Best Nursing Homes in Austin, TX

The Legacy at Oak Hill is a senior living community in Austin, TX, offering assisted living services. Serving residents with a 122-bed capacity, this community provides professional caregiving support for older adults seeking an independent living arrangement with available assistance and community engagement. Operated by CSH AUSTIN LICENSEE LLC, the community serves families researching assisted living options in Central Texas.

This community participates in the comprehensive regulatory oversight system managed by the Health and Human Services Commission (HHSC), including the comprehensive inspection on September 05, 2023, and received inspection results with documented citations. Additionally, it is important to understand these findings in context, as Texas averages approximately one inspection with citations per community and about six total citations statewide. The three citations recorded for this community place it below the Texas average for total citations. The community has also recorded zero enforcement actions, indicating it has not received administrative penalties despite the citations. This pattern suggests the community addressed cited issues through corrective action processes rather than requiring state enforcement intervention.

This community offers residential care focused on the assisted living model, where older adults maintain semi-independent living while benefiting from daily professional support services. With a 122-bed capacity, the community also provides programming, social activities, and coordinated services that support both physical health and quality-of-life outcomes for its residents. Focusing on assisted living services, it is designed for older adults who require daily help with personal care tasks.

Operating with an assisted living framework, The Legacy at Oak Hill supports the independence of residents while ensuring trained professionals are available for essential care needs. Located in Travis County, the community also addresses the housing needs of individuals and families across the greater Austin metropolitan area seeking quality care with accessibility to urban resources.

Overview of Brookdale North Austin

Brookdale North Austin is a senior living community in Austin, Texas, providing assisted living and memory support. As part of the well-known Brookdale Senior Living network, this licensed Type B community is operated by ES-NG, L.P. in Travis County. With a 112-bed capacity, the community combines the extensive resources of a major provider with a lifestyle-centered atmosphere tailored for its residents.

This community recorded four deficiencies during its latest thorough review in January 2024, which is below the Texas state average of six but is higher than the single-visit average for communities of a similar scale. Three of these were health-related, involving a concern with exit accessibility in a specific wing and a matter of hiring registry documentation, while one life safety finding focused on standards for the sprinkler system. However, every issue was fully addressed by February 21, 2024. An administrative fine was issued in April 2024 regarding the safe living environment finding. While awareness is encouraged, families should also take into consideration that the concerns were addressed, and the total number of citations remains under the state average for older adults.

Along with an Alzheimer’s certification, the community provides 24-hour staffing and utilizes the signature Clare Bridge memory care curriculum. Features on-site include a gym, a library, concierge help, a hair salon, and an outdoor courtyard with gardens, as well as a private dining area, a lounge with a piano, strolling paths, and a room for games. Pets are also allowed. Dining services focus on residents’ preferences, emphasizing healthy and comforting meal choices.

Brookdale North Austin has a comprehensive assisted living and memory support setting, with organized wellness schedules, making it a good option for older adults in the area. The Clare Bridge program makes the community a notable option for families managing Alzheimer’s or other memory-related transitions. Its location in North Austin and the connection to a major brand also appeal to those who value systematic oversight and reliability typical of a large, veteran operator.

Overview of Juniper Village at Spicewood Summit

Juniper Village at Spicewood Summit is a senior living community in the Northwest Hills area of Austin, Texas, that provides independent living, assisted living, Wellspring Memory Care, short-term rehabilitation, and long-term professional nursing. Operating with a Texas Type B license since February 2021, the community has been managed by Juniper Communities, a top-tier national provider.

The community has a 109-bed capacity, consisting of 94 assisted living residents and 46 Medicare-certified nursing beds. Currently, the nursing section maintains a population of roughly 24 residents, representing a 50% occupancy rate, which is lower than the typical Texas average. The financial structure relies on Medicare and private funds, as Medicaid is not accepted for nursing care. While the community currently faces an operating deficit, its payroll investment remains at 53.5% of revenue, which is consistent with the standards for a properly staffed medical environment.

From a regulatory standpoint, two different agencies monitor this community, with the Texas HHSC overseeing the assisted living and nursing licenses, while federal authorities manage the Medicare-certified wing. The community has recorded two technical findings regarding the sprinkler system and fire marshal checks, both of which were resolved. The total number of state citations is 67% lower than the Texas average, reflecting a favorable safety record. One administrative penalty was also recorded in early 2025.

