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Page 13 of Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 266 nursing homes in Texas using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Reviewed by
Last updated
Jul 2026
We analyzed
266 homes
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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.
National Average: 3.0/ 5

Compare Nursing Homes around Texas

The information below is reported by the Texas Health and Human Services Commission.

CMS & TX Dept. of Health data

Meadow Lake Senior Living – Tyler
NH
AL
IL
MC
RC
SNF
Tyler
20
Facility 20
TX AVG 80
Rank #792 / 976
--
4.30
Facility 4.30
TX AVG 3.63
Rank #54 / 273
+156%+18%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
4
Facility 4
TX AVG 25.9
Rank #2 / 274
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 274
-27A+
33
Facility 33
TX AVG 41
Rank #882 / 1389
Robbin Bell
$9.8MFiscal year ending 12/2023
Facility $9.8MFiscal year ending 12/2023
TX AVG $8.4M
Rank #131 / 280
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
TX AVG $3.5M
Rank #116 / 280
51.5%Fiscal year ending 12/2023
Facility 51.5%Fiscal year ending 12/2023
TX AVG 47%
Rank #106 / 280
676286
The Legacy at Willow Bend
NH
AL
HC
HOS
IL
MC
SNF
Plano
60
Facility 60
TX AVG 80
Rank #572 / 976
93.7%
Facility 93.7%
TX AVG 67.5
Rank #14 / 200
+39%
5.73
Facility 5.73
TX AVG 3.63
Rank #8 / 273
+54%+58%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
17
Facility 17
TX AVG 25.9
Rank #84 / 274
5.7
Facility 5.7
TX AVG 3.7
Rank #262 / 274
-56A+
45
Facility 45
TX AVG 41
Rank #626 / 1389
The Legacy Willow Bend, Inc
$22.1MFiscal year ending 09/2023
Facility $22.1MFiscal year ending 09/2023
TX AVG $8.4M
Rank #17 / 280
$13.7MFiscal year ending 09/2023
Facility $13.7MFiscal year ending 09/2023
TX AVG $3.5M
Rank #14 / 280
61.9%Fiscal year ending 09/2023
Facility 61.9%Fiscal year ending 09/2023
TX AVG 47%
Rank #147 / 280
676189
The Legacy Midtown Park
NH
AL
HOS
IL
MC
SNF
Dallas (Vickery Meadow)
98
Facility 98
TX AVG 80
Rank #370 / 976
--
5.42
Facility 5.42
TX AVG 3.63
Rank #13 / 273
+1%+49%
$27.5k
Facility $27.5k
TX AVG $81.8k
Rank #157 / 278
4
Facility 4
TX AVG 25.9
Rank #2 / 274
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 274
-48-
45
Facility 45
TX AVG 41
Rank #626 / 1389
The Legacy Midtown Park Inc
$16.1MFiscal year ending 09/2023
Facility $16.1MFiscal year ending 09/2023
TX AVG $8.4M
Rank #11 / 280
$15.0MFiscal year ending 09/2023
Facility $15.0MFiscal year ending 09/2023
TX AVG $3.5M
Rank #11 / 280
93%Fiscal year ending 09/2023
Facility 93%Fiscal year ending 09/2023
TX AVG 47%
Rank #194 / 280
676489
Sun Valley Rehabilitation and Healthcare Center
NH
HOS
MC
RC
SNF
Harlingen (Estrellita Subdivision)
124
Facility 124
TX AVG 80
Rank #174 / 976
75.6%
Facility 75.6%
TX AVG 67.5
Rank #82 / 200
+12%
3.79
Facility 3.79
TX AVG 3.63
Rank #87 / 273
-15%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
5
Facility 5
TX AVG 25.9
Rank #6 / 274
2.5
Facility 2.5
TX AVG 3.7
Rank #60 / 274
-94-
37
Facility 37
TX AVG 41
Rank #806 / 1389
Av Rehab LLC
$9.2MFiscal year ending 03/2024
Facility $9.2MFiscal year ending 03/2024
TX AVG $8.4M
Rank #165 / 280
$4.9MFiscal year ending 03/2024
Facility $4.9MFiscal year ending 03/2024
TX AVG $3.5M
Rank #155 / 280
53.1%Fiscal year ending 03/2024
Facility 53.1%Fiscal year ending 03/2024
TX AVG 47%
Rank #121 / 280
676493
Baywind Village Skilled Nursing & Rehabilitation
NH
HOS
RC
SNF
League City
107
Facility 107
TX AVG 80
Rank #323 / 976
77.2%
Facility 77.2%
TX AVG 67.5
Rank #74 / 200
+14%
4.70
Facility 4.70
TX AVG 3.63
Rank #34 / 273
+31%+29%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
15
Facility 15
TX AVG 25.9
