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Why trust this guide?
Our editorial team analyzed 281 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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.
$3.3M*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.
$340.2k*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.
10.3%*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.
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
Overview of Birchwood of Spring Branch (formerly Arden Wood)
Birchwood of Spring Branch is a memory care, skilled nursing, and rehabilitation community that provides exceptional care. The community offers an inviting community with fine hospitality. The nursing home community houses a team of dedicated staff who are compassionately ready to attend to any need one may have. Residents are encouraged and motivated to live their life to the fullest in a nurturing home-like setting. Birchwood of Spring Branch is able to provide structure and maintain their residents’ sense of individuality while being able to enhance the quality of life for them.
The lifestyle at Birchwood of Spring Branch is built on compassion and care where residents are guaranteed to make the most of their individual day to day while receiving a great amount of hospitality and attentive assistance. Community services include 24-hour nursing care, stimulating activities, engaging social activities and programs; with therapy services that include speech, occupational, and physical; as well as orthopedic recovery, postoperative care, and discharge planning– among many others.
Overview of Heritage Gardens Rehabilitation & Healthcare
Heritage Gardens Rehabilitation and Healthcare is a well-regarded nursing home in Carrollton, TX, offering skilled nursing and rehabilitation. Committed to older adults’ comfort and healing, the community continuously promotes a warm and nurturing environment. High-quality services, including 24-hour care, therapy services, and well-balanced meals, are also provided to improve residents’ quality of life. With personalized care plans anchored to its holistic approach to care, the community strives to meet residents’ unique needs and preferences.
Arts and crafts, church services, and trips are among the many activities that aim to keep residents happy and active. Beautiful outdoor spaces and well-lit amenities are also provided, so residents can lounge and interact with the community comfortably. Set in the peaceful residential area of Carrollton, the community guarantees a stress-free retirement. As one of the trusted options for senior living in Texas, this nursing home continuously provides exceptional care to help older adults thrive in retirement.
Jourdanton Nursing and Rehab based in Jourdanton, TX, prioritizes seniors’ wellness and provides diverse care options including skilled nursing, rehabilitation therapy, and long- and short-term care. The community also offers physical, occupational, and speech therapy and other care services to ensure seniors are well-taken care of. Keep worries at bay and experience exceptional care and support from a kind, reliable, and well-trained team.
The community aims to improve seniors’ quality of life by collaborating to create care plans that perfectly suit their specific needs. Social activities are conducted to encourage residents to interact and meet people with the same interests. Jourdanton Nursing and Rehab goes above and beyond in helping seniors achieve optimal wellness to live their golden years wholly.
Wedgewood Nursing Home provides nursing home, nursing care, skilled nursing, memory care, hospice care, palliative care, and respite care in Fort Worth, TX. Skilled nursing includes licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for someone at risk of wandering. Hospice and palliative care focus on comfort for residents with serious or end of life needs. Respite care offers a short stay when a family caregiver needs to travel or recover.
The community has 128 beds and allows pets, so residents may be able to keep a pet with them. Total nurse staffing is 3 hours and 54 minutes per resident per day, representing the daily hands on nursing time assigned to each resident. Payment options include Medicaid, Medicare, and private pay. Medicaid may help when savings do not cover a long stay, Medicare can cover short term skilled care after a hospital stay, and private pay means paying directly. Amy D Skiles serves as the administrator, and the range of care may suit someone living with dementia who needs a secured, supervised setting.
Juniper Village at Spicewood Summit offers independent living, assisted living, memory care, and nursing home care with skilled nursing in Austin, Texas. Its range of care levels may suit a resident whose needs grow over time, since care can continue within the same community.
Independent living provides private living with community services and no daily care. Assisted living adds help with daily tasks such as bathing, dressing, and medication. Memory care provides a secured setting with supervision for someone at risk of wandering, while skilled nursing provides licensed nursing care around the clock.
The community offers long term skilled care, short term rehabilitation, and respite care. Short term rehabilitation supports a temporary, recovery focused stay, while respite care provides a short stay when a usual caregiver needs to travel or recover. With 109 beds, the community may be a good fit for someone who needs one of these care arrangements, including a resident whose needs may change over time.
