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Why trust this guide?
Our editorial team analyzed 269 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 to lowest based on our ranking methodology.
Overview of Winters Park Nursing and Rehabilitation Center
Tucked in Garland, Texas, the Winters Park Nursing and Rehabilitation Center exudes a distinctive charm as a nursing home, offering both short-term rehabilitation programs and long-term care services. With a focus on individualized care, the center boasts a competent staff, including a medical director, physicians, and a remarkable team of healthcare experts. Families can rest assured that their loved ones are in capable hands, benefiting from the expertise of professionals who understand their roles and responsibilities.
The facility maintains a clean environment with a friendly staff dedicated to assisting seniors in regaining their independence and maximizing their functioning at the earliest convenience. Its competent staff, which includes a medical director, physicians, and a stellar team of healthcare experts, ensures that each resident receives a tailored care plan. With a commitment to cleanliness and a welcoming atmosphere, the facility is not only reliable but also supportive in helping seniors regain their independence swiftly. Families can place their trust in this center, confident that their loved ones are in the care of professionals dedicated to enhancing their overall well-being.
Overview of Legend Oaks Healthcare & Rehabilitation
In Garland, Texas, Legend Oaks Healthcare & Rehabilitation boasts an exceptional team of senior care professionals, offering a cutting-edge approach to senior living. Tailoring their programs to meet the diverse needs of seniors, this dedicated team delivers services of the highest caliber. Their therapy programs are not only comprehensive but also customizable, benefiting from the expertise of experienced physical, occupational, and speech therapists. The therapy gym, equipped with state-of-the-art facilities, reflects the commitment to providing top-notch rehabilitation services.
Beyond the therapeutic aspect, Legend Oaks Healthcare & Rehabilitation also embraces the importance of outdoor spaces, fostering a daily dose of fresh air and engaging recreational activities. The community exudes warmth, creating a soothing environment that enhances the overall well-being of its residents. With a focus on nursing home facilities, the center ensures a holistic and enriching experience for seniors, emphasizing personalized care and modern amenities.
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.
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.
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.
Overview of Highland Pines Nursing and Rehabilitation Center
Highland Pines Nursing and Rehabilitation Center, in the heart of Longview, Texas, is a haven for senior residents who are looking for compassionate care and dedicated rehabilitation services. Here, complex medical needs such as wound care, diabetes management, enteral feeding, and respiratory treatments are expertly addressed. Highland Pines prides itself on maintaining a high patient-to-therapist ratio, fostering a nurturing environment that celebrates progress. Notably, guests often experience remarkable recovery within three weeks, a testament to the center’s robust and intensive rehabilitation program. With a longstanding legacy, this esteemed center is deeply attuned to the evolving needs of its community, prioritizing safety and well-being throughout its facility.
Highland Pines offers its residents skilled nursing care around the clock. Whether individuals require short-term rehabilitation or long-term support, the committed team ensures each person receives personalized attention. More than just a facility, Highland Pines Nursing and Rehabilitation Center embodies a sense of family—a place where resilience meets, laughter, stories are shared, and hope flourishes. Situated in the heart of Texas, this community embraces its seniors wholeheartedly. The facility boasts state-of-the-art rehab gyms resonating with determination, where patients diligently work towards regaining their independence.
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.
Fifty-four years in operation and 179 beds on View Street in Fort Worth. Park View Care Center is one of those facilities that has been part of the local landscape long enough to have a real track record. It runs two programs in parallel: Skilled Nursing Short-Term Rehab for people moving through post-acute recovery, and Skilled Nursing Long-Term Care for residents who are staying. The 235-day average length of stay and 77% occupancy together suggest the long-term population carries significant weight here.
The nursing footprint is substantial. Total nursing care across all staff roles runs 4 hours 10 minutes per resident per day. Nurse aides handle 2 hours 23 minutes of that; LPNs and LVNs contribute another 54 minutes. Respite care and 24-hour staffing round out the service structure.
The amenity mix makes sense for a community hosting long-stay residents. Lounges, sunrooms, outdoor patios and gardens, a beauty salon and barber shop, scheduled transportation, and a full calendar of clubs, classes, and events give people somewhere to be and something to do. These aren’t short-stay amenities; they’re built for people who live here.
Walk Score is 28, so the location is car-dependent. State inspections have centered on infection prevention and control. Medicaid, Medicare, and private pay are all accepted.
Park View is built for the full spectrum of skilled nursing need: people recovering and people settled in for the long term, all under one roof with over five decades of institutional continuity behind it.
Wedgewood Nursing Home is a 128-bed skilled nursing community at 6621 Dan Danciger Rd in Fort Worth, Tarrant County, Texas, operating under private ownership by Michael Meisner and administered by Amy D Skiles. The facility has served the region for 53 years, accepting Medicare, Medicaid, and private-pay residents in a care model built primarily around long-term stays, with a reported average length of residence exceeding six months.
Regulatory oversight since 2022 has identified persistent deficiencies in multiple operational areas. Across 11 inspections, the facility documented 32 health citations; roughly double the state average annual rate, with substantiated failures in medication administration competency, clinical record documentation, infection control practices, admission procedures, and timely resident assistance. An Immediate Jeopardy finding in February 2024 involved a serious medication dosing error (corrected promptly by the facility). Federal penalties totaling $32,000 were issued in 2025.
Long-stay residents show better-than-average performance on functional decline measures, pressure ulcer prevention, hospital readmission rates, and infection indicators, running 26.6% above the Texas state benchmark.
The facility maintains staffing depth with nursing hours at 4 hours 5 minutes per resident per day, above state average, supplemented by strong RN presence (34 minutes daily, 31% above the state norm) and robust physical therapy services at 9 minutes per resident per day, roughly 125% above the state average.
Residents have access to physical therapy, occupational and speech therapy, wound care management, fine dining, and organized activities. Current occupancy stands at 65%, consistent with the state average. The facility holds an active license with full certification under CMS.
The facility suits long-term-care residents, particularly those needing sustained nursing oversight, therapy resources, or skilled wound and respiratory care in a Medicaid-supported setting.
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.
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 269 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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