Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Whispering Pines Lodge runs leaner on nursing hours than most homes in Texas and nationwide, and weekends are thinner still, roughly one-sixth less coverage than a weekday. Staff turnover is the number that should stop you: more than nine in ten caregivers left over the past year, against a national rate under half that. The inspection record backs it up, 60 deficiencies, a dozen serious enough to put residents in harm's way, and five tied to abuse, with over half a million dollars in fines. CMS has placed it in the Special Focus Facility program, its most intensive monitoring tier, following a January 2026 inspection.
Arbor View runs 179 certified beds in Kerrville under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.39 nurse hours per resident day, it sits about 12% under the national average of 3.86, with weekends dipping roughly 5% below its own weekday levels. Annual turnover is 81.5% against a national 45.8%, nearly double, which means the people providing most of the daily care are still learning the residents. The inspection record is heavy: 76 deficiencies, six at harm or jeopardy level, nine abuse-related, and $154,617 in federal fines across five events. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes. The most recent inspection was July 31, 2025.
Pebble Creek runs on thin staffing, and the numbers show it. At 3.38 nurse hours per resident per day, it sits about 13% under the national average, and weekends drop roughly another 11% below its own weekday level, so care gets thinnest exactly when families tend to visit. Meanwhile, annual turnover hits 97.4%, more than double the national rate, which means the people providing that care are constantly changing.
The inspection record is worse: 65 deficiencies, including 4 at harm or jeopardy level and 5 tied to abuse. Federal fines total $145,184 across two penalties, and the last inspection was May 2024, with a 1/5 health inspection rating and 1/5 staffing rating. For-profit, limited liability ownership. Ask direct questions about weekend coverage and turnover before considering this one.
Focused Care At Sherman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekends drop about 13% below its own weekday staffing. That thin coverage sits behind a 75% annual turnover rate, well above the national 45.8%, so the people caring for residents are often new to the building. Its current record carries 45 deficiencies, including 7 at harm or jeopardy level and 6 tied to abuse, plus one fine of $82,570, with the most recent inspection in May 2025. The quality measure rating of 3/5 is the one area that looks closer to average, but staffing and inspection ratings both sit at 1/5.
Buena Vida Nursing and Rehab in San Antonio runs 222 certified beds under hospital district ownership, and federal data shows it struggling on every measure CMS tracks. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 9% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 49 deficiencies, five serious enough to put residents in harm's way, three tied to abuse, and $187,608 in fines. That combination landed it in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Coral Rehabilitation and Nursing of Austin runs on 2.82 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 11% below its own weekday level. That thin margin shows up in staffing, where the home sits at the bottom of CMS's scale, and in a 57.6% annual turnover rate, well above the 45.8% national figure. The inspection record is heavier still: 86 deficiencies, 18 of them at harm or jeopardy level and 10 involving abuse, plus five fines totaling $294,911. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The last inspection was September 30, 2025.
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.
Afton Oaks is a 169-bed for-profit home in Houston that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The numbers back that up: 37 deficiencies on the current record, 16 of them at the harm or jeopardy level and 5 tied to abuse, plus four fines totaling $115,512. Nurse staffing runs about 7% below the national average, and weekends drop roughly 8% below the home's own weekday levels, when residents still need care. Its last inspection was in April 2025. If you're considering this one, ask directly what's changed since CMS flagged it.
Kennedy Health & Rehab has been flagged for CMS's Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. The inspection history backs that up: 49 deficiencies on the current record, including 10 at the harm or jeopardy level and 8 tied to abuse. Federal fines total $268,507 across four penalties.
Staffing sits at one star, and so do the health inspection and quality measure ratings, all three below what you'd want to see. This is a 145-bed for-profit home owned by an individual, most recently inspected in June 2025. If you're considering it for someone you love, the pattern here is consistent and serious, not a one-time slip.
DFW Nursing & Rehab runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekends drop another 11% below its own weekdays. Staff turnover is unusually low at 17.4%, so the problem isn't churn, it's raw coverage. The inspection record is where the real trouble sits: 62 deficiencies, 13 of them at harm or jeopardy level and 16 abuse-related, plus six fines totaling $317,302. CMS has placed the home in its Special Focus Facility program, a status reserved for the most persistently poor performers, and its last inspection was August 2025. For-profit, limited liability ownership.
Avir At Lubbock runs on 3.39 nursing hours per resident per day, about 12% under the national average, and weekends dip another 6% below its own weekdays, so the thinnest coverage lands when families visit most. Annual turnover sits at 70% 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 is where it gets serious: 63 deficiencies, 7 at harm or jeopardy level, 10 abuse-related, four fines totaling $69,307, and CMS has placed the home in its Special Focus Facility program. A 4/5 quality measure score can't offset a 1/5 inspection rating and staffing this thin.
Harmony Care At Giddings holds a federal Special Focus Facility designation, and the inspection record shows why: 48 deficiencies on file, including 9 at the harm or jeopardy level and 7 tied to abuse. Five fines total $237,415. Its health inspection rating sits at 1 out of 5 stars, and the most recent inspection was July 17, 2025. Ownership is a for-profit partnership. The one bright spot is quality measures at 4 stars, but that stands apart from how the home is actually run day to day. Nurse staffing averages 3.99 hours per resident day, only slightly above the national 3.86, and weekends run about 8% thinner than weekdays, worth asking about directly, since that's when families often visit.
Harmony Care At Beaumont is run by a hospital district, and it has 98 certified beds. The nurse staffing number looks strong on paper, 4.72 hours per resident day, roughly 22% above the national average, but weekends drop about 14% below the home's own weekday level, so coverage isn't steady across the week. The bigger issue sits in the inspection record: 77 deficiencies, 15 of them at harm or jeopardy level, 14 tied to abuse, plus 10 fines totaling $380,812. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The most recent inspection was April 15, 2026.
Shady Acres runs 26 deficiencies on its current record, and seven of those are serious enough to involve actual harm or jeopardy. Six are abuse-related. That combination, plus four fines totaling $144,358, is what put this 84-bed for-profit home into CMS's Special Focus Facility program, a status reserved for the homes the government watches most closely. Staffing hours look adequate on paper at 3.87 per resident day, roughly matching the national average, but weekends run about 14% thinner than weekdays, so coverage depends on when you visit. Annual turnover sits at 40%, a bit better than the 45.8% national figure, though the inspection and staffing star ratings both come in at 1 out of 5.
Wells LTC Nursing & Rehabilitation has a staffing story that looks better than most, 4.82 nurse hours per resident day, roughly a quarter above the national average, but the rest of the record undercuts it. The home carries 36 deficiencies, including six at the harm or jeopardy level and five tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Staff turnover sits at 52%, higher than the 45.8% national figure, and weekend coverage runs about 7% thinner than weekdays. Three fines totaling $34,428 are on record, with the last inspection in December 2025.
Misty Willow runs 3.30 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The inspection record is the harder problem: 30 deficiencies, 8 of them at harm or jeopardy level, 3 tied to abuse, and $79,412 in fines across three penalties. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care, and its health inspection rating sits at 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Deerbrook runs on about 3.35 nursing hours per resident per day, roughly 13 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That thin coverage shows up in the inspection record: 35 deficiencies, six serious enough to put residents in harm's way, two tied to abuse, and $196,911 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover sits at 60.7 percent against a 45.8 percent national average, so the people providing care keep changing. The 4/5 quality measure score reflects reported clinical data; the 1/5 inspection and staffing ratings reflect what surveyors actually found.
If you're considering Epic Nursing & Rehabilitation in Corsicana, the numbers are hard to get around. Nurse staffing sits at 2.89 hours per resident per day, roughly a quarter below the national average, and it thins out further on weekends, not what you want at a 119-bed home. The record shows 45 deficiencies, five of them serious enough to involve harm or jeopardy, eight tied to abuse. Staff turnover runs 54.5%, well above the national figure, which means the people caring for residents are often new. CMS has placed this home in its Special Focus Facility program, reserved for the poorest performers. Two fines totaling $31,233 are on file, with the most recent inspection in February 2025.
Brenham Healthcare Center is a 62-bed for-profit home in Washington County, and the numbers behind its record tell a story worth slowing down for. Nurse staffing sits at 3.56 hours per resident per day, about 8% under the national average, and weekends run roughly 14% thinner than weekdays. The bigger flag is turnover: 95.2% annually, more than double the national rate of 45.8%, which means the people caring for residents are constantly changing. On inspections, CMS has cited 51 deficiencies, 11 at harm or jeopardy level and 7 abuse-related, with five fines totaling $113,796, and the home currently sits in the federal Special Focus Facility program, a designation reserved for the most persistently troubled homes. The last inspection was December 2025.
