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Why trust this guide?
Our editorial team analyzed 281 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.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
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.
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.
$5.4M*Fiscal year ending 11/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$11.2M*Fiscal year ending 11/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
206.1%*Fiscal year ending 11/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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 281 on this page. See how we rank facilities
Owned by Maci Alexander, Jeffrey Place Healthcare Center is a skilled nursing home in Waco, Texas. The community offers skilled nursing, long-term nursing care, hospice care, palliative care, and memory care, giving families several care options in one location. Families can choose from Medicare, Medicaid, and private pay to cover both short-term and long-term care.
The community is certified for 95 beds and currently has an occupancy rate of about 68.6%. Residents stay an average of about 302 days, showing that the home mainly serves people who need long-term care rather than short rehabilitation stays. Nursing staff provide an average of about 3 hours and 47 minutes of care per resident daily. Residents get support from registered nurses, licensed practical nurses, and nurse aides.
Residents can join in an active resident council that meets regularly to discuss community policies, quality of care, and activities. Residents and families can share their opinions and stay involved in how the community is run.
The area has a Walk Score of 72. Family members and caregivers can easily visit and run errands here. Families considering Jeffrey Place Healthcare Center should ask which care programs, including memory care, hospice care, and palliative care, are available for their loved one’s specific needs.
The Buckingham offers nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Houston’s Mid West neighborhood. Assisted living includes help with dressing, bathing, and medication while a resident keeps a private living space. Independent living provides private living with community services but no daily care.
Memory care is provided in a secured setting with supervision. Respite care offers a short stay when a family caregiver needs to travel or recover, while skilled nursing provides licensed nursing care on site around the clock. The range of care types may suit a resident whose needs grow over time because different care levels are available within the same community.
The community has 130 beds, with one-bedroom, two-bedroom, and three-bedroom housing options. Medicare and private pay are accepted. Buckingham Senior Living Community operates the community, and Elise Green serves as administrator.
Total nurse staffing is 5 hours and 56 minutes per resident per day, representing the daily nursing time assigned to each resident. A Walk Score of 56 makes the area somewhat walkable, so some errands can be done on foot, and a resident who no longer drives may be able to reach nearby destinations independently.
Overview of Christian Care Communities and Services – Mesquite
Christian Care Communities & Services – Mesquite is a faith-based, non-profit provider nestled in the heart of the Dallas/Fort Worth Metroplex. Their Life Plan Community offers a comprehensive spectrum of services tailored to seniors’ diverse needs, encompassing Independent Living, Assisted Living, Memory Care, Skilled Nursing and Rehab, and Hospice Services, creating an environment conducive to resident well-being and growth. The community’s ethos of compassionate care resonates through testimonials from residents and family members, echoing gratitude for the exceptional wellness programs and heartfelt appreciation for the attentive care provided. Christian Care Communities & Services stands dedicated to enriching the lives of the individuals they serve.
Christian Care Nursing & Rehabilitation provides comprehensive services for those needing post-hospitalization or extended care. Their fully licensed facility, sanctioned by the State of Texas, houses 140 beds in private and semi-private rooms. Since 1973, they have continued to serve seniors, specializing in rehabilitation services catering to post-surgical, cardiac, orthopedic, and neurological needs.
Overview of Hacienda Oaks Nursing & Rehabilitation Center
Hacienda Oaks Nursing & Rehabilitation Center is a nursing home and skilled nursing community in Beeville, TX that also provides hospice care. Skilled nursing provides licensed nursing care on site around the clock, while hospice care supports residents receiving end of life care.
The nursing home offers long term care, while short term rehabilitation provides a temporary stay focused on recovery after an illness, injury or medical procedure. The community has 95 beds, and its total nurse staffing is 3h 54m per resident per day, representing the amount of nursing time assigned to each resident across a day.
Rehabilitation services, pain management, dental care, dialysis and podiatry services are available through the facility’s programs. Residents can therefore access support for recovery as well as specific health needs without those services being limited to nursing care alone.
Medicare, Medicaid and private pay are accepted. Medicare may cover short term skilled care after a hospital stay, Medicaid can help eligible residents pay for longer term care, and private pay allows a resident or family to pay directly.
Hacienda Oaks Nursing & Rehabilitation Center may be a good fit for someone who needs either a temporary rehabilitation stay or ongoing nursing support, with hospice care available when end of life services are needed.
