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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
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-ranked to lowest-ranked based on our 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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 27 analyzed for Houston. See how we rank facilities
Overview of Legend Oaks Healthcare and Rehabilitation Center
Legend Oaks Healthcare and Rehabilitation in Northern Houston keeps one thing in mind when providing their service: enhancing the lives of their residents. Management and staff approach their service with the understanding that their residents need a sense of healing– both on the physical and emotional level. The staff ensures residents are inspired to grow as better individuals through their enhanced lifestyle in a vibrant and positive environment. Families can trust that their loved ones are in good hands because residents are given the fullest attention they need all round-the-clock. Legend Oaks Healthcare and Rehabilitation is committed to ensuring that residents are comfortable and secure in the community.
Services at the Legend Oaks is a short-term rehabilitation community where its services revolve around improving the quality of life for residents; found through their list of activities and programs that help residents maintain an active lifestyle. Some community amenities include lounge areas, recreational rooms, fitness center, in-house therapy, housekeeping and laundry services.
Seventy years is a long time for any nursing home to keep its doors open, and Holly Hall has managed it from the same address in Houston’s Astrodome Area: 2000 Holly Hall Street. Dana Short administers the place now. It’s nonprofit, 62 beds, laid out as a single-story cottage-style building with one- and two-bedroom units, currently running at 76% occupancy with 47 of those beds filled.
The neighborhood itself sits at a Walk Score of 56, moderately walkable, enough for some errands on foot without eliminating the need for a car entirely.
Here’s the number that actually tells you something about care quality: nearly 4 hours and 45 minutes of total nursing care per resident, per day, split across RNs, LPNs, and nurse aides. That’s a meaningful daily commitment, and it lines up with what Holly Hall is actually built for.
The average stay runs just 26 days, which points toward short-term, rehabilitation-focused care rather than long-term residency. Medicare covers 38% of admissions, mostly for rehab. Private pay accounts for 61%, and Medicaid rounds out the picture.
Regulatory attention here has centered on emergency preparedness and food service, the kind of routine categories inspectors look at across nursing homes broadly, not anything specific to this address.
What seventy years and a 4-hour-45-minute daily staffing commitment add up to is a nursing home built around short-stay, rehabilitation-focused care, backed by real nursing hours and broad payment access, in a long-standing Houston institution that’s outlasted most of its neighbors.
North Houston Transitional Care is a nursing home in Houston, Texas, providing nursing care and skilled nursing. Skilled nursing includes licensed nursing care on site around the clock, making the home suitable for residents who need ongoing clinical support.
The home has 34 beds. Its smaller size may suit someone who prefers a setting where staff and residents can get to know each other. Private rooms provide each resident with a single personal living space. Total nurse staffing is 3 hours and 22 minutes per resident per day, representing the daily nursing time available for each resident, while the 82% occupancy rate means not every bed is occupied at the same time.
North Houston Transitional Care accepts Medicaid, Medicare, and private pay. Medicaid may help families whose savings may not cover a long stay. Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay means paying directly. Ahmad K Elsaadi serves as administrator, and Websteridence Opco operates the community.
Get back to living and loving the lifestyle you want with The Heights of North Houston, an excellent community in Houston, TX designed to offer an array of recovery services. With access to short-term care, long-term care, skilled nursing, and memory support, residents here are bound to enjoy a well-cared-for life. The community also provides a team of kind and caring caregivers committed to helping everyone live their lives to the fullest.
Recognizing the importance of staying active in a well-lived life, the community regularly organizes an array of activities and events for residents to enjoy. They also prepare healthy and delicious meals daily to provide the nourishment residents need. With its caring atmosphere and comfortable environment, The Heights of North Houston ensures everyone experiences a great improvement in their quality of life.
Overview of Highland Park Rehabilitation & Nursing Center
Highland Park Rehabilitation & Nursing Center offers comprehensive support in Houston, Texas, covering memory care, respite options, hospice, skilled nursing, and general nursing care. Staff delivers hands-on nursing care averaging 3 hours and 8 minutes per resident each day across its 120-bed building. The community accommodates evolving health needs, offering secure environments for individuals prone to wandering as well as short-term stays for temporary caregiver relief.