Trinity Rehabilitation & Healthcare Center in Trinity, Texas, is a 76-bed home run by a hospital district, and the federal numbers on it are grim. The current record shows 66 deficiencies, nine of them at the level where residents were actually harmed or put in immediate jeopardy, and six tied to abuse. On staffing, CMS rates it at the bottom of its scale, while quality measures land below average too. Four fines totaling $275,584 are on file, and the home sits in CMS's Special Focus Facility program, a designation reserved for the country's most persistently troubled nursing homes. Its last inspection was April 15, 2026. That's a lot of documented harm for a building this size.
Woodway Nursing & Rehab in Houston runs on thinner staffing than most homes, with weekend coverage dropping further below its own weekday levels. The bigger red flag is turnover: 85.3% of nursing staff leaving annually, nearly double the national rate.
That churn shows up in the inspection record, 60 deficiencies, 18 serious enough to endanger residents, three tied to abuse, and four fines totaling more than $303,000. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. Inspectors were last on site in June 2025. For-profit, limited-liability ownership. Families considering this home should ask hard questions about who's actually on the floor nights and weekends.
If you're considering Cascades At Galveston for someone you love, the numbers here are hard to get past. The home runs 2.74 nursing hours per resident per day, roughly a third below the national average, and weekends drop about 23% below its own weekday staffing. Annual turnover sits at 70.7% against a national average of 45.8%, so the people caring for residents are cycling out fast.
The inspection record shows 41 deficiencies, nine at harm or jeopardy level and one abuse-related, with four fines totaling $241,516. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was May 2025.
Avir At Rose Trail carries a record that should give any family pause. The Tyler home runs 3.04 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 16% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 69.6% against a national 45.8%, meaning most of the people caring for your relative will likely be gone within the year.
The inspection record is worse: 59 deficiencies, 10 of them at the harm or jeopardy level and 10 tied to abuse, with $442,321 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for the country's most troubled homes.
Paradigm At Woodwind Lakes runs 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekend coverage drops about 12% below its own weekday level. Staff turnover sits at 58.3% against a national 45.8%, so the people providing that thin coverage are also leaving fast. The inspection record shows 44 deficiencies, 12 of them at harm or jeopardy level and 3 abuse-related, with two CMS fines totaling $89,541. This for-profit LLC is in the Special Focus Facility program, meaning federal regulators watch it more closely than most. The most recent inspection was January 9, 2026.
Castle Hills Rehabilitation and Care Center is a for-profit, limited liability operation with 143 certified beds in San Antonio. Nurse staffing runs about 2.96 hours per resident per day, roughly 23 percent below the national average, and weekends fall about 15 percent under its own weekday levels. Every CMS star category here lands at 1 out of 5: health inspections, quality measures, and staffing. The deficiency record shows 72 citations, eight of them at harm or jeopardy level and two tied to abuse, with four fines totaling $112,386 and a recent inspection on September 12, 2025. That combination of thin staffing, low inspection scores, and serious deficiencies is what any family should weigh before choosing this home.
Normandy Terrace is a 320-bed for-profit home in San Antonio, and the numbers that stand out are about people. Nurse staffing sits at 3.01 hours per resident day, roughly 22 percent under the national average, and weekends run about 18 percent thinner than weekdays. Staff turnover is 95.8 percent, more than double the national figure, meaning the aides and nurses caring for residents are, in large part, new or on their way out. The inspection record shows 49 deficiencies, six at the harm or jeopardy level and four abuse-related, with five fines totaling $287,359. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating back that up. If you're considering this home, ask hard questions about who's on the floor at night and on weekends.
The numbers out of Fallbrook Rehabilitation and Care Center are hard to get past. With 202 beds and government hospital district ownership, it runs 3.33 nursing hours per resident day against a national average of 3.86, weekend coverage drops about 12% below its own weekdays, and nearly 60% of staff turn over each year. A 1/5 staffing rating and 1/5 health inspection rating sit alongside 56 deficiencies, 11 of them at harm or jeopardy level, plus $83,678 in fines and a spot in CMS's Special Focus Facility program. The 3/5 quality measure score doesn't offset what inspectors and payroll records show. The most recent inspection was April 2025, so the record is current.
Viridian Wellness & Rehabilitation runs 204 beds in Arlington under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop about 9% below the home's own weekday level, so care thins out exactly when families tend to show up. Every direct-care position turned over in the past year, against a national average near 46%, which means the aides and nurses on any given shift are often new. The current record carries 101 deficiencies, 11 at harm or jeopardy level and 7 tied to abuse, plus five CMS fines totaling $312,466 and placement in the federal Special Focus Facility program. The last inspection was September 16, 2025.
South Dallas Nursing & Rehabilitation runs on 2.23 nurse staffing hours per resident day, roughly 42 percent under the national average, and weekend coverage drops another 13 percent below its own weekday level. That thin margin shows up in the inspection record: 61 deficiencies, five at harm or jeopardy level, six tied to abuse, and two fines totaling $272,139. Staff turnover sits at 50 percent, above the 45.8 percent national figure. The limited liability ownership means profits and liability stay with the company. A 4/5 on quality measures doesn't outweigh a 1/5 on both staffing and health inspections, the people providing daily care are stretched, and the state has documented what happens when they are.
The numbers at Williamsburg Village in Desoto tell a split story: residents get good clinical outcomes on paper, but the day-to-day care and oversight don't hold up. Nurse staffing runs 2.81 hours per resident day, about 27% under the national average, and weekend coverage drops roughly 13% below its own weekday level, thinner help exactly when families can't be there. Behind that sit 79 deficiencies, nine serious enough to put residents in harm's way and ten tied to abuse, plus $195,541 in fines and a spot in CMS's Special Focus Facility program. Ownership is for-profit corporate, and turnover sits slightly better than average.
Avir At Arden Wood runs 174 certified beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average, with weekends about 12% thinner than its own weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, 12 of them at harm or jeopardy level, 2 abuse-related, and $130,388 in fines across two events, with the most recent inspection dated May 2026. The one clear strength is retention, where 25.6% turnover beats the 45.8% national figure, so the staff who are there tend to stay. Whether that offsets the survey history is the question a family has to weigh.
Beltline Healthcare Center runs 120 beds in Garland, and the numbers there are hard to dress up. Nurse staffing sits at 3.07 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 93.9% a year, more than double the national figure, which means the aide who knows your mother this month may be gone by next. Inspectors have cited 24 deficiencies, four of them serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, with a $32,006 fine on record. The last inspection was November 2024.
Terrell Healthcare Center runs 94 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.52 nurse hours per resident day against a national average of 3.86, with weekends running about 10% leaner than weekdays already are. Turnover sits at 50.8%, above the 45.8% national figure, so the people caring for residents keep changing. The deficiency record is harder to look past: 93 total, 11 of them serious enough to put residents in harm's way, 6 tied to abuse. CMS has fined this home three times for $339,046 combined and placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. If you're considering it, ask directly what's changed since the April 2026 inspection.
Gracy Woods is for-profit, corporate-owned, 118 beds, and sitting in CMS's Special Focus Facility program, the designation reserved for homes with a persistent record of serious problems. The numbers back that up: 64 deficiencies on the current record, 10 of them at harm or jeopardy level, five abuse-related, and four fines totaling $222,188. Staffing runs slightly under the national average at 3.79 hours per resident day, but the bigger issue is consistency, weekends drop about 16% below the home's own weekday level, and turnover sits at 54.5% against a 45.8% national figure. When roughly half the staff leaves in a year, care routines fray. The most recent inspection was June 2026, so the record is current.
Ignite Medical Resort El Paso runs 60 certified beds under corporate for-profit ownership, and the numbers worth knowing sit in two places. Nurse staffing averages 3.24 hours per resident day against a national average of 3.86, and weekends run about 12% thinner than the home's own weekdays, so the thinnest coverage lands when families tend to visit. The inspection record carries 45 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $67,425 fine. CMS has placed this home in its Special Focus Facility program, a designation reserved for the poorest performers, and the most recent inspection dates to June 2024. Ask about weekend coverage and the correction plan before deciding.