Rank #61 / 274
1.9
Facility 1.9
TX AVG 3.7
Rank #20 / 274
183A+
52
Facility 52
TX AVG 41
Rank #455 / 1389
Village Skilled Nursing & Rehab Care LLC
$12.6MFiscal year ending 12/2023
Facility $12.6MFiscal year ending 12/2023
TX AVG $8.4M
Rank #95 / 280
$7.8MFiscal year ending 12/2023
Facility $7.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #42 / 280
61.9%Fiscal year ending 12/2023
Facility 61.9%Fiscal year ending 12/2023
TX AVG 47%
Rank #30 / 280
675323
Vogel Center Assisted Living With Memory Support
NH
AL
IL
MC
SNF
Midland (Trinity Towers Manor)
44
Facility 44
TX AVG 80
Rank #714 / 976
91.6%
Facility 91.6%
TX AVG 67.5
Rank #23 / 200
+36%
5.19
Facility 5.19
TX AVG 3.63
Rank #16 / 273
-22%+43%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
10
Facility 10
TX AVG 25.9
Rank #23 / 274
3.3
Facility 3.3
TX AVG 3.7
Rank #143 / 274
-40-
47
Facility 47
TX AVG 41
Rank #585 / 1389
Manor Park, Inc
$2.8MFiscal year ending 05/2024
Facility $2.8MFiscal year ending 05/2024
TX AVG $8.4M
Rank #8 / 280
$14.3MFiscal year ending 05/2024
Facility $14.3MFiscal year ending 05/2024
TX AVG $3.5M
Rank #12 / 280
513.4%Fiscal year ending 05/2024
Facility 513.4%Fiscal year ending 05/2024
TX AVG 47%
Rank #209 / 280
676015
Parkwood Assisted Living
NH
AL
IL
MC
Bedford
84
Facility 84
TX AVG 80
Rank #457 / 976
--
4.87
Facility 4.87
TX AVG 3.63
Rank #21 / 273
-36%+34%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
15
Facility 15
TX AVG 25.9
Rank #61 / 274
3.8
Facility 3.8
TX AVG 3.7
Rank #190 / 274
-103-
34
Facility 34
TX AVG 41
Rank #863 / 1389
Lcs Phc Operator Mm LLC
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
TX AVG $8.4M
Rank #143 / 280
$5.8MFiscal year ending 12/2023
Facility $5.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #91 / 280
70.3%Fiscal year ending 12/2023
Facility 70.3%Fiscal year ending 12/2023
TX AVG 47%
Rank #55 / 280
675565
Windsor Nursing and Rehabilitation Center of Corpus Christi
NH
AL
MC
SNF
Corpus Christi (Central City)
120
Facility 120
TX AVG 80
Rank #205 / 976
92.2%
Facility 92.2%
TX AVG 67.5
Rank #18 / 200
+37%
2.98
Facility 2.98
TX AVG 3.63
Rank #237 / 273
-31%-18%
$12.2k
Facility $12.2k
TX AVG $81.8k
Rank #92 / 278
13
Facility 13
TX AVG 25.9
Rank #44 / 274
1.9
Facility 1.9
TX AVG 3.7
Rank #20 / 274
-111-
69
Facility 69
TX AVG 41
Rank #150 / 1389
Regency Ihs Of Windsor Corpus Christi LLC
$8.2MFiscal year ending 09/2023
Facility $8.2MFiscal year ending 09/2023
TX AVG $8.4M
Rank #170 / 280
$4.6MFiscal year ending 09/2023
Facility $4.6MFiscal year ending 09/2023
TX AVG $3.5M
Rank #133 / 280
55.7%Fiscal year ending 09/2023
Facility 55.7%Fiscal year ending 09/2023
TX AVG 47%
Rank #80 / 280
676321
Texhoma Christian Care Center for Alzheimer‘s and Dementia
NH
IL
MC
RC
SNF
Wichita Falls
234
Facility 234
TX AVG 80
Rank #6 / 976
65.5%
Facility 65.5%
TX AVG 67.5
Rank #119 / 200
-3%
4.57
Facility 4.57
TX AVG 3.63
Rank #42 / 273
-36%+26%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
12
Facility 12
TX AVG 25.9
Rank #35 / 274
3.0
Facility 3.0
TX AVG 3.7
Rank #112 / 274
-153-
8
Facility 8
TX AVG 41
Rank #1257 / 1389
Texhoma Christian Care Center Inc
$16.4MFiscal year ending 02/2024
Facility $16.4MFiscal year ending 02/2024
TX AVG $8.4M
Rank #90 / 280
$10.3MFiscal year ending 02/2024
Facility $10.3MFiscal year ending 02/2024
TX AVG $3.5M
Rank #21 / 280
63.1%Fiscal year ending 02/2024
Facility 63.1%Fiscal year ending 02/2024
TX AVG 47%
Rank #6 / 280
455965
Park Manor of CyFair
NH
SNF
Houston (White Oak Bend)
120
Facility 120
TX AVG 80
Rank #205 / 976
89.2%
Facility 89.2%
TX AVG 67.5
Rank #35 / 200
+32%
3.27
Facility 3.27
TX AVG 3.63
Rank #181 / 273
+82%-10%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