Total nurse staffing is 4h 19m per resident per day, representing the daily nurse staffing time allocated to each resident. Medicare and private pay are accepted, giving families payment options for eligible short term skilled care or direct payment for services. A Walk Score of 73 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. S-H Opco Spicewood Springs operates the community.
Juniper Village at Lincoln Heights offers assisted living and skilled nursing care in San Antonio, Texas. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident remains in their own living space. Skilled nursing provides licensed nursing care for residents who need a higher level of medical support. Having both care levels in one community may suit a resident whose needs could change over time without requiring a move to a different community.
The community has 97 beds. Respite care supports a short stay when a usual caregiver needs to travel or recover, while short term rehabilitation provides temporary care during recovery. Rehabilitation services and long term skilled care are also available for residents who need nursing support beyond a brief recovery period.
Total nurse staffing is 4 hours and 13 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare may help cover short term skilled care after a hospital stay, while private pay means the family or resident pays directly for care. S H Opco Lincoln Heights operates the community. A Walk Score of 75 places the area in the very walkable range, so most errands can be completed on foot and a resident who no longer drives may still be able to get out independently.
Wurzbach Nursing and Rehabilitation offers nursing home, memory care, respite care, and skilled nursing in San Antonio’s Northwest Side neighborhood. Nursing home care supports residents who need ongoing nursing supervision in a residential setting, while skilled nursing provides licensed nursing care on site around the clock. Memory care provides a secured setting with supervision for someone at risk of wandering. Respite care is a short stay that may suit a family caregiver who needs to travel or recover.
The home has 140 beds, with 3 hours and 29 minutes of nurse staffing per resident each day. This represents the daily hands on nursing time allocated to each resident. Payment options include Medicaid, Medicare, and private pay: Medicaid may help when savings do not cover a long stay, Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay means the family pays directly. A Walk Score of 75 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. Jose Ruiz serves as the administrator.
Overview of Highland Park Rehabilitation & Nursing Center
Highland Park Rehabilitation & Nursing Center offers comprehensive support in Houston, Texas, covering memory care, respite options, hospice, skilled nursing, and general nursing care. Staff delivers hands-on nursing care averaging 3 hours and 8 minutes per resident each day across its 120-bed building. The community accommodates evolving health needs, offering secure environments for individuals prone to wandering as well as short-term stays for temporary caregiver relief.
Administrator Johnnie Richardson leads the location, which accepts Medicare, Medicaid, and private payments. Local errands are manageable on foot thanks to a walk score of 61, allowing non-driving residents to complete brief neighborhood outings.
Individuals evaluating local care choices or seeking long-term clinical support can contact Highland Park Rehabilitation & Nursing Center to gather details on programs and current availability.
Mid Valley Nursing & Rehabilitation is a nursing home in Mercedes, Texas, offering memory care, nursing care, skilled nursing, and respite care. Memory care provides a secured setting with supervision for a resident at risk of wandering. Skilled nursing provides licensed nursing care on site around the clock.
Respite care supports short stays when a resident’s usual family caregiver needs to travel or recover. The home has 123 beds, with total nurse staffing of 2 hours and 51 minutes per resident each day. That figure represents the daily nursing time available for resident care. Medicaid, Medicare, and private pay are accepted, and Marcos A. Cavazos serves as the administrator.
Renaissance Park Multi Care Center is a nursing home and skilled nursing community in Fort Worth, Texas. Skilled nursing provides licensed nursing care on site around the clock, so it can suit a resident who needs ongoing clinical support rather than only help with daily activities.
The home has 120 beds. Total nurse staffing is 3 hours and 32 minutes per resident each day, representing the daily hands-on nurse staffing time allocated per resident. Medicaid, Medicare and private pay are accepted, giving families payment routes for covered or privately funded care. Yvonne Yegon serves as the administrator.
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.
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 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.
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
Nursing Homes in Texas at a glance
Avg Overall CMS Rating:2.7/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:1.9/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
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