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Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 262 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
Jun 2026
We analyzed
262 homes
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Video Tour: Top-rated Nursing Homes facilities in Texas.

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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.

205 facilities compared · CMS & TX Dept. of Health data

Caraday of Houston
NH
MC
RC
Houston (Northside / Northline)
150
Facility 150
TX AVG 80
Rank #63 / 988
--
3.76
Facility 3.76
TX AVG 3.63
Rank #93 / 296
-32%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
-12-
41
Facility 41
TX AVG 41
Rank #709 / 1391
E&R Cunningham Investments, LP
$2.7M
Facility $2.7M
TX AVG $8.4M
Rank #299 / 304
$1.8M
Facility $1.8M
TX AVG $3.5M
Rank #297 / 304
66.5%
Facility 66.5%
TX AVG 47%
Rank #103 / 304
676470
The Legacy Midtown Park
NH
AL
HC
IL
MC
Dallas (Vickery Meadow)
98
Facility 98
TX AVG 80
Rank #376 / 988
87.5%
Facility 87.5%
TX AVG 63.5%
Rank #31 / 304
+38%
5.42
Facility 5.42
TX AVG 3.63
Rank #14 / 296
+1%+49%
$27.5k
Facility $27.5k
TX AVG $81.8k
Rank #168 / 301
4
Facility 4
TX AVG 25.9
Rank #2 / 299
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 299
-48-
45
Facility 45
TX AVG 41
Rank #628 / 1391
The Legacy Midtown Park Inc
$16.1M
Facility $16.1M
TX AVG $8.4M
Rank #9 / 304
$15.0M
Facility $15.0M
TX AVG $3.5M
Rank #9 / 304
93%
Facility 93%
TX AVG 47%
Rank #214 / 304
676489
Houston Transitional Care
NH
HC
MC
NC
PC
RC
Houston (Braeburn)
70
Facility 70
TX AVG 80
Rank #517 / 988
90.3%
Facility 90.3%
TX AVG 63.5%
Rank #18 / 304
+42%
3.17
Facility 3.17
TX AVG 3.63
Rank #222 / 296
+22%-13%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
5.3
Facility 5.3
TX AVG 3.7
Rank #274 / 299
-67-
75
Facility 75
TX AVG 41
Rank #67 / 1391
Ahmad El-Saadi
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #31 / 304
$5.1M
Facility $5.1M
TX AVG $3.5M
Rank #134 / 304
41.4%
Facility 41.4%
TX AVG 47%
Rank #301 / 304
676435
Sun Valley Rehabilitation and Healthcare Center
NH
HC
MC
NC
RC
Harlingen (Estrellita Subdivision)
124
Facility 124
TX AVG 80
Rank #178 / 988
76.4%
Facility 76.4%
TX AVG 63.5%
Rank #102 / 304
+20%
3.79
Facility 3.79
TX AVG 3.63
Rank #93 / 296
-15%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
5
Facility 5
TX AVG 25.9
Rank #6 / 299
2.5
Facility 2.5
TX AVG 3.7
Rank #64 / 299
-94-
37
Facility 37
TX AVG 41
Rank #808 / 1391
Av Rehab LLC
$9.2M
Facility $9.2M
TX AVG $8.4M
Rank #176 / 304
$4.9M
Facility $4.9M
TX AVG $3.5M
Rank #163 / 304
53.1%
Facility 53.1%
TX AVG 47%
Rank #129 / 304
676493
Pflugerville Nursing and Rehabilitation Center
NH
HC
MC
PC
RC
Pflugerville (Kuempel Tract Phase 1)
120
Facility 120
TX AVG 80
Rank #210 / 988
--
2.71
Facility 2.71
TX AVG 3.63
Rank #284 / 296
-1%-25%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
30
Facility 30
TX AVG 25.9
Rank #218 / 299
4.3
Facility 4.3
TX AVG 3.7
