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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.
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.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
$6.5M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$6.5M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$9.4M
Rank#162 / 218
$3.9M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$3.9M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$5.4M
Rank#149 / 218
59.1%*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility59.1%*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$7.5M*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$7.5M*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$9.4M
Rank#137 / 218
$6.2M*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$6.2M*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$5.4M
Rank#58 / 218
82.4%*Fiscal year ending 10/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility82.4%*Fiscal year ending 10/2023These 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
Park Manor of Westchase provides nursing home and skilled nursing care in Houston’s Westside neighborhood. Licensed nursing care is available on site around the clock, so the home can suit someone whose medical needs require ongoing nursing supervision.
The home has 125 beds and is operating at 84% occupancy, so it is not at full capacity. Medicaid, Medicare, and private pay are accepted, giving families several ways to cover nursing care based on their payment situation. Total nurse staffing is 3 hours and 1 minute per resident per day, representing the daily hands-on nursing time allocated to each resident. Stanley Lira serves as the administrator.
Overview of Birchwood of Spring Branch (formerly Arden Wood)
In Houston, TX, Birchwood of Spring Branch (formerly Arden Wood) pairs memory care with nursing home care. It fits best when dementia has reached the point of needing supervised care in a secure environment.
Memory care is that secured space, with staff keeping watch. Nursing home care is ongoing, with regular nursing and help with routine daily care.
The building holds 174 beds. Averaged across the census, nursing time comes to three hours and two minutes per resident per day.
Somewhat walkable at 63 on Walk Score, the area lets a resident who has given up on driving run some errands close by on foot. Payment can come from Medicare, Medicaid, or private pay, so a family can draw on public coverage or cover the cost itself.
Overview of Coronado Nursing and Rehabilitation Center
Coronado Nursing and Rehabilitation Center offers nursing home and skilled nursing care in Abilene, Texas. Licensed nursing care is available around the clock, so residents can receive continuous clinical support within a nursing home setting.
Post hospital rehabilitation and a comprehensive rehabilitation program support recovery after a hospital stay through skilled care and rehabilitation services. The clinical programs also include IV therapy, pain management, ostomy care, chronic disease management, and medication administration and monitoring, allowing these services to be included in a resident’s care plan. Personal hygiene and daily living assistance covers routine self care tasks, while respite care offers a temporary stay when a family caregiver needs to travel or recover. Coronado may be a good fit for someone who needs ongoing skilled nursing or for a family seeking temporary nursing support.
The community has 188 beds, accommodating more residents, staff, and usually programming than a smaller community. Medicare, Medicaid, and private pay are accepted, with Medicare and Medicaid helping cover eligible care for families using those programs and private pay requiring direct payment. Total nurse staffing is 4 hours and 2 minutes per resident each day, representing the daily nursing time allocated to each resident.
A sister company of The Vosswood Nursing Center, Garden Terrace at Houston also offers a skilled nursing and rehabilitation center in Houston. The upscale nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through their exceptional level of care that is delivered by their patient-friendly staff as an approach to offer the best care possible for their residents. As a member of the Life Care Centers of America, Garden Terrace at Houston Can be trusted as a safe and secure community that cares for every patients’ needs.
Convenience and hassle-free living are the center of their services: medication management, post surgical care, wound care; as well as their 24-hour skilled nursing care services provide compassionate care as it is their utmost priority. Other services include 247 easy admission, fall prevention, IV therapy, discharge planning, and case management.
Accel at College Station offers nursing home and skilled nursing care in College Station, Texas. Licensed nurses are available on site around the clock. The setting may suit someone who needs ongoing nursing support.
The community has 116 beds, with private and shared rooms for residents who prefer an individual room or a room shared with another resident. Total nurse staffing is 3 hours and 10 minutes per resident each day, representing the daily nursing time available for resident care. Payment options include Medicare, Medicaid and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid can help when savings may not cover a long stay, and private pay means using personal funds.
Overview of Parkview Nursing and Rehabilitation Center
Located in Lockhart, TX, Parkview Nursing and Rehabilitation Center is a skilled nursing facility that focuses on providing compassionate and comfortable care to its residents. The center recognizes the importance of a healing environment and customizes its care and therapy plans to meet the individual needs of each guest. With a holistic approach to healing, Parkview offers skilled nursing, short-term rehabilitation, and long-term care services. The facility’s rehabilitation services include physical, occupational, and speech therapy, catering to a wide range of needs such as post-operative care, stroke recovery, and wound management.
Parkview Nursing and Rehabilitation Center – Lockhart has an average short-term rehabilitation rating and an average long-term care rating. As a medium-sized facility with 108 beds and for-profit, llc ownership, the center prioritizes individualized care plans, social services, and care coordination to ensure the well-being of its residents. During the COVID-19 pandemic, Parkview has taken steps to keep its residents, families, and community informed and safe from the spread of the virus, demonstrating its commitment to providing a safe and supportive environment for all.
Falcon Point Post Acute in Katy, TX, provides 24-hour skilled nursing care alongside hospice, palliative, and respite care. Continuous clinical oversight supports individuals recovering from illness or managing complex health conditions. Hospice and palliative services emphasize symptom management and comfort care, while respite stays give family caregivers temporary relief.
Equipped with 130 beds, the facility features semi-private room layouts where residents share living space with a roommate. Licensed staff deliver an average of 3 hours and 28 minutes of daily nursing care per resident.
Financial arrangements accept Medicare, Medicaid, and private funds. Medicare typically covers qualifying short-term rehabilitation following a hospital stay, whereas Medicaid assists eligible individuals needing long-term placement support.
Interested families considering post-acute recovery or long-term nursing support can connect with Falcon Point Post Acute to discuss bed openings or schedule a tour.
Arbor Lake Nursing and Rehabilitation is a trusted community surrounded by local amenities in Pennsylvania Avenue, Fort Worth, TX, offering nursing care and rehabilitation services. Featuring spacious and purposely designed private rooms and round-the-clock care, residents’ comfort is guaranteed. The community also works closely with professionals to provide the best possible care for residents to jump back into their lives without hassles.
With individualized care plans, residents can rest assured of receiving the right care for their specific needs. Pain management, wound care, and care for post-surgical complications are also provided to improve residents’ well-being. The community offers comprehensive and genuine care, ensuring residents get to enjoy every moment of their golden years for longer.
Good Samaritan Society – White Acres, located in El Paso, TX, is a senior living community offering a wide array of services to its residents from assisted living, memory care, long-term skilled nursing and post-acute rehabilitation. This senior living community offers accommodation options that include utilities, maintenance, and housekeeping services.
As part of their assisted living and memory care services, they provide residents with 24/z staff availability for supervision and support, assistance with daily living activities, medication management, and wellness programs. Laundry and housekeeping services are also provided, giving the residents more opportunities to do what they enjoy.
Granbury Care Center is a well-recognized nursing home in Granbury, TX, offering memory care, skilled nursing, and rehabilitation. The community’s compassionate and welcoming atmosphere ensures older adults are well-cared for. Housekeeping, chef-prepared meals, transportation services, and therapy are just some of the high-quality services dedicated to helping residents live comfortably in retirement. With personalized care plans, residents receive the utmost attention and care for their needs.
Social gatherings, light exercises, and recreational activities ensure residents have fun and gain meaningful experiences. With state-of-the-art rehabilitation equipment and spacious communal areas, residents can rest without worries. Located near Granbury City Park in the serene residential area of Granbury, residents have a worry-free retirement. This nursing home is a trusted option for senior living in Texas, especially with its dedicated services and well-maintained amenities.
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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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