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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.
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 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.
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
Overview of Pleasant Valley Healthcare Rehabilitation Center
Pleasant Valley Healthcare Rehabilitation Center is a nursing home and skilled nursing community in Garland, TX. Skilled nursing provides licensed nursing care on site, while the nursing home offers long term care for residents who need ongoing support. The community also provides short term rehabilitation through in house therapy, which can suit someone recovering from an illness or injury or a resident who needs continuing nursing care.
There are 124 beds. Residents receiving rehabilitation can work with therapy professionals within the community instead of arranging those services outside the facility. A doctor is also on staff, allowing residents to receive physician care on site. Total nurse staffing is 3 hours and 32 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. Medicaid, Medicare, and private pay are accepted. Medicaid may help families whose savings do not cover a long stay, while Medicare generally applies to short term skilled care after a hospital stay rather than long term residence. Zachary Gehring serves as the administrator.
Overview of Legend Oaks Healthcare and Rehabilitation Center
Legend Oaks Healthcare and Rehabilitation in Northern Houston keeps one thing in mind when providing their service: enhancing the lives of their residents. Management and staff approach their service with the understanding that their residents need a sense of healing– both on the physical and emotional level. The staff ensures residents are inspired to grow as better individuals through their enhanced lifestyle in a vibrant and positive environment. Families can trust that their loved ones are in good hands because residents are given the fullest attention they need all round-the-clock. Legend Oaks Healthcare and Rehabilitation is committed to ensuring that residents are comfortable and secure in the community.
Services at the Legend Oaks 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, fitness center, in-house therapy, housekeeping and laundry services.
Overview of North Park Health and Rehabilitation Center
North Park Health and Rehabilitation Center is a healthcare facility located in McKinney, TX, offering skilled nursing and rehabilitation services. Their long-term and short-term care options are highly personalized in order to provide the residents with the best care possible. This include 24/7 skilled nursing, diabetes management, assistance with daily living activities, and medication management and administration among others.
Part of the services they also offer include dentistry, podiatry, optometry, and wound care and pain management. At North Park Health and Rehabilitation Center, residents can focus on recuperating and getting back on their feet, as staff already takes care of meal preparations and services, laundry and housekeeping, and transportation services for transferring or getting to third-party care providers, or back home.
Located in Lubbock, TX, Carillon Senior Living exemplifies a commitment to exceptional independent living, and assisted living services for its residents. The community offers a variety of living options, from one-to-three bedroom apartments to cottage-style units. Each residence is thoughtfully designed with a private toilet and bath, a comfortable living area, and a convenient kitchenette. Carillon ensures a carefree lifestyle with amenities such as a flexible dining program, interior and exterior maintenance, and twice-monthly housekeeping services. Carillon Senior Living prioritizes holistic well-being by providing a comprehensive array of amenities and programs. Residents can engage in exercise classes, including Tai Chi, cardio, balance, and stretching sessions, promoting physical health. Wellness programs addressing emotional, physical, and spiritual aspects contribute to a fulfilling lifestyle. The community’s extensive schedule of social and recreational activities, along with outings to Texas Tech sports, entertainment, and cultural events, ensures residents can actively participate in their interests and the broader community. With thoughtful features like 24-hour security, personal emergency pendants, and pet-friendly accommodations, Carillon Senior Living creates a supportive and vibrant environment for residents to thrive.
Prairie Estates provides nursing home, hospice care, palliative care, respite care, and skilled nursing in Frisco, TX. Nursing home care supports residents who need ongoing assistance and nursing oversight in a residential setting, while skilled nursing provides licensed nursing care on site around the clock. Prairie Estates may be a good fit for someone who needs ongoing nursing support, end-of-life comfort care, or a short respite stay.
Hospice care focuses on comfort and symptom management for someone nearing the end of life. Palliative care addresses symptoms and stress during serious illness, while respite care provides a short-term stay for a resident while a usual caregiver travels, recovers, or takes a break. There are 180 beds here, accommodating more residents and staff and usually supporting more programming than a smaller community.
Private and semi-private rooms offer either an individual room or a shared room. Total nurse staffing is 3h 33m per resident/day, representing the daily nursing time allocated to each resident. Medicaid, Medicare, and private pay are accepted: Medicaid can 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 uses personal funds. James S S Heath serves as administrator, and Prairie Estates is in the Meadow Creek neighborhood.
Seventy years is a long time for any nursing home to keep its doors open, and Holly Hall has managed it from the same address in Houston’s Astrodome Area: 2000 Holly Hall Street. Dana Short administers the place now. It’s nonprofit, 62 beds, laid out as a single-story cottage-style building with one- and two-bedroom units, currently running at 76% occupancy with 47 of those beds filled.
