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Texas Nursing Homes: Violations, Fines and Worst Records
- 1,177
- Nursing facilitiescounted in the current CMS file
- 141
- Homes CMS flagsSpecial Focus or abuse icon
- 2,663
- Citations for harm or dangerover the last three inspection cycles, complaint visits included
- $52.0 million
- Fines from the federal governmentSince September 2023
Low Nurse Staffing in Texas Nursing Homes
For nursing time, Texas stands 51st among the 50 states and the District of Columbia: 3.39 daily nurse hours per resident, versus 3.86 nationwide. In Texas homes, registered nurses gave 0.43 hours of daily care per resident, under the 0.69 average nationwide. The source of these numbers is federal nursing home files covering 1,177 Texas homes, published by the federal Medicare agency, Centers for Medicare and Medicaid Services. Those files show 923 facilities in Texas below expected nurse staffing levels, out of 1,148 that reported. In Texas, 55.3% of nursing staff left within a year, higher than the 45.8% national figure.
The state's most common serious violation involved accident hazards and supervision: Texas homes drew 743 citations over harm or immediate danger. Since September 2023, the biggest single federal fine in Texas has been $284,250, imposed in June 2024 on Legacy at Town Creek in Palestine. Across the state, 942 nursing homes are run by chains. Operating 149 homes, Creative Solutions in Healthcare outranks every other Texas chain in size. In Texas, 825 licensed facilities are run by for-profit companies.
Worst Nursing Homes in Texas: The Ones CMS Flags
Worst record first. A name opens the full federal record; what the flags mean.
The other 116 flagged homes in Texas
The Worst Records Among Texas Homes CMS Does Not Flag
No flag, yet the most harm or danger citations.
| Home | County | Stars | Citations | Harm or danger | Immediate danger | Fines |
|---|---|---|---|---|---|---|
| Willow Ridge Wellness & Rehabilitation, Fort Worth | Tarrant | 1 of 5 | 38 | 14 | 11 | $321,244 |
| Focused Care at Beechnut, Houston | Harris | 2 of 5 | 33 | 10 | 10 | $90,403 |
| Oakmont Healthcare and Rehabilitation of Humble, Humble | Harris | 2 of 5 | 32 | 9 | 9 | $418,615 |
| Winfield Rehab & Nursing, Crockett | Houston | 1 of 5 | 48 | 9 | 9 | $355,773 |
| Ignite Medical Resort Fort Worth, Fort Worth | Tarrant | 2 of 5 | 46 | 9 | 4 | $141,703 |
| The Heights of League City, League City | Galveston | 1 of 5 | 29 | 9 | 8 | $129,645 |
| Focused Care at Cedar Bayou, Baytown | Harris | 1 of 5 | 25 | 9 | 9 | $99,628 |
| Greenview Nursing and Rehabilitation, Waco | Mc Lennan | 1 of 5 | 53 | 9 | 3 | $73,108 |
| Hemphill Care Center, Hemphill | Sabine | 2 of 5 | 26 | 9 | 7 | $29,226 |
| Avir at Lindale, Lindale | Smith | 1 of 5 | 39 | 8 | 6 | $754,567 |
Texas Measured Against the Whole Country
| Average | Texas | United States | Better when | How Texas does |
|---|---|---|---|---|
| Overall star rating | 2.7 of 5 | 3 of 5 | higher | Worse than the US |
| Health citations per home, latest inspection | 9.4 | 9.2 | lower | About the same as the US |
| Nurse hours per resident a day | 3.39 | 3.86 | higher | Worse than the US |
| Registered nurse hours per resident a day | 0.43 | 0.69 | higher | Worse than the US |
| Nursing staff who left in a year | 55.3% | 45.8% | lower | Worse than the US |
| Harm or danger citations per home | 2.26 | 1.54 | lower | Worse than the US |
| Federal fines per home | $44,141 | $30,972 | lower | Worse than the US |
| Homes flagged by CMS | 12.0% | 11.8% | lower | About the same as the US |
Texas Nursing Home Inspection Reports
The LTC Provider Search, part of the Texas Unified Licensure Information Portal (TULIP), lets families read state inspection results. Every Texas facility page includes tabs labeled Inspections and Enforcement Actions. The TULIP tabs give the latest full inspection, how many state violations were cited, and each cited state violation with its date. Each Texas home has a page on Medicare Care Compare, formerly Nursing Home Compare, where federal inspection reports open: the Form CMS-2567 statement of deficiencies.