Thrive Rehabilitation of Pearland runs a for-profit shop under limited liability ownership, and its nurse staffing is genuinely high: 5.67 hours per resident day, roughly 47% above the national average of 3.86. That's the one clear strength. The rest of the record reads differently. Staff turnover sits at 68.3% against a national average of 45.8%, so the people providing that care are largely cycling through. Inspections turned up 35 deficiencies, including 5 at the harm or jeopardy level and one tied to abuse, with six fines totaling $61,623. Both the health inspection and quality measure ratings land at 1 out of 5. A recent inspection date doesn't erase a pattern like that.
Terra Bella runs about 3.36 nurse staffing hours per resident day, roughly 13 percent under the national average, and it leans thinner on weekends than weekdays. Staff turnover sits at 61.6 percent, well above the 45.8 percent national figure, so the people caring for residents keep changing. On inspections, CMS has cited 44 deficiencies, including 12 at the harm or jeopardy level and 3 tied to abuse, with six fines totaling $181,644 and a spot in the Special Focus Facility program, which CMS reserves for homes with a persistent record of serious problems. The most recent inspection was March 26, 2026.
Valley Grande Manor runs on 2.94 nursing hours per resident per day, roughly a quarter below the national average of 3.86. Weekends are thinner still, about 10% under the home's own weekday coverage, and 68.8% of staff left over the past year against a national rate near 46%, so the people providing care keep changing. Inspectors have logged 49 deficiencies, six involving actual harm or jeopardy, eleven tied to abuse, with four fines totaling $88,679; the most recent inspection was July 2025. This is a 147-bed for-profit home owned by an individual, and the pattern in these numbers, low staffing, high turnover, repeat serious findings, is what families should weigh before deciding.
Estates Healthcare and Rehabilitation Center runs 141 beds in Fort Worth under corporate for-profit ownership, and the numbers that stand out most are its inspection record and its staffing. Nurses provide about 3.08 hours of care per resident per day, roughly 20% below the national average, and weekend coverage drops about 16% below what the home staffs on weekdays. Staff turnover sits at 86.7%, nearly double the national rate of 45.8%.
That instability shows up in the record: 53 deficiencies, 11 of them serious enough to involve harm or jeopardy to residents, and 8 tied to abuse. Eight fines total $159,833. One bright spot is the quality measure rating at 4/5, but with a 1/5 inspection rating and a 1/5 staffing rating, families should ask hard questions before choosing this home.
Nurse staffing at Marine Creek works out to 3.47 hours per resident per day, roughly 10 percent under the national average, and weekends drop about 18 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 94.1 percent a year against a national average near 46 percent, meaning most of the people caring for residents are new to the building and still learning it. The current inspection record carries 44 deficiencies, including 6 at the harm or jeopardy level and 5 tied to abuse. Three fines totaling $23,621 are on file, and the most recent inspection was September 18, 2025.
Peach Tree Place runs on 2.65 nurse hours per resident day, about a third less than the national average, and weekend coverage drops roughly 14% below what it manages on weekdays. Staff turnover hits 92% a year, double the national rate, so the people caring for residents are, more often than not, new to the building. The inspection record shows 29 deficiencies, five involving actual harm or jeopardy to residents and five tied to abuse. One fine on file totals $229,570. Ownership is a for-profit corporation, and the most recent state inspection dates to March 2024.
Austin Wellness & Rehabilitation runs on 2.63 nurse hours per resident each day, roughly a third below the national average of 3.86, and weekend staffing drops another 9% below its own weekday level. That thin coverage sits behind a 1-out-of-5 inspection rating and 62 deficiencies on the current record, four of them at harm or jeopardy level and two tied to abuse. Staff turnover is 61.3% against a national 45.8%, meaning the aides and nurses your family member sees may keep changing. Three fines total $166,205, and the last inspection was March 2025. For-profit, individually owned, 120 beds.
Ralls Nursing Home runs on 2.31 nurse hours per resident day, roughly 40% under the national average of 3.86, and weekend coverage drops another 14% below its own weekday levels. That thin staffing sits behind 29 deficiencies on the current record, nine of them at harm or jeopardy level and 13 abuse-related, with five fines totaling $303,179. Annual turnover of 72.4% means most of the aides and nurses working here last year aren't the ones working here now. The last inspection was September 2025, so the record is current, not stale. One bright spot: the quality measure rating is 4 out of 5, but quality scores are largely built from resident assessment data the facility itself reports, and they don't offset a 1-out-of-5 inspection and staffing picture.
Paradigm At The Prairies runs on 2.42 nurse hours per resident day, roughly 37 percent under the national average, and weekends drop about another 15 percent below what the home itself staffs on weekdays. That thin coverage sits alongside 25 deficiencies on the current record, four of them serious enough to involve harm or jeopardy and three tied to abuse. Staff turnover lands at 51.4 percent, above the national figure. The most recent inspection was April 2025, and three fines totaling $62,430 have accumulated. For-profit individual ownership, 150 certified beds, and one out of five stars from CMS on both staffing and health inspections.
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.
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.
The nurse staffing numbers at Downtown Health and Rehabilitation Center run about 16% under the national average, and weekends drop roughly another 13% below the home's own weekday level. That matters because more than nine in ten caregivers left over the past year, a 93.6% turnover rate against a national figure near 46%. The current inspection record carries 50 deficiencies, including three at the harm or jeopardy level and 11 tied to abuse; fines total $36,418. Fort Worth's hospital district operates the 161-bed home, and its last inspection was March 12, 2026. Low staffing stars and repeated turnover rarely sit apart from inspection trouble.
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.
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.
Avir At Longview runs on a hospital district's license with 115 certified beds, and the staffing numbers are the first thing to notice: 3.56 nurse hours per resident day, roughly 8% under the national average, with weekends dropping about 9% below its own weekday level. Staff turnover sits at 73.3% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The inspection record backs that up, 55 deficiencies, 8 of them at harm or jeopardy level, 5 tied to abuse, and two fines totaling $262,731. The most recent inspection was May 2025. If you're considering this one, ask hard questions about who's actually on the floor on a Sunday.
Lakeside Health and Wellness runs 124 certified beds in Kemp under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. Total nurse staffing sits at 2.66 hours per resident day, roughly a third below the national average, and weekends run thinner still. Annual turnover of 75.4% means most of the people caring for residents weren't there a year ago, compare that to the national rate of about 46%.
Then there's the inspection record: 59 deficiencies, including 8 at the harm or jeopardy level and 10 tied to abuse, with five fines totaling $195,593. The most recent inspection was in January 2026.
The quality measure score is high, but strong numbers on paper don't fix a thin, constantly changing staff.
Advanced Rehabilitation and Healthcare of Athens carries 120 certified beds and is run by a hospital district, which you might expect to mean steadier oversight. The numbers say otherwise. Nurse staffing sits at 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 8% below the home's own weekday levels. Staff turnover hits 58% against a national 45.8%. The inspection record shows 31 deficiencies, seven at harm or jeopardy level and seven abuse-related, with two fines totaling $210,588, and CMS has placed the home in its Special Focus Facility program. Its last inspection was March 2026. Quality measures score well; staffing and inspections do not.
Paradigm At The Oak runs 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage drops another 9% below its own weekday level. That thin coverage shows up in the inspection record: 60 deficiencies, eight of them at the harm or jeopardy level and eight tied to abuse, with four fines totaling $103,606 and a one-star health inspection rating from CMS. Staff turnover sits at 39%, which is actually below the 45.8% national figure, so the problem here isn't retention so much as how few hands are on the floor. The last inspection was April 2026. For-profit corporate ownership.
Liberty Health Care Center runs on thin nursing coverage, 3.76 hours per resident day, just under the national figure, and weekends drop roughly 16% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays. Staff turnover sits at 69.7%, well above the 45.8% national average, so the people caring for residents change often. Inspectors cited 20 deficiencies on the current record, five at the harm or jeopardy level and five abuse-related, with two fines totaling $225,774. The hospital district owns it, and the last inspection was August 2025. Ask about weekend coverage and how they retain aides.
Park Place Care Center runs 116 certified beds in Georgetown under corporate ownership, and the staffing numbers are where the trouble starts. At 3.06 nurse hours per resident day it sits about 21% under the national average, weekends drop roughly 15% below its own weekday level, and annual turnover hits 86.8% against a national 45.8%, that's a new face on the floor almost every year. Its inspection record shows 37 deficiencies, nine at harm or jeopardy level and seven tied to abuse, with five fines totaling $142,439 and CMS placement in the Special Focus Facility program. The quality measure score looks good on paper, but staffing and inspection results are what a family actually lives with.
