Page 13 of Best Nursing Homes in Texas

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
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We analyzed These are the facilities in Texas our team has analyzed — not a count of every nursing home provider in Texas.
281 homes
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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 Table 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.
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.
The Pavilion at Creekwood ★ ★ ☆ ☆ ☆
NH
HOS
MC
RC
SNF
Mansfield (Monticello)
126
Facility 126
TX AVG 107
Rank #72 / 258
B-
55.6%
Facility 55.6%
TX AVG 71.6%
Rank #147 / 174
-22%
3.10
Facility 3.10
TX AVG 3.49
Rank #161 / 234
★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +23%-11%
$39.7k
Facility $39.7k
TX AVG $66.1k
Rank #161 / 237
25
Facility 25
TX AVG 27.7
Rank #123 / 234
2.5
Facility 2.5
TX AVG 3.6
Rank #58 / 234
470-
34
Facility 34
TX AVG 44
Rank #191 / 278
Mansfield Long Term Care, LLC
$11.3MFiscal year ending 05/2024
Facility $11.3MFiscal year ending 05/2024
TX AVG $9.4M
Rank #45 / 218
$4.9MFiscal year ending 05/2024
Facility $4.9MFiscal year ending 05/2024
TX AVG $5.4M
Rank #108 / 218
43.2%Fiscal year ending 05/2024
Facility 43.2%Fiscal year ending 05/2024
TX AVG 71.6%
Rank #174 / 199
676388
Wesley Woods Rehabilitation and Healthcare ★ ★ ☆ ☆ ☆
NH
MC
RC
SNF
Waco (West Waco)
120
Facility 120
TX AVG 107
Rank #96 / 258
C-
72.5%
Facility 72.5%
TX AVG 71.6%
Rank #91 / 174
+1%
3.90
Facility 3.90
TX AVG 3.49
Rank #63 / 234
★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ -31%+12%
$55.9k
Facility $55.9k
TX AVG $66.1k
Rank #180 / 237
26
Facility 26
TX AVG 27.7
Rank #137 / 234
2.0
Facility 2.0
TX AVG 3.6
Rank #23 / 234
387A+
39
Facility 39
TX AVG 44
Rank #164 / 278
-
$10.6MFiscal year ending 08/2024
Facility $10.6MFiscal year ending 08/2024
TX AVG $9.4M
Rank #55 / 218
$5.3MFiscal year ending 08/2024
Facility $5.3MFiscal year ending 08/2024
TX AVG $5.4M
Rank #87 / 218
50.2%Fiscal year ending 08/2024
Facility 50.2%Fiscal year ending 08/2024
TX AVG 71.6%
Rank #149 / 199
676211
Quality Care of Waco ★ ☆ ☆ ☆ ☆
NH
Waco (Dean Highland)
162
Facility 162
TX AVG 107
Rank #22 / 258
B-
39.9%
Facility 39.9%
TX AVG 71.6%
Rank #167 / 174
-44%
3.45
Facility 3.45
TX AVG 3.49
Rank #101 / 234
★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ +18%-1%
$149.0k
Facility $149.0k
TX AVG $66.1k
Rank #218 / 237
18
Facility 18
TX AVG 27.7
Rank #43 / 234
3.0
Facility 3.0
TX AVG 3.6
Rank #89 / 234
365-
29
Facility 29
TX AVG 44
Rank #208 / 278
Waco Opco LLC
$3.5MFiscal year ending 07/2024
Facility $3.5MFiscal year ending 07/2024
TX AVG $9.4M
Rank #207 / 218
$2.8MFiscal year ending 07/2024
Facility $2.8MFiscal year ending 07/2024
TX AVG $5.4M
Rank #184 / 218
81.1%Fiscal year ending 07/2024
Facility 81.1%Fiscal year ending 07/2024
TX AVG 71.6%
Rank #28 / 199
455478
Fortress Nursing and Rehabilitation ★ ★ ☆ ☆ ☆
NH
SNF
College Station (Southwood Forest)
120
Facility 120
TX AVG 107
Rank #96 / 258
A
57.3%
Facility 57.3%
TX AVG 71.6%
Rank #144 / 174
-20%
3.10
Facility 3.10
TX AVG 3.49
Rank #161 / 234
★ ★ ★ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -16%-11%
$17.0k
Facility $17.0k
TX AVG $66.1k
Rank #110 / 237
19
Facility 19
TX AVG 27.7
Rank #82 / 234
2.1
Facility 2.1
TX AVG 3.6
Rank #33 / 234
469-
32
Facility 32
TX AVG 44
Rank #200 / 278
-
$5.4MFiscal year ending 12/2023
Facility $5.4MFiscal year ending 12/2023
TX AVG $9.4M
Rank #187 / 218
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
TX AVG $5.4M
Rank #154 / 218
70%Fiscal year ending 12/2023
Facility 70%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #50 / 199
455589
Landmark of Plano ★ ★ ☆ ☆ ☆
NH
SNF
Plano
160
Facility 160
TX AVG 107
Rank #23 / 258
B+
47.1%
Facility 47.1%
TX AVG 71.6%
Rank #158 / 174
-34%
3.70
Facility 3.70
TX AVG 3.49
Rank #72 / 234
★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ +15%+6%
$9.2k
Facility $9.2k
TX AVG $66.1k
Rank #79 / 237
42
Facility 42
TX AVG 27.7
Rank #203 / 234
3.0
Facility 3.0
TX AVG 3.6
Rank #89 / 234
175-
60
Facility 60
TX AVG 44
Rank #62 / 278