The neighborhood itself sits at a Walk Score of 56, moderately walkable, enough for some errands on foot without eliminating the need for a car entirely.
Here’s the number that actually tells you something about care quality: nearly 4 hours and 45 minutes of total nursing care per resident, per day, split across RNs, LPNs, and nurse aides. That’s a meaningful daily commitment, and it lines up with what Holly Hall is actually built for.
The average stay runs just 26 days, which points toward short-term, rehabilitation-focused care rather than long-term residency. Medicare covers 38% of admissions, mostly for rehab. Private pay accounts for 61%, and Medicaid rounds out the picture.
Regulatory attention here has centered on emergency preparedness and food service, the kind of routine categories inspectors look at across nursing homes broadly, not anything specific to this address.
What seventy years and a 4-hour-45-minute daily staffing commitment add up to is a nursing home built around short-stay, rehabilitation-focused care, backed by real nursing hours and broad payment access, in a long-standing Houston institution that’s outlasted most of its neighbors.
Overview of Alta Vista Rehabilitation and Healthcare
Nestled in the welcoming community of Brownsville, TX, Alta Vista Rehabilitation and Healthcare is an inviting senior living community that provides memory care, skilled nursing, short-term rehabilitation care, and long-term care services. With a highly equipped and empathetic team, residents can receive personalized care plans catering to their immediate interests and needs. In terms of memory care, the community provides the best care for those with cognitive conditions like Alzheimer’s disease and dementia through its advanced Integrated Cognitive Program.
Dedicated to providing exceptional services, residents can receive immediate care and support from its expert physical therapists, occupational therapists, speech therapists, and language pathologists. The Alta Vista Rehabilitation and Healthcare is ideal for seniors seeking for the utmost care and support.
Overview of Winters Park Nursing and Rehabilitation Center
Tucked in Garland, Texas, the Winters Park Nursing and Rehabilitation Center exudes a distinctive charm as a nursing home, offering both short-term rehabilitation programs and long-term care services. With a focus on individualized care, the center boasts a competent staff, including a medical director, physicians, and a remarkable team of healthcare experts. Families can rest assured that their loved ones are in capable hands, benefiting from the expertise of professionals who understand their roles and responsibilities.
The facility maintains a clean environment with a friendly staff dedicated to assisting seniors in regaining their independence and maximizing their functioning at the earliest convenience. Its competent staff, which includes a medical director, physicians, and a stellar team of healthcare experts, ensures that each resident receives a tailored care plan. With a commitment to cleanliness and a welcoming atmosphere, the facility is not only reliable but also supportive in helping seniors regain their independence swiftly. Families can place their trust in this center, confident that their loved ones are in the care of professionals dedicated to enhancing their overall well-being.
Overview of Cypress Creek Rehabilitation & Healthcare Center
Cypress Creek Rehabilitation & Healthcare is a well-regarded nursing home in Cypress, TX, offering comprehensive care options, including long-term care, skilled nursing, rehabilitation, hospice, and respite care. Featuring a park-like landscape, the community ensures older adults live a comfortable retirement. Well-balanced meals, 24-hour care, and transportation services are also provided to improve residents’ quality of life. The community also strives to understand residents’ ever-changing needs and habits to provide the best possible care.
Recreational programs and fitness exercises tailored to residents’ interests encourage them to stay active and have fun. A rehabilitation gym, a gazebo, and a courtyard are among the many amenities dedicated to residents’ leisure and wellness. Nestled in the quiet residential area of Cypress, the community ensures residents have a stress-free retirement. Providing high-quality services, this nursing home is one of the best choices for senior living in Texas.
Overview of Cityview Nursing and Rehabilitation Center
Conveniently located near Kindred Hospital Tarrant County- Forth Worth in Bryant Irvin Road, Fort Worth, TX, Cityview Nursing and Rehabilitation Center is an outstanding community that focuses on skilled care. The community offers different levels of care for those who need pulmonary care, stroke care, wound care, respiratory therapy, cardiac care, and respite care. With its cozy and specially designed accommodations in variations of private and semi-private room, residents have the freedom to choose the best accommodation according to their preferences.
Here, Medicaid, Medicare, Managed Care, and Private Pay are accepted to maximize residents’ resources for the highest quality of life in their later years. Therapy services including physical, speech, occupational, and outpatient are offered to enhance residents’ wellbeing. The community is a good choice for those who need supplementary care in their later years with its extensive care and purposely built amenities.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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 281 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
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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