In Texas, complaint visits led to 44.1% of all federal citations. Call 1-800-458-9858 or use the online complaint intake page; either lets anyone submit a complaint to the Texas Health and Human Services Commission. Families can call 800-252-2412 for the Office of the Long-Term Care Ombudsman, the commission's free advocate for state residents. Another Texas option is Adult Protective Services at 1-800-252-5400 for suspected abuse or neglect.
Cities in Texas With at Least 25 Homes
- Austin (25)
- Dallas (33)
- Fort Worth (32)
- Houston (60)
- San Antonio (58)
Other Texas Nursing Homes, County by County
The cities listed above each carry their own homes. 870 more, totalled by county. Open one to list its homes.
| County | Homes | Harm or danger citations | Federal fines |
|---|---|---|---|
| Tarrant County | 38 | 97 | $1,738,177 |
| Harris County | 32 | 90 | $1,647,885 |
| Dallas County | 41 | 84 | $1,091,065 |
| Mc Lennan County | 18 | 65 | $807,293 |
| Fort Bend County | 15 | 47 | $868,091 |
| Bell County | 14 | 46 | $478,906 |
| El Paso County | 20 | 40 | $928,320 |
| Smith County | 14 | 31 | $1,665,213 |
| Gregg County | 10 | 29 | $1,067,257 |
| Lubbock County | 14 | 27 | $404,779 |
| Montgomery County | 12 | 27 | $270,950 |
| Nueces County | 13 | 26 | $350,552 |
| Brazos County | 7 | 26 | $170,426 |
| Hidalgo County | 17 | 25 | $430,356 |
| Jefferson County | 11 | 24 | $1,071,178 |
| Denton County | 15 | 24 | $386,942 |
| Williamson County | 10 | 24 | $229,692 |
| Brazoria County | 11 | 22 | $242,835 |
| Cameron County | 14 | 22 | $210,754 |
| Bowie County | 7 | 21 | $550,080 |
| Collin County | 22 | 21 | $197,447 |
| Hays County | 6 | 20 | $347,244 |
| Grayson County | 10 | 19 | $287,759 |
| Galveston County | 10 | 19 | $281,386 |
| Kendall County | 6 | 18 | $379,013 |
| Johnson County | 8 | 18 | $255,058 |
| Lamar County | 5 | 17 | $269,116 |
| Taylor County | 11 | 15 | $444,420 |
| Travis County | 5 | 15 | $203,628 |
| Houston County | 3 | 14 | $433,115 |
| Tom Green County | 8 | 14 | $336,253 |
| Angelina County | 7 | 14 | $312,926 |
| Fannin County | 5 | 13 | $580,611 |
| Cass County | 4 | 13 | $463,860 |
| Hill County | 4 | 13 | $204,390 |
| Ellis County | 9 | 13 | $139,303 |
| Atascosa County | 5 | 12 | $260,934 |
| Hardin County | 4 | 12 | $135,519 |
| Kerr County | 3 | 11 | $132,600 |
| Lampasas County | 3 | 11 | $123,507 |
| Webb County | 6 | 11 | $107,140 |
| Bexar County | 4 | 10 | $255,342 |
| Guadalupe County | 6 | 10 | $232,477 |
| Kaufman County | 6 | 9 | $486,053 |
| Hunt County | 5 | 9 | $152,347 |
| Gillespie County | 4 | 9 | $110,503 |
| Sabine County | 2 | 9 | $29,226 |
| Ector County | 6 | 8 | $291,169 |
| Orange County | 3 | 8 | $236,646 |
| Upshur County | 2 | 8 | $184,067 |
| Karnes County | 3 | 8 | $129,864 |
| Anderson County | 5 | 7 | $409,070 |
| Potter County | 8 | 7 | $283,868 |
| Panola County | 3 | 7 | $218,444 |
| Rockwall County | 5 | 7 | $79,876 |
| Wise County | 3 | 7 | $54,815 |
| Wilson County | 3 | 6 | $142,268 |
| Cooke County | 4 | 6 | $115,954 |
| Grimes County | 2 | 6 | $105,594 |
| Wood County | 3 | 6 | $94,837 |
| Wichita County | 10 | 6 | $94,530 |
| Uvalde County | 2 | 6 | $90,071 |
| Comal County | 5 | 6 | $80,520 |
| Blanco County | 1 | 6 | $70,724 |
| Milam County | 3 | 6 | $59,497 |
| Nacogdoches County | 4 | 5 | $231,426 |
| Van Zandt County | 6 | 5 | $193,548 |