Landmark Of Plano Rehabilitation And Nursing Center LLC
$4.2MFiscal year ending 08/2024
Facility $4.2MFiscal year ending 08/2024
TX AVG $9.4M
Rank #201 / 218
$3.1MFiscal year ending 08/2024
Facility $3.1MFiscal year ending 08/2024
TX AVG $5.4M
Rank #181 / 218
73.9%Fiscal year ending 08/2024
Facility 73.9%Fiscal year ending 08/2024
TX AVG 71.6%
Rank #37 / 199
455861
Nexion Midwestern Healthcare Center ★ ★ ★ ☆ ☆
NH
SNF
Wichita Falls
121
Facility 121
TX AVG 107
Rank #93 / 258
?
62.4%
Facility 62.4%
TX AVG 71.6%
Rank #129 / 174
-13%
3.99
Facility 3.99
TX AVG 3.49
Rank #57 / 234
★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -10%+14%
$29.9k
Facility $29.9k
TX AVG $66.1k
Rank #143 / 237
23
Facility 23
TX AVG 27.7
Rank #113 / 234
3.8
Facility 3.8
TX AVG 3.6
Rank #173 / 234
376-
6
Facility 6
TX AVG 44
Rank #270 / 278
Decatur Hospital Authority
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
TX AVG $9.4M
Rank #177 / 218
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
TX AVG $5.4M
Rank #156 / 218
62%Fiscal year ending 12/2023
Facility 62%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #81 / 199
675128
North Houston Transitional Care ★ ★ ★ ☆ ☆
NH
SNF
Houston
34
Facility 34
TX AVG 107
Rank #244 / 258
?--
3.37
Facility 3.37
TX AVG 3.49
Rank #101 / 234
★ ★ ★ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ -61%-3%
$11.5k
Facility $11.5k
TX AVG $66.1k
Rank #84 / 237
8
Facility 8
TX AVG 27.7
Rank #13 / 234
1.6
Facility 1.6
TX AVG 3.6
Rank #7 / 234
266-
41
Facility 41
TX AVG 44
Rank #157 / 278
Websteridence Opco, LLC
$11.6MFiscal year ending 12/2023
Facility $11.6MFiscal year ending 12/2023
TX AVG $9.4M
Rank #43 / 218
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
TX AVG $5.4M
Rank #73 / 218
48.3%Fiscal year ending 12/2023
Facility 48.3%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #161 / 199
676434
The Heights of North Houston ★ ★ ☆ ☆ ☆
NH
MC
RC
Houston
131
Facility 131
TX AVG 107
Rank #62 / 258
C
71.8%
Facility 71.8%
TX AVG 71.6%
Rank #94 / 174
0%
3.39
Facility 3.39
TX AVG 3.49
Rank #101 / 234
★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +22%-3%
$31.5k
Facility $31.5k
TX AVG $66.1k
Rank #147 / 237
26
Facility 26
TX AVG 27.7
Rank #130 / 234
3.7
Facility 3.7
TX AVG 3.6
Rank #192 / 234
394-
53
Facility 53
TX AVG 44
Rank #90 / 278
Liberty County Hospital District No 1
$8.7MFiscal year ending 09/2023
Facility $8.7MFiscal year ending 09/2023
TX AVG $9.4M
Rank #103 / 218
$3.7MFiscal year ending 09/2023
Facility $3.7MFiscal year ending 09/2023
TX AVG $5.4M
Rank #159 / 218
42.5%Fiscal year ending 09/2023
Facility 42.5%Fiscal year ending 09/2023
TX AVG 71.6%
Rank #178 / 199
676356
The Collinwood Care Center ★ ★ ☆ ☆ ☆
NH
PC
SNF
Plano
120
Facility 120
TX AVG 107
Rank #96 / 258
C-
48.7%
Facility 48.7%
TX AVG 71.6%
Rank #156 / 174
-32%
3.44
Facility 3.44
TX AVG 3.49
Rank #101 / 234
★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -22%-1%
$52.0k
Facility $52.0k
TX AVG $66.1k
Rank #176 / 237
24
Facility 24
TX AVG 27.7
Rank #123 / 234
3.0
Facility 3.0
TX AVG 3.6
Rank #89 / 234
358A+
55
Facility 55
TX AVG 44
Rank #80 / 278
Dsj Healthcare Inc$7.7M*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.$3.6M*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.46.9%*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.675453
West Oaks Nursing and Rehabilitation Center ★ ★ ☆ ☆ ☆
NH
MC
SNF
Austin (Cherry Creek)
125
Facility 125
TX AVG 107
Rank #75 / 258
C-
85.2%
Facility 85.2%
TX AVG 71.6%
Rank #41 / 174
+19%
3.13
Facility 3.13
TX AVG 3.49
Rank #161 / 234
★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +53%-10%
$39.5k
Facility $39.5k
TX AVG $66.1k
Rank #160 / 237
31
Facility 31
TX AVG 27.7
Rank #174 / 234
3.1
Facility 3.1
TX AVG 3.6
Rank #79 / 234
5107-
35
Facility 35
TX AVG 44
Rank #186 / 278
Hamilton County Hospital District
$10.1MFiscal year ending 09/2023
Facility $10.1MFiscal year ending 09/2023
TX AVG $9.4M
Rank #66 / 218
$5.1MFiscal year ending 09/2023
Facility $5.1MFiscal year ending 09/2023
TX AVG $5.4M
Rank #95 / 218
50.8%Fiscal year ending 09/2023
Facility 50.8%Fiscal year ending 09/2023
TX AVG 71.6%
Rank #146 / 199
676095

