Page 3 of Best Nursing Homes in Houston, TX

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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We analyzed These are the facilities in Houston, TX our team has analyzed — not a count of every nursing home provider in Houston, TX.
27 homes
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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 Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over 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.
The Concierge
NH
HOS
Houston (Westside)
148
Facility 148
TX AVG 78
Rank #64 / 980
49.0%
Facility 49.0%
TX AVG 71.2%
Rank #145 / 163
-31%
2.79
Facility 2.79
TX AVG 3.63
Rank #208 / 234
+143%-23%
$216.8k
Facility $216.8k
TX AVG $81.8k
Rank #225 / 237
22
Facility 22
TX AVG 25.9
Rank #129 / 234
3.1
Facility 3.1
TX AVG 3.7
Rank #109 / 234
473-
51
Facility 51
TX AVG 42
Rank #480 / 1,345
The Ireland Family Limited Partnership
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
TX AVG $9.4M
Rank #125 / 218
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
TX AVG $5.4M
Rank #70 / 218
69.8%Fiscal year ending 12/2023
Facility 69.8%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #51 / 199
676066

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.

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Nursing Home Explorer
Overview of The Concierge

The Concierge operates a 114-bed nursing and hospice facility at 2310 Eldridge Parkway South in the Westside of Houston, Harris County, Texas. The community is 19 miles from downtown Houston and sits in a moderately walkable neighborhood (Walk Score: 51). Owned by The Ireland Family Limited Partnership and managed by Freddie Green, the facility’s census is predominantly Medicaid (88.8% of residents), though new admissions run 41% Medicare, 57% private pay, and 1% Medicaid. The average stay is 59 days, reflecting a short-term post-acute care model within a Medicaid-dependent resident base.

The facility’s 1-star CMS overall rating, 66.8% below the state average, reflects critical performance gaps. Health inspection earns 1-star (30.8% below state), staffing is rated 1-star (58.3% below state), and quality measures score 3-star (at state average).

Staffing is structurally misaligned: registered nurses provide 39 minutes per resident daily (50% above state), but certified nursing aides deliver just 11 minutes per day, 91% below the state average of 2 hours 1 minute. Weekend total nursing care plummets to 1h 17m daily, 57% below state.

Inspection records since 2023 document escalating clinical failures. Two immediate jeopardy findings occurred: February 2024 identified improper tracheostomy care and medication administration errors (14% error rate, nearly triple the 5% threshold); November 2023 documented a 12-hour delay in physician notification for a deteriorating resident, resulting in hospitalization with pneumonia, acute kidney failure, and septic shock. December 2025 complaint investigation revealed discharge of a cognitively impaired resident to a homeless shelter and immediate jeopardy pressure ulcer management, with hospital transfer.

Complaint investigations also substantiated incontinent care delays exceeding 10 hours, a resident left alone in an elevator 7-20 minutes, shower failures, and foot care delays.

Federal penalties included $29K in fines and one payment denial.

Pressure ulcers in high-risk residents run 8.9%, 101% worse than state average.

Occupancy at 61.3% is notably low. The facility invests 70.3% of revenue in payroll (among the highest in Texas) and returned to profitability with $397.7K net income in 2023.

The Concierge is structured for short-term post-acute Medicaid care, though immediate jeopardy findings, medication errors, and delayed clinical responses present substantial risk for residents.

Contact The Concierge

Overview of Brookdale Galleria

Tucked away in Houston, Texas’ vibrant Galleria district, Brookdale Galleria offers a refined senior living experience tailored to independence and comfort. The community provides both Independent and Assisted Living options, ensuring personalized care that adapts to evolving needs, while our newly renovated apartments offer a modern, welcoming retreat. Residents enjoy easy access to shops, restaurants, and medical facilities, enhancing convenience and peace of mind. Nearby landmarks like the Galleria Mall and tranquil Waterwall Park provide opportunities for leisurely outings.

Brookdale Galleria aims to enrich the lives of residents through engaging activities and exceptional amenities. From chef-prepared meals served daily to a variety of enriching activities such as tai chi, live music, and themed events, there’s always something enjoyable to participate in. We prioritize creating a vibrant community where every resident feels valued and supported, allowing them to embrace each day with comfort and fulfillment. Whether relaxing in our beautifully landscaped grounds or participating in a stimulating activity, residents find a place where they can thrive and live life to the fullest.

Contact Brookdale Galleria

Overview of Treemont Health Care Center

Treemont Health Care Center is a skilled nursing facility located at 2501 Westerland Drive in the Mid West area of Houston, Texas. Owned and operated by Treemont Care, LLC, the facility provides short-term rehabilitation and long-term skilled nursing care.

The 54-bed center operates at an occupancy rate of approximately 51 percent, with an average length of stay of 161 days. Clinical operations combine registered nurse, licensed vocational nurse, and nurse aide coverage to deliver an average of 4 hours and 51 minutes of direct nursing care per resident daily.

The facility accepts Medicare, Medicaid, and private-pay options. Holding a walk score of 58, the immediate neighborhood is moderately walkable, meaning a few errands can be managed on foot while others require a vehicle. For acute medical services, the community is located about a third of a mile from the nearest hospital center.

Prospective families and healthcare representatives can contact the Westerland Drive administrative office directly to confirm current bed openings, verify admission criteria, or coordinate a property tour.

Contact Treemont Health Care Center

Overview of The Medallion Jewish Assisted Living

The Medallion, an outstanding assisted living campus set in Houston, Texas, offers an unparalleled experience that never fails to impress. With a rich heritage spanning eight decades, this community exemplifies excellence in senior care. Boasting 52 meticulously designed apartments, each space exudes warmth, privacy, and a unique charm, creating a sense of home for residents.
Embracing a diverse community, this facility welcomes individuals of all faiths and backgrounds.

