Paris, TX · Lamar County
★★★★★CMS 5/598 bedsFor-profitMedicaid
- Nurse hours
- 3.04 /day
- Staff turnover
- 41%
- Serious cites
- 0
Avir At Paris runs 98 certified beds under corporate ownership, and its nurse staffing sits at 3.04 hours per resident day, roughly a fifth below the national average of 3.86. That gap widens on weekends, when coverage drops about 10% below the home's own weekday level. Turnover is 40.7%, a bit better than the 45.8% national figure, but the inspection record carries 40 deficiencies, including five at the harm or jeopardy level and four tied to abuse, plus one fine of $136,756. The most recent inspection was December 2025. Strong marks on inspections and quality measures don't erase what those staffing hours and deficiency counts mean day to day.
Jacksonville, TX · Cherokee County
★★★★★CMS 5/553 bedsFor-profitMedicaid
- Nurse hours
- 3.40 /day
- Staff turnover
- 23%
- Serious cites
- 0
Avir At Jacksonville runs on 3.40 nurse hours per resident day, about 12 percent under the national average of 3.86, and weekend coverage drops roughly 10 percent below its own weekday level, so the leanest shifts land when families tend to visit. The tradeoff is stability: 23.3 percent annual turnover is roughly half the national rate of 45.8 percent, meaning the aides and nurses your relative sees are more likely to still be there next year. Inspections in April 2025 produced a 5-star health inspection rating, though the current record lists 11 deficiencies, including one at the harm level and one abuse-related. This LLC-owned, 53-bed home scores well overall, but read the actual inspection reports before deciding.
Pampa, TX · Gray County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.27 /day
- Staff turnover
- 31%
- Serious cites
- 0
Avir At Pampa runs lean on nursing hours, 3.27 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage. That's the tradeoff behind a staffing score in the middle of the pack. The good news sits elsewhere: turnover is 30.8%, well under the 45.8% national figure, so the aides and nurses here tend to stay. State inspectors found 16 deficiencies on the current record, none at the harm level, though four were abuse-related, which is worth asking about directly. The last inspection was in January 2026, and quality measures scored at the top of CMS's scale. Limited liability company ownership, 120 beds.
Temple, TX · Bell County
★★★★★CMS 5/5138 bedsFor-profitMedicaid
- Nurse hours
- 3.46 /day
- Staff turnover
- 41%
- Serious cites
- 0
Avir At Temple East runs a 138-bed for-profit operation, and its most recent inspection in February 2026 came back clean on the things that matter most, 10 deficiencies on the current record, none of which rose to harm or jeopardy level. Staff turnover sits at 40.8%, which is actually better than the 45.8% national average, and that stability probably shows up in how consistently residents see the same faces. Where it slips is raw staffing volume: 3.46 nurse hours per resident day lands about 10% under the national average of 3.86, and weekends run slightly leaner than weekdays. One abuse-related deficiency is on the books, worth asking about directly.
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.
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.
Pasadena, TX · Harris County
★★★★☆CMS 4/5131 bedsFor-profitMedicaid
- Nurse hours
- 3.08 /day
- Staff turnover
- 26%
- Serious cites
- 0
Avir At Pasadena runs lean on nursing hours, 3.08 per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts are the ones families visit. Turnover is genuinely better than average at 25.7%, meaning the caregivers who are there tend to stay. What pulls the record down is the inspection side: 13 deficiencies, four serious enough to put residents at risk of harm, one tied to abuse, and two fines totaling $30,361. The current owner took over within the last year, so this record reflects a mix of old and new management. Worth asking which deficiencies were corrected and when.
Cotulla, TX · La Salle County
★★★★☆CMS 4/560 bedsFor-profitMedicaid
- Nurse hours
- 3.28 /day
- Staff turnover
- 36%
- Serious cites
- 0
Avir At Cotulla runs lean on direct care: 3.28 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends dip another 7% below its own weekday staffing. Turnover sits at 35.9%, which is actually better than the 45.8% national figure, that stability matters, since it means fewer unfamiliar faces at the bedside. The home carries 16 deficiencies on its current record, but none at the harm or jeopardy level and none related to abuse, and its most recent inspection came back in January 2026, so the picture is current. A for-profit corporation owns the 60-bed building, and the four-star health inspection rating is the strongest part of its profile.
