We arrange tours, appointments, and even moving support so you don’t have to
2
Ranked on Data, Not Dollars
We rank communities on objective measures like inspection records, quality scores, and care data, so you can find trusted options without the guesswork.
3
Personalized Guidance
From lifestyle matching to help with insurance and financial assistance, we make sure the community is the right fit
Explore Open Rooms
1Contact details
2What type of senior care service are you looking for?
3What budget do you have in mind for senior care?
4How soon do you need to find care?
5Additional details
Thank you for your interest!
A member of our team will be in touch by phone or email shortly to help with next steps.
Why trust this guide?
Our editorial team analyzed 282 nursing homes in 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.
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.
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.
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.
$8.0M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.1M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
51%*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
455586
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 282 on this page. See how we rank facilities
The Village at Gleannloch Farms in Spring, Texas, accommodates seniors across independent living, assisted living, memory care, respite stays, nursing home care, and skilled nursing. Independent living delivers private housing paired with community amenities, while assisted living provides personal aid for tasks such as bathing, dressing, and managing medication. Secured memory care units support residents living with cognitive needs, short-term respite stays offer temporary placement, and rehabilitation programs assist those in recovery.
Situated in the Fawn River neighborhood, this 35-bed residence is managed by operator Ccrc Opco, Gleannloch Farms. Nursing personnel deliver an average of 3 hours and 56 minutes of direct daily care per resident. Perks on site feature chef-prepared meals and a pet-friendly policy. Sitting in an area with a 41 walk score, the location relies on vehicle transportation for daily trips off campus. Available payment options comprise Medicare and private funds.
Prospective representatives can contact The Village at Gleannloch Farms to request current room availability, discuss payment structures, or plan a visit to view the facility.
Overview of Windsor Nursing and Rehabilitation Center of Harlingen
Burrowed in the vibrant community of Harlingen, TX, Windsor Nursing and Rehabilitation Center of Harlingen is an inviting senior living community every senior deserves, skilled nursing and clinical services, therapy services and rehabilitation, hospice services, and home health services. Well-appointed private accommodations are available for its residents. With a well-trained and dedicated team, residents can receive the utmost care and support they need throughout their stay.
Having top-of-the-line amenities and services, residents can enjoy the following: tasty and nutritious meals, internet services, cable services, and transportation assistance. Take time for self-care by visiting either its beauty salon or the therapy gym. Meet new friends by participating in diverse social activities. At Windsor Nursing and Rehabilitation Center of Harlingen, seniors are assured of a worry-free retirement.
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.
Overview of Baywind Village Skilled Nursing & Rehabilitation
Situated in League City, Baywind Village Skilled Nursing & Rehabilitation is a 107-bed nursing facility, earning accolades for its exceptional services. With a legacy dating back to 1962, this family-owned establishment has consistently delivered quality care. The facility’s dedicated team, comprising skilled professionals such as nurses, therapists, and physicians, operates with commendable expertise, ensuring round-the-clock service.
Their approach to senior care is highly personalized, offering a spectrum of specialized services including IV therapy, advanced wound care, diabetes management, stroke rehabilitation, respiratory therapy, and more. For those seeking top-tier nursing home facilities in League City and nearby areas, Baywind Village stands as a reputable choice. With its extensive history of providing quality care and a committed team of professionals, it remains a distinguished option for seniors and their families looking for excellence in senior living and nursing home services.
Overview of Texhoma Christian Care Center for Alzheimer‘s and Dementia
Texhoma Christian Care Center for Alzheimer’s and Dementia is a special care facility within Texhoma Christian Care Center in Wichita Falls, TX, that offers focused care services for residents living with Alzheimer’s and dementia. The Alzheimer’s and Dementia unit features secure, magnetically locked entrances and exits, to ensure the safety of residents who wander.
Residents of Texhoma’s Alzheimer’s and Dementia unit are also provided dietary services, physician services, as well as transportation for scheduled medical appointments. Housekeeping and laundry services, as well as salon and barber services are provided on-site.
