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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.
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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 TableNH (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.
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.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative 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.
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 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.8M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
52.2%*Fiscal year ending 03/2022These 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: 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
On the Far West Side of San Antonio, Texas, Silver Creek Nursing and Rehab runs a nursing home and skilled nursing care. Licensed nursing staff stay on the floor at every hour, so residents admitted on a Saturday get the same coverage as those admitted during the work week.
Medicare, Medicaid, and private pay are all accepted. Medicare handles short skilled weeks after a hospital stay rather than acting as a permanent address, and Medicaid becomes important once savings stop being able to cover the bill. Private pay means the family is directly paying for services.
The home holds 120 beds. Daniella Suarez is the administrator. Nursing time comes to 2 hours and 52 minutes per resident across a day, counted as the average for everyone rather than for any specific individual.
Overview of James L. West Center for Dementia Care
Ideally located in Fort Worth, TX, James L. West Center for Dementia Care provides a safe retreat for those dealing with the challenges of memory loss. Through their personalized memory care program, the community aims to help residents live their lives fully and comfortably despite their condition. A team of highly trained and experienced caregivers is always available to care for residents and ensure their care plans align with their needs.
As a non-profit community, James L. West Center for Dementia Care guarantees comprehensive care services focused solely on residents’ welfare. Residents here are also encouraged to freely participate in a wide array of enriching activities tailored to their interests and skills. With a strong commitment to loving care and an exceptional care team, the community ensures its residents live a fulfilling life.
The Park in Plano, situated in Plano, TX, is a distinguished nursing home offering comprehensive healthcare services. Specializing in skilled nursing and rehabilitation, this community provides patient-centered care with a focus on nursing restorative programs. Residents benefit from a range of healthcare services, including wound care, diabetes management, medication management, and assistance with daily activities as needed. The Park in Plano is committed to ensuring the well-being and comfort of its residents through personalized care and professional services.
In addition to its healthcare focus, The Park in Plano offers a variety of amenities to enhance residents’ daily lives. Nutritious meals, housekeeping, sanitation, and laundry services contribute to a comfortable living environment. The community also provides transportation services for outside appointments, ensuring residents have access to essential healthcare resources. Engaging in a diverse array of social, physically, and mentally stimulating activities, residents at The Park in Plano can enjoy a fulfilling and vibrant lifestyle, fostering a sense of community and well-rounded care.
Overview of Mission Valley Nursing and Transitional Care
Go on a healing journey with the outstanding senior living community of Mission Valley Nursing and Transitional Care located in the serene neighborhood of North Laurent Street, Victoria, TX, that offers skilled nursing, therapy services, rehabilitation, hospice services, and home health services. The community respects seniors’ privacy and boundaries, featuring cozy and purposely designed private and semi-private rooms to optimize comfort and security. With a team of kind and specially trained professionals, seniors let go of their worries and create meaningful moments.
Meet new friends and amuse yourself with fun recreational activities and enjoyable programs. Utilize the community’s incredible amenities and pamper yourself to lighten your mood. Mission Valley Nursing and Transitional Care strives to provide a haven for seniors to optimize their independence while receiving the utmost attention for their ever-changing needs.
Overview of Legend Oaks Healthcare & Rehabilitation
In Garland, Texas, Legend Oaks Healthcare & Rehabilitation boasts an exceptional team of senior care professionals, offering a cutting-edge approach to senior living. Tailoring their programs to meet the diverse needs of seniors, this dedicated team delivers services of the highest caliber. Their therapy programs are not only comprehensive but also customizable, benefiting from the expertise of experienced physical, occupational, and speech therapists. The therapy gym, equipped with state-of-the-art facilities, reflects the commitment to providing top-notch rehabilitation services.
Beyond the therapeutic aspect, Legend Oaks Healthcare & Rehabilitation also embraces the importance of outdoor spaces, fostering a daily dose of fresh air and engaging recreational activities. The community exudes warmth, creating a soothing environment that enhances the overall well-being of its residents. With a focus on nursing home facilities, the center ensures a holistic and enriching experience for seniors, emphasizing personalized care and modern amenities.
