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Why trust this guide?
Our editorial team analyzed 27 nursing homes in Houston, TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
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Avg Overall CMS Rating:3.2/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Houston, TX. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.1/ 5The average Staffing Rating across all CMS-certified nursing homes in Houston, TX. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:3.1/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Houston, TX. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
Compare Nursing Homes around Houston (Metro Area)
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$5.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
51.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide: each community is ranked against every TX community we track that reports that metric, not just the 27 analyzed for Houston.
Park Manor Cyfair is a trusted nursing home in Houston, TX, that offers long-term care, rehabilitation, and skilled nursing. Promoting a nurturing environment, the community strives to keep older adults comfortable and safe. Therapy services, 24-hour care, and medication management are among the community’s top-notch services dedicated to improving residents’ living experiences. The community’s wellness-centered approach aims to provide residents with a worry-free living.
Recreational activities and social events are available, ensuring older adults can freely interact with their surroundings and live actively. Spacious grounds and brightly lit windows are just some of the community features that make it an attractive retirement option. With its ideal location near local amenities, residents and families have easy access to their needs. As one of the trusted senior living communities in Houston, this community ensures residents have the finest retirement experience.
Embrace phenomenal senior living with Buckner Parkway Place situated in Houston, TX. Offering a comprehensive range of exceptional services including independent living, assisted living, memory care, long-term care, and respite services, this community is committed to providing top-of-the-line care and support for its residents in an exciting and vibrant environment. Elegant and cozy accommodations are available and tailored to the preferences of its residents. Having a highly equipped and passionate team, residents can receive personalized care and support catering to their immediate needs and interests.
Discover its top-quality amenities and services where residents can make the most out of their stay. Indulge in delectable and healthy meals based on dietary needs prepared by a talented culinary team. Boost engagement and wellness by joining a carefully designed set of activities and programs. At Parkway Place Senior Living, seniors can enjoy a glorious living experience.
Set in the neighborhood of Houston, TX, Caraday of Houston offers a warm and caring environment for those who need memory care and skilled nursing services. With the help of a 24/7 care team, residents receive compassionate assistance with their daily needs and emergencies at all times. Those living with memory challenges are offered a cognitive-based activity program in a secure environment tailored for them.
Therapy services like speech, physical, occupational, and wellness therapy are available on-site to ensure residents maintain or recover their highest level of function. The community also ensures their environment is safe and secure for residents to confidently enjoy the life they deserve. Here, everyone is given the care and support that allows them to fully enjoy living their best lives.
Located at 7400 Clarewood Drive in Houston, Clarewood House Assisted Living is a community owned by Edward Ashbaugh and operated by Clarewood House, Inc. The area has a Walk Score of 50, so some errands can be managed on foot. However, most trips require a short drive.
The 70-bed facility’s occupancy rate is 60%. Residents stay an average of 206 days, including intermediate and longer-term placements. Medicaid, Medicare, and private pay are accepted, giving families several options for covering care.
Total nurse staffing averages 5 hours and 2 minutes per resident each day. Registered nurses provide an average of 39 minutes of care daily. Nurse aides contribute 3 hours and 13 minutes per resident. The community also has an on-site licensed dietitian and social work support, while a 24-hour courtesy officer is available around the clock. This staffing structure provides ongoing access to professional oversight and hands-on assistance.
Amenities include a fitness center, wellness classes, and spiritual enrichment activities. There’s a restaurant-style dining room and room service available for those who prefer to eat privately. The campus also has a garden setting, a library with computer access, a multi-purpose room, and a party room used for family gatherings.
Scheduled transportation is available for grocery shopping and appointments. Hospice services are available on-site for residents nearing the end of life. Pet therapy is offered, and through guest accommodations, visiting family members can extend their stays when needed. A beauty and barber shop is also available.
Residents can participate in associations and volunteer committees regarding community matters. State inspections reviewed care practices and documentation systems. Families touring Clarewood House should ask how it maintains quality standards and how it addresses inspection findings.
Located in Houston’s Braeswood neighborhood, Brazos Tower at Bayou Manor is a skilled nursing home. It’s a part of a Continuing Care Retirement Community campus that spans nursing home, assisted living, independent living, and memory care under one operator, Brazos Presbyterian Homes, Inc. The community holds 33 skilled nursing beds. It tends to run close to full, with an occupancy rate of about 80%. Residents accepted include those covered by Medicare and those paying privately, giving families multiple ways to arrange care.
