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← Nursing Home Data by State

TX · Fonteum Federal Healthcare Data

Worst nursing homes in Texas, ranked by CMS inspection citations

The most-cited nursing home in Texas is Vista Hills Health Care Center (El Paso), with 73 CMS health-inspection deficiency citations on record. Texas has 1,000 citations across 40 facilities; the ten most-cited are ranked below, with daily nurse staffing (PBJ) and PECOS ownership records for context.

Texas Summary

Deficiency Citations

1,000

CMS NH Health Citations

Facilities Cited

40

Distinct CCNs with citations

SNF Enrollments

—

PECOS-enrolled SNFs

Staffing Days Loaded

1,000

PBJ facility-day records

The 10 most-cited nursing homes in Texas

CCNFacility NameCityCitations
455493Vista Hills Health Care CenterEl Paso73
455471Mountain View Health & RehabilitationEl Paso72
455429Avir at Rose TrailTYLER63
455020Avir at New BraunfelsNew Braunfels49
455412Brookhaven Nursing and Rehabilitation CenterCarrollton47
455390Buena Vida Nursing and Rehab-San AntonioSAN ANTONIO47
455450MERIDIAN CARE MONTE VISTASAN ANTONIO44
455001Avir at BeaumontBEAUMONT41
455416Willow Ridge Wellness & RehabilitationFort Worth41
455467ASBURY CARE CENTER OF ALAMOSAN ANTONIO41

Source: CMS NH Health Deficiency Citations (Provider Data Catalog). Higher citation counts reflect more survey findings, not necessarily worse outcomes — survey intensity varies by state.

Staffing Overview — Hours Per Resident Day (HPRD)

Staff CategoryTexas AvgNational AvgΔ vs National
RN (Direct Care)0.340.38-0.04
CNA1.862.32-0.46

Source: CMS Payroll-Based Journal (PBJ) Daily Nurse Staffing. National averages from CMS Five-Star PY2023 staffing methodology. HPRD = total hours ÷ daily resident census.

Ownership Data Coverage

No PECOS enrollment data loaded for Texas yet.

Source: CMS PECOS SNF All Owners (ACA Section 6101; 42 CFR § 424.516). Ownership percentage: 25.0 = 25%. Role codes 34/35 = direct/indirect ownership ≥ 5%.

Access Full Texas Dataset

Download the complete Texas nursing home deficiency, staffing, and ownership records as JSON or CSV with field-level provenance headers.

Bulk Data Manifest →Researcher API Docs

Data is federal public-domain (17 U.S.C. § 105). Fonteum adds normalized CCN keys, field-level provenance, and snapshot attestation. No trust claims made — data quality reflects CMS source fidelity. Methodology · All States · Full Deficiencies Dataset

What’s on file, by the numbers

Platform snapshot · 2026-07-15

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
35sources liveCrosswalk-resolved sources with a snapshot in the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Built on the authoritative federal record

The primary sources, named on every page.

These are the federal agencies whose public datasets Fonteum ingests and attributes — the issuing authorities, not customers or partners. Every figure on the site links back to one of them.

  • CMS
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  • NLM
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  • Census
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  • BEA

See the full source registry, with license and refresh cadence for each →

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Published figures name their source and date.

Source and date

Published research identifies its government file and observation date. Source-file SHA-256 coverage is disclosed separately; facts do not currently link deterministically to signatures.

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Each study ships the exact query behind its figures, run against the same dated copy of the federal file we used. Re-run it yourself.

Daily observations

The platform records table row counts daily. Those observations detect local drift; they do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

© 2026 Fonteum LLC. All rights reserved.

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A public-records graph that exposes source and observation metadata where supplied.

Fonteum's provenance ledger contained 26.2M source-linked facts on July 12, 2026. All but 14 carried a source-file SHA-256; 0 linked deterministically to a signature. Inspect a supplied snapshot id at fonteum.com/verify · source-mark coverage and limitations.
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