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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.
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
Nexion Midwestern Healthcare Center is a facility in Wichita Falls, TX, that offers long-term care and skilled nursing services, as well as rehabilitation services. Dedicated to providing quality skilled nursing, their long term residents are provided round-the-clock nursing care, medication management, and assistance with daily activities, as well as coordination with other health care providers for special medical treatments.
Their spacious private apartments are pet friendly with some restrictions, and are available for short-term residency. Throughout the month, activities are regularly scheduled aimed to provide engagement opportunities as well as entertainment.
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.
There are eight care types at EdenHill Communities in New Braunfels, TX. The first four are independent living, assisted living, memory care, and skilled nursing. Nursing home care, hospice care, respite care, and the continuing care retirement community designation account for the rest.
In independent living, a resident has private quarters, and the use of community services and daily care stays off the schedule. Assisted living is where dressing, bathing, and medication get staff attention. Memory care stays secured, and its staff supervises anyone whose dementia now makes wandering a risk. Skilled nursing means licensed nurses on duty at every hour.
Hospice care attends to a resident’s last stage of life. Respite is the booked stay that covers a caregiver’s absence. Because every level is on the one campus, growing needs mean new rooms, not a new community, the draw for anyone planning.
On-site recovery after an illness or injury runs through rehabilitation services, Short-Term Rehab among them. The 64 beds are in the Landa Park Estates neighborhood, and the starting price is $2,928 a month, a figure a family can budget for.
Medicare, Medicaid, and private pay are the accepted routes. Each resident’s daily nursing averages 4 h 8 m. For exercise, there is a swimming pool, plus fitness center access, and personal care has a salon and spa of its own.
A chapel and religious services are on site for worship, and residents may bring their pets. Eden Home, Inc. runs the community, and its business start date goes back to 1910.
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Starting Price $2,928/MonthPricing updated on October 7th, 2026
Get back to living and loving the lifestyle you want with The Heights of North Houston, an excellent community in Houston, TX designed to offer an array of recovery services. With access to short-term care, long-term care, skilled nursing, and memory support, residents here are bound to enjoy a well-cared-for life. The community also provides a team of kind and caring caregivers committed to helping everyone live their lives to the fullest.
Recognizing the importance of staying active in a well-lived life, the community regularly organizes an array of activities and events for residents to enjoy. They also prepare healthy and delicious meals daily to provide the nourishment residents need. With its caring atmosphere and comfortable environment, The Heights of North Houston ensures everyone experiences a great improvement in their quality of life.
Wurzbach Nursing and Rehabilitation offers nursing home, memory care, respite care, and skilled nursing in San Antonio’s Northwest Side neighborhood. Nursing home care supports residents who need ongoing nursing supervision in a residential setting, while skilled nursing provides licensed nursing care on site around the clock. Memory care provides a secured setting with supervision for someone at risk of wandering. Respite care is a short stay that may suit a family caregiver who needs to travel or recover.
The home has 140 beds, with 3 hours and 29 minutes of nurse staffing per resident each day. This represents the daily hands on nursing time allocated to each resident. Payment options include Medicaid, Medicare, and private pay: Medicaid may help when savings do not cover a long stay, Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay means the family pays directly. A Walk Score of 75 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. Jose Ruiz serves as the administrator.
Ideally located in the harmonious neighborhood of Plano, TX, The Collinwood Care Center is a trusted community that specializes in rehabilitation and skilled nursing. Here, residents enjoy the highest quality of life with a compassionate and well-trained team attending to their needs 24/7. With the community helping with their daily living activities, residents are guaranteed a worry-free lifestyle.
Aside from their healthcare needs, the community conducts a variety of enriching activities and stimulating programs, including pet therapy and a music program to ensure residents’ holistic wellness. With dietitian-approved meals, residents enjoy the delightful and healthy meals that cater to their dietary needs and preferences. Therapy services, fall prevention, palliative care, and wound care are also provided to enhance residents’ living experiences. The community is ideal for those who need supplementary care to live their golden years without worries.
Overview of West Oaks Nursing and Rehabilitation Center
West Oaks Nursing and Rehabilitation Center is a leading community in Austin, TX, offering skilled nursing services and rehabilitation to residents recovering from hospitalization or living with an illness. Their kind and talented care team creates a comprehensive care and treatment plan to ensure residents receive the appropriate services to quickly recover their overall functioning and get back on their feet. Here, they make sure residents are treated with loving care and respect while receiving round-the-clock care and assistance with their daily living activities and medical needs.
Those living with the challenges of memory conditions can also relax and live full lives in the community with access to the Integrated Cognitive Program which incorporates residents’ daily routine in their care plans. Residents’ calendars are also packed with enriching activities that help them stay active, connected, and engaged. At West Oaks Nursing and Rehabilitation Center, they make sure residents are well-equipped to maintain their well-being and continue doing the things they enjoy.
Renaissance Park Multi Care Center is a nursing home and skilled nursing community in Fort Worth, Texas. Skilled nursing provides licensed nursing care on site around the clock, so it can suit a resident who needs ongoing clinical support rather than only help with daily activities.
The home has 120 beds. Total nurse staffing is 3 hours and 32 minutes per resident each day, representing the daily hands-on nurse staffing time allocated per resident. Medicaid, Medicare and private pay are accepted, giving families payment routes for covered or privately funded care. Yvonne Yegon serves as the administrator.
Overview of Wesley Woods Rehabilitation and Healthcare
Wesley Woods Rehabilitation and Healthcare in Waco, Texas, is a leading provider of senior long-term care and rehabilitation services. With an Alzheimer’s unit accommodating up to 150 residents, the facility ensures a secure and supportive community environment. Beyond its comprehensive care offerings, Wesley Woods boasts an on-site dialysis clinic and a myriad of engaging activities tailored to residents’ needs.
The facility takes pride in delivering personalized care, accepting various payment options, including Medicare, Medicaid, private insurance, and private pay resources. Wesley Woods understands the importance of connectivity in today’s world, providing wireless Internet services. The exceptional nursing services offered contribute to the overall excellence of this facility, making it a standout choice for those seeking quality senior living and comprehensive care.
Overview of Heritage Gardens Rehabilitation & Healthcare
Heritage Gardens Rehabilitation and Healthcare is a well-regarded nursing home in Carrollton, TX, offering skilled nursing and rehabilitation. Committed to older adults’ comfort and healing, the community continuously promotes a warm and nurturing environment. High-quality services, including 24-hour care, therapy services, and well-balanced meals, are also provided to improve residents’ quality of life. With personalized care plans anchored to its holistic approach to care, the community strives to meet residents’ unique needs and preferences.
Arts and crafts, church services, and trips are among the many activities that aim to keep residents happy and active. Beautiful outdoor spaces and well-lit amenities are also provided, so residents can lounge and interact with the community comfortably. Set in the peaceful residential area of Carrollton, the community guarantees a stress-free retirement. As one of the trusted options for senior living in Texas, this nursing home continuously provides exceptional care to help older adults thrive in retirement.
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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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