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

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Overview of The Pavilion at Creekwood

The Pavilion at Creekwood boasts an advanced care plan leading to a speedy recovery. The skilled nursing and rehabilitation home aims to enhance the quality of life for its residents by ensuring that seniors can satisfy their holistic wellness. The resident-centered community has a warm and welcoming atmosphere that many seniors have praised because it helps them feel comfortable and have a sense of belonging.
The Pavilion uplifts the standard of senior recovery with its services delivered by a dedicated team of caregivers who strive to meet and follow a resident’s individualized care plan for a complete healing period. Areas of expertise include wound care, pain management, palliative care, cardiac rehabilitation, and physical, occupational, and speech therapy.

Contact The Pavilion at Creekwood

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.

Contact Wesley Woods Rehabilitation and Healthcare

Overview of Quality Care of Waco

Quality Care of Waco is a nursing home in Waco, Texas. Nursing home care combines nursing support with help with daily activities in a residential setting, making this community a potential fit for someone who needs ongoing nursing care and daily assistance.

The home has 162 beds, which is its total resident capacity. Total nurse staffing is 3 hours and 27 minutes per resident each day, representing the daily hands-on nursing time allocated to each resident. Families can use Medicare, Medicaid, or private pay to cover care.

Contact Quality Care of Waco

Overview of Fortress Nursing and Rehabilitation

Fortress Nursing and Rehabilitation is a well-recognized nursing home in College Station, TX, offering skilled nursing and rehabilitation. Promoting a supportive and welcoming environment, the community ensures older adults can feel at home during their stay. Well-balanced meals, therapy services, and transportation are just some of the excellent services provided to enrich residents’ living experiences. The community also strives to meet residents’ unique needs and preferences through individualized care plans.

Religious services and recreational activities help improve residents’ moods and encourage them to stay active. With clean amenities and cozy communal lounges, residents can rest and move around comfortably. St. Joseph Health College Station Hospital, parks, and a variety of dining options are also available in the area, providing residents with convenient access to their needs and leisure. Providing comprehensive care options, this nursing home is one of the leading options for senior living in Texas.

Contact Fortress Nursing and Rehabilitation

Overview of Landmark of Plano

Landmark of Plano, located in Plano, TX, is a facility that offers skilled nursing and rehabilitation services to its residents. For residents in need of skilled nursing care, the team of professional and licensed staff provides 24/7 skilled nursing, early to late-stage dementia care, on-going dementia and behavioral education, as well as physical, occupational, and speech therapy.  Additionally they are accepting both Medicare and Medicaid payments, as well as most major HMO and insurances.

As part of the services provided, their residents are also given delicious menus that feature a balanced diet, and prepared under the guidance of a registered dietician. Residents are also encouraged to take advantage of the other amenities provided during their stay such as the basic cable tv service, on site podiatry, dental, and audiology services, and the secure patio for relaxation.

Contact Landmark of Plano

Overview of Nexion Midwestern Healthcare Center

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.

Contact Nexion Midwestern Healthcare Center

Overview of North Houston Transitional Care

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.

Contact North Houston Transitional Care

Overview of The Heights of North Houston

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.

Contact The Heights of North Houston

Overview of The Collinwood Care Center

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.

Contact The Collinwood Care Center

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.

Contact West Oaks Nursing and Rehabilitation Center

Ranking Methodology

How we rank these nursing homes

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.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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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.

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