Administrator Johnnie Richardson leads the location, which accepts Medicare, Medicaid, and private payments. Local errands are manageable on foot thanks to a walk score of 61, allowing non-driving residents to complete brief neighborhood outings.
Individuals evaluating local care choices or seeking long-term clinical support can contact Highland Park Rehabilitation & Nursing Center to gather details on programs and current availability.
Park Manor of Westchase provides nursing home and skilled nursing care in Houston’s Westside neighborhood. Licensed nursing care is available on site around the clock, so the home can suit someone whose medical needs require ongoing nursing supervision.
The home has 125 beds and is operating at 84% occupancy, so it is not at full capacity. Medicaid, Medicare, and private pay are accepted, giving families several ways to cover nursing care based on their payment situation. Total nurse staffing is 3 hours and 1 minute per resident per day, representing the daily hands-on nursing time allocated to each resident. Stanley Lira serves as the administrator.
Overview of Birchwood of Spring Branch (formerly Arden Wood)
In Houston, TX, Birchwood of Spring Branch (formerly Arden Wood) pairs memory care with nursing home care. It fits best when dementia has reached the point of needing supervised care in a secure environment.
Memory care is that secured space, with staff keeping watch. Nursing home care is ongoing, with regular nursing and help with routine daily care.
The building holds 174 beds. Averaged across the census, nursing time comes to three hours and two minutes per resident per day.
Somewhat walkable at 63 on Walk Score, the area lets a resident who has given up on driving run some errands close by on foot. Payment can come from Medicare, Medicaid, or private pay, so a family can draw on public coverage or cover the cost itself.
A sister company of The Vosswood Nursing Center, Garden Terrace at Houston also offers 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. As a member of the Life Care Centers of America, Garden Terrace at Houston Can be trusted as a safe and secure community that cares for every patients’ needs.
Convenience and hassle-free living are the center of their 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.
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.
Overview of Capstone Healthcare Estates at Veterans Memorial
Capstone Healthcare Estates at Veterans Memorial in Houston, Texas, provides nursing home, skilled nursing, memory care, hospice care, palliative care, and respite care. Nursing home and skilled nursing care include licensed nursing care on site around the clock. Memory care offers a secured setting with supervision for a resident who may be at risk of wandering.
Hospice care and palliative care focus on comfort for someone with a serious or end of life illness. Respite care provides a short stay when a usual caregiver needs to travel or recover. These care options may be a good fit for someone living with dementia who needs supervision or a family seeking short term support from a trained care setting.
The community has 120 beds. Payment options include Medicare, Medicaid, and private pay, with Medicare covering short term skilled care after a hospital stay, Medicaid helping with a long stay when savings may not cover it, and private pay meaning the family pays directly. Total nurse staffing is 3 hours and 2 minutes per resident per day, representing the daily hands on nursing time allocated to each resident, while a Walk Score of 51 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to handle some nearby errands independently.
Avg home costs:
$6,629,046.10 (Texas avg:
$4,190,441.70)
Avg occupancy:
69.67% (Texas avg:
65.39%)
Avg bed count:
139 (Texas avg:
118)
Avg home revenue:
$9,898,470.57 (Texas avg:
$7,329,917.16)
Community-level financial and occupancy data
CLAREWOOD HOUSE EXTENDED CARE:
74.33% occupancy,
160 beds,
$11,567,219.00 home revenue,
$5,045,824.00 payroll costs,
$5,509,424.00 home costs.
WALLSVILLE HEALTHCARE INC:
74.16% occupancy,
125 beds,
$11,819,739.00 home revenue,
$4,655,149.00 payroll costs,
$4,527,497.00 home costs.
MISTY WILLOW HEALTHCARE INC.:
75.40% occupancy,
124 beds,
$10,919,995.00 home revenue,
$4,141,453.00 payroll costs,
$4,975,611.00 home costs.
