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Why trust this guide?
Our editorial team analyzed 269 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 to lowest based on our ranking methodology.
Overview of Beacon Harbor Healthcare and Rehabilitation
Welcome to Beacon Harbor Healthcare and Rehabilitation, a trusted nursing home facility established in Rockwall, Texas, proudly serving since April 16th, 1996. Dedicated to delivering exemplary nursing home services, Beacon Harbor offers both short-term rehabilitation and long-term care programs. Utilizing a blend of cutting-edge technology and hands-on therapeutic approaches, the facility tailors custom therapy programs for each patient, focusing on personalized care to enhance their quality of life.
At Beacon Harbor, a devoted and compassionate team collaborates to foster a sense of community, going above and beyond to exceed guests’ expectations by delivering exceptional care and service. The facility’s core mission revolves around making a profound difference in the lives of those they serve, anticipating and addressing individual needs while providing personalized care and treatment plans for each guest. Recognized by the Centers for Medicare & Medicaid Services (CMS) as a leading provider committed to promoting health and enhancing the quality of life, this facility encompasses 190 beds and operates under a for-profit LLC ownership.
Colonial Manor Nursing Center is where life balances with style– creating an unmatched experience for seniors. The premier skilled nursing facility with rehabilitative care, residents will find endless possibilities await in Colonial Manor; they continue to maintain a sense of independence that leads to a life of fulfillment. At Colonial Manor, enjoy first-class hospitality and an elevated lifestyle during recovery. Unmatched comfort delivered with an array of services and amenities ensures residents maintain an active day-to-day living supported by a vibrant lifestyle. The professional care staff strives to ensure that residents receive the best care possible when receiving skilled nursing care and therapies (occupational, speech, physical) and wound care management. Residents will live conveniently and stress-free with essential amenities, including housekeeping, maintenance, ADLs, enriching activities, engaging programs, and fine dining.
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.
At 7499 Stanwick Drive in southeast Houston, Courtyard Nursing and Rehabilitation operates as a 120-bed skilled nursing facility owned by Stanwick Senior Care LLC. The resident census is predominantly Medicaid (74.6%), with Medicare at 3.2% and private pay at 22.2%; average length of stay stretches to 435 days, reflecting a long-term care focus.
The facility is 9.3 miles from downtown Houston in Harris County and located in a very walkable neighborhood (Walk Score: 73).
Courtyard’s 2-star CMS overall rating reflects a split performance: health inspection earns 3-star (8.6% above Texas average), and quality measures are rated 3-star (6.5% above state average), but staffing is severely constrained at 1-star (52.9% below state average). The 95-person workforce includes 19 contractors; staff-to-resident ratio is 1.51:1, at state average.
The facility provides 3h 3m of nursing per resident daily, but registered nurse presence is minimal: only 5 minutes per resident per day, 81% below the state average of 26 minutes. The facility has just 3 RNs serving 120 beds. Licensed practical nurses partially compensate with 1h 14m per day (30% above state), and certified nursing aides provide 2h 32m (26% above state). Weekend RN coverage drops to 4 minutes per day.
Long-stay residents experience urinary tract infections at 4.9%, dramatically worse than the 0.8% state average; a 510% variance and potential marker of infection control gaps. Weight loss affects 5.3%, 54% worse than state average. Short-stay residents newly started on antipsychotic medication run 6.8%, 370% worse than the state average of 1.4%, raising questions about pharmacological care decisions. Falls with major injury and depression rates are impressively low.
A June 2023 federal fine of $36,000 was the only penalty; no payment denials occurred.
Occupancy stands at 59.6%, notably low and 6% below state average.
The facility reported an operating loss of $7.0 million in 2023, a severe deterioration from the $697,000 loss in 2022. By revenue, it’s ranked 256th of 297 Texas SNFs.
Courtyard offers in-house therapy, wellness classes, rehabilitation services, and a courtyard. The facility suits long-term Medicaid residents, though minimal RN staffing, elevated infection and medication-initiation rates, and mounting operational losses present significant clinical and financial risk.
Overview of Hacienda Oaks Nursing & Rehabilitation Center
Focusing on seniors’ wellness, Hacienda Oaks Nursing and Rehab based in Beeville, TX, offers outstanding care services including skilled nursing, rehabilitation therapy, and long- and short-term care. The community features speech, occupational, and physical therapy, alongside other care services to ensure seniors are well taken care of. Seniors experience the utmost care and respect they deserve with a dedicated and highly trained team.
Hacienda Oaks Nursing and Rehab fosters meaning and strong connections, collaborating with residents to craft tailored approaches to their specific needs. The community strives to achieve optimal wellness by providing nutritious and delicious meals. Hacienda Oaks Nursing and Rehab is committed to providing seniors the care and support they need to live their golden years confidently and thrive with dignity.
Nestled in Pleasanton, TX, Pleasanton South Nursing and Rehab is a nursing home that provides comprehensive support and care for its residents. The facility offers assistance with daily activities, personal care around the clock, medication and medical administration, mobility help, and other important safety and security measures. These services ensure that residents can retain or improve their physical and mental health, enriching their quality of life during retirement. Pleasanton South Nursing and Rehab’s team of healthcare experts, including qualified nurses, licensed medical practitioners, trained nursing assistants, and physical therapists, collaborate to provide customized care tailored to each resident’s distinctive needs.
