CMS Data · 2026
Texas Nursing Home Staffing Ratios
State average: 3.42 total HPRD · 0.52 RN · 0.92 LPN · 1.98 CNA
Texas vs. National Average
Bar = Texas average. Marker line = U.S. national average. Source: CMS PBJ 2024.
Browse by City in Texas
Texas Nursing Home Staffing — Top 50 Facilities
Sorted by CMS overall star rating. Click any facility for detailed staffing data.
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL SKIL
TEMPLE, TX · Non profit
5★
5★
8.78
4.94
CREEKSIDE TERRACE REHABILITATION
BELTON, TX · For profit
5★
2★
3.19
0.43
Avir at Graham
GRAHAM, TX · Government
5★
2★
3.23
0.51
KNOPP HEALTHCARE AND REHAB CENTER INC
FREDERICKSBURG, TX · For profit
4★
3★
3.37
0.49
Sharpville Residence and Rehabilitation Center
Houston, TX · Government
4★
3★
3.28
0.36
⚠ 1 CMS fine on record
SAN JUAN NURSING HOME INC
SAN JUAN, TX · Non profit
4★
4★
4.28
0.28
WHITE SETTLEMENT NURSING CENTER
WHITE SETTLEMENT, TX · For profit
3★
3★
3.60
0.33
⚠ 2 CMS fines on record
Brazos Healthcare Center
Lake Jackson, TX · For profit
3★
3★
3.73
0.37
Ivy Creek Wellness & Rehabilitation
WACO, TX · For profit
3★
2★
3.03
0.38
⚠ 2 CMS fines on record
Avir at Jeffrey Place
Waco, TX · For profit
3★
2★
3.51
0.30
⚠ 2 CMS fines on record
Rosewood Heights
Killeen, TX · For profit
3★
1★
3.70
0.41
⚠ 3 CMS fines on record
STERLING HILLS REHABILITATION AND HEALTHCARE CENTE
SWEETWATER, TX · For profit
3★
1★
3.44
0.26
MORNINGSIDE MANOR
SAN ANTONIO, TX · Non profit
3★
3★
3.28
0.31
AMISTAD NURSING AND REHABILITATION CENTER
UVALDE, TX · Government
3★
1★
2.95
0.27
Avir at Center
CENTER, TX · For profit
3★
1★
3.27
0.28
⚠ 1 CMS fine on record
Legacy Nursing and Rehabilitation
Bryan, TX · For profit
2★
2★
3.54
0.31
⚠ 1 CMS fine on record
Willow Ridge Wellness & Rehabilitation
Fort Worth, TX · For profit
2★
1★
3.27
0.41
⚠ 7 CMS fines on record
Mesa Hills Post Acute
Brownsville, TX · For profit
2★
1★
3.49
0.20
⚠ 1 CMS fine on record
The Meadows Health and Rehabilitation Center
Dallas, TX · For profit
2★
1★
2.86
0.20
⚠ 2 CMS fines on record
HERITAGE CONVALESCENT CENTER
AMARILLO, TX · For profit
2★
1★
3.58
0.22
The Lakes at Texas City
Texas City, TX · For profit
2★
1★
2.85
0.30
⚠ 1 CMS fine on record
GLENVIEW WELLNESS & REHABILITATION
NORTH RICHLAND HILLS, TX · Government
2★
1★
2.74
0.40
⚠ 2 CMS fines on record
Avir at Temple West
TEMPLE, TX · For profit
2★
1★
3.25
0.65
⚠ 1 CMS fine on record
MAGNOLIA MANOR
GROVES, TX · For profit
2★
1★
3.00
0.23
⚠ 2 CMS fines on record
Paradigm at Stevens
Yoakum, TX · For profit
2★
2★
3.43
0.31
Jourdanton Nursing and Rehabilitation
Jourdanton, TX · For profit
2★
1★
2.86
0.27
⚠ 2 CMS fines on record
PLAINVIEW HEALTHCARE CENTER
PLAINVIEW, TX · Government
2★
2★
2.75
0.18
⚠ 1 CMS fine on record
McGregor Wellness & Rehabilitation
Mc Gregor, TX · Government
2★
3★
3.09
0.54
⚠ 2 CMS fines on record
MCALLEN NURSING CENTER
MCALLEN, TX · For profit
2★
2★
2.82
0.32
⚠ 2 CMS fines on record
Avir at Beaumont
BEAUMONT, TX · Government
1★
1★