Eagle Crest Rapid Recovery runs 125 beds in Houston under corporate for-profit ownership, and the staffing numbers are the first thing I'd flag. At 3.17 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly 16% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 75.2% against a national 45.8%, meaning most of the people caring for your relative are new and likely to leave. The inspection record backs that up: 31 deficiencies, 8 at harm or jeopardy level, one abuse-related, and four fines totaling $54,252, with the last inspection in September 2025.
Seabreeze runs about 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage drops further, about 7% under its own weekday level. That thin margin shows up in the numbers: 41 deficiencies on the current record, eight of them at the harm or jeopardy level and five abuse-related, plus $254,067 in fines across three penalties. Staff turnover sits at 51%, above the national 45.8%, on a for-profit LLC license. The most recent inspection was January 8, 2026. Federal data puts health inspection and staffing at one star each, with quality measures at three.
Bridgeport Medical Lodge runs 152 certified beds under corporate for-profit ownership, and its staffing sits at 3.35 nurse hours per resident day, roughly 13% under the national average. Weekends drop another 12% below its own weekday levels, and 57.3% of staff turned over in the past year against a 45.8% national rate. The inspection record holds 13 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $24,704 in fines across two penalties. CMS gave it 2 stars for health inspections, 2 for quality measures, and 1 for staffing. The most recent inspection was February 26, 2026.
Parkview Manor runs lean on nurse staffing, 3.19 hours per resident day, well under the national average, and weekends get thinner still, dropping about 8% below its own weekday level. The bigger red flag is turnover: 92.9% of staff left over the past year, roughly double the national rate, which means the people caring for residents are constantly new and unfamiliar. On the inspection side, 19 deficiencies sit on the current record, including one at the harm level and two tied to abuse, with a $15,920 fine and a survey from August 2024. For-profit individual ownership runs the place, and the federal star ratings land at 2 for health inspections, 2 for quality measures, and 1 for staffing.
Mineola Gardens runs on thin coverage. At 3.16 nurse hours per resident day, it sits about 18% under the national average, and weekends dip slightly below its own weekday numbers, the sort of gap where a fall or an infection can go unnoticed longer than it should. The bigger flag is turnover: 88.9% annually, roughly double the national rate, meaning most of the people caring for your relative will be gone within the year.
The inspection record backs that up. Twenty-two deficiencies on file, four involving actual harm or jeopardy, six tied to abuse, and three fines totaling $50,527. State inspectors last visited in July 2025 and rated health inspections 2 out of 5. Its quality measure score looks good on paper, but that's family-reported data, the staffing and inspection numbers are the ones to weigh here.
Avir At New Braunfels runs 154 certified beds under for-profit LLC ownership that changed hands within the last year. Nurse staffing sits at 3.36 hours per resident day, roughly 13% below the national average, and weekends dip about 10% below its own weekday levels, meaning coverage is thinnest exactly when families tend to visit. The bigger concern is the inspection record: 53 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $163,819. Staff turnover of 73.7% is well above the 45.8% national average, so the people caring for residents are constantly changing.
Pleasant Springs Healthcare Center runs about 2.99 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips another 14% under its own weekday levels. The bigger red flag is turnover: 95.9% annually, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, almost certain to be new to the building within a year. Its inspection record shows 54 deficiencies, including three at the harm level and two tied to abuse, plus $70,837 in fines across four penalties. The most recent inspection was February 2025. Ownership is corporate for-profit. With 90 beds, that combination of thin staffing, constant churn, and a serious deficiency history is what a family should weigh carefully before choosing this home.
Countryview has 51 deficiencies on its current record, six of them serious enough to put residents in harm's way, and eight tied to abuse. That's an unusual concentration of the worst categories, and the one-star inspection rating reflects it. Staffing sits at 3.13 hours per resident per day, roughly 19% under the national average, with weekends running about 13% thinner than weekdays. The turnover number is the one that would worry me most: 94.4%, about double the national rate, meaning the aides who know your mother are mostly gone within a year. Five fines totaling just under $80,000 round out the record. It's a hospital-district home, inspected recently, in August 2025.
Town East Rehabilitation and Healthcare Center runs 130 certified beds in Mesquite under individual for-profit ownership, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day it sits about 12% under the national average, weekends drop roughly another 10% below its own weekdays, and annual turnover of 70.8% means most of the people caring for your family member will be gone within a year, against a national rate of 45.8%. The inspection record backs that up: 35 deficiencies, three serious enough to put residents in harm's way, one tied to abuse, plus two fines totaling $25,673. The 4/5 quality measure score is the bright spot, but quality measures are self-reported, and staffing is what actually delivers care.
Sylan Shores runs on 3.00 nursing hours per resident day, roughly 22% under the national average of 3.86, and weekends drop about 14% below what it manages during the week. That thin coverage shows up in the numbers: a 69.5% annual turnover rate against a national 45.8%, and 16 deficiencies on the current record, including one at the harm level and two tied to abuse. The last inspection was July 2025, so the findings are recent rather than stale. Government hospital-district ownership doesn't change what the staffing star says. If you're weighing this one, ask how they cover weekends and what's changed since that inspection.
Paradigm At Sweeny runs on thin staffing. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 16% below what the home already provides on weekdays. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents are cycling through fast. The inspection record backs that up: 21 deficiencies, four serious enough to cause harm or jeopardy, and four tied to abuse. A for-profit LLC operates the 90-bed home, and while its quality measure score looks good, the 1-star inspection and staffing ratings tell the more relevant story. One fine of $11,905 is on record.
Regency Village runs 122 certified beds in Webster under for-profit LLC ownership, and the staffing numbers are the place to start. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 68.8% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are often new to the building.
The inspection record is heavier still: 28 deficiencies, including 5 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $22,718. State inspectors last visited in May 2025.
Lakewest runs on thin nursing coverage, 3.20 hours per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday level. That's the kind of gap families notice as slower call buttons and rushed meals. Staff turnover sits at 71.7% against a national 45.8%, meaning most of the people caring for your relative likely weren't there a year ago.
The inspection record carries 42 deficiencies, including one at the harm level and five tied to abuse. Two fines total $25,799, and the most recent inspection was January 2026. A government hospital district owns it. Strong quality scores don't offset staffing this thin and a record this long.
Heritage Gardens runs on thin staffing: 3.15 nurse hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday levels. That's a real gap when a resident needs help on a Saturday. Annual turnover sits at 59.7%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The current inspection record shows 22 deficiencies, one at harm or jeopardy level and four abuse-related, with a $38,840 fine and the most recent inspection in November 2024. The quality measure score looks strong, but that's built from chart data, not from how the place is actually staffed day to day.
Fair Park runs about 2.97 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 20% beneath its own weekday level. That thin coverage is the big number here: staff turnover sits at 91.8% against a national average near 46%, so nearly the entire nursing staff turns over in a year. The current record shows 29 deficiencies, none at harm level but two tied to abuse, and the last inspection was in May 2025. For-profit corporate ownership and a 1-out-of-5 CMS staffing rating back up what the hours already suggest, ask who's actually on the floor on a Sunday.
Park Place runs lean on the people who actually deliver care. At 3.41 nurse hours per resident day, it sits about 12 percent under the national average, and weekends drop roughly another 18 percent below its own weekday coverage. The staffing picture gets harder when you look at turnover: 63.8 percent of staff left last year, against a national rate near 46 percent, meaning the aides and nurses caring for your relative are, statistically, likely to be new to the building. The government's own inspectors rated staffing and health inspections each 1 out of 5, and the record shows 32 deficiencies, three of them serious enough to put residents in harm's way and three tied to abuse. Two fines total $287,159. Texas corporate ownership, 120 beds, last inspected May 2025.
Focused Care At Mount Pleasant runs 122 beds under for-profit LLC ownership, and the numbers that stand out aren't the quality measures, those actually rate well above average. The problem is everything around them. Nurse staffing sits at 3.16 hours per resident day, about 18% under the national figure, with weekends dipping roughly 8% below the home's own weekday level. Staff turnover hits 48.4%. The inspection record carries 82 deficiencies, including four at the harm level and six tied to abuse, plus five fines totaling $223,296, and the most recent inspection was July 2025. High quality scores can't offset thin coverage and that citation history.