Comfort, TX · Kendall County
★★★★★CMS 5/576 bedsFor-profitMedicaid
- Nurse hours
- 3.77 /day
- Staff turnover
- 59%
- Serious cites
- 0
Avir At Comfort runs a 76-bed for-profit operation in Kendall County, and its inspection record looks solid on paper, a four-out-of-five health inspection rating with a survey as recent as August 2025. What the numbers don't show is consistency: nurse staffing sits at 3.77 hours per resident day, slightly under the national average, and weekends drop about 25% below the home's own weekday coverage. That pattern matters when families visit on Saturdays and Sundays. Annual turnover of 59.4% is well above the 45.8% national figure, meaning the people caring for your relative are likely to change often. The 36 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy level.
Corpus Christi, TX · Nueces County
★★★★☆CMS 4/5121 bedsFor-profitMedicaid
- Nurse hours
- 3.01 /day
- Staff turnover
- 37%
- Serious cites
- 0
Avir At Corpus Christi runs on 3.01 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 11% below its own weekday level. That thin staffing shows up in its 2/5 staffing rating, and the inspection record carries 25 deficiencies, including one at the harm level and three tied to abuse. Turnover is 36.5%, actually better than the 45.8% national figure, and the 5/5 quality measure rating suggests clinical metrics look strong. But with a for-profit LLC structure, a recent September 2025 inspection, and a $14,069 fine on record, the numbers point to a home where the care numbers and the people delivering them don't quite match up.
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.
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.
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.
Itasca, TX · Hill County
★★★★☆CMS 4/551 bedsFor-profitMedicaid
- Nurse hours
- 2.97 /day
- Staff turnover
- 40%
- Serious cites
- 0
Avir At Itasca runs lean on nursing hours, 2.97 per resident per day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage. That's the main soft spot, and it's why staffing sits a notch under the other ratings. Turnover, though, is 40% versus 45.8% nationally, so the crew here is steadier than most. Fourteen deficiencies on the current record sounds like a lot until you see none reached harm or jeopardy, and none involved abuse. Inspections are recent, January 2026, with 4/5 on both health inspections and quality measures. A 51-bed for-profit LLC in Hill County, small enough to know your neighbor, thin enough on weekdays-to-weekends that you should ask who's on shift Saturday.
Palestine, TX · Anderson County
★★★☆☆CMS 3/5102 bedsFor-profitMedicaid
- Nurse hours
- 3.76 /day
- Staff turnover
- 47%
- Serious cites
- 0
Avir At Town Creek runs 102 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86. Weekends thin out about 10% below what the home staffs on weekdays, and annual turnover of 47.1% edges past the national 45.8%, so the people giving care keep changing. The inspection record carries 23 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with two fines totaling $49,065. The most recent inspection was August 2025, so that record is current, not stale.
Beeville, TX · Bee County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.75 /day
- Staff turnover
- 30%
- Serious cites
- 0
Avir At Beeville runs a 120-bed for-profit home in Bee County, and its numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, and weekends drop roughly 12% below the home's own weekday coverage, worth asking about if your family visits or needs care on Saturdays and Sundays. Staff turnover is genuinely low at 29.7% against a national 45.8%, which suggests people stay. But the inspection record carries 13 deficiencies, including one at the harm level and three tied to abuse, plus a $38,687 fine. The most recent inspection was August 2025. Ask directly about those abuse deficiencies and what changed since.
Waco, TX · Mc Lennan County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.50 /day
- Staff turnover
- 43%
- Serious cites
- 0
Avir At Waco runs 120 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.50 nurse hours per resident day sits about 9% under the national average of 3.86, with weekends running roughly 10% thinner than weekdays. Turnover lands at 42.9%, a touch better than the 45.8% national figure, so the people who stay are reasonably stable even if the floor is lean. A recent February 2026 inspection and a four-star health inspection record support that, though 20 deficiencies sit on file, one tied to abuse and none flagged at harm or jeopardy level. Quality measures come in at three stars while staffing rates two.