Staffing is the home’s defining feature. Nursing staffing averages 5 hours and 47 minutes of direct care per resident daily, a figure that reflects meaningful hands-on attention for residents with more complex needs. Residents stay an average of 52 days, pointing to a strong focus on short-term, post-acute rehabilitation alongside longer-term nursing care. On-site rehabilitation services and respite care support residents recovering from a hospital stay or surgery. Residents also have access to 24-hour staffing.
For residents who need memory support, Brazos Tower holds an Alzheimer’s certification, which means it has additional training and programming for cognitive care needs. State inspection history for the community focuses on building and life-safety matters, such as fire drill documentation, emergency generator and alarm system upkeep, and door and extinguisher placement. These were not concerns tied to clinical or resident care.
Amenities on-site include an indoor pool, a wellness and fitness center, a salon, and a massage and aerobics studio for residents who want to stay active. Social life centers on a 180-seat event and performance space and a bistro-style dining venue for casual, restaurant-quality meals. There’s also a meeting lounge and reserved parking available. It’s in a moderately walkable stretch of the Braeswood corridor; some errands can be handled on foot, with a mix of nearby amenities.
Peacefully nestled in Houston, TX, Houston Transitional Care provides an ideal and caring environment for skilled nursing and short-term rehabilitation. The community features a team of highly skilled nurses who genuinely care for residents and provide them with customized care plans. Designed to help residents regain their highest level of function, the community offers therapy services like physical, occupational, and speech therapy.
Residents’ proper nutrition is overseen by a registered dietitian who carefully prepares meals that meet their specific dietary and therapeutic needs. There’s a wide array of activities for residents to enjoy at their own leisure, keeping them as active and social as much as they want. Here, every corner of the community is designed to accommodate residents’ comfort and safety needs for a living experience that suits them.
The Buckingham occupies a 130-bed facility at 8580 Woodway Dr in Houston’s Mid West neighborhood, 11.4 miles from downtown Harris County. Operated by Greystone Management Services Company LLC and administered by Elise Green, the facility opened in August 2006. The license designates it a long-term care facility offering independent, assisted, and memory care alongside nursing home services.
Current occupancy sits at 51% (66 of 130 beds), trailing the Texas average of 63.5%. The community operates on a Medicare-and-private-pay model: 69% of new residents are Medicare-funded short-stay rehabilitation patients (averaging 18 days), while 31% are private-pay residents with typical stays of 1–2 years. Medicaid is not accepted.
Daily nursing hours/resident total 5 hours 5 minutes; 34% above the Texas average of 3 hours 47 minutes, positioning The Buckingham 18th among 289 state nursing homes.
The RN component, at 1 hour 31 minutes daily, surpasses the average by 250%, delivering markedly stronger clinical oversight than peer facilities. LPNs contribute 1 hour 18 minutes (37% above average), and certified nursing aides 2 hours 56 minutes (45% above average). Weekend nursing sustains 4 hours 13 minutes/resident, 41% above state benchmark; with weekend RN hours at 1 hour 6 minutes, 230% above average. Physical therapy hours run 7 minutes/day, 75% above average.
Personnel comprise 22 registered nurses, 18 licensed practical nurses, 47 certified nursing aides, seven speech language pathologists, four clinical nurse specialists, and auxiliary therapy staff.
Health inspection ratings stand at 2 stars, 30.8% below Texas average.
Three-year citation totals reach 25, including 2 critical and 23 moderate violations, with quality-of-life-and-care deficiencies comprising 36%.
Federal penalties imposed over 2023–2025 total $138,000 across nine assessments; 71% above the Texas average and 866% above the typical fine count.
An administrative penalty in January 2025 ($2,250) specifically addressed inadequate staffing for resident supervision.
Pressure ulcer prevalence in high-risk long-stay residents registers at 34.8%, drastically, 687%; above state benchmark of 4.4%. Urinary tract infections affect 4.6% of residents, 467% worse than the 0.8% average. High-risk clinical events score 13.2, 53% worse than Texas average. Functional decline metrics, conversely, run 39% better.
Short-stay rehabilitation outcomes show 60% of residents successfully discharged to home or community, 19% better than average.