Legend West Rehab keeps one thing in mind when providing its service: enhancing the lives of its residents. Management and staff approach their service with the understanding that their residents need a sense of healing– both on the physical and emotional levels. The staff ensures residents are inspired to grow as better individuals through their enhanced lifestyle in a vibrant and positive environment. Legend West Rehab is committed to ensuring that residents are comfortable and secure in the community. Services at Legend West Rehab is a short-term rehabilitation community where its services revolve around improving the quality of life for residents; found through their list of activities and programs that help residents maintain an active lifestyle. Some community amenities include lounge areas, recreational rooms, a fitness center, in-house therapy, housekeeping, and laundry services.
Located in Corpus Christi, TX, is Alameda Oaks Nursing Center, a facility that offers excellent skilled nursing and rehabilitation services to its residents. This skilled nursing facility provides its residents quality skilled nursing care 24/7, as well as medication management and administration assistance, wound care, and assistance with daily living activities.
Additionally as part of both their nursing and rehabilitation services, they provide fall prevention programs, and social services. During the residents’ stay at Alameda Oaks, they also receive meal provisions through their dining program, aimed to provide residents with proper nutrition, as well as therapy services like physical, occupational, and speech as needed.
Overview of University Park Nursing & Rehabilitation
University Park Nursing & Rehabilitation is a long-term nursing home and rehabilitation facility located in Wichita Falls, TX. This nursing home also provides respite care services, and hospice care. Part of their long-term nursing program includes 24/7 care and supervision, medication management, diabetes management, and assistance with daily activities.
Their long-term nursing residents are also provided nutritional services, to ensure that their dietary needs are met, as well as beauty and barber services as part of their regular grooming routine. Laundry and housekeeping services are also provided in the facility to ensure the residents’ environment are sanitized and safe. Other medical services such as podiatry and optometry are also offered, as well as physical, occupational, and speech therapy.
Overview of River Ridge Nursing and Rehabilitation
Managed by Touchstone Strategies Corpus, LLC, River Ridge Nursing and Rehabilitation is a skilled nursing home in the Calallen neighborhood of Corpus Christi, Texas. West Wharton County Hospital District owns the community, and Gilbert Martinez serves as the administrator. The 120-bed community has been serving residents for 31 years. It currently has an occupancy rate of about 57%.
Families can choose from Medicare, Medicaid, and private pay to cover short-term rehabilitation and long-term nursing care. Nursing staff provides an average of about 3 hours and 6 minutes of care per resident daily, with support from registered nurses, nurse aides, and licensed vocational nurses.
State inspections conducted by the Texas Health and Human Services Commission have reviewed care planning, clinical records, staff response, resident safety, medication management, and infection control. There were no repeated areas of concern on the inspection records.
The car-dependent area has a Walk Score of 31, so most errands and appointments require driving. Families visiting from other parts of Corpus Christi can easily access it by car. Families considering River Ridge Nursing and Rehabilitation should ask about current staffing levels during different shifts because staffing can change over time even when overall averages are the same.
Overview of Brodie Ranch Nursing and Rehabilitation Center
Brodie Ranch Nursing and Rehabilitation Center is an esteemed community in Austin, TX, that offers skilled nursing, short-term rehabilitation, and long-term care. Here, residents receive top-notch care and assistance tailored to their needs and preferences around the clock to ensure comfort and safety. With a compassionate and highly trained team, the community promotes a vibrant and welcoming environment for residents to feel a sense of belonging.
There’s always something fun to do with a carefully curated calendar of fun activities and engaging events tailored to residents’ leisure and wellness. Utilizing a traditional and innovative approach, residents can rest assured of meeting their needs and preferences. Make the most out of your best years, with the community’s comprehensive care and state-of-the-art amenities.
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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