Avir At Fort Worth runs on 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 11% below what it manages on weekdays. Staff turnover sits at 71.6%, well above the 45.8% national figure, so the people providing most of the hands-on care are frequently new to the building. The inspection record is where the real weight sits: 42 deficiencies, nine serious enough to put residents in harm's way, six tied to abuse, and six fines totaling $272,419, with the most recent inspection in April 2025. High marks on quality measures don't offset a staffing and compliance picture like that.
Brookhaven runs on thin staffing: 3.15 nurse hours per resident day against a national average of 3.86, with weekends about 9% leaner than weekdays. Turnover sits at 75.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record is the bigger concern, 48 deficiencies, including four at harm or jeopardy level and two tied to abuse, with three fines totaling $24,739 and a survey as recent as July 2025. That combination of low staffing, high turnover, and repeat serious findings is what drives the low marks across all three CMS categories.
Paradigm At The Creek runs 120 certified beds in Wharton under for-profit LLC ownership, and the staffing numbers are the first thing to notice. Its 3.23 nurse hours per resident day sit well under the national average, weekend coverage drops further below its own weekday level, and more than half the nursing staff turned over in a year, a rate noticeably above the national figure. The inspection record backs that up: 38 deficiencies, seven serious enough to put residents in harm's way, four tied to abuse, and four fines adding up to just over $52,000. All three CMS star ratings sit at the lowest tier. If you're considering this one, ask hard questions about who's actually on the floor nights and weekends.
Arlington Heights runs 170 certified beds in Fort Worth, and the numbers that stand out are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends drop about 11% below the home's own weekday level, and annual turnover hits 91.6% when the national figure is 45.8%, which means the aide or nurse your mother sees on Tuesday may not be there by spring. The inspection record shows 43 deficiencies, three at harm or jeopardy level and three abuse-related, with $31,539 in fines and a 2/5 health inspection rating. Ownership is for-profit, individual.
Focused Care At Webster runs a 120-bed for-profit operation in Harris County, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.56 hours per resident day, about 8% under the national average, and it thins out further on weekends. Annual turnover hits 66.3% against a national 45.8%, so you're looking at a building where two out of three caregivers left within the year.
The inspection record backs that up: 32 deficiencies on file, three at harm or jeopardy level, five tied to abuse, and $34,665 in fines across two penalties. The last inspection was January 30, 2025. Quality measure scores look strong, but that's largely charting, the direct-care hours and the harm-level findings are what a family will actually feel.
Park Manor Of Cypress Station runs on thin nursing coverage: 3.09 hours per resident per day against a national average of 3.86, and weekends dip about 14% below its own weekday level. That staffing shortfall shows up in a 61% annual turnover rate, well above the 45.8% national figure, and in a one-out-of-five CMS staffing star. The inspection record is harder to look past: 27 deficiencies, seven at harm or jeopardy level, three tied to abuse, and $29,517 in fines, with the most recent inspection dated June 2025. Owned by a for-profit limited liability company, its quality measure star of four out of five stands out against everything else, though strong chart numbers don't change what happens on the floor.
Legend Oaks North runs 3.17 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 15% below what the home manages Monday through Friday. That thin coverage sits alongside 24 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. Federal inspectors also logged a $41,890 fine, and the most recent inspection is dated April 2026. Throw in for-profit LLC ownership and a 1/5 staffing star rating, and the pattern is consistent: this is a home regulators have cited repeatedly, with staffing that leaves little margin when something goes wrong.
Avir At Schertz runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 12% below its own weekday level. Staff turnover sits at 79.4% against a national average of 45.8%, so the people caring for residents change constantly. The inspection record shows 65 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $39,676 in fines and a most recent inspection dated February 27, 2026. Ownership is a for-profit limited liability company. The quality measure score looks strong on paper, but that number rests on a staffing and inspection picture that is far weaker.
San Gabriel Rehabilitation and Care Center runs 142 beds in Round Rock under for-profit LLC ownership. Nurse staffing sits at 3.18 hours per resident day, roughly 18% under the national average, and weekends run thinner still, about 7% below what the home staffs on weekdays. Turnover is 55.1%, close to ten points above the national rate, which means the aides and nurses your family member sees may keep changing.
The inspection record is the harder part: 32 deficiencies, three at harm or jeopardy level, six tied to abuse, and $19,393 in fines. CMS gave it one star each for health inspections and staffing. The most recent inspection was July 2025, so the record is current, not stale.
Park Village runs 3.05 nurse hours per resident day against a national average of 3.86, and weekends drop another 15% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record carries 52 deficiencies, eight at harm or jeopardy level and seven tied to abuse, with six fines totaling $221,389. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. Quality measures look strong at 5/5, but that score sits alongside a 1/5 on both inspections and staffing, a split worth asking about directly.
River Oaks runs on a staffing model that doesn't hold. Nearly every employee who worked there a year ago is gone now, turnover sits at 95.6% against a national average of 45.8%, and the staffing star rating reflects it at 1 out of 5. That churn shows up in the record: 37 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with two fines totaling $60,095. The health inspection rating is also 1 star, though the quality measure score of 4 suggests some clinical targets are being met on paper. Ownership is a for-profit limited liability company. The most recent inspection was April 17, 2026.
Avir At Petal Hill runs 3.50 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. Its record shows 33 deficiencies, four of them at the harm or jeopardy level and two tied to abuse, with $31,256 in fines across two penalties. Staff turnover sits at 43.9%, a touch better than the 45.8% national figure. All three CMS ratings, health inspection, quality measures, staffing, land at 2 out of 5, and the most recent inspection was March 5, 2026. For a 120-bed for-profit corporate home, the pattern is thin staffing, repeated serious findings, and middle-to-low marks across the board.
Focused Care At Humble runs 134 certified beds in Harris County under corporate for-profit ownership, and the staffing numbers are where the trouble shows. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly 12% below its own weekday level. Nearly half the staff turned over last year, 49.3% against a national 45.8%. The 17 deficiencies on record include 3 at harm or jeopardy level, with two fines totaling $19,410; the last inspection was in May 2025. Quality measures score well, but thin, churning staffing is the pattern a family should weigh hardest here.
Briarcliff runs on about 3.25 nurse hours per resident per day, roughly 16% under the national average, and the weekend gap is real, weekends come in around 12% below what the building staffs on weekdays. Turnover sits at 53% against a national 45.8%, so nearly half the nursing staff leaves each year. The inspection record shows 46 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with four fines totaling $63,129. The last inspection was May 2026. Ownership is a nonprofit corporation, and with 194 beds, there's plenty of room for the numbers to move. Right now, though, they aren't moving in the right direction.
Bastrop Lost Pines is run by a hospital district, which you might expect to mean steadier resources, but the numbers don't show that. Nurses give about 3.10 hours of care per resident each day against a national average of 3.86, and weekends run roughly 13 percent thinner than weekdays, so coverage depends heavily on when you visit. The current inspection record carries 27 deficiencies, three of them serious enough to put residents in harm's way and two tied to abuse, with $101,156 in fines across three cases. Turnover sits at 46.8 percent, slightly worse than the national figure, and the most recent inspection was January 30, 2026.
Avir At Weatherford runs lean on nursing hours: 3.32 per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday level, so the thinnest coverage lands when families typically visit. Staff turnover sits at 70.4% 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 18 deficiencies, two of them at harm or jeopardy level and three tied to abuse, with $22,356 in fines across two penalties. Ownership is a for-profit corporation, and the last inspection was in February 2026.
Avir At Adams runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop about 12% below its own weekday coverage. That thin margin shows up in the numbers that matter most: a 66.2% annual turnover rate against a 45.8% national figure, meaning most of the people caring for your relative are new to the building. The current record carries 46 deficiencies, five at harm or jeopardy level and three tied to abuse, plus $24,819 in fines. The most recent inspection was June 19, 2025. For-profit corporate ownership, 118 certified beds, and a staffing rating that matches what those hours suggest.
Avir At Veterans Memorial runs 120 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average, with weekends about 10% leaner than weekdays. Annual turnover is 52.8% against a national rate of 45.8%, so aides and nurses are cycling out faster than usual. The inspection record is where the real weight sits: 27 deficiencies, five at harm or jeopardy level, two tied to abuse, and $22,840 in fines, with the most recent inspection dated April 2026. Quality measure scores look strong, but staffing and inspection results pull hard in the other direction.
