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Why trust this guide?
Our editorial team analyzed 285 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Video Tour: Top-rated Nursing Homes facilities in Texas.
Watch this Video to see Texas's Top-rated Senior Communities
Avg Overall CMS Rating:2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.1/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
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.
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: each nursing home is ranked against every TX nursing home we track that reports that metric, not just the 285 on this page. See how we rank facilities
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.
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.
Windsor Atrium provides nursing home, home care, hospice care, respite care, and skilled nursing in Harlingen, TX. Nursing home and skilled nursing services provide daily support and licensed nursing care, while home care assists a person in their own residence. Hospice care provides end of life support, and respite care offers a short stay when a usual caregiver needs time to travel or recover. The range of services suits families seeking short term caregiver relief or ongoing nursing support.
Windsor Atrium has 120 beds, with private rooms and suites. Medicaid, Medicare, and private pay are accepted. Medicaid can help when a family’s savings may not cover a long stay, Medicare can cover short term skilled care after a hospital stay, and private pay means the family pays directly for care.
Total nurse staffing is 3 hours and 11 minutes per resident per day. This represents the total hands on nursing time available to each resident across a day. Timothy G Beall serves as the administrator.
A premier senior living facility in Dallas, Signature Pointe is one of the most trusted retirement communities. Signature Pointe strives to provide personalized care uniquely designed for individuals specific needs. Management and staff have exceedingly done wonderful work in providing care for residents independent living, assisted living, memory care, skilled nursing, and rehabilitation. Signature Pointe prides itself on training employees and having licensed professionals that residents feel comfortable receiving care from them.
Outside the services of staff and professionals, resident satisfaction is also found by the fantastic amenities housed in the community such as their spacious common areas, outdoor courtyards, salon, scheduled transportation, and planned activities– to name a few. Residents of different ages– with a gender breakdown favoring the women more with seventy-five percent, and twenty-five percent with men– all get equal care in terms of prioritizing each resident to cultivate a vibrant retirement lifestyle centered on their well-being. Signature Pointe is dedicated to providing the best senior living community in Dallas which many have garnered great satisfaction from their services.
Overview of Pleasant Valley Healthcare Rehabilitation Center
Situated in Garland, Texas, the Pleasant Valley Healthcare Rehabilitation Center exhibits senior care excellence with its state-of-the-art services. Renowned for providing exceptional care, the center adopts a safe, comfortable, and therapeutic approach to senior living. Encouraging residents to lead active lives, there is always a vibrant community atmosphere with engaging activities. The facility specializes in skilled nursing, offering both short-term rehabilitation and long-term care services, ensuring a comprehensive range of programs tailored to meet the individual needs of each resident.
Moreover, they welcome individuals seeking respite care, reflecting the center’s commitment to flexibility and outstanding service. Residents at the Pleasant Valley Healthcare Rehabilitation Center can also anticipate not only excellent care but also a rich variety of activities and excursions, creating a dynamic and fulfilling living experience. This center stands as a testament to its dedication to enhancing the overall well-being of its residents through personalized and engaging healthcare services.
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.
EdenHill Communities offers independent living, assisted living, and memory care with additional options such as skilled nursing and rehabilitation. For over 100 years, the life plan community has gained the trust of many families over the years, as proven by their excellent and dignified service. This faith-based and non-profit community is dedicated to enriching the lives of seniors to continue living purposeful lives while growing as individuals. EdenHill is a place where residents can thrive, where their needs are being satisfied, and where goals are being achieved.
EdenHill’s Communities is spread over their beautiful 27-acre campus which creates a home-like atmosphere for seniors to feel a sense of belonging. The team at EdenHill proudly provides a list of helpful amenities and services that encourage a wonderful social life– a private dining room for family gatherings, restaurant-style dining, bingo activities, fitness activities, and other special events or celebrations for all residents to take part in. Management allows visitations and overnight stays for the families of residents.
Located in Austin, TX, Brookdale Westlake Hills is a senior living community, offering independent living and assisted living options, along with comprehensive medical services such as short-term and long-term care, ensuring peace of mind for residents at every stage. Surrounded by landscaped grounds, residents can relax by the outdoor pool or stroll along beautiful walking paths, all within minutes of Austin’s top shopping, dining, and cultural attractions. Known for its lively music scene and cultural diversity, Austin provides an enriching backdrop for residents to explore local galleries, museums, and culinary delights.
Brookdale Westlake Hills is committed to creating a luxurious yet comfortable environment that feels just right. The community offers spacious accommodations and inviting common areas that encourage relaxation and social engagement. With a focus on personalized dining experiences featuring healthy, delicious meals and special community events like festive holiday buffets, residents enjoy culinary delights that cater to their preferences. The jam-packed calendar of activities includes everything from shopping excursions and cooking classes to card games and fitness sessions, ensuring there’s always something exciting to participate in and opportunities to foster holistic well-being.
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.
Overview of Southpark Meadows Nursing and Rehabilitation Center
Peacefully set in the serene area of Austin, TX, Southpark Meadows Nursing and Rehabilitation Center provides a healing and nurturing setting for those recovering from a hospitalization or facing an illness. The community ensures residents’ complex needs are met with 24/7 skilled nursing care and access to physical, speech, and occupational therapy services. To avoid rehospitalization, the community also provides residents home health care services in the comfort of their homes, helping them regain and maintain their independence.
To ensure residents maintain an active and fulfilling lifestyle, the community organizes an array of enriching activities for residents to engage in. Residents can also take advantage of the community’s amenities, such as a beauty salon, outdoor courtyard, and more for an enjoyable living experience. At Southpark Meadows Nursing and Rehabilitation Center, they make sure residents have all the care and services they need to maintain their overall well-being without worries.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Texas
What's the difference between assisted living and a nursing home in Texas?
Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Texas Medicaid cover nursing home care?
Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 285 nursing homes in Texas. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Texas?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Texas, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Texas?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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