come in at 3 of 5. Staff turnover of 40.4% is better than the 45.8% national figure, which matters for continuity. Last inspection was July 2024, so the record is reasonably current.

B

78/100

Baywind Village Skilled Nursing & Rehab

League City, TX · Galveston County

CMS 5/5107 bedsFor-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
63%
Serious cites
0

Baywind Village runs a strong inspection record, a 5-star health inspection rating with the most recent survey in May 2025, and its 4.80 nurse hours per resident day sit about 24 percent above the national average, which matters when you're comparing rehab options. But two things pull against that: staff turnover at 63.3 percent is well above the 45.8 percent national figure, and weekend coverage drops roughly 15 percent below weekday levels, so the caregiver on Saturday may be newer than the one on Tuesday. Fifteen deficiencies sit on the current record, including one at the harm level and one abuse-related. For-profit individual ownership rounds out the picture.

B

78/100

Whispering Springs Rehabilitation And Healthcare C

Carrizo Springs, TX · Dimmit County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.69 /day
Staff turnover
33%
Serious cites
0

Whispering Springs runs a tight ship on inspections, a five-star health inspection rating with just four deficiencies on record, none of them causing harm or tied to abuse, and a survey as recent as July 2025. Staffing is where the picture gets uneven: 3.69 nurse hours per resident day sits about 4% under the national average, weekends drop roughly 13% below weekdays, and the two-star staffing rating reflects it. What works in the home's favor is retention, 32.5% turnover is well below the 45.8% national figure, meaning the caregivers who are there tend to stay. For-profit corporate ownership, 100 beds, and quality measures landing at four stars round out a home that inspects cleanly but runs lean.

B

78/100

Gulf Shores Rehabilitation And Healthcare Center

Falfurrias, TX · Brooks County

CMS 4/596 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
35%
Serious cites
0

Gulf Shores Rehabilitation & Healthcare Center runs 96 certified beds in Falfurrias under corporate for-profit ownership, and its nursing hours come in at 3.62 per resident day, roughly 6% under the national average of 3.86. Weekends dip about 9% below the home's own weekday staffing, so coverage thins out right when families tend to visit. What stands out favorably is turnover: 34.9% against a national average of 45.8%, meaning aides and nurses here tend to stay longer than elsewhere. Inspections from February 2026 turned up 22 deficiencies, none at harm or jeopardy level, though two were abuse-related, worth asking about directly.

B

78/100

Ebony Lake Nursing And Rehabilitation Center

Brownsville, TX · Cameron County

CMS 4/5122 bedsNon-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
31%
Serious cites
0

Ebony Lake runs on 3.32 nurse hours per resident day, about 14% under the national average, and weekends dip roughly 11% below its own weekday staffing. Turnover sits at 31.4%, well under the national 45.8%, which suggests the people who do show up tend to stay. The health inspection record shows 24 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. Quality measures score 5 out of 5 even as staffing scores 2. That gap is the whole story here: good care outcomes, thin coverage, stable workforce.

B

78/100

Holiday Hill Inc

Coleman, TX · Coleman County

CMS 4/5106 bedsNon-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
36%
Serious cites
0

Holiday Hill runs on 3.58 nurse hours per resident day, about 7 percent under the national figure, and weekends drop roughly 14 percent below its own weekday staffing. Turnover is 36.4 percent, which is better than the 45.8 percent national average, so people tend to stay. Inspections look solid, a 4-out-of-5 star rating, last survey in September 2024, and none of the 18 deficiencies on record rose to harm or jeopardy. But two are abuse-related, and 17 fines totaling $87,154 is real money. Nonprofit ownership and steady staff are points in its favor; the abuse citations and thin weekend coverage are what a family should ask about directly.

B

78/100

Avir At Mansfield

Mansfield, TX · Tarrant County

CMS 4/5127 bedsFor-profitMedicaid
Nurse hours
2.71 /day
Staff turnover
31%
Serious cites
0

Avir At Mansfield runs lean on nursing hours, 2.71 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 10% below its own weekday coverage. That staffing level earned just two of five stars from CMS, and the inspection record shows 36 deficiencies, two of them serious enough to reach harm or jeopardy. What keeps the picture from being bleaker is stability: turnover sits at 30.9%, well under the 45.8% national figure, and the quality measures score a full five stars. A recent June 2025 inspection means the record is current. Corporate-owned, 127 beds. The tradeoff here is clear, consistent caregivers, thin daily coverage.

B

78/100

Avir At Richland Hills

Richland Hills, TX · Tarrant County

CMS 3/5114 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
31%
Serious cites
0

Avir At Richland Hills runs a government hospital-district home with 114 certified beds, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, with weekends about 8% thinner than weekdays. Turnover is the bright spot: 30.9% against a national 45.8%, meaning the aides and nurses you'd see most days tend to stick around. The inspection record is the concern. Twenty-five deficiencies, two of them at harm or jeopardy level, plus two fines totaling $14,506, and the last full inspection was September 2024. Quality measures score well, but staffing and inspection results both land at two stars. Consistent caregivers help; the safety record is what a family should ask about directly.

