Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Lamun-Lusk-Sanchez Texas State Veterans Home runs 160 certified beds in Big Spring under for-profit corporate ownership. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 15% below the home's own weekday coverage. Staff turnover is 33.6%, which is meaningfully better than the 45.8% national figure, though the inspection record carries 20 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a $21,252 fine. The most recent inspection was July 11, 2024. CMS rates quality measures and staffing at 5 stars each, but health inspections at 3, and that gap between strong day-to-day metrics and a longer-than-ideal deficiency history is what pulls the overall picture down.
Richard A. Anderson, the state veterans home in Houston, runs nurse staffing at 4.08 hours per resident day, about 6% above the national average, and its 33.3% turnover is well below the 45.8% typical elsewhere. Weekend coverage does dip roughly 11% below weekday levels, so ask how that plays out on Saturdays. The record shows 14 deficiencies, one at the harm level and one abuse-related, plus a single $14,730 fine; the most recent inspection was September 2025. State-run ownership and strong quality and staffing ratings sit alongside that deficiency history, which is what pulls the overall picture down despite the numbers that look good on paper.
The El Paso veterans home runs 160 certified beds under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average. Weekends drop about 12% below its own weekday coverage, so the gap families feel most is often Saturday and Sunday. That said, turnover at 39.7% beats the national 45.8%, which matters for continuity of care. The inspection record is where the caution lives: 43 deficiencies, including 4 tied to abuse, with a 2-out-of-5 health inspection rating, though none reached harm or jeopardy level. The most recent inspection was April 2026.
Ussery Roan Texas State Veterans Home runs about 4.02 nurse hours per resident day, a bit above the national average of 3.86, and CMS gives it four stars for staffing and four for quality measures. The catch is consistency: weekend staffing drops roughly 16% below its own weekday level, and annual turnover sits at 62% against a national 45.8%. Its inspection record shows 32 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with the most recent inspection in May 2025. It's a for-profit limited liability company, and the three-star health inspection rating reflects that mixed record.
Nurse staffing at this Tyler home runs 6.31 hours per resident day, about 64% above the national average, and 33.6% of staff left last year against a national 45.8%, that's a real edge in keeping people. Weekends drop roughly 13% below weekday coverage, so ask how weekends are actually covered. The inspection record is where it gets harder: 17 deficiencies, three at harm or jeopardy level, one tied to abuse, and two fines totaling $214,759. Quality measures score 2 of 5. The last inspection was June 2025, so the record is current, not stale. Strong floor staff, thinner weekends, and a serious citation history worth asking about directly before you sign anything.
The Clyde W Cosper Texas State Veterans Home in Bonham runs 160 certified beds under state government ownership, and its numbers pull in different directions. Staffing sits at 3.59 nurse hours per resident day, about 7% under the national average, and weekends run roughly 13% thinner than weekdays, a pattern families often feel before they see it on paper. Turnover is 48.3%, a few points above the national rate.
What stands out more is the inspection record: 47 deficiencies, four at harm or jeopardy level, three tied to abuse, and two fines totaling $216,749. The last inspection was April 2026. Quality and staffing both score 4 out of 5, but a 1-out-of-5 health inspection rating with that deficiency history is the part worth asking about directly.
The state veterans home in Temple is a 160-bed for-profit operation, and its inspection record is the first thing to look at: 32 deficiencies on the current record, seven of them serious enough to cause harm or put residents in jeopardy, and five tied to abuse. Three fines totaling $53,476 followed. Staffing is the other concern, CMS rates it at the bottom of its scale, meaning the hours of direct care per resident fall well below what most Texas homes provide, even though the home's own quality measures score well. The last full inspection was March 2025, so the findings are recent. Ownership is a limited liability company. Families with a choice should ask hard questions here.
The Frank M. Tejeda Texas State Veterans Home in Floresville runs lean on daily nursing hours, 3.09 per resident, roughly a fifth below the national average, and weekends dip about 13% below its own weekday coverage. What stands out instead is retention: turnover sits at 27.8%, well under the 45.8% national figure, which matters for familiar faces and consistent care. State-run, 160 beds, inspected in March 2026 and rated 4 of 5 on health inspections. The current record shows 22 deficiencies with none at the harm level, though 5 are abuse-related, worth asking about directly before you visit.
The Alfredo Gonzalez Texas State Veterans Home in McAllen runs on a stable workforce, 28.5% turnover is well below the national 45.8%, and that consistency shows up in its staffing score. But 3.58 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly 15% below the home's own weekday coverage, so care thins out when families tend to visit.
The bigger concern is the inspection record: a 2-out-of-5 health inspection rating, 30 deficiencies including 3 at harm or jeopardy level and 5 abuse-related, plus two fines totaling $35,600. State-run ownership brings accountability, but this home's last survey in January 2026 flagged real problems.