Le Reve runs on 3.06 nurse hours per resident day, roughly a fifth under the national average, and weekend coverage drops about 11% below what it manages on weekdays. Staff turnover sits at 64.7% against a national 45.8%, so the people caring for residents are, more often than not, new, and the health inspection record is where that shows: 26 deficiencies on the current record, six of them at harm or jeopardy level and three tied to abuse. Three fines totaling $120,553. Ownership is corporate and for-profit. One thing the numbers don't capture: CMS scored the quality measures 4 out of 5, which suggests some clinical care is being tracked well even as staffing and inspection results lag badly behind.
Parkview runs about 2.87 nurse hours per resident day, roughly a quarter below the national average, and weekends drop another 19% under its own weekday numbers. That thin coverage shows up in the inspection record: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $64,967 and a two-star health inspection rating. Staff turnover sits at 47.5%, slightly above the national figure. The quality measure score of 4/5 is the one bright spot, but it reflects reported care measures rather than the staffing and safety problems regulators have actually cited here.
Focused Care Of Waxahachie runs on 2.68 nurse hours per resident day, roughly 31% under the national average, and weekends drop another 10% below its own weekday levels. That thin coverage shows up in the staffing picture, where turnover hits 58.9% against a national 45.8%, more than half the nursing staff leaving in a year. The inspection record is the harder problem: 40 deficiencies, five serious enough to involve harm or jeopardy, three tied to abuse, and $172,367 in fines across three penalties. A government hospital district owns the 152-bed building, and its most recent inspection was April 28, 2026. Quality measures score well; the hands-on care and oversight numbers do not.
Ashford Hall runs 206 certified beds in Irving under corporate ownership, and the numbers behind its record are worth sitting with. State inspectors have logged 35 deficiencies, six of them serious enough to put residents in immediate harm or jeopardy, and six tied to abuse. Fines total $301,255 across four penalties. Staff turnover sits at 77.1%, well above the 45.8% national average, which means the people caring for residents are constantly changing. Nurse staffing runs 3.71 hours per resident day, slightly under the national figure, and weekends dip about 8% below the home's own weekday levels. Low turnover and steady weekend coverage are what keep residents safe; here, neither is holding.
Paradigm At The Pines runs on 2.90 nurse hours per resident per day, about a quarter below the national average, and weekends drop roughly another 11% beneath its own weekday level. Turnover sits at 67.4% against a national 45.8%, and the staffing star rating reflects that: 1 out of 5. The inspection record shows 34 deficiencies, including one at the harm level and six tied to abuse, with a $8,281 fine. It's a hospital-district home, and the last inspection was recent. The quality measure score is strong, but that's largely self-reported data, the hands-on staffing and inspection findings tell a harder story.
Parkview runs about 3.55 nurse hours per resident day, roughly 8% under the national average, and weekends dip another 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover sits at 57.6% against a national 45.8%, meaning more than half the nursing staff leaves in a year. The health inspection record is the strongest part here, a recent June 2025 survey with 18 deficiencies and none at harm or jeopardy level, though 5 are abuse-related and worth asking about directly. The 2/5 quality measure rating is where the day-to-day care concerns show up.
Hillside Heights runs about 3.09 nurse staffing hours per resident day, roughly 20 percent under the national average of 3.86, and weekends dip another 10 percent below its own weekday levels. Annual turnover sits at 56.5 percent against a national 45.8 percent, so the people around your family member change often. The inspection record shows 30 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a $14,901 fine on file; the most recent inspection was April 29, 2026. The state survey rating reflects that history, even though the quality measure score is stronger. Ownership is a for-profit limited liability company.
Willow Park runs 3.31 nursing hours per resident per day, roughly 14 percent under the national average, and weekends dip another 10 percent below its own weekday levels. The inspection record is the bigger concern: 27 deficiencies, three of them serious enough to put residents in harm's way, and three tied to abuse. Three fines totaling $59,972 have been levied, and the most recent inspection was December 2025, recent enough that the findings aren't stale. One bright spot: staff turnover at 36.9 percent beats the 45.8 percent national figure, which suggests people stay. Corporate-owned, 110 beds, and a one-star health inspection rating. Ask about the abuse citations and who supervises residents on weekends.
West Janisch runs on thin staffing margins, and it shows in the numbers. Nurse coverage sits just under the national average, but weekends drop about 11 percent below what the home manages on weekdays, and turnover runs at 69 percent against a national rate near 46 percent, meaning many of the people caring for residents are still learning the building. The inspection record is heavier: 22 deficiencies, three serious enough to put residents in harm's way, two tied to abuse, and one fine on file. A 1-out-of-5 inspection rating and a recent October 2025 survey give a current picture rather than an old one. Nonprofit ownership doesn't change what the data says about care.
Avir At Seguin runs 2.88 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, with weekends even thinner than weekdays. That shortfall shows up in the staffing rating and in a 60.8% annual turnover rate, well above the 45.8% norm, meaning the aides and nurses your family member sees are cycling out faster than anywhere nearby. The record holds 46 deficiencies, including three at the level that caused actual harm or jeopardy and two tied to abuse, plus one fine of $13,877. The quality measures look good on paper, but staffing is what actually gets someone to the bathroom on time.
Park Valley Inn runs on thin staffing. At 3.28 nurse hours per resident day, it sits about 15% under the national average, weekends drop roughly 13% below its own weekday coverage, and more than half the nursing staff turns over each year, 55.3% against a national 45.8%. The inspection record backs that up: 35 deficiencies, three serious enough to put residents in harm's way, six tied to abuse, and $97,032 in fines. The 5/5 quality measure score looks good on paper, but quality measures are largely self-reported, and a home can chart well while running short-staffed. Williamson County families comparing options should weigh the 1/5 staffing rating and the March 2026 inspection against that number, not instead of it.
Avir At Beaumont runs 214 certified beds under hospital district ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends run about 9 percent thinner than weekdays, so coverage gaps tend to land when families visit most. Staff turnover of 49.5 percent tops the national rate, which means the people caring for residents are often new to the job.
The current inspection record carries 41 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $39,563 in fines across three penalties. The most recent inspection was June 20, 2025.
Meridian Care of Alice runs 201 certified beds under individual for-profit ownership, and the staffing picture is mixed in a way worth understanding. Total nurse coverage sits at 3.21 hours per resident day, roughly 17 percent under the national average, and weekends drop about 14 percent below the home's own weekday level. The one number that looks better than average is turnover: 34.7 percent against a national 45.8 percent. But the inspection record is where the real concern lives: 18 deficiencies on file, four at harm or jeopardy level, three tied to abuse, and two fines totaling $211,990, with the most recent inspection dated March 2026. Strong quality measures and low turnover don't outweigh that harm-level history.
Windsor Nursing and Rehabilitation Center of Morga runs 176 certified beds under nonprofit ownership, and the staffing numbers are the first thing to notice. At 2.91 nurse hours per resident per day, it sits about 25% under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 45.5%, essentially the national rate, so that's not the outlier here. The inspection record is heavier: 26 deficiencies, 7 at harm or jeopardy level, 5 tied to abuse, and three fines totaling $32,353. The most recent inspection was July 8, 2025. Quality measures score well; staffing and inspections are where the concerns sit.
Park View Care Center runs 179 certified beds in Fort Worth under corporate for-profit ownership, and its staffing sits at 4.02 nurse hours per resident day, a bit above the national average, though weekends drop roughly 10 percent below its own weekday coverage. That's the strongest part of the picture. The inspection record is where it gets harder to explain away: 62 deficiencies on file, including six at the harm or jeopardy level and seven tied to abuse, with six fines totaling $299,019. Annual staff turnover runs 51.9 percent against a national average of 45.8 percent, so the people providing care keep changing. The most recent inspection was February 2026, recent enough that this record reflects current conditions, not an old one.
Denton Village by Purehealth runs 88 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.55 hours per resident day, about 8% under the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so the thinnest shifts are the ones families tend to visit. The inspection record is the harder read: 26 deficiencies, including one at the harm level and one abuse-related, plus a $55,112 fine, with the most recent inspection in September 2025. Staff turnover at 41.3% is slightly better than the 45.8% national figure, and the 5/5 quality measure rating stands out against a 2/5 inspection score. The gap between those two numbers is worth asking about directly.
