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Why trust this guide?
Our editorial team analyzed 285 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Video Tour: Top-rated Nursing Homes facilities in Texas.
Watch this Video to see Texas's Top-rated Senior Communities
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.
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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
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 Communities (CCRC)):
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.
Rank badges are statewide: each nursing home is ranked against every TX nursing home we track that reports that metric, not just the 285 on this page. See how we rank facilities
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.
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.
Operated by Ccrc Opco – Gleannloch Farms, LLC under the ownership of Sheldon Coble, The Village at Gleannloch Farms is a nursing home in Spring, Texas, with 35 beds. The community is near the Northpoint business area. It accepts Medicare and private pay, giving families flexible options for coverage.
Residents stay an average of 33 days due to the home’s focus on post-acute rehabilitation and respite care. Rehabilitation services are available, and 24-hour staffing supports residents with hands-on care. Total nurse staffing averages 4 hours and 24 minutes per resident each day. Registered nurses, nurse aides, and licensed practical nurses all contribute to daily care. The facility also works with home care services to support transitions back into the community.
The home has an occupancy rate of 47%, so there’s room available. The surrounding area has a Walk Score of 41. Some nearby services can be reached on foot, although most trips require transportation.
Chef-prepared meals are served on site as part of the dining program. This helps provide residents with consistent meal service.
State inspections have focused on areas such as resident assessments, infection control, food safety, and building safety. Families considering the facility should ask how it manages these operational areas and what the improvement plans are with leadership.
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.
The Legacy at Willow Bend is a premier senior living community located in Plano, TX, that offers independent living, assisted living, and memory care services to its residents. They boast of their luxury surroundings and accommodations, delicious dining options, as well as five star service and amenities. Their community programs aim to keep residents active and socially engaged, and at the same time fulfilled and excited to live their retirement years to the fullest.
This senior living community offers chef prepared meals with special diet accommodations, access to fitness and aquatics center, as well as access to their full service salon. With a promise of a luxury, worry-free lifestyle, The Legacy at Willow Bend also offers weekly housekeeping and interior and exterior maintenance.
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.
The Legacy Midtown Park is at 8240 Manderville Ln in Dallas’s Midtown corridor; a high-rise nursing facility, which is an unusual configuration that signals something about the kind of experience the building is designed to deliver. Five years into operation, it carries 98 beds across one- and two-bedroom floor plans, with 86 currently occupied. An 88% occupancy rate at a post-acute facility is a substantive number; it means this building is running close to capacity.
The 37-day average length of stay defines the model: short-stay, post-acute, recovery-focused. Nursing coverage totals 5 hours and 25 minutes per resident per day; 4 hours and 2 minutes from nurse aides, 1 hour and 15 minutes from LPN/LVN staff, and 51 minutes of RN time. Medicare and private pay are accepted; the absence of Medicaid is consistent with the private-pay orientation one would expect from a high-rise Midtown building with apartment-style floor plans. The Walk Score of 45 reflects a somewhat walkable area where some nearby services are reachable, but most trips require a car.
State inspections have touched on emergency preparedness, care planning, and documentation. For someone leaving a Dallas hospital who wants a short-stay rehabilitation setting that looks and operates more like a residential building than a traditional nursing facility, The Legacy Midtown Park’s profile of a high-rise layout, high occupancy, strong nursing hours, and a five-year operating track record makes it one of the more distinctive options in the Dallas market.
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.
Park Manor of Conroe is a nursing home in Conroe, TX, offering long-term care, skilled nursing, and rehabilitation. Prioritizing older adults’ comfort and healing, the community ensures they are treated like family. With 24-hour care, nutritious meals, and therapy services, residents are guaranteed a maintenance-free living. The community also strives to meet residents’ unique needs and preferences through individualized care plans.
Fun gatherings, light physical activities, and recreational programs foster interactions and help residents live actively. Spacious communal spaces and cozy rooms also ensure residents can rest and move around. HCA Houston Healthcare Conroe, restaurants, and bus stops are also available in the area, providing quick access to necessities and leisure. This nursing home has high standards of care dedicated to older adults’ welfare, making it one of the trusted options for senior living in Texas.
C C Young Memorial Home provides independent living, assisted living, memory care, home care, hospice care, palliative care, nursing home and skilled nursing services in Dallas, TX. Independent living offers private living with community services and no daily care, while assisted living adds help with dressing, bathing and medication while a resident keeps their own apartment. Memory care provides a secured setting with supervision for someone at risk of wandering.
The range of care can suit a resident whose needs change over time and require a different level of support. Home care supports a person in their own home, hospice care provides end of life support, and palliative care focuses on comfort and symptom relief during serious illness. Nursing home and skilled nursing services provide licensed nursing care on site around the clock.
Rehabilitation services and short term rehab offer a temporary care setting focused on recovery, while respite care provides a short stay when a usual caregiver needs to travel or recover. With 55 beds, the community is smaller, so staff and residents can get to know each other. Total nurse staffing is 5 hours and 28 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare and private pay are accepted, with Medicare relevant to eligible short term skilled care and private pay meaning a family pays directly. A Campus Clinic gives residents access to clinic services on campus, and massage therapy provides massage without arranging an outside visit. Pastoral care offers spiritual support within the community.
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 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 285 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
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