7
Facility 7
TX AVG 25.9
Rank #12 / 274
2.3
Facility 2.3
TX AVG 3.7
Rank #44 / 274
-107-
55
Facility 55
TX AVG 41
Rank #385 / 1389
Hmg Park Manor Of Cyfair, L.l.c
$9.7MFiscal year ending 08/2024
Facility $9.7MFiscal year ending 08/2024
TX AVG $8.4M
Rank #142 / 280
$4.4MFiscal year ending 08/2024
Facility $4.4MFiscal year ending 08/2024
TX AVG $3.5M
Rank #143 / 280
45.1%Fiscal year ending 08/2024
Facility 45.1%Fiscal year ending 08/2024
TX AVG 47%
Rank #141 / 280
675818
Windsor Nursing and Rehabilitation Center of Harlingen
NH
MC
RC
SNF
Harlingen
154
Facility 154
TX AVG 80
Rank #60 / 976
79.7%
Facility 79.7%
TX AVG 67.5
Rank #63 / 200
+18%
2.99
Facility 2.99
TX AVG 3.63
Rank #237 / 273
-14%-18%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
12
Facility 12
TX AVG 25.9
Rank #35 / 274
3.0
Facility 3.0
TX AVG 3.7
Rank #112 / 274
-123-
44
Facility 44
TX AVG 41
Rank #645 / 1389
Regency Ihs Of Harlingen Manor LLC
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
TX AVG $8.4M
Rank #122 / 280
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
TX AVG $3.5M
Rank #114 / 280
43.6%Fiscal year ending 12/2023
Facility 43.6%Fiscal year ending 12/2023
TX AVG 47%
Rank #121 / 280
455822
Presbyterian Village North
NH
AL
IL
MC
RC
SNF
Dallas (Lake Highlands)
88
Facility 88
TX AVG 80
Rank #433 / 976
78.4%
Facility 78.4%
TX AVG 67.5
Rank #69 / 200
+16%
4.80
Facility 4.80
TX AVG 3.63
Rank #25 / 273
+20%+32%
$36.5k
Facility $36.5k
TX AVG $81.8k
Rank #177 / 278
18
Facility 18
TX AVG 25.9
Rank #94 / 274
2.3
Facility 2.3
TX AVG 3.7
Rank #44 / 274
269-
61
Facility 61
TX AVG 41
Rank #267 / 1389
Dustin Allen
$11.4MFiscal year ending 12/2023
Facility $11.4MFiscal year ending 12/2023
TX AVG $8.4M
Rank #5 / 280
$20.1MFiscal year ending 12/2023
Facility $20.1MFiscal year ending 12/2023
TX AVG $3.5M
Rank #4 / 280
176.3%Fiscal year ending 12/2023
Facility 176.3%Fiscal year ending 12/2023
TX AVG 47%
Rank #207 / 280
676135
Caraday of Houston
NH
MC
RC
Houston (Northside / Northline)
150
Facility 150
TX AVG 80
Rank #63 / 976
--
3.76
Facility 3.76
TX AVG 3.63
Rank #87 / 273
-32%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
15
Facility 15
TX AVG 25.9
Rank #61 / 274
3.8
Facility 3.8
TX AVG 3.7
Rank #190 / 274
-12-
41
Facility 41
TX AVG 41
Rank #707 / 1389
E&R Cunningham Investments, LP
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
TX AVG $8.4M
Rank #278 / 280
$1.8MFiscal year ending 12/2023
Facility $1.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #275 / 280
66.5%Fiscal year ending 12/2023
Facility 66.5%Fiscal year ending 12/2023
TX AVG 47%
Rank #96 / 280
676470
Houston Transitional Care
NH
HOS
MC
PC
RC
SNF
Houston (Braeburn)
70
Facility 70
TX AVG 80
Rank #507 / 976
96.0%
Facility 96.0%
TX AVG 67.5
Rank #4 / 200
+42%
3.17
Facility 3.17
TX AVG 3.63
Rank #209 / 273
+22%-13%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
16
Facility 16
TX AVG 25.9
Rank #69 / 274
5.3
Facility 5.3
TX AVG 3.7
Rank #254 / 274
-67-
75
Facility 75
TX AVG 41
Rank #67 / 1389
Ahmad El-Saadi
$12.3MFiscal year ending 12/2023
Facility $12.3MFiscal year ending 12/2023
TX AVG $8.4M
Rank #32 / 280
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
TX AVG $3.5M
Rank #129 / 280
41.4%Fiscal year ending 12/2023
Facility 41.4%Fiscal year ending 12/2023
TX AVG 47%
Rank #275 / 280
676435
Saint Francis Nursing Home
NH
AL
IL
San Antonio (Midtown)
116
Facility 116
TX AVG 80
Rank #270 / 976
--
3.93
Facility 3.93
TX AVG 3.63
Rank #75 / 273
-+8%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
---92-
71
Facility 71
TX AVG 41
Rank #124 / 1389
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Nursing Home Explorer
Overview of Lake Village Nursing & Rehabilitation Center