The nursing home also provides a safe and controlled environment for seniors with medical conditions that require continuous monitoring and administration. Pleasanton South Nursing and Rehab has highly secured areas to help prevent patients from wandering off or getting lost, prioritizing their safety and well-being. The center’s dedication to treating every patient with the utmost care and respect, along with its commitment to crafting tailored solutions, make it a compelling choice for seniors in need of specialized care and support.
Owned by Waco Opco LLC, Quality Care of Waco is a nursing home in the Dean Highland neighborhood of Waco, Texas, a short drive from the city center. Rodney Harris serves as the administrator. Families can choose from Medicare, Medicaid, and private pay to cover both short-term rehabilitation and long-term nursing care.
The 162-bed community is a mid-sized nursing home in the Waco area and currently has an occupancy rate of about 41%. Residents stay an average of 429 days, suggesting the home serves many people receiving long-term nursing care while also caring for residents recovering after a hospital stay. The community specializes in complex medical care, including IV therapy, tracheostomy care, stroke recovery, and cardiac care. It’s well suited for residents with more advanced healthcare needs.
Residents receive an average of about 3 hours and 14 minutes of nursing care daily from registered nurses, licensed practical nurses, and nurse aides. This staffing level gives families a clearer picture of the hands-on nursing support available throughout the day.
State inspections conducted by the Texas Health and Human Services Commission have reviewed areas such as therapy services, pharmacy services, food safety, infection control, and resident supervision, alongside inspection periods when no deficiencies were identified. Families considering Quality Care of Waco should ask how the care team manages resident supervision and medication safety daily.
Residents also have access to lounges, a beauty salon, and a recreation room. An active resident council meets regularly to provide input on community policies and quality-of-life matters. Flexible meal options are available, and a dedicated housekeeping team helps maintain the community. The surrounding area has a Walk Score of 29, so most errands and outings require a short drive.
Overview of Coronado Nursing and Rehabilitation Center
Coronado Nursing & Rehabilitation Center, operating under the Senior Living Properties care centers, is a skilled nursing and rehabilitation facility located in Abilene, TX. This facility offers a myriad of services including skilled nursing, wound care, memory care services, rehabilitation and therapy, long term care, respite care, hospice care, and behavioral programs. 24-hour skilled nursing care within a structure that creates a cozy, homey environment for socialization and leisure. As part of their skilled nursing services, Coronado Nursing and Rehabilitation Center also provides rehabilitative care such as physical, occupational, and speech therapy. They also offer IV therapy, and a specialized wound management program
Residents and patients alike of Coronado Nursing and Rehabilitation are also provided access to a number of amenities that are provided to help them achieve a quick recovery. Such amenities include food service, assistance with daily living activities, and housekeeping and laundry services.
Overview of Coryell County Memorial Hospital Authority
Operated by owner Kara Cox, Coryell County Memorial Hospital Authority is a nursing facility in Gatesville, Texas, with 70 beds. The home serves residents who need skilled nursing care and rehabilitation. Most stay an average of approximately 415 days, including short-term post-acute patients and those requiring longer-term care. The facility’s occupancy rate is 95%.
Cardiac rehabilitation, orthopedic care, pain management, and dialysis are available on site. The facility also provides diagnostic imaging and wound care services. Residents who need oncology or infectious disease management can access coordinated clinical support. These services support the facility’s focus on complex medical care and rehabilitation needs.
Total nurse staffing averages 4 hours and 33 minutes per resident each day. Registered nurses provide 13 minutes of daily care, while nurse aides contribute approximately 2 hours of direct support. Supporting residents with daily care needs and medication management, the staffing team provides hands-on assistance throughout the facility.
The facility’s location on West Main Street has a Walk Score of 59. Some errands can be reached while walking, but other trips require driving. In this setting, family members can visit and conveniently spend time in the community.
Recent state inspections have shown a pattern of maintaining standards with minimal deficiency citations. No Life Safety Code violations or enforcement actions have been recorded.
Located at 7400 Clarewood Drive in Houston, Clarewood House Assisted Living is a community owned by Edward Ashbaugh and operated by Clarewood House, Inc. The area has a Walk Score of 50, so some errands can be managed on foot. However, most trips require a short drive.
The 70-bed facility’s occupancy rate is 60%. Residents stay an average of 206 days, including intermediate and longer-term placements. Medicaid, Medicare, and private pay are accepted, giving families several options for covering care.
Total nurse staffing averages 5 hours and 2 minutes per resident each day. Registered nurses provide an average of 39 minutes of care daily. Nurse aides contribute 3 hours and 13 minutes per resident. The community also has an on-site licensed dietitian and social work support, while a 24-hour courtesy officer is available around the clock. This staffing structure provides ongoing access to professional oversight and hands-on assistance.
Amenities include a fitness center, wellness classes, and spiritual enrichment activities. There’s a restaurant-style dining room and room service available for those who prefer to eat privately. The campus also has a garden setting, a library with computer access, a multi-purpose room, and a party room used for family gatherings.
Scheduled transportation is available for grocery shopping and appointments. Hospice services are available on-site for residents nearing the end of life. Pet therapy is offered, and through guest accommodations, visiting family members can extend their stays when needed. A beauty and barber shop is also available.
Residents can participate in associations and volunteer committees regarding community matters. State inspections reviewed care practices and documentation systems. Families touring Clarewood House should ask how it maintains quality standards and how it addresses inspection findings.
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 269 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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