Who owns Texas nursing homes
Ownership shapes staffing and cost decisions. Here is how Texas nursing homes compare by ownership type, and which chains operate the most homes.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.
By ownership type
| Ownership | Homes | Average Medicare stars | Typical nursing hours | Share fined |
|---|---|---|---|---|
| For profit | 834 | 2.5 | 3.26 hrs | 71% |
| Government | 236 | 2.7 | 3.26 hrs | 66% |
| Non profit | 107 | 3.6 | 3.66 hrs | 61% |
Largest chains in Texas
80% of Texas nursing homes belong to a chain. Counts are homes we list in Texas.
- Creative sOlutions in healthcare149 homes · average 2.1 of 5 Medicare stars
- Avir health group116 homes · average 2.3 of 5 Medicare stars
- The ensIgn group83 homes · average 2.7 of 5 Medicare stars
- WellsEntial health67 homes · average 2.7 of 5 Medicare stars
- Cantex continuing care37 homes · average 3.1 of 5 Medicare stars
- Hmg healthcare29 homes · average 3.3 of 5 Medicare stars
- Advanced healthcare sOlutions28 homes · average 2.9 of 5 Medicare stars
- Opco sKilled management27 homes · average 2.0 of 5 Medicare stars
- Nexion health26 homes · average 2.6 of 5 Medicare stars
- FocusEd posT acute care partners25 homes · average 1.9 of 5 Medicare stars
- TouchsTone communities25 homes · average 2.9 of 5 Medicare stars
- Fundamental healthcare24 homes · average 2.9 of 5 Medicare stars
- Gulf coasT ltc partners20 homes · average 2.4 of 5 Medicare stars
- Eduro healthcare20 homes · average 2.4 of 5 Medicare stars
- Priority management18 homes · average 3.3 of 5 Medicare stars
Source: CMS Nursing Home Provider Information (ownership type, chain affiliation). Averages are simple averages of Medicare overall star ratings; they describe groups, not any single home. A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.