Lake Village Nursing and Rehabilitation Center is a senior living community providing long-term skilled nursing services, respite care, and skilled rehabilitation. Located in Lewisville, TX, this long-term care facility is committed to provide the best care for their residents, creating individualized care plans from admission to discharge. As part of their services, their residents receive 24/7 nursing assistance, medication management, and assistance with daily living activities.

Lake Village Nursing and Rehabilitation Center also offers customizable therapy programs to care for their full-time, in-house therapy team. In addition, they also offer wound care, electrical stimulation, pulmonary programs, and speech-language therapy services.

Contact Lake Village Nursing & Rehabilitation Center

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.

Contact Winters Park Nursing and Rehabilitation Center

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 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

Overview of Sienna Nursing and Rehabilitation Odessa

Sienna Nursing and Rehabilitation Odessa is the home for residents who seek to relax and recover. Specializing in short-term rehabilitation and long-term care, the resident-focused community provides professional and compassionate service for its residents. The nursing facility cultivates the holistic needs of its residents in a home-like setting.

Sienna’s services are multidisciplinary for both skilled nursing and rehabilitation– focusing on post-surgical care, on-site therapy (physical, occupational, speech), strength conditioning, wound care, stroke recovery, surgery recovery, and diabetes management. Essential services include medication management, respite stays, ADLs, and specialized meal plans.

Contact Sienna Nursing and Rehabilitation Odessa

Overview of Jeffrey Place Healthcare Center

Jeffrey Place Healthcare Center, situated in Waco, Texas, is a senior nursing home with stellar reviews. The dedicated staff ensures a homey atmosphere with private and semi-private accommodations, prioritizing resident comfort over a hospital-like setting. The facility, boasting 106 units, goes beyond standard care, offering a cozy ambiance that distinguishes it from the typical nursing home.