Financially, The Buckingham reports gross revenue of $32.2 million but carries a net operating loss of $12.7 million. Payroll comprises 48.1% of revenue, ranked 123rd of 297 Texas facilities; below the typical 51–63% investment.
Occupancy declined 12.5%age points between 2022 (63.4%) and 2023 (50.8%).
The Buckingham accommodates Medicare-funded short-term rehabilitation and private-pay long-term residents, supported by high nursing staffing levels yet marked by clinical risks and regulatory penalties.
A 120-bed nursing home at 3730 West Orem Drive in Houston, Texas, is Capstone Healthcare Estates on Orem. It’s positioned in a somewhat walkable neighborhood (Walk Score of 55), where some errands can be done on foot alongside nearby amenities. It’s then accessible for occupants and visiting families.
As a nursing home, the facility is equipped to provide skilled nursing care for older adults requiring active medical support. Medicare, Medicaid, and private pay are accepted to provide flexibility for families managing coverage options. The average stay duration is around 116 days, a timeframe typical of residents in skilled nursing transition, some healing from hospitalization or surgery, others adjusting to longer-term care arrangements. Meanwhile, nursing support is a core element of daily operations. The facility provides approximately 3 hours 41 minutes of total nursing care per resident day, including contributions from registered nurses, licensed practical nurses, and nurse aides. This level of staffing enables the 24/7 clinical attention that skilled nursing settings are tailored to provide.
At 7499 Stanwick Drive in southeast Houston, Courtyard Nursing and Rehabilitation operates as a 120-bed skilled nursing facility owned by Stanwick Senior Care LLC. The resident census is predominantly Medicaid (74.6%), with Medicare at 3.2% and private pay at 22.2%; average length of stay stretches to 435 days, reflecting a long-term care focus.
The facility is 9.3 miles from downtown Houston in Harris County and located in a very walkable neighborhood (Walk Score: 73).
Courtyard’s 2-star CMS overall rating reflects a split performance: health inspection earns 3-star (8.6% above Texas average), and quality measures are rated 3-star (6.5% above state average), but staffing is severely constrained at 1-star (52.9% below state average). The 95-person workforce includes 19 contractors; staff-to-resident ratio is 1.51:1, at state average.
The facility provides 3h 3m of nursing per resident daily, but registered nurse presence is minimal: only 5 minutes per resident per day, 81% below the state average of 26 minutes. The facility has just 3 RNs serving 120 beds. Licensed practical nurses partially compensate with 1h 14m per day (30% above state), and certified nursing aides provide 2h 32m (26% above state). Weekend RN coverage drops to 4 minutes per day.
Long-stay residents experience urinary tract infections at 4.9%, dramatically worse than the 0.8% state average; a 510% variance and potential marker of infection control gaps. Weight loss affects 5.3%, 54% worse than state average. Short-stay residents newly started on antipsychotic medication run 6.8%, 370% worse than the state average of 1.4%, raising questions about pharmacological care decisions. Falls with major injury and depression rates are impressively low.
A June 2023 federal fine of $36,000 was the only penalty; no payment denials occurred.
Occupancy stands at 59.6%, notably low and 6% below state average.
The facility reported an operating loss of $7.0 million in 2023, a severe deterioration from the $697,000 loss in 2022. By revenue, it’s ranked 256th of 297 Texas SNFs.
Courtyard offers in-house therapy, wellness classes, rehabilitation services, and a courtyard. The facility suits long-term Medicaid residents, though minimal RN staffing, elevated infection and medication-initiation rates, and mounting operational losses present significant clinical and financial risk.
The Vosswood Nursing Center is a skilled nursing and rehabilitation center in Houston. The upscale nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through their exceptional level of care that is delivered by their patient-friendly staff as an approach to offer the best care possible for their residents. The Vosswood Nursing Center can be trusted as a safe and secure community that cares for every patients’ needs.
Convenience and hassle-free living are the center of Vosswood’s services: medication management, post surgical care, wound care; as well as their 24-hour skilled nursing care services provide compassionate care as it is their utmost priority. Other services include 247 easy admission, fall prevention, IV therapy, discharge planning, and case management.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Houston, TX
What's the difference between assisted living and a nursing home in Texas?
Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Texas Medicaid cover nursing home care?
Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 27 nursing homes in Houston, TX. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Houston, TX?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Houston, TX, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Houston, TX?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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