Texarkana, TX · Bowie County
★★★☆☆CMS 3/579 bedsFor-profitMedicaid
- Nurse hours
- 2.55 /day
- Staff turnover
- 45%
- Serious cites
- 0
Sweetwater Healthcare Center runs on thin staffing. At 2.55 nurse hours per resident per day, it sits about 34% under the national average of 3.86, and weekends are roughly 12% leaner than weekdays, meaning the thinnest coverage lands when families tend to visit. Turnover, at 44.8%, is basically in line with the national figure, so the issue isn't churn so much as how few hands are scheduled at once. On paper the home looks strong elsewhere: four stars each for health inspections and quality measures, with 16 deficiencies on record, none rising to harm or jeopardy and none abuse-related, from an inspection dated March 2026. A for-profit LLC with 79 certified beds, it's a place where the clinical record reads better than the daily coverage.
Lancaster, TX · Dallas County
★☆☆☆☆CMS 1/5110 bedsGovernmentMedicaid
- Nurse hours
- 3.36 /day
- Staff turnover
- 63%
- Serious cites
- 0
Avir At Lancaster runs on thinner nursing hours than most homes, 3.36 per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday coverage. Staff turnover sits at 63.2%, well above the 45.8% national figure, so familiar faces are not the norm here. The federal inspection record shows 26 deficiencies, four of them serious enough to involve harm or jeopardy, plus one abuse-related finding and $49,281 in fines across three penalties. A recent inspection in January 2026 and a federal government owner round out the picture. The quality measure score looks strong on paper, but the staffing and inspection numbers are the ones to weigh.
Pilot Point, TX · Denton County
★★★★☆CMS 4/563 bedsGovernmentMedicaid
- Nurse hours
- 2.82 /day
- Staff turnover
- 41%
- Serious cites
- 0
Avir At Pilot Point runs on leaner nurse staffing than most homes, 2.82 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. Turnover sits at 40.9%, a bit better than the 45.8% national figure, and the home is government-owned by a hospital district. Its inspection record shows 14 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent visit was June 5, 2025. Quality measures and health inspections both rate well; staffing is where the gap shows. If your relative needs frequent hands-on help, ask how afternoons and weekends are actually covered.
Belton, TX · Bell County
★★☆☆☆CMS 2/5114 bedsFor-profitMedicaid
- Nurse hours
- 3.26 /day
- Staff turnover
- 45%
- Serious cites
- 0
Avir At Belton runs about 114 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86, with weekends dipping about 8 percent below its own weekday coverage. Turnover lands at 44.9 percent, essentially matching the national 45.8 percent, so the problem here isn't retention so much as raw hours on the floor. The inspection record is where the real weight sits: 33 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $87,661, with the most recent inspection dated January 8, 2026.
Seguin, TX · Guadalupe County
★★★★☆CMS 4/5113 bedsFor-profitMedicaid
- Nurse hours
- 3.66 /day
- Staff turnover
- 58%
- Serious cites
- 0
A 113-bed for-profit home in Seguin, Avir At Walnut Springs holds a strong recent inspection record, 14 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The weaker signal is staffing: 3.66 nurse hours per resident day sits about 5% under the national average of 3.86, weekend coverage drops roughly a fifth below its own weekday level, and annual turnover runs 57.7% against a national 45.8%. That combination, high marks from surveyors on health and quality measures, low marks from CMS on staffing, is worth understanding before you visit. Ask how the weekend schedule actually looks on the floor, and how long the current director of nursing has been in the role.
Pittsburg, TX · Camp County
★★★★★CMS 5/5102 bedsGovernmentMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 70%
- Serious cites
- 0
Avir At Pittsburg runs 102 certified beds under a hospital district, and the numbers behind its record are mostly about people, not buildings. Its staffing rating sits at 1 out of 5, and the annual turnover rate is 70.2%, a little over half again the national average of 45.8%, which means the aides and nurses at the bedside keep changing. On the inspection side, there are 31 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, with two fines totaling $106,438; the last inspection was February 11, 2026. The 5/5 quality measure rating stands out, but quality measures are largely self-reported, and it's hard to separate that from the staffing picture.