Residents at Jeffrey Place Healthcare Center experience a welcoming environment with a focus on planned activities, fostering a sense of community and engagement. The facility excels not only in long-term care but also in providing skilled nursing services. By prioritizing individualized attention and creating a comfortable setting, Jeffrey Place Healthcare Center is redefining expectations for senior living and skilled nursing homes.

Contact Jeffrey Place Healthcare Center

Overview of Park Manor McKinney

Park Manor McKinney, located in McKinney TX, is a skilled nursing and rehabilitation facility that offers skilled nursing and rehabilitations services, as well as respite care. They provide their patients and residents with personalized care plans, prepared with the help of family members and medical experts, in order to meet the residents’ skilled nursing or rehabilitation needs. Some of the services in the personalized care plan may include physical, occupational, and speech therapy, wound care, and pulmonology among others.

They also offer their integrated cognitive program where they assess the residents’ cognitive functioning, to gain knowledge for setting up the care they need; from 24/7 skilled nursing, to meal provisions, and assistance with daily living activities.

Contact Park Manor McKinney

Overview of Mid Valley Nursing & Rehabilitation

Discover exceptional care and support with Mid Valley Nursing & Rehabilitation located in the beautiful place of Mercedes, TX, offering short-term care, post-hospital recovery, skilled nursing, long-term care, rehabilitation therapy, and dementia support or respite care services. Here, residents can choose from large and well-appointed private accommodations ranging from large private and semi-private rooms. Having a competent and dedicated team, the community provides personalized care plans catering to the immediate needs and concerns of its residents.

Offering top-of-the-line amenities and services, residents can avail of selective meal options in a private family dining room, electric beds, internet services, flat-screen televisions with satellite in every room, and transportation services. Explore its beautifully created spaces such as the outdoor courtyard, gazebo, and covered patios. With Mid Valley Nursing & Rehabilitation, seniors are assured of a best-in-class treatment.

Contact Mid Valley Nursing & Rehabilitation

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 Highland Park Rehabilitation & Nursing Center

Highland Park Rehabilitation & Nursing Center, located at 8861 Fulton Street in the Northside/Northline area of Houston, is a 120-bed facility operated by Winnie-Stowell Hospital District under the administration of Johnnie Richardson. Situated 6.7 miles from downtown in a moderately walkable neighborhood (Walk Score: 61), the community opened in 2014 and serves a predominantly Medicaid population (80.2% current census). Admission patterns are more balanced, at 30% Medicare, 37% private pay, and 32% Medicaid, with an average stay of 167 days reflecting a long-term care orientation.

The facility carries a 2-star CMS overall rating (33.6% below state average).

Its 1-star staffing rating stems from critical RN scarcity: 10 minutes per resident daily, 62% below state average. Conversely, certified nursing aide coverage runs 2 hours 25 minutes per day, 20% above state. This RN-aide imbalance, with minimal physician-level oversight and high aide presence, characterizes the care model.

Health inspection earns 2-star (65.4% below state), while quality measures paradoxically rate 4-star (26.6% above state).

June 2025 identified immediate jeopardy for resident #67, whose weight dropped unmonitored from 171 to 146.2 pounds (14.5% loss), and resident #43, denied ordered oxygen and nebulizer treatments despite declining oxygen saturation from 90 to 80. Earlier inspections substantiated Stage 4 pressure ulcer mismanagement for resident #16 (repeated across multiple surveys), medication error rates of 18% and 8% (versus 5% standard), shower and ADL failures, PASARR coordination lapses, and PEG tube care errors. February 2023 documented 18% medication errors including wrong strengths and crushed enteric-coated medications.

A $62K federal fine was imposed June 2025; no payment denials occurred.

Walking ability declined in 30.7% of long-stay residents (89% worse than state), and short-stay re-hospitalization reached 28.6% (10% worse than state).

Financial performance strengthened markedly, with occupancy recovering to 66.6% and profit margin at 18.7%. Payroll represents 41.9% of revenue, below the 51-63% range typical of well-resourced facilities.

The facility predominantly serves long-term Medicaid residents with mixed acuity. Recent immediate jeopardy findings for nutrition and respiratory care, combined with pressure ulcer management deficiencies and historically high medication error rates, indicate elevated clinical supervision risk.

Contact Highland Park Rehabilitation & Nursing 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.

  • 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 266 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.