Rank #233 / 299
124-
40
Facility 40
TX AVG 41
Rank #734 / 1391
Regency Ihs Of Pflugerville LLC
$8.3M
Facility $8.3M
TX AVG $8.4M
Rank #167 / 304
$5.2M
Facility $5.2M
TX AVG $3.5M
Rank #98 / 304
63%
Facility 63%
TX AVG 47%
Rank #46 / 304
676245
Brookdale Lakeway
NH
AL
MC
Lakeway (The Towers Of Lakeway)
132
Facility 132
TX AVG 80
Rank #121 / 988
69.8%
Facility 69.8%
TX AVG 63.5%
Rank #136 / 304
+10%
3.89
Facility 3.89
TX AVG 3.63
Rank #81 / 296
+73%+7%
$91.4k
Facility $91.4k
TX AVG $81.8k
Rank #249 / 301
21
Facility 21
TX AVG 25.9
Rank #152 / 299
3.5
Facility 3.5
TX AVG 3.7
Rank #178 / 299
450A+
28
Facility 28
TX AVG 41
Rank #956 / 1391
Henry Kaestner
$10.2M
Facility $10.2M
TX AVG $8.4M
Rank #88 / 304
$6.6M
Facility $6.6M
TX AVG $3.5M
Rank #75 / 304
64.5%
Facility 64.5%
TX AVG 47%
Rank #156 / 304
676131
Magnolia Crossing Nursing and Rehabilitation Center
NH
NC
Houston
128
Facility 128
TX AVG 80
Rank #152 / 988
73.1%
Facility 73.1%
TX AVG 63.5%
Rank #110 / 304
+15%
3.31
Facility 3.31
TX AVG 3.63
Rank #191 / 296
-31%-9%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.4
Facility 2.4
TX AVG 3.7
Rank #57 / 299
-108-
39
Facility 39
TX AVG 41
Rank #754 / 1391
Magnolia Crossing Nh LLC
$8.7M
Facility $8.7M
TX AVG $8.4M
Rank #183 / 304
$6.3M
Facility $6.3M
TX AVG $3.5M
Rank #83 / 304
72.2%
Facility 72.2%
TX AVG 47%
Rank #29 / 304
676333
Christian Care Communities and Services – Mesquite
NH
AL
IL
MC
RC
Mesquite
180
Facility 180
TX AVG 80
Rank #26 / 988
40.3%
Facility 40.3%
TX AVG 63.5%
Rank #273 / 304
-36%
3.66
Facility 3.66
TX AVG 3.63
Rank #111 / 296
+32%+1%
$28.9k
Facility $28.9k
TX AVG $81.8k
Rank #170 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
1.6
Facility 1.6
TX AVG 3.7
Rank #7 / 299
4100-
31
Facility 31
TX AVG 41
Rank #914 / 1391
Ccc Mesquite Management LLC
$8.4M
Facility $8.4M
TX AVG $8.4M
Rank #24 / 304
$11.6M
Facility $11.6M
TX AVG $3.5M
Rank #13 / 304
137.7%
Facility 137.7%
TX AVG 47%
Rank #61 / 304
455617
Harlingen Nursing and Rehabilitation Center
NH
MC
RC
Harlingen (Hale Avenue)
120
Facility 120
TX AVG 80
Rank #210 / 988
--
2.98
Facility 2.98
TX AVG 3.63
Rank #255 / 296
-25%-18%
$100.0k
Facility $100.0k
TX AVG $81.8k
Rank #254 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
118-
49
Facility 49
TX AVG 41
Rank #543 / 1391
Regency Ihs Of Harlingen LLC
$7.8M
Facility $7.8M
TX AVG $8.4M
Rank #206 / 304
$3.6M
Facility $3.6M
TX AVG $3.5M
Rank #220 / 304
45.8%
Facility 45.8%
TX AVG 47%
Rank #168 / 304
675606
Brookdale Westlake Hills
NH
AL
IL
Austin (Treemont)
90
Facility 90
TX AVG 80
Rank #419 / 988
96.7%
Facility 96.7%
TX AVG 63.5%
Rank #4 / 304
+52%
3.81
Facility 3.81
TX AVG 3.63
Rank #93 / 296
+23%+5%
$300.6k
Facility $300.6k
TX AVG $81.8k
Rank #297 / 301
24
Facility 24
TX AVG 25.9
Rank #178 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
748A-
45
Facility 45
TX AVG 41
Rank #628 / 1391
Arcpi Holdings Inc
$26.5M
Facility $26.5M
TX AVG $8.4M
Rank #49 / 304
$12.5M
Facility $12.5M