Elkhart, TX · Anderson County
★★★☆☆CMS 3/598 bedsGovernmentMedicaid
- Nurse hours
- 3.38 /day
- Staff turnover
- 54%
- Serious cites
- 0
Avir At Elkhart runs 98 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.38 hours per resident per day, roughly 13% under the national average of 3.86. Weekends drop another 13% below its own weekday level, which matters because that's often when families visit and when problems surface. Staff turnover is 54.3%, well above the 45.8% national figure, so caregivers are cycling through faster than average. The current record shows 26 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $65,397 fine. Its last inspection was April 9, 2025. Ask about weekend coverage and how they screen staff before you decide.
Burnet, TX · Burnet County
★★★☆☆CMS 3/5112 bedsFor-profitMedicaid
- Nurse hours
- 3.02 /day
- Staff turnover
- 51%
- Serious cites
- 0
Avir At Burnet runs a 112-bed for-profit home where the people on the floor matter most, and the numbers there are thin: 3.02 nurse hours per resident per day against a national average of 3.86. Weekends drop roughly 9% below the home's own weekday staffing, and annual turnover sits at 51.2%, above the 45.8% national figure, so the aide helping your mother on a Sunday is likelier than average to be new. Inspections are a different story, a recent April 2026 survey, a 4/5 health inspection rating, and 13 deficiencies with none at harm or jeopardy level and no abuse citations. Ask what weekend coverage actually looks like on the shift you'd visit.
Snyder, TX · Scurry County
★★☆☆☆CMS 2/580 bedsFor-profitMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 67%
- Serious cites
- 0
Avir At Snyder runs 80 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly 11% below its own weekday coverage, so the thinnest hours come when families are most likely to visit. Annual turnover of 67.4% is well above the 45.8% national figure, which means caregivers are cycling through constantly. The inspection record shows 26 deficiencies, including four tied to abuse and two at the harm level, with a $15,631 fine and a survey as recent as January 2026. Strong quality-measure scores don't offset a 1-out-of-5 staffing rating and a 2-out-of-5 inspection rating.
Corpus Christi, TX · Nueces County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.15 /day
- Staff turnover
- 61%
- Serious cites
- 0
Avir At River Ridge runs on 3.15 nursing hours per resident day, roughly 18% below the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows up in turnover: 60.9% of nurses left over the past year, against a national average of 45.8%. The inspection record is the harder problem, 29 deficiencies, three serious enough to threaten resident harm, one tied to abuse, plus two fines totaling $22,932. Its last inspection was in January 2026. Quality measures score well, but that's largely self-reported data, while staffing and inspections are where the trouble sits. For-profit, limited liability ownership rounds out the picture.
Abilene, TX · Taylor County
★☆☆☆☆CMS 1/5188 bedsFor-profitMedicaid
- Nurse hours
- 3.28 /day
- Staff turnover
- 49%
- Serious cites
- 0
Avir At Coronado runs 188 beds in Abilene, and its nurse staffing sits at 3.28 hours per resident day, about 15% under the national average of 3.86. Weekends run roughly 11% leaner than weekdays already are, and nearly half the staff turns over each year, slightly worse than the 45.8% national rate. The inspection record is the harder reading: 44 deficiencies, three tied to abuse and two serious enough to put residents in harm's way, with $184,619 in fines behind them. Quality measures score well, but that 2-out-of-5 inspection rating and an April 2026 survey tell you the day-to-day care side is where the problems live.
Irving, TX · Dallas County
★★★★★CMS 5/584 bedsFor-profitMedicaid
- Nurse hours
- 3.31 /day
- Staff turnover
- 48%
- Serious cites
- 0
Avir At Irving holds up well on inspections, a four-star health inspection rating, no deficiencies at the harm or jeopardy level, and a recent survey from February 2026. The quality measures are strong too. Where the numbers get thinner is staffing: 3.31 nurse hours per resident day against a national average of 3.86, with weekends running about 17% below the home's own weekday level. Annual turnover sits at 48%, slightly above the national figure. Eighteen total deficiencies include two abuse-related citations, which is worth asking about directly. For-profit, LLC-owned, 84 beds. The care outcomes look solid on paper; the question is whether there are enough hands on weekends to keep them that way.