ARMSTRONG HEALTHCARE INC.:
90.87% occupancy,
125 beds,
$11,619,163.00 home revenue,
$4,593,231.00 payroll costs,
$5,088,985.00 home costs.
THE HEIGHTS OF NORTH HOUSTON:
71.83% occupancy,
131 beds,
$9,623,597.00 home revenue,
$3,037,474.00 payroll costs,
$6,244,567.00 home costs.
NORTHWEST HEALTH & REHAB CENTER:
67.57% occupancy,
148 beds,
$6,658,418.00 home revenue,
$2,951,049.00 payroll costs,
$4,172,813.00 home costs.
CYPRESS POINTE HEALTH & WELLNESS:
88.47% occupancy,
124 beds,
$15,560,445.00 home revenue,
$4,069,549.00 payroll costs,
$5,342,189.00 home costs.
QUEENSTON HEALTHCARE INC.:
82.74% occupancy,
124 beds,
$12,717,717.00 home revenue,
$5,185,267.00 payroll costs,
$4,559,531.00 home costs.
THE OASIS OF GOLFCREST:
83.83% occupancy,
120 beds,
$11,691,893.00 home revenue,
$4,390,780.00 payroll costs,
$5,627,096.00 home costs.
THE CONCIERGE SKILLED NURSING AND RE:
66.93% occupancy,
114 beds,
$6,085,424.00 home revenue,
$3,965,135.00 payroll costs,
$2,866,602.00 home costs.
OAK POINT HEALTHCARE INC.:
73.43% occupancy,
100 beds,
$17,065,827.00 home revenue,
$5,406,591.00 payroll costs,
$6,558,738.00 home costs.
View Chart Data Table
Metric
Houston
Texas
Avg payroll costs
$4,556,976.76
$2,942,815.90
Avg home costs
$6,629,046.10
$4,190,441.70
Avg occupancy
69.67%
65.39%
Avg bed count
139
118
Avg home revenue
$9,898,470.57
$7,329,917.16
Community
Occupancy
Beds
Home Revenue
Payroll Costs
Home Costs
Medicare
Medicaid
Private Pay
CLAREWOOD HOUSE EXTENDED CARE
74.33%
160
$11,567,219.00
$5,045,824.00
$5,509,424.00
4.12%
5.04%
90.84%
WALLSVILLE HEALTHCARE INC
74.16%
125
$11,819,739.00
$4,655,149.00
$4,527,497.00
7.26%
60.42%
32.32%
MISTY WILLOW HEALTHCARE INC.
75.40%
124
$10,919,995.00
$4,141,453.00
$4,975,611.00
10.52%
62.98%
26.50%
ARMSTRONG HEALTHCARE INC.
90.87%
125
$11,619,163.00
$4,593,231.00
$5,088,985.00
9.24%
67.62%
23.14%
THE HEIGHTS OF NORTH HOUSTON
71.83%
131
$9,623,597.00
$3,037,474.00
$6,244,567.00
10.84%
70.22%
18.94%
NORTHWEST HEALTH & REHAB CENTER
67.57%
148
$6,658,418.00
$2,951,049.00
$4,172,813.00
1.98%
89.03%
8.99%
CYPRESS POINTE HEALTH & WELLNESS
88.47%
124
$15,560,445.00
$4,069,549.00
$5,342,189.00
24.80%
55.93%
19.27%
QUEENSTON HEALTHCARE INC.
82.74%
124
$12,717,717.00
$5,185,267.00
$4,559,531.00
8.23%
53.18%
38.59%
THE OASIS OF GOLFCREST
83.83%
120
$11,691,893.00
$4,390,780.00
$5,627,096.00
24.96%
48.92%
26.12%
THE CONCIERGE SKILLED NURSING AND RE
66.93%
114
$6,085,424.00
$3,965,135.00
$2,866,602.00
37.61%
9.63%
52.76%
OAK POINT HEALTHCARE INC.
73.43%
100
$17,065,827.00
$5,406,591.00
$6,558,738.00
42.07%
8.06%
49.87%
Nursing Homes in Houston at a glance
Avg Overall CMS Rating:3.0/ 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:2.9/ 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.
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