Caregiver presence is the most significant attribute of this community. Total adjusted nursing time is 4 hours and 44 minutes per resident daily, ranking it 31st out of 237 Texas nursing locations and 25% above the state mean. The professional nursing oversight is particularly remarkable, with registered nurse hours more than double the Texas average on both weekdays and weekends. Physical therapy time also exceeds state norms by 75%. While assistant nursing hours are slightly below the state benchmark, the overall weekend staffing remains 33% higher than most communities in Texas, earning it a federal staffing sub-rating far above the state average.

Medical support within the nursing wing includes post-acute recovery through a partnership with Powerback Rehabilitation and long-term care for complex chronic conditions. Wound management, oxygen therapy, and specialized nutrition, with professional nurses on duty 24 hours a day, are also available. Through the Connect4Life program, a medical concierge coordinates primary care and pharmacy services on-site. In the assisted living section, the team aids with daily tasks and is prepared to support younger residents or those with moderate cognitive changes. The award-winning Wellspring Memory Care also utilizes therapeutic settings and specialized training, while the Catalyst program ensures social engagement across multiple wellness categories. Freshly prepared dining, a beauty salon, communal gardens, and a library are also provided.

Juniper Village at Spicewood Summit is an ideal option for families in Northwest Austin seeking a campus where a wide range of care, including independent living to high-level nursing, is provided without the need to relocate. The exceptional staffing levels with a registered nurse presence serve as a major advantage in the Austin market.

Overview of Longhorn Village

Longhorn Village is a skilled nursing facility in Austin, Texas, located in the Steiner Ranch area on Longhorn Parkway. The 60-bed community operates as part of a Continuing Care Retirement Community (CCRC). It is a nonprofit facility owned by Stacy Hibma and has been operating for 21 years. The facility accepts Medicare, Medicaid, and private pay. Services include rehabilitation, respite care, memory care, and 24-hour staffing. CMS rates Longhorn Village at 5 stars overall, a perfect score across Health Inspection, Staffing, and Quality Measures. Nursing staffing averages 5 hours and 35 minutes per resident per day, roughly 48% above the Texas average of 3 hours and 47 minutes, placing the facility 10th out of 289 Texas SNFs. Across four Health Inspections since 2024, the facility recorded seven citations, a rate of 1.75 per inspection, compared with the Texas average of 3.67, with no fines or enforcement actions. Three abuse/neglect citations issued in late 2024 were all corrected. Amenities include a fitness center, library, outdoor spaces, and salon services, as well as the Lifelong Learning program. With 82% of admissions covered by Medicare and an average length of stay of 64 days, the facility’s care model mainly focuses on short-term post-acute rehabilitation. The occupancy rate is 45%, well below the Texas average of 63.5%, which indicates current availability. Longhorn Village fits Medicare-covered patients seeking short-term skilled nursing and rehabilitation in a well-staffed, nonprofit CCRC setting in northwest Austin, with immediate bed availability.

Recognized by Newsweek as one of America’s Best Continuing Care Retirement Communities in 2025, Querencia at Barton Creek combines independent living, assisted living, memory care, and skilled nursing within one Austin campus. The nonprofit community, located on Barton Creek Boulevard, includes 42 skilled nursing beds and accepts Medicare and private pay, but not Medicaid. Querencia holds a 5-star CMS overall rating, the highest available, driven by top marks in Health Inspection, Staffing, and Quality Measures. Nurse staffing averages 4 hours and 49 minutes per resident per day, about 27% above the Texas average, ranking the facility 26th among 289 Texas skilled nursing facilities. Weekend staffing averages 37% above the state benchmark. Occupancy stands at 94%, well above the Texas average of 63.5%, reflecting consistent local demand. Since 2022, the facility has received 16 health citations across 4 inspections, 38% fewer than the Texas average of 25.9. No fines have been reported in the past three years. A September 2025 inspection resulted in one serious Quality of Care citation, which has now been corrected. Residents have access to rehabilitation services, dining, health and wellness programming, clubs and social groups, and organized resident and family engagement through an active Resident Council. Querencia at Barton Creek’s continuum of care, above-average staffing, and short-term rehabilitation capacity fit residents seeking post-acute recovery or a planned transition across care levels in southwest Austin.