Colonial Manor runs about 3.78 nursing hours per resident per day, a bit under the national average, and weekends drop roughly 11% below its own weekday staffing. That thinner weekend coverage matters more when turnover sits at 52.8%, well above the 45.8% national figure, because a changing roster makes it harder to know who's on the floor. The record shows 26 deficiencies, including three at harm or jeopardy level and three tied to abuse, with $51,594 in fines and a February 2025 inspection. The quality measure stars look strong, but the inspection and staffing numbers tell a different story.
Skyline Nursing Center is a 204-bed hospital-district home in Dallas, and the numbers behind its federal record are hard to read kindly. Nurse staffing runs about 3.05 hours per resident day, roughly a fifth below the national average, and it drops another 10% on weekends, when families often visit and coverage matters most. Annual turnover sits at 50%. The inspection history is heavier still: 39 deficiencies on the current record, including 5 at the level where residents were actually harmed or put in jeopardy, plus 6 tied to abuse. One fine of $96,817 has been levied, and the most recent inspection was April 2026.
Patriot Heights runs 3.46 nurse hours per resident day, roughly 11% under the national average, and weekends dip about 15% below what the home itself staffs Monday through Friday. That thin weekend coverage matters more when you look at the record: 25 deficiencies, three at harm or jeopardy level, two tied to abuse, and $28,033 in fines across two penalties. Annual turnover sits at 50%, above the 45.8% national figure, so the people providing care keep changing. The quality measure score looks strong, but that reflects charted clinical outcomes, not whether enough hands are present on a Saturday. The last inspection was September 5, 2025.
Henderson Health & Rehabilitation Center runs 173 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 5% below its own weekday levels, and annual turnover hits 52.5% against a national 45.8%, meaning more than half the nursing staff turns over each year. The inspection record shows 30 deficiencies, four of them serious enough to cause harm or jeopardy, plus one abuse-related finding and a $10,546 fine. The last inspection was May 2025. Quality measures score well, but staffing and inspection results are where the real story sits.
Arbor Lake runs on 3.11 nurse hours per resident per day, roughly 19 percent under the national average, and weekends drop another 11 percent below what the home itself staffs on weekdays. That thin coverage shows up in a 52.7 percent annual turnover rate, with more than half the nursing staff leaving each year. Inspectors cited 33 deficiencies on the current record, three of them serious enough to put residents in harm's way and two tied to abuse. The owner is a for-profit individual, and two fines totaling $14,676 are on file. One bright spot: the quality measures score well above average, and the most recent inspection was July 2025.
Cass Valley Healthcare Center runs 74 certified beds in Centerville under for-profit LLC ownership, and its nurse staffing comes in at 4.20 hours per resident day, roughly 9% above the national average of 3.86. That cushion thins on weekends, which run about 10% below the home's own weekday level, and annual turnover sits at 45%, essentially matching the national rate. The harder numbers are on the inspection side: 25 deficiencies on the current record, five of them at the harm or jeopardy level and four tied to abuse, with four fines totaling $54,592 and a two-out-of-five health inspection rating. The most recent inspection was November 24, 2025. Strong quality measure scores don't erase that record.
Windsor Healthcare Residence runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage dips another 8% below its own weekday levels, so the thinnest shifts land when families tend to visit. Staff turnover sits at 52.4%, above the 45.8% national figure, and that churn shows up in the inspection record: 13 deficiencies, three serious enough to flag harm or jeopardy, two tied to abuse, plus three fines totaling $34,232. The most recent inspection was August 2025. It's a for-profit, individually owned home with 90 certified beds. The quality measure score looks strong, but quality measures reflect resident health outcomes, not whether enough hands are on the floor or whether problems get fixed.
Kirkland Court runs on thin staffing. At 2.88 nurse hours per resident per day, it sits about a quarter below the national average, and weekend coverage drops further, so the thinnest shifts fall when families tend to visit. Staff turnover of 53.3% tops the national rate, meaning the people caring for your relative are often new to the building. The inspection record is the harder read: 37 deficiencies, three serious enough to put residents in harm or jeopardy, and six tied to abuse. Two fines total $16,810. The quality measures look strong, but those come from resident assessments, not from how the place is run day to day.
Focused Care Of Center is a for-profit limited liability company home with 92 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, and weekends run roughly 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover, at 32.8%, is actually better than the 45.8% national figure, but the inspection record is where the real trouble sits: 37 deficiencies, including 4 at the harm or jeopardy level and 4 tied to abuse, plus two fines totaling $256,719. The most recent inspection was June 11, 2025.
Avir At Overton runs 100 certified beds under for-profit LLC ownership, and the staffing numbers tell a mixed story: 3.77 nurse hours per resident day sits just under the national average of 3.86, but weekends dip about 4% below weekdays, and annual turnover hits 58.3% against a national 45.8%. More concerning is the inspection record, 41 deficiencies, 13 of them at harm or jeopardy level, 10 abuse-related, and six fines totaling $363,446, with the most recent inspection dated April 2026. The quality measure rating is strong, but that reflects resident health metrics, not the safety and oversight record a family should weigh most heavily when choosing care.
Flatonia Healthcare Center runs 70 certified beds in Fayette County under corporate for-profit ownership, and its staffing is the one part of the picture that holds up: 4.04 nurse hours per resident day, about 5% above the national average, with weekend coverage dipping only slightly below weekdays. Turnover at 43.6% is a touch better than the national 45.8%. The trouble sits elsewhere. Fifteen deficiencies on the current record, two of them at harm or jeopardy level and two abuse-related, plus two fines totaling $15,098. The most recent inspection was December 4, 2025, so that record is recent. Staffing keeps residents attended to; the inspection history is what a family should ask about directly.
Lone Star Ranch runs 146 beds in Kingsville under corporate ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average, and weekends dip about 12% below the home's own weekday coverage, so care thins out exactly when families tend to visit. Staff turnover is 43.8%, slightly better than the national rate. The inspection record is the real concern: 23 deficiencies, including one at the harm level and six tied to abuse, with a $8,190 fine and a survey completed in June 2025. Quality measures score well, but that coexists with a two-star inspection history.
Port Arthur Nursing and Rehabilitation Center runs 199 certified beds under for-profit partnership ownership, and its numbers split sharply depending on where you look. The quality measure score is perfect, yet nurse staffing sits at 3.06 hours per resident day, roughly 21% under the national average, and weekend coverage drops about 12% below its own weekday level. Turnover lands at 44.3%, close to the national figure, so retention isn't the outlier here. What is: 50 deficiencies on the current record, including five at harm or jeopardy level and 12 tied to abuse, plus four fines totaling $310,553. The last inspection was June 25, 2025. A strong quality score doesn't offset that inspection history.
Avir At Mineola runs on 3.45 nurse hours per resident day, roughly 11 percent under the national average, and weekends dip another 8 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The inspection record is heavier than that staffing gap alone would suggest: 54 deficiencies, including 8 tied to abuse and 3 serious enough to put residents in harm's way, plus three fines totaling $55,247. Ownership changed within the past year, which can mean new management or just a new name on the license. The most recent inspection was in December 2025. If you're considering this one, ask directly what changed after that inspection and who's actually on the floor on Saturdays.
Village Healthcare And Rehabilitation runs 114 certified beds in Mcallen under corporate for-profit ownership, and the staffing numbers are the main thing to know. At 3.49 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends run roughly 15% lighter than its own weekdays, so coverage thins out exactly when families tend to visit. Turnover at 33.3% is actually better than the 45.8% national figure, which is a real point in its favor. The inspection record is the harder part: 16 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $28,970. The most recent inspection was April 2025. Ask about weekend staffing and that abuse citation directly.
Capstone Healthcare of Daingerfield runs a 106-bed for-profit operation where the staffing numbers look decent on paper, 3.95 nurse hours per resident day, a bit above the national average, but weekend coverage drops about 14% below what the home staffs on weekdays. Turnover sits at 33.9%, better than the 45.8% national figure, so the people who stay tend to stay. The trouble is the inspection record: 58 deficiencies, including 7 at harm or jeopardy level and 8 tied to abuse, plus six fines totaling $321,040. That history matters more than the staffing averages when you're deciding whether this is the right place for someone you love.
Meridian Care of Hebbronville runs 60 certified beds in Jim Hogg County, and its strongest numbers come from inspections: a clean recent record with nine deficiencies, none at the harm or jeopardy level and none related to abuse. The tradeoff shows up in daily staffing, which sits at 3.35 nurse hours per resident, roughly 13 percent under the national average, and thins out further on weekends. That's partly offset by turnover of 40.5 percent, better than the 45.8 percent national figure, meaning fewer caregivers cycling out than elsewhere. Quality measures hold at four stars. For a small rural home, the care outcomes look steady even though the day-to-day coverage runs lighter than average.