B

78/100

Weslaco Nursing And Rehabilitation Center

Weslaco, TX · Hidalgo County

CMS 3/5120 bedsNon-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
24%
Serious cites
0

Weslaco Nursing and Rehabilitation runs lean on direct care: 3.30 nurse hours per resident day, about 14 percent under the national average, and weekends dip roughly 11 percent below its own weekday staffing. That thin coverage is the main reason the federal staffing rating sits at 1 out of 5, even though the same data shows turnover at 23.8 percent, well below the national 45.8 percent, meaning the aides and nurses who are there tend to stay. Inspections tell a steadier story: 26 deficiencies on record, none at the harm level, though two are abuse-related, and the most recent visit was May 2025. Ask about weekend coverage and how those abuse citations were resolved.

B

78/100

Grapevine Medical Lodge

Grapevine, TX · Tarrant County

CMS 5/5132 bedsGovernmentMedicaid
Nurse hours
3.15 /day
Staff turnover
26%
Serious cites
0

Grapevine Medical Lodge runs on leaner nursing hours than most homes, about 3.15 per resident day against a national average of 3.86, and weekends dip another 13% below its own weekday coverage. The good news is that this isn't a churn problem: turnover sits at 26.3%, well under the 45.8% national figure, which suggests the staff who are there tend to stay. The home's inspection record backs that up, with a 4-star health inspection rating, eight total deficiencies and none at the harm or jeopardy level, most recently surveyed in April 2025. Where it gives ground is daily staffing depth, even as its quality measures score at the top of the scale.

B

78/100

The Belmont At Twin Creeks

Allen, TX · Collin County

CMS 4/5112 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
42%
Serious cites
0

The Belmont At Twin Creeks runs a 112-bed for-profit building in Allen where nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86, and weekends drop about another 10% below the home's own weekday coverage. Turnover of 42.4% is slightly better than the 45.8% national figure, so the problem isn't retention so much as how thin the floor gets on Saturdays and Sundays. The current record shows 27 deficiencies, including one at the harm level and four tied to abuse. That combination, solid quality scores (5/5) against 27 deficiencies and a staffing rating of 3/5, tracks with staffing that meets the bar on paper but leaves less margin when something goes wrong.

B

78/100

Pflugerville Nursing And Rehabilitation Center

Pflugerville, TX · Travis County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
2.89 /day
Staff turnover
31%
Serious cites
0

Pflugerville Nursing and Rehabilitation Center runs 120 certified beds as a nonprofit corporation, and its strongest numbers come from resident outcomes, the federal quality measure rating sits at 5 out of 5. The staffing side tells a different story: 2.89 nurse hours per resident day, about a quarter below the national average of 3.86, with weekends roughly 14% thinner than weekdays already are. Turnover at 31.3% is better than the national 45.8%, so the workers who stay seem to stay, but there aren't enough of them on the floor. The inspection record carries 30 deficiencies, including one at harm or jeopardy level and three tied to abuse, with the most recent inspection in April 2025.

B

78/100

S.p.j.s.t. Rest Home No 2

Needville, TX · Fort Bend County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
45%
Serious cites
0

Spjst Rest Home No 2 runs about 3.72 nurse staffing hours per resident day, roughly 4% under the national average, and weekends drop another 9% below its own weekday numbers, so coverage thins out exactly when families tend to visit. Staff turnover sits at 45.2%, essentially at the national rate. The inspection record is the strongest part of this home: a five-star health inspection rating, last survey in December 2025, and seven deficiencies total, one of them serious enough to reach harm or jeopardy level, with no abuse citations. One fine of $12,649 is on record. Quality measures land mid-range at three stars, which is where the softer spots show up.

B

78/100

Legend Oaks Healthcare And Rehabilitation - West S

San Antonio, TX · Bexar County

CMS 3/5124 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
21%
Serious cites
0

Legend Oaks Healthcare and Rehabilitation, West S runs 124 certified beds under corporate ownership in San Antonio, and the staffing picture is mixed. Nurses provide 3.64 hours per resident day, about 6% under the national average of 3.86, and weekend coverage drops roughly 12% below the home's own weekday level, worth knowing if your family visits or calls on Saturdays and Sundays. Turnover sits at 20.7%, well below the 45.8% national average, so the aides and nurses you meet are more likely to still be there next year. Against that, the current inspection record carries 18 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus an $8,632 fine. The most recent inspection was January 29, 2026.

B

78/100

The Reserve At Richardson

Richardson, TX · Dallas County

CMS 3/5129 bedsGovernmentMedicaid
Nurse hours
3.49 /day
Staff turnover
34%
Serious cites
0

The Reserve At Richardson runs on leaner nurse staffing than most homes, 3.49 hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekday coverage. Turnover sits at 34.4%, better than the 45.8% national figure, so the people who are there tend to stay. What stands out is the inspection record: 35 deficiencies, including one at the harm level and three tied to abuse, plus a $14,069 fine, with the most recent inspection dated May 2026. A 4/5 on quality measures and 3/5 on inspections don't cancel that out. Government hospital district ownership doesn't change the arithmetic on the floor.

Before you shortlist in Texas