The Medallion goes above and beyond by offering a range of floor plans, from cozy studios to deluxe suites and spacious one or two-bedroom units, catering to varied preferences. In addition to its comfortable accommodations, the home provides scheduled transportation, personalized kosher dining options, and essential services such as housekeeping, laundry, and medication management. With amenities like a well-stocked library, a media room, a beauty salon, and beautiful courtyards, this assisted senior living community also embodies elegance and sophistication, making it a top choice for those seeking a fulfilling and enriching senior living experience.

Contact The Medallion Jewish Assisted Living

Overview of Brookdale West University

Situated in Houston, TX, Brookdale West University offers carefree independent living for seniors looking to embrace a worry-free lifestyle. Choose from a variety of pet-friendly floor plans, including spacious one and two-bedroom apartments, where basic utilities and maintenance are included. Enjoy more time pursuing passions like learning Spanish or exploring art in our dedicated studio, with emergency support available round-the-clock. Whether socializing over coffee, taking a dip in the pool, or joining game nights and live music events, our community fosters a fulfilling social calendar tailored to diverse interests.

Brookdale West University is committed to enhancing your independence with a focus on enriching your daily life. From fitness facilities to a putting green, our amenities ensure a luxurious yet convenient lifestyle. Join a community recognized for excellence in independent living, where you can rediscover old hobbies and forge meaningful connections in a welcoming environment.

Contact Brookdale West University

Overview of Brookdale Memorial City

Supportive and engaging, Brookdale Memorial City is a one of a kind senior living community in Houston, Texas that offers independent living. Choose from a variety of spacious floor plans, including pet-friendly options, allowing you to settle into the perfect apartment. Enjoy a maintenance-free lifestyle, freeing up time for activities like swimming in the heated outdoor pool or exploring yoga and art classes. With 24/7 emergency support available, peace of mind comes standard in the community.

At Brookdale Memorial City, they work hard to provide luxurious retirement living in a dynamic urban setting. Nestled in Houston’s west side, our community combines city conveniences with nearby green spaces like Memorial Park. Residents can stroll to Memorial City Mall for shopping or dining. Our amenities include an arts and crafts studio, fitness center, and lush courtyard gardens, ensuring there’s always something new to explore. This is more than just a place to live; it’s a vibrant community where you can thrive and pursue your passions.

Contact Brookdale Memorial City

Good Living Community Care Inc.

5715 & 5719 Dolores Street, 5719 Dolores St, Houston, TX 77057
Overview of Good Living Community Care

Creating an environment that empowers residents to pursue the things they love, Good Living Community Care Inc. is a remarkable senior living community in Harris County, Houston, TX, offering nursing care, memory care, and assisted living. The community features a home-like environment supported by a professional management team and well-experienced care team that provides 24-hour supervision and assistance. Residents are empowered to live comfortably with the help of services like personal care assistance, meal preparation, medication management, and more.

Committed to keeping residents engaged, interested, and active as much as possible, the community conducts an array of social and recreational activities, including fitness activities, professional entertainment, community trips, recreational activities, and more. Housekeeping, laundry, and transportation services are provided to make residents’ daily life more convenient and simple. The community provides a nutritionist that works with residents to create a dietary plan that matches their needs and preferences.

Contact Good Living Community Care Inc.

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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Houston Nursing Home Facilities Overview

  • Avg payroll costs: $4,556,976.76 (Texas avg: $2,942,815.90)
  • 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

  • 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.
  • 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.
View Chart Data Table
MetricHoustonTexas
Avg payroll costs$4,556,976.76$2,942,815.90
Avg home costs$6,629,046.10$4,190,441.70
Avg occupancy69.67%65.39%
Avg bed count139118
Avg home revenue$9,898,470.57$7,329,917.16
CommunityOccupancyBedsHome RevenuePayroll CostsHome CostsMedicareMedicaidPrivate Pay
THE HEIGHTS OF NORTH HOUSTON71.83%131$9,623,597.00$3,037,474.00$6,244,567.0010.84%70.22%18.94%
NORTHWEST HEALTH & REHAB CENTER67.57%148$6,658,418.00$2,951,049.00$4,172,813.001.98%89.03%8.99%
CYPRESS POINTE HEALTH & WELLNESS88.47%124$15,560,445.00$4,069,549.00$5,342,189.0024.80%55.93%19.27%
QUEENSTON HEALTHCARE INC.82.74%124$12,717,717.00$5,185,267.00$4,559,531.008.23%53.18%38.59%
THE OASIS OF GOLFCREST83.83%120$11,691,893.00$4,390,780.00$5,627,096.0024.96%48.92%26.12%
THE CONCIERGE SKILLED NURSING AND RE66.93%114$6,085,424.00$3,965,135.00$2,866,602.0037.61%9.63%52.76%
OAK POINT HEALTHCARE INC.73.43%100$17,065,827.00$5,406,591.00$6,558,738.0042.07%8.06%49.87%
CLAREWOOD HOUSE EXTENDED CARE74.33%160$11,567,219.00$5,045,824.00$5,509,424.004.12%5.04%90.84%
WALLSVILLE HEALTHCARE INC74.16%125$11,819,739.00$4,655,149.00$4,527,497.007.26%60.42%32.32%
MISTY WILLOW HEALTHCARE INC.75.40%124$10,919,995.00$4,141,453.00$4,975,611.0010.52%62.98%26.50%
ARMSTRONG HEALTHCARE INC.90.87%125$11,619,163.00$4,593,231.00$5,088,985.009.24%67.62%23.14%
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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.