Brenham Nursing and Rehabilitation Center runs on 2.71 nurse hours per resident day, roughly 30 percent under the national average of 3.86, and weekend coverage drops about 10 percent below its own weekday level. Staff turnover sits at 44.3 percent, close to the national figure of 45.8 percent, so this isn't a retention crisis so much as a thin floor of coverage that thins further on Saturdays and Sundays. The inspection record is where the real trouble shows: 28 deficiencies, two at harm or jeopardy level, one abuse-related, and two fines totaling $29,353. The most recent inspection was February 19, 2026. A five-star quality measure score doesn't offset a one-star inspection history at a home this size.
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.
Avir At Park Bend runs on thinner nursing coverage than most homes, 3.18 nurse hours per resident day against a national average of 3.86, and weekends drop another 12% below its own weekday levels. That's the kind of gap families feel on a Saturday afternoon when call lights take longer to answer. Turnover sits at 46.1%, essentially matching the national rate, so staffing instability here isn't an outlier problem. The inspection record is more concerning: 28 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with $38,155 in fines. A June 2025 inspection is recent, and the 3/5 health inspection rating reflects real citations. Government hospital district ownership doesn't erase any of this.
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.
River City Care Center runs 92 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average, with weekends about 13% thinner than weekdays. That shortfall shows up in the federal staffing rating, which lands at the lowest tier. The inspection record is the heavier concern: 36 deficiencies on file, including two at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse, and $23,410 in fines across two penalties. Its quality measure score looks good on paper, but that's largely self-reported data, and the last full inspection was in July 2025. The families I'd tell to look hardest at this one are those needing consistent hands-on care, especially on weekends.
Avir At Magnolia runs on 2.86 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further from an already thin weekday floor. That staffing gap sits behind 37 deficiencies on record, seven of them involving harm or jeopardy and three tied to abuse, plus five fines totaling $50,906, a pattern worth asking the administrator about directly. Nearly six in ten staff left over the past year, well above the 45.8% national rate, and with the last inspection in August 2025, the record is current rather than dated. The quality measure score looks better than the rest, but quality numbers reflect resident assessments, not whether enough hands are on the floor.
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.
Avir At Texarkana runs a for-profit LLC with 110 certified beds, and the numbers pull in different directions. Nurse staffing sits at 4.56 hours per resident day, roughly 18% above the national average of 3.86, but weekend coverage drops about 7% below its own weekday level, and annual turnover hits 61.7% against a national 45.8%, so the hours are there, the consistency isn't. What drags the record down is the inspection history: 33 deficiencies, three at harm or jeopardy level and five abuse-related, with two fines totaling $146,860 and a health inspection rating of 1 out of 5. Ownership changed within the last 12 months, and the most recent inspection was June 11, 2025.
Prestonwood runs on a hospital district's budget, and the nurse staffing shows it: 4.21 hours per resident day, roughly 9% above the national average. Weekends dip about 14% below its own weekday levels, worth asking about if your family visits Saturday or Sunday. The harder numbers are on the inspection side, 16 deficiencies on the current record, three of them at harm or jeopardy level and three abuse-related, with one fine totaling $14,433. Staff turnover sits at 46.8%, a hair above the national 45.8%. The last inspection was April 2025, so the record is recent. Strong staffing and quality scores, rough inspection history, that split is what the grade reflects.
St. Dominic Village runs on a church-affiliated nonprofit model, and its quality scores are actually decent, four stars on CMS measures. The problem is the people side. Staffing sits at one star, well below what you'd want for 158 beds, and that gap shows up in the inspection record: 13 deficiencies, including one serious enough to reach harm or jeopardy level and two tied to abuse. Five fines totaling $42,031 have accumulated. The last inspection was in May 2025, so this isn't stale history. A nonprofit with good clinical metrics but thin staffing and abuse findings is a specific kind of risk, ask directly about direct-care hours per resident and how they've addressed those abuse citations.
Champions Healthcare At Willowbrook runs on tighter staffing than most Texas homes, and the numbers show it: 3.52 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That thin weekend margin matters in a 98-bed building, and a 51.9% annual turnover rate, well above the 45.8% national figure, means the aides and nurses on that floor are often new to the job. The inspection record carries 19 deficiencies, three serious enough to reach harm or jeopardy, one tied to abuse, and $44,335 in fines across two penalties. The most recent inspection closed in April 2026, so the record is current rather than stale. For-profit individual ownership rounds out the picture.
Riverside Nursing and Rehabilitation Center is a 122-bed for-profit in Austin where the staffing numbers are the first thing to notice. At 3.38 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly 17 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover sits at 52.5 percent against a national 45.8 percent, which means caregivers cycle through faster than average. The inspection record backs that up: 28 deficiencies, five at harm or jeopardy level, two tied to abuse, and $88,227 in fines. The most recent inspection was January 15, 2026.
Memorial City runs on 3.20 nurse hours per resident day, about 17% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin schedule sits behind 32 deficiencies on the current record, six of them at harm or jeopardy level, one abuse-related, plus four fines totaling $70,554. Annual turnover of 53.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The hospital district ownership is worth noting, but it hasn't kept the inspection record clean, the last survey was April 28, 2026, and the health inspection side scored 2 out of 5. Quality measures look strong at 5 out of 5, which raises the question of whether the day-to-day staffing can carry that.
Hidalgo Nursing and Rehabilitation Center runs on thinner nursing coverage than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, which is when families often visit and notice. The 25 deficiencies on its current record include one at the harm level and four tied to abuse, and the health inspection rating sits low. Staff turnover at 41.6% is slightly better than the national 45.8%, and its quality measure score is strong, but a government-hospital-district owner doesn't change the math: the daily staffing number is what your family will actually feel.
The Villages On Macarthur runs leaner than most: 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays. That matters because its inspection record carries 29 deficiencies, two of them at the harm or jeopardy level and one tied to abuse, with $25,259 in fines across two penalties. The health inspection rating sits at 2 out of 5, though quality measures score 4 and staffing 3. Turnover is 43%, slightly better than the 45.8% national figure, and the most recent inspection was July 2025. A nonprofit with recent eyes on it, but the harm-level findings are the part to ask about directly.
Palomino Place runs 120 beds in Mesquite, and the staffing numbers are where I'd start. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 52.7% against a national 45.8%, meaning more than half the nursing staff leaves within a year. The inspection record shows 32 deficiencies, five serious enough to involve harm or jeopardy, plus one tied to abuse, and $165,086 in fines across three penalties. The last inspection was December 11, 2025, so the record is current. For-profit corporate ownership rounds out the picture.
Harbor Valley runs leaner on nursing hours than most homes in the country, 3.58 per resident day against a national average of 3.86, and weekends get thinner still, with about 12% less coverage than weekdays. That matters, because 40 deficiencies sit on the current record, including two at the harm level and three tied to abuse, and the last inspection was in December 2025. Staff turnover at 43.8% is actually slightly better than the typical home, which suggests the problem isn't retention so much as how many hands are scheduled. For-profit, individually owned, 120 beds. Ask about weekend staffing and how the abuse citations were resolved.
James L West Center runs on a dementia-specific model in Fort Worth, and its staffing reflects that: 4.57 nurse hours per resident day, roughly 18% above the national average, with weekend coverage dipping about 6% below its own weekdays. Turnover sits at 33.9%, well under the national 45.8%, so the people caring for residents tend to stay. The trouble is on the inspection side. Seventeen deficiencies are on record, eight of them at harm or jeopardy level and eight abuse-related, with nine fines totaling $63,236 and a 2-out-of-5 health inspection rating. A recent June 2025 inspection means the picture is current. Strong daily care, but a documented history of serious safety problems.
The Tuskegee Airmen Texas State Veterans Home in Fort Worth is a 120-bed nonprofit, and its inspection record carries some weight worth knowing about. Eleven deficiencies show up on the current record, including three at the harm or jeopardy level and two tied to abuse, not the kind of findings a family should gloss over. One CMS fine of $14,280 is on file, and the most recent inspection was May 14, 2025, so the picture is fairly fresh. We don't have enough verified data here to compute a grade for this home, which means the deficiency pattern is the main thing you can actually judge. Ask about those harm-level findings and the abuse citations directly before deciding.