TX AVG $3.5M
Rank #18 / 304
47.3%
Facility 47.3%
TX AVG 47%
Rank #9 / 304
455866
The Legacy at Willow Bend
NH
AL
HC
IL
MC
Plano
60
Facility 60
TX AVG 80
Rank #583 / 988
96.5%
Facility 96.5%
TX AVG 63.5%
Rank #6 / 304
+52%
5.73
Facility 5.73
TX AVG 3.63
Rank #9 / 296
+54%+58%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
5.7
Facility 5.7
TX AVG 3.7
Rank #283 / 299
-56A+
45
Facility 45
TX AVG 41
Rank #628 / 1391
The Legacy Willow Bend, Inc
$22.1M
Facility $22.1M
TX AVG $8.4M
Rank #15 / 304
$13.7M
Facility $13.7M
TX AVG $3.5M
Rank #12 / 304
61.9%
Facility 61.9%
TX AVG 47%
Rank #159 / 304
676189
Princeton Medical Lodge
NH
PC
RC
Princeton
138
Facility 138
TX AVG 80
Rank #95 / 988
88.3%
Facility 88.3%
TX AVG 63.5%
Rank #26 / 304
+39%
2.45
Facility 2.45
TX AVG 3.63
Rank #294 / 296
+2%-33%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
5.0
Facility 5.0
TX AVG 3.7
Rank #264 / 299
-125-
24
Facility 24
TX AVG 41
Rank #1040 / 1391
Jordan Moon
$12.7M
Facility $12.7M
TX AVG $8.4M
Rank #19 / 304
$6.5M
Facility $6.5M
TX AVG $3.5M
Rank #78 / 304
51.4%
Facility 51.4%
TX AVG 47%
Rank #300 / 304
676485
Hidalgo Nursing and Rehabilitation Center
NH
HC
MC
PC
RC
Edinburg
126
Facility 126
TX AVG 80
Rank #160 / 988
77.8%
Facility 77.8%
TX AVG 63.5%
Rank #85 / 304
+23%
2.74
Facility 2.74
TX AVG 3.63
Rank #284 / 296
-53%-24%
$7.6k
Facility $7.6k
TX AVG $81.8k
Rank #82 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.8
Facility 2.8
TX AVG 3.7
Rank #94 / 299
1104-
29
Facility 29
TX AVG 41
Rank #942 / 1391
Regency Ihs Of Hidalgo LLC
$9.7M
Facility $9.7M
TX AVG $8.4M
Rank #74 / 304
$5.8M
Facility $5.8M
TX AVG $3.5M
Rank #90 / 304
60.3%
Facility 60.3%
TX AVG 47%
Rank #215 / 304
676346
Prairie Estates
NH
Frisco (Meadow Creek)
180
Facility 180
TX AVG 80
Rank #26 / 988
79.6%
Facility 79.6%
TX AVG 63.5%
Rank #78 / 304
+25%- +113%-
$24.6k
Facility $24.6k
TX AVG $81.8k
Rank #159 / 301
20
Facility 20
TX AVG 25.9
Rank #139 / 299
2.9
Facility 2.9
TX AVG 3.7
Rank #110 / 299
2152-
22
Facility 22
TX AVG 41
Rank #1064 / 1391
Sutton Health Care Center Ltd Co
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #50 / 304
$8.0M
Facility $8.0M
TX AVG $3.5M
Rank #50 / 304
64.7%
Facility 64.7%
TX AVG 47%
Rank #146 / 304
676145
Village Creek Wellness and Rehabilitation
NH
PC
Fort Worth
100
Facility 100
TX AVG 80
Rank #363 / 988
80.7%
Facility 80.7%
TX AVG 63.5%
Rank #65 / 304
+27%
2.80
Facility 2.80
TX AVG 3.63
Rank #279 / 296
+16%-23%
$19.0k
Facility $19.0k
TX AVG $81.8k
Rank #131 / 301
19
Facility 19
TX AVG 25.9
Rank #126 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
285-
26
Facility 26
TX AVG 41
Rank #1005 / 1391
Village Creek Nursing & Rehabilitation LLC
$2.3M
Facility $2.3M
TX AVG $8.4M
Rank #253 / 304
$1.3M
Facility $1.3M
TX AVG $3.5M
Rank #214 / 304
54.4%
Facility 54.4%
TX AVG 47%
Rank #45 / 304
675977
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Nursing Home Explorer
Overview of Village Healthcare and Rehabilitation