Overview of Sun Valley Rehabilitation and Healthcare Center
Situated in the welcoming neighborhood of Harlingen, TX, Sun Valley Rehabilitation and Healthcare Center is a dedicated community providing skilled nursing, memory care, long-term care, respiratory, and rehabilitation services. Large and cozy accommodations such as suites are available for its residents. With an expert and empathetic team, the community offers individualized treatment plans and daily specialized activities to help stimulate brain therapy for those with cognitive conditions like Alzheimer’s disease and dementia.
Experience its top-quality amenities and services wherein residents can enjoy delightful chef-prepared meals based on dietary needs, medication management, wound care and management, and a beauty and barber shop. Explore its beautiful spaces such as the courtyard and gazebo. Have fun with interactive daily activities and create meaningful memories with new friends. With Sun Valley Rehabilitation and Healthcare Center, seniors can enjoy the utmost care and support.
Meadow Lake Senior Living is a vibrant senior living community for adults and seniors who wish to retire in a luxurious community. Offering residential assisted living, independent living, memory care, and skilled nursing services– the nurturing environment empowers and enhances the quality of life for residents by providing tailored care to each unique individual. Residents are given the freedom and choice to build a lifestyle on their terms with the unwavering support of the professional staff.
Meadow Lake’s all-inclusive amenities include delicious and nutritious daily meals, weekly housekeeping and laundry, transportation to and from, specialized programs, social gatherings, and educational activities.
Veranda Rehabilitation and Healthcare provides nursing home and skilled nursing care in Harlingen, TX. Skilled nursing includes licensed nursing care on site around the clock, while in house therapy supports rehabilitation without requiring a resident to leave the community for those sessions.
The community may be a good fit for someone who needs ongoing nursing care and rehabilitation in one setting. Veranda Rehabilitation and Healthcare has 100 beds, with total nurse staffing of 2h 57m per resident per day, representing that amount of daily nurse time allocated per resident; Medicaid, Medicare, and private pay are accepted, a doctor is on staff, and Randy O Elkins serves as the administrator.
Nestled in the harmonious community of East Plaza Boulevard, Hurst, TX, Hurst Plaza Nursing and Rehab offers various care options including skilled nursing, rehabilitation therapy, and long and short-term care. Featuring occupational, physical, and speech therapy, and other care services, the community promises residents are comfortable and well-taken care of. Hurst Plaza Nursing and Rehab prides itself on a team of compassionate, trusted, and highly skilled professionals lending exceptional care and support to seniors.
The community fosters a warm and nurturing environment, conducting social activities to ensure seniors remain actively engaged with their surroundings. Tasty and healthy meals are served to cater to its residents’ dietary needs and preferences. Hurst Plaza Nursing and Rehab goes above and beyond in ensuring residents achieve optimal wellness and enjoy a life free of worries.
Overview of Grand Terrace Rehabilitation and Healthcare
Enticing seniors with a relaxing environment, Grand Terrace Rehabilitation and Healthcare is an outstanding senior living community located in the serene neighborhood of West Houston Avenue, McAllen, TX, that offers skilled nursing and in-house therapy. With its dedication to seniors’ well-being, the community strives to provide the highest quality of care and support around the clock. Grand Terrace Rehabilitation and Healthcare ensures the utmost comfort and healing of residents with a team of compassionate and highly trained professionals.
Pursue the lifestyle of your dreams while receiving the right assistance for your ever-changing needs. With a wide array of care options offered in the community, residents can ease their minds and do the things they love. Grand Terrace Rehabilitation and Healthcare promotes a lively and inviting environment for seniors to easily adapt into the community and have a smooth healing journey.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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 Texas
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 282 nursing homes in Texas. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Texas?
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 Texas, 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 Texas?
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
Nursing Homes in Texas at a glance
Avg Overall CMS Rating:2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. 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 Texas. 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:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. 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
Need Help?
Let us help you or a loved one find the perfect senior home.