| Liberty County | 3 | 5 | $148,515 |
| Burleson County | 2 | 5 | $135,096 |
| Llano County | 3 | 5 | $125,177 |
| Hopkins County | 4 | 5 | $102,851 |
| Polk County | 4 | 5 | $99,860 |
| Caldwell County | 3 | 5 | $73,100 |
| Hutchinson County | 2 | 5 | $50,452 |
| Maverick County | 3 | 5 | $47,130 |
| Lamb County | 2 | 5 | $31,616 |
| San Jacinto County | 1 | 5 | $31,330 |
| Limestone County | 4 | 5 | $24,634 |
| Cherokee County | 5 | 4 | $232,709 |
| Brown County | 7 | 4 | $210,470 |
| Clay County | 1 | 4 | $207,402 |
| Kent County | 1 | 4 | $187,081 |
| Val Verde County | 3 | 4 | $169,715 |
| Chambers County | 2 | 4 | $142,934 |
| Parker County | 7 | 4 | $141,485 |
| Hood County | 4 | 4 | $103,868 |
| Eastland County | 4 | 4 | $99,682 |
| Burnet County | 3 | 4 | $69,480 |
| Bastrop County | 4 | 4 | $67,380 |
| Victoria County | 4 | 4 | $55,479 |
| Castro County | 2 | 4 | $47,932 |
| Wharton County | 2 | 4 | $43,280 |
| Bosque County | 2 | 4 | $43,263 |
| Madison County | 2 | 4 | $27,679 |
| De Witt County | 3 | 4 | $24,819 |
| Titus County | 1 | 3 | $154,577 |
| San Patricio County | 2 | 3 | $119,462 |
| San Augustine County | 3 | 3 | $102,752 |
| Harrison County | 3 | 3 | $81,701 |
| Trinity County | 2 | 3 | $76,404 |
| Comanche County | 3 | 3 | $62,078 |
| Lee County | 1 | 3 | $39,701 |
| Refugio County | 1 | 3 | $37,698 |
| Coryell County | 4 | 3 | $36,598 |
| Mills County | 2 | 3 | $32,545 |
| Midland County | 5 | 3 | $31,788 |
| Hamilton County | 3 | 3 | $31,552 |
| Jim Wells County | 2 | 3 | $31,463 |
| Hockley County | 2 | 3 | $26,797 |
| Parmer County | 2 | 3 | $23,430 |
| Hall County | 1 | 3 | $19,754 |
| Medina County | 3 | 3 | $19,096 |
| Camp County | 1 | 3 | $15,119 |
| Navarro County | 5 | 3 | $12,795 |
| Erath County | 3 | 2 | $204,614 |
| Rusk County | 2 | 2 | $136,513 |
| Bandera County | 2 | 2 | $100,293 |
| Palo Pinto County | 2 | 2 | $41,036 |
| Howard County | 2 | 2 | $29,436 |
| Terry County | 2 | 2 | $27,738 |
| Waller County | 1 | 2 | $25,797 |
| Matagorda County | 3 | 2 | $24,388 |
| Lavaca County | 6 | 2 | $22,451 |
| Falls County | 2 | 2 | $21,825 |
| Randall County | 2 | 2 | $21,101 |
| Shelby County | 2 | 2 | $17,520 |
| Somervell County | 2 | 2 | $17,128 |
| Fayette County | 3 | 2 | $17,108 |
| Marion County | 1 | 2 | $16,498 |
| Scurry County | 1 | 2 | $15,631 |
| Bailey County | 1 | 2 | $14,069 |
| Dawson County | 1 | 2 | $10,692 |
| Calhoun County | 2 | 2 | $8,827 |
| Colorado County | 3 | 2 | $8,412 |
| Schleicher County | 1 | 2 | No federal fine |
| Real County | 1 | 1 | $86,254 |
| Live Oak County | 1 | 1 | $56,980 |
| Crane County | 1 | 1 | $42,357 |
| Bee County | 2 | 1 | $38,687 |
| Franklin County | 1 | 1 | $29,438 |
| Robertson County | 3 | 1 | $24,369 |
| Andrews County | 1 | 1 | $20,865 |
| Washington County | 2 | 1 | $20,699 |
| Freestone County | 3 | 1 | $19,412 |
| Hale County | 2 | 1 | $19,190 |
| Walker County | 3 | 1 | $14,069 |
| Starr County | 2 | 1 | $13,514 |
| Collingsworth County | 1 | 1 | $13,070 |
| Gray County | 3 | 1 | $12,581 |
| Mc Culloch County | 1 | 1 | $10,527 |
| Jasper County | 3 | 1 | $9,113 |
| Runnels County | 2 | 1 | $8,936 |
| Jackson County | 2 | 1 | $8,422 |
| Stonewall County | 1 | 1 | $8,281 |
| Knox County | 2 | 1 | $8,018 |
| Menard County | 1 | 1 | $8,018 |
| Donley County | 1 | 1 | $7,551 |
| Red River County | 2 | 1 | $5,211 |