Set in the serene residential area of North Ware Road, McAllen, TX, is the astounding senior living community of Village Healthcare and Rehabilitation offering skilled nursing and in-house therapy. The community features a wide range of care options including physical, occupational, and speech therapy, to ensure seniors’ needs and aspirations are well-attended. Moreover, residents let go of their worries with a team of reliable and highly skilled professionals supporting them in every step of the way.

Maintain an active and well-engaged lifestyle with a jam-packed calendar of well-thought-of activities that highlight residents’ interests and strengths. With a holistic approach to care, the community strives to enhance seniors’ quality of life. Village Healthcare and Rehabilitation fosters a peaceful and friendly environment for seniors to feel a sense of belonging within its premises.

Contact Village Healthcare and Rehabilitation

Overview of Oakridge Residential Care Home

Step into the charm of Oakridge Residential Care Home in Beaumont, TX, where assisted living, memory care, and respite care services come together in a warm and welcoming environment. With a well-trained and dedicated team, residents can receive the utmost care and support they need while maintaining their independence. In terms of memory care, the community provides personal care plans catering to the immediate needs and interests of its residents.

The community is dedicated to delivering top-notch amenities and services, including delightful and healthy home-cooked meals, transportation services, and regular housekeeping and laundry. With a robust calendar of fun and interactive activities and programs, residents can enjoy opportunities to socialize and build lasting connections. With Oakridge Residential Care Home, seniors are guaranteed an empowering and secure living experience.

Contact Oakridge Residential Care Home

Overview of Cityview Nursing and Rehabilitation Center

Conveniently located near Kindred Hospital Tarrant County- Forth Worth in Bryant Irvin Road, Fort Worth, TX, Cityview Nursing and Rehabilitation Center is an outstanding community that focuses on skilled care. The community offers different levels of care for those who need pulmonary care, stroke care, wound care, respiratory therapy, cardiac care, and respite care. With its cozy and specially designed accommodations in variations of private and semi-private room, residents have the freedom to choose the best accommodation according to their preferences.

Here, Medicaid, Medicare, Managed Care, and Private Pay are accepted to maximize residents’ resources for the highest quality of life in their later years. Therapy services including physical, speech, occupational, and outpatient are offered to enhance residents’ wellbeing. The community is a good choice for those who need supplementary care in their later years with its extensive care and purposely built amenities.

Contact Cityview Nursing and Rehabilitation Center

Mulberry Manor

1670 W Lingleville Rd, Stephenville, TX 76401
Overview of Mulberry Manor

Set within the quiet neighborhood of Stephenville, TX, Mulberry Manor is a dependable senior living community, offering excellent care services, including assisted living and memory care services. The community also caters to the needs of those who are recovering from illnesses or hospitalization with skilled nursing, short-term rehabilitation, and long-term care services. Apart from having 24-hour nurses, residents find comfort in having emergency response systems installed in their cozy accommodations for quick assistance during emergencies.

A full-time Certified Activity Director is available to plan vibrant and enriching activities and monthly outings for residents’ fun and enjoyment. Delicious meals and a long-list of thoughtful amenities are also offered for a well-rounded living experience. At Mulberry Manor, residents are guaranteed to enjoy the lifestyle they deserve without the need to move into another community for their ever-changing needs.

Contact Mulberry Manor

The Lodge at Bear Creek

3729 Ira E. Wds Ave, Grapevine, TX 76051
Overview of The Lodge at Bear Creek

The Lodge at Bear Creek occupies a single-story facility at 3729 Ira E. Woods Avenue in Grapevine, serving a mixed-acuity population across short-term rehabilitation and long-term care. Currently housing 67 residents in a 100-bed structure, the community reports occupancy of 68.8%; notably above the Texas average of 63.5%.

Admissions are split heavily toward private pay (52%) and Medicare short-stay rehabilitation (39%), and an average stay of just over 79 days.

The operator, Grapevine Nursing and Rehab Center, LLC, reported gross revenue of $9.36 million in 2023 after years of operating losses, achieving financial breakeven following a 18.6-percentage-point occupancy rebound from 2022.

Regulatory performance and quality outcomes create a complicated picture.

The facility’s 3-star overall CMS rating sits marginally above the Texas average, but health inspection scores trail state performance by 27.6%. This reflects two recent federal penalties: a substantial $66,000 civil money penalty assessed in October 2024 and a $7,000 penalty in October 2023, indicating current-year regulatory stress.

Staffing averages 2 hours 52 minutes of nursing per resident per day, roughly 21% below the Texas average and approaching the threshold signaling inadequate care. Yet the facility invests heavily in rehabilitation: physical therapy reaches 15 minutes per resident daily, 275% above state average.