3.22
0.13
⚠ 3 CMS fines on record
Avir at New Braunfels
New Braunfels, TX · For profit
1★
2★
3.23
0.22
⚠ 5 CMS fines on record
Buena Vida Nursing and Rehab-San Antonio
SAN ANTONIO, TX · Government
1★
1★
3.28
0.34
⚠ 3 CMS fines on record
Brookhaven Nursing and Rehabilitation Center
Carrollton, TX · For profit
1★
1★
2.96
0.45
⚠ 3 CMS fines on record
Avir at Rose Trail
TYLER, TX · Government
1★
1★
2.90
0.34
⚠ 6 CMS fines on record
MESA VISTA INN HEALTH CENTER
SAN ANTONIO, TX · For profit
1★
1★
2.67
0.21
⚠ 1 CMS fine on record
Meridian Care Monte Vista
San Antonio, TX · For profit
1★
1★
4.84
0.38
⚠ 2 CMS fines on record
MERIDIAN CARE OF ALICE
ALICE, TX · For profit
1★
3★
3.28
0.45
⚠ 1 CMS fine on record
Fort Worth Wellness & Rehabilitation
Fort Worth, TX · For profit
1★
1★
2.90
0.32
⚠ 1 CMS fine on record
Broadway Nursing & Rehabilitation
SAN ANTONIO, TX · For profit
1★
1★
3.61
0.24
⚠ 2 CMS fines on record
Mountain View Health & Rehabilitation
El Paso, TX · For profit
1★
1★
3.42
0.42
⚠ 3 CMS fines on record
AVIR AT PETAL HILL
TYLER, TX · For profit
1★
1★
3.21
0.33
⚠ 2 CMS fines on record
Ennis Care Center
Ennis, TX · For profit
1★
1★
2.95
0.26
⚠ 3 CMS fines on record
Vista Hills Health Care Center
El Paso, TX · For profit
1★
1★
3.40
0.38
⚠ 1 CMS fine on record
Castle Hills Rehabilitation and Care Center
San Antonio, TX · For profit
1★
1★
2.75
0.40
⚠ 5 CMS fines on record
Lampasas Nursing and Rehabilitation Center
Lampasas, TX · Government
1★
1★
3.38
0.43
⚠ 2 CMS fines on record
Copperas Cove Nursing & Rehabilitation
Copperas Cove, TX · For profit
1★
1★
2.99
0.31
⚠ 2 CMS fines on record
Laredo West Nursing and Rehabilitation Center
Laredo, TX · Government
1★
1★
3.06
0.59
⚠ 2 CMS fines on record
Pleasant Springs Healthcare Center
Mount Pleasant, TX · For profit
1★
2★
3.00
0.56
⚠ 3 CMS fines on record
WINDCREST NURSING AND REHABILITATION
WINDCREST, TX · For profit
1★
1★
2.91
0.21
⚠ 4 CMS fines on record
The Palms Nursing & Rehabilitation
Corpus Christi, TX · For profit
1★
2★
2.78
0.46
⚠ 4 CMS fines on record
Frequently Asked Questions
- What are the nursing home staffing requirements in Texas?
- CMS requires all Texas nursing homes to meet the federal minimums of 3.48 total nursing HPRD and 0.55 RN HPRD with 24-hour RN presence. Texas's state average of 3.42 total HPRD is below the national average of 3.89.
- What is the average RN staffing level in Texas nursing homes?
- Texas nursing homes average 0.52 RN hours per resident per day — below the U.S. national average of 0.69. Individual facilities vary widely; use this tool to compare specific nursing homes.
- How do I find the best-staffed nursing home in Texas?
- Sort by CMS staffing star rating (4–5 stars) and look for total HPRD above 3.89 — especially RN HPRD above 1.0. Also check staff turnover: facilities below 30% annual turnover typically provide more consistent care.
Data: CMS PBJ system via Care Compare. Revalidated every 24 hours. Not a medical recommendation.