| Coke County | 2 | 1 | No federal fine |
| Jack County | 1 | 1 | No federal fine |
| Rains County | 1 | 1 | No federal fine |
| Sterling County | 1 | 1 | No federal fine |
| Yoakum County | 1 | 1 | No federal fine |
| Reagan County | 1 | 0 | $92,988 |
| Coleman County | 2 | 0 | $45,870 |
| Jones County | 2 | 0 | $37,506 |
| Brooks County | 1 | 0 | $22,205 |
| Frio County | 1 | 0 | $14,255 |
The other 45 counties, with no harm or danger citations and no federal fines
| County | Homes | Harm or danger citations | Federal fines |
|---|---|---|---|
| Aransas County | 2 | 0 | No federal fine |
| Armstrong County | 1 | 0 | No federal fine |
| Austin County | 2 | 0 | No federal fine |
| Baylor County | 1 | 0 | No federal fine |
| Callahan County | 2 | 0 | No federal fine |
| Childress County | 1 | 0 | No federal fine |
| Concho County | 1 | 0 | No federal fine |
| Crockett County | 1 | 0 | No federal fine |
| Crosby County | 1 | 0 | No federal fine |
| Dallam County | 1 | 0 | No federal fine |
| Deaf Smith County | 1 | 0 | No federal fine |
| Delta County | 1 | 0 | No federal fine |
| Dimmit County | 1 | 0 | No federal fine |
| Duval County | 1 | 0 | No federal fine |
| Foard County | 1 | 0 | No federal fine |
| Gaines County | 1 | 0 | No federal fine |
| Garza County | 1 | 0 | No federal fine |
| Goliad County | 1 | 0 | No federal fine |
| Gonzales County | 2 | 0 | No federal fine |
| Hansford County | 1 | 0 | No federal fine |
| Haskell County | 1 | 0 | No federal fine |
| Hemphill County | 1 | 0 | No federal fine |
| Henderson County | 3 | 0 | No federal fine |
| Kleberg County | 1 | 0 | No federal fine |
| La Salle County | 1 | 0 | No federal fine |
| Lipscomb County | 1 | 0 | No federal fine |
| Mitchell County | 1 | 0 | No federal fine |
| Montague County | 2 | 0 | No federal fine |
| Moore County | 2 | 0 | No federal fine |
| Motley County | 1 | 0 | No federal fine |
| Nolan County | 1 | 0 | No federal fine |
| Ochiltree County | 1 | 0 | No federal fine |
| Pecos County | 1 | 0 | No federal fine |
| Reeves County | 1 | 0 | No federal fine |
| San Saba County | 1 | 0 | No federal fine |
| Sherman County | 1 | 0 | No federal fine |
| Stephens County | 1 | 0 | No federal fine |
| Tyler County | 1 | 0 | No federal fine |
| Upton County | 1 | 0 | No federal fine |
| Ward County | 1 | 0 | No federal fine |
| Wheeler County | 1 | 0 | No federal fine |
| Wilbarger County | 1 | 0 | No federal fine |
| Willacy County | 1 | 0 | No federal fine |
| Young County | 2 | 0 | No federal fine |
| Zapata County | 1 | 0 | No federal fine |
Speaking With a Texas Nursing Home Abuse Lawyer
Call 911 first when danger is immediate for a Texas nursing home resident. Under Tex., the general injury deadline in Texas is 2 years. Civil Practice & Rem. Though claims involving nursing homes or medical care can bring a different, sometimes shorter deadline, Code §§ 16.001 et seq. applies. In Tex., under the state residents' rights law Under § 242.501 of the Health & Safety Code, nursing home residents' rights must be set out by the executive commissioner. They include being free from abuse and exploitation, and a right to put an electronic monitoring device inside the resident's room. For the family, an attorney can check the Texas dates.
The provider information and health deficiencies files from CMS Care Compare supply the data.