Long-stay residents show concerning patterns. Functional decline scores rank 47% worse than state average, and 28.2% experienced increased dependence for daily activities (75% worse). Pressure ulcers affected 7.5% of high-risk residents (70% worse), and UTI incidence at 1.4% was 73% worse than average.

Short-stay rehabilitation outcomes, by contrast, excel: 60% of residents successfully returned home or community (19% better than state), and emergency department visits dropped to 7.1% of discharges (41% better). The facility recorded zero major-injury falls in long-stay residents, a genuine care safety achievement.

The facility’s compliance record and staffing adequacy are at odds with its strong short-term rehabilitation focus and improving occupancy, suggesting recent regulatory violations may have addressed operational gaps beneath a well-performing rehab service.

Contact The Lodge at Bear Creek

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 Ashton Medical Lodge

Conveniently situated in Midland, Texas, Ashton Medical Lodge stands as a symbol of compassionate care, providing both long-term care and short-term rehabilitation services to its cherished residents. With a steadfast commitment to enhancing the quality of life for every individual, the community boasts spacious suites, each designed to offer comfort and privacy, while the personal refrigerators in each suite offer convenience and independence. Residents enjoy modern comforts, too, such as Wi-Fi and phone service, allowing them to stay connected with loved ones. Ashton Medical Lodge also offers specialized Alzheimer’s and dementia care, ensuring residents receive the dedicated support they need.

At Ashton Medical Lodge, residents experience a wealth of amenities crafted to provide comfort and joy during their stay. The community’s 24-hour snack bar and tempting meal options cater to culinary desires,  engaging in dynamic social activities and enjoying the serenity of the courtyard with a putting green create moments of joy and connection. this facility also offers practical services, including personal laundry assistance, a barber shop, and beauty salon, ensuring residents can maintain their well-being with ease. Complimentary transportation services further enhance residents’ accessibility to the wider community.

Contact Ashton Medical Lodge

Overview of Heritage Park of Katy

Heritage Park of Katy is a family-owned and operated nursing home in Katy, TX, offering skilled nursing and rehabilitation. With its compassionate and supportive setting, the community ensures older adults are treated kindly during their stay. Excellent services, including 24-hour care, medication monitoring, and therapy, are also provided to enrich residents’ living experiences. Alongside specialized care programs, personalized care plans are also provided to help them recover and live to their potential.

Trivia time, field trips, and movie nights are just some of the activities that aim to help residents stay active and explore new interests. Lively gathering areas and thoughtfully furnished amenities are also available for residents’ leisure and wellness. The Katy City Hall, Katy VFW Museum, restaurants, and parks also surround the area, providing residents with quick access to their necessities and leisure. As one of the trusted options for senior living in Katy, this nursing home provides quality services for older adults’ welfare.

Contact Heritage Park of Katy

Overview of Fort Worth Transitional Care Center

Ideally situated near local amenities in 12th Avenue, Fort Worth, TX, Forth Worth Transitional Care Center is a dependable community that offers nursing care and therapy services. With its dedication to improving residents’ welfare, the community provides different levels of care and clinical services including cardiac care, stroke care, respiratory therapy, tube feeding, wound care, respite care, and pulmonary care. Private and semi-private rooms, alongside short-term transitional care units are provided to meet residents’ preferences and ensure their comfort.

Aside from care services, fun activities and enriching programs are also conducted to foster belongingness among the residents. The community accepts Medicare, Medicaid, Managed Care, and Private Pay to optimize residents’ resources and ease their financial burdens. Physical, occupational, speech, and outpatient therapy are also provided to enhance residents’ wellness. Enjoy a worry-free retirement while receiving top-tier care for your special needs.

Contact Fort Worth Transitional Care Center

Overview of Vista Hills Health Care Center

Vista Hills Health Care Center, located in  the sunny city of EL Paso, TX, is a care facility dedicated to providing quality skilled nursing and rehabilitation services. This skilled facility offers specialized care by highly skilled clinicians and therapists in a warm, home-like environment.
As part of their services they provide residents with 24/7 skilled nursing care, physical, occupational, and speech therapy, respite care services, wound care, and other care services such as their memory care program for residents living with Alzheimer’s or dementia. Additionally they also provide nutritional services through their fine dining options, and full activities programs to ensure that their physical activity, mental stimulation and psychosocial needs are met.

Contact Vista Hills Health Care 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
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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 262 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.