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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 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.
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.
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.
$7.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
43.2%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$6.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
55.5%*Fiscal year ending 12/2022These 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
North Houston Transitional Care is a nursing home in Houston, Texas, providing nursing care and skilled nursing. Skilled nursing includes licensed nursing care on site around the clock, making the home suitable for residents who need ongoing clinical support.
The home has 34 beds. Its smaller size may suit someone who prefers a setting where staff and residents can get to know each other. Private rooms provide each resident with a single personal living space. Total nurse staffing is 3 hours and 22 minutes per resident per day, representing the daily nursing time available for each resident, while the 82% occupancy rate means not every bed is occupied at the same time.
North Houston Transitional Care accepts Medicaid, Medicare, and private pay. Medicaid may help families whose savings may not cover a long stay. Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay means paying directly. Ahmad K Elsaadi serves as administrator, and Websteridence Opco operates the community.
Located in the neighborhood of Fredericksburg, TX, Knopp Healthcare & Rehab is a dependable senior care provider, offering skilled nursing care, hospice care, and palliative care. Residents here are guaranteed a comfortable recovery environment with access to an extensive array of services and therapies to ensure they are able to maintain or regain their strength, mobility, and functionality. A dependable and compassionate care team is always available to attend to residents’ needs and emergencies, giving them utmost comfort and peace of mind.
Committed to creating a vibrant environment that fosters both healing and enrichment, the community also offers a wide array of activities that are designed to give countless opportunities for interactions, entertainment, and stimulation. The community also features an array of partnerships with third-party organizations for entertainment and access to more care services, ensuring residents are provided with the services for their ever-changing needs without moving into another community.
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.
Sugar Land Health Care Center is a nursing home in Sugarland, TX, offering memory care, hospice care, rehabilitation, and skilled nursing. With its compassionate and supportive setting, the community ensures older adults are well-cared for. Gourmet meals, daily housekeeping, and transportation services are also provided to enrich residents’ living experiences. Residents also receive the utmost attention and care tailored to their unique needs and preferences through a customized care approach.
Light exercises and fun events encourage residents to live actively and gain meaningful experiences. Top-notch rehabilitation equipment and lively gathering areas are also available for residents’ recovery and relaxation. Set near Imperial Park and shops in Sugarland, the community ensures residents have easy access to their necessities and leisure. This nursing home continuously provides exceptional care for older adults’ welfare, making it one of the best options for senior living in Texas.
The Brightpointe is a nursing home in Conroe, TX, offering cardiac care, rehabilitation, and skilled nursing. Featuring private and semi-private rooms in a nurturing and welcoming environment, the community ensures older adults can feel at ease during their stay. Chef-prepared meals, 24-hour care, and comprehensive therapy programs are among the excellent services provided to enrich residents’ living experiences. Alongside a high caregiver-to-resident ratio, personalized care plans are also provided to help residents recover and return to their routines with ease.
Light exercises, social gatherings, and a variety of recreational programs help residents stay active and gain meaningful experiences. Two outdoor courtyards, a therapy gym, and spacious dining areas also ensure residents can interact with friends and rest comfortably. Set near the HCA Houston Healthcare Conroe and bus stops in the quiet residential area of Conroe, the community ensures residents have a convenient lifestyle. This nursing home has exceptional standards of care and state-of-the-art amenities, making it a great choice for senior living in Texas.
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.
Overview of Harlingen Nursing and Rehabilitation Center
Discover an exceptional living experience with the Harlingen Nursing and Rehabilitation Center located in Harlingen, TX, providing skilled nursing and clinical services, therapy services and rehabilitation, hospice services, and home health services. Here, well-appointed and comfortable accommodations with different floor plans are available for its residents. With an expert and dedicated team, residents can receive care and comfort for quality of life during their stay.
The community is committed to providing its residents with the healthiest life possible. Moreover, with its top-tier amenities and services, residents can enjoy the following: delightful and healthy meals, wifi and cable services, a beauty salon, and transportation services. Visit its beautiful and lovely common spaces such as the courtyard and meet new companions along the way. At the Harlingen Nursing and Rehabilitation Center, seniors are guaranteed a blissful and secure living experience.
Overview of Village Creek Wellness and Rehabilitation
Enjoy your golden years with Village Creek Wellness and Rehabilitation, a dependable community set in the harmonious neighborhood of Village Creek Road, Fort Worth, TX, that specializes in nursing care. With different levels of care for residents’ unique needs, the community provides the highest quality of care and support around the clock from a compassionate and well-trained team. Here, residents receive the care they need while retaining their independence.
The community also offers various services including pharmacy, laboratory, social services, and psychological services, ensuring residents are well-cared for. Enjoy healthy and delicious meals for a satisfactory dining experience that caters to dietary needs and preferences. Transportation services, dialysis, and scheduled care are also provided for residents’ comfort and convenience. The community is perfect for those who need additional support to live their golden years comfortably.
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.
Wedgewood Nursing Home provides nursing home, nursing care, skilled nursing, memory care, hospice care, palliative care, and respite care in Fort Worth, TX. Skilled nursing includes licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for someone at risk of wandering. Hospice and palliative care focus on comfort for residents with serious or end of life needs. Respite care offers a short stay when a family caregiver needs to travel or recover.
The community has 128 beds and allows pets, so residents may be able to keep a pet with them. Total nurse staffing is 3 hours and 54 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. Payment options include Medicaid, Medicare, and private pay. Medicaid may help when savings do not cover a long stay, Medicare can cover short term skilled care after a hospital stay, and private pay means paying directly. Amy D Skiles serves as the administrator, and the range of care may suit someone living with dementia who needs a secured, supervised setting.
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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