Seven kinds of care attach to Parkwood Assisted Living in Bedford, TX. They are assisted living, memory care, nursing home care, skilled nursing, hospice care, palliative care, and respite care. Assisted living’s help goes to dressing, bathing, and medication. Memory care takes the resident whose wandering has become a risk, into a secured setting with supervision.
Both nursing designations are clinical ones, which is why the state ties a license to who may deliver that care. Hospice and palliative care work on comfort and symptom control for a serious or end-of-life illness. What respite care answers is a gap, the days a household’s usual caregiver spends away or unwell.
What a range this wide buys is that the next stage is already here when it arrives. The bill can be met by Medicaid, by Medicare, or by the family itself.
Nursing time per resident settles at 4 hours and 39 minutes each day across 84 beds. The area rates 34 on Walk Score, so it’s car-dependent. Pets are allowed, and LCS-PHC LLC operates the community.
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.
Set in the serene residential area of North Ware Road, McAllen, TX, is the astounding senior living community of Village Healthcare and Rehabilitation offering skilled nursing and in-house therapy. The community features a wide range of care options including physical, occupational, and speech therapy, to ensure seniors’ needs and aspirations are well-attended. Moreover, residents let go of their worries with a team of reliable and highly skilled professionals supporting them in every step of the way.
Maintain an active and well-engaged lifestyle with a jam-packed calendar of well-thought-of activities that highlight residents’ interests and strengths. With a holistic approach to care, the community strives to enhance seniors’ quality of life. Village Healthcare and Rehabilitation fosters a peaceful and friendly environment for seniors to feel a sense of belonging within its premises.
Mirador Retirement Community is a non-profit senior living community in Nueces County, Corpus Christi, TX, offering vibrant independent living experience. Enjoy a precious time alone in comfortably designed accommodations in variations of one-bedroom and two-bedroom floor plans. Residents can look forward to 24/7 assistance response and the convenience of housekeeping, dry cleaning, maintenance, and transportation services.
Dedicated to providing residents with plenty of meaningful experiences and opportunities to socialize and learn new things, the community provides a full-time lifestyle director that carefully curates community activities, events, and programs. Residents can freely participate in the activity of their choosing, including fitness classes, lectures, bible studies, musical performances, or outdoor gardening. With most of the chores handled, residents have a lot of free time to spend on their enjoyment and well-being, enabling them to live a more full and meaningful life.
Six care types are available at The Plaza at Edgemere Health Care in Dallas, TX. They run from independent living through assisted living and memory care to nursing home care and skilled nursing, and respite care rounds out the set.
Living independently here means a private life supported by community services, with daily care left to other levels. An apartment is what an assisted living resident has, plus help with bathing, getting dressed, and medicines. Licensed nurses staff the skilled nursing and nursing home levels at every hour.
Memory care adds security and supervision for residents who might wander. For respite, the typical case is a family whose usual caregiver has travel or a recovery ahead. With this many levels together, a resident can move up a level as needs grow, without relocating.
The building has 129 beds, and a resident’s nursing time is 4 hours and 35 minutes a day. The location is somewhat walkable, 58 by Walk Score’s count, so a non-driving resident can walk to a few nearby errands.
Medicare covers care that qualifies, and private pay is how a family pays directly. The operator is Bay 9 Holdings LLC.
Overview of Coryell County Memorial Hospital Authority
Coryell County Memorial Hospital Authority offers nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Gatesville, Texas. Nursing home and skilled nursing residents have residential support with licensed nursing care on site around the clock. Assisted living helps with dressing, bathing, medication, and other daily tasks while the resident keeps an apartment.
Independent living provides private living with community services and no daily care. Memory care offers a secured setting with supervision for someone at risk of wandering. Respite care is a short stay for a family whose usual caregiver needs to travel or recover. The range of care levels can suit a resident whose needs grow over time without requiring a move to a different community.
The community has 70 beds and is operated by Coryell Memorial Hospital Authority. Total nurse staffing is 4 hours and 45 minutes per resident each day, representing the total daily hands on nurse time available per resident. A Walk Score of 59 out of 100 places the area in the somewhat walkable band, so some errands can be done on foot and a resident who no longer drives may still complete some errands independently. Rehabilitation services and short term rehabilitation are available for a temporary stay focused on recovery rather than ongoing residence.
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Nursing Homes in Texas at a glance
Avg Overall CMS Rating:2.7/ 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:1.9/ 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
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