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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.
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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.
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.
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.
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.
$7.7M*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.
$3.6M*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.
46.9%*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: 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
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.
Ideally located in the harmonious neighborhood of Plano, TX, The Collinwood Care Center is a trusted community that specializes in rehabilitation and skilled nursing. Here, residents enjoy the highest quality of life with a compassionate and well-trained team attending to their needs 24/7. With the community helping with their daily living activities, residents are guaranteed a worry-free lifestyle.
Aside from their healthcare needs, the community conducts a variety of enriching activities and stimulating programs, including pet therapy and a music program to ensure residents’ holistic wellness. With dietitian-approved meals, residents enjoy the delightful and healthy meals that cater to their dietary needs and preferences. Therapy services, fall prevention, palliative care, and wound care are also provided to enhance residents’ living experiences. The community is ideal for those who need supplementary care to live their golden years without worries.
Wurzbach Nursing and Rehab is a highly skilled nursing home in San Antonio that boasts a secure and safe environment that enhances the quality of life for each of its residents. The nursing home promotes a list of comprehensive programs and engaging activities– designed for residents to cultivate their emotional, mental, and physical aspects. Residents at Wurzbach Nursing and Rehab are guaranteed to get personalized care that is catered to their needs in an inviting community with fine hospitality. A Careday Healthcare community, Wurzbach is ensured to be a relaxing and convenient nursing home. Their skilled care services focus on individualized treatments– physical, occupational, and speech therapy; joint replacement therapy, spine and back therapy; wound care, dysphagia management, and palliative care. They have an in-house respiratory therapist, extensive clinical service, 24-hour medical and nursing services, and continual tracheostomy care.
Get back to living and loving the lifestyle you want with The Heights of North Houston, an excellent community in Houston, TX designed to offer an array of recovery services. With access to short-term care, long-term care, skilled nursing, and memory support, residents here are bound to enjoy a well-cared-for life. The community also provides a team of kind and caring caregivers committed to helping everyone live their lives to the fullest.
Recognizing the importance of staying active in a well-lived life, the community regularly organizes an array of activities and events for residents to enjoy. They also prepare healthy and delicious meals daily to provide the nourishment residents need. With its caring atmosphere and comfortable environment, The Heights of North Houston ensures everyone experiences a great improvement in their quality of life.
Spanish Meadows provides nursing home, assisted living, and skilled nursing care in Brownsville, TX. Assisted living includes help with daily tasks, while skilled nursing and nursing home care provide ongoing nursing support for residents who need more clinical attention. The community may be a good fit for someone who needs respiratory or ventilator care or short term rehabilitation.
Spanish Meadows has 94 beds, giving families the facility’s available licensed capacity when considering placement. Total nurse staffing is 2 hours and 58 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Staffing is available around the clock to support care needs during the day and night.
The Respiratory Care and Ventilator Unit serves residents who require respiratory care or ventilator support. Rehabilitation services and short term rehabilitation are available for someone recovering after an illness, injury, or hospital stay, without requiring a long term placement for that episode of care. Medicaid, Medicare, and private pay are accepted, giving families those payment pathways for covered care and residence costs; Empire Spanish Meadows operates the community.
Quality Care of Waco is a nursing home in Waco, Texas. Nursing home care combines nursing support with help with daily activities in a residential setting, making this community a potential fit for someone who needs ongoing nursing care and daily assistance.
The home has 162 beds, which is its total resident capacity. Total nurse staffing is 3 hours and 27 minutes per resident each day, representing the daily hands-on nursing time allocated to each resident. Families can use Medicare, Medicaid, or private pay to cover care.
Accel at College Station is a nursing home in College Station, TX, offering a wide range of care options, including long-term care, skilled nursing, rehabilitation, and pulmonary care. Here, older adults are treated like family, especially with a compassionate and nurturing atmosphere. With 24-hour care, medication management, and therapy services, residents do not have to worry about their needs and live comfortably in retirement. Through individualized care plans, the community strives to help residents recover with ease.
Recreational activities, light exercises, and social events also promote social engagement and an active lifestyle. With a spacious dining area, cozy communal spaces, and thoughtfully furnished rooms, residents can relax and interact with the community. A stress-free retirement is also guaranteed, as it is peacefully nestled in the residential area of College Station. This nursing home continuously provides exceptional standards of care, making it one of the best options for senior living in Texas.
The Oaks at Radford Hills Healthcare Center, operating under the Senior Living Properties care centers, offers nursing and rehabilitative care services across Texas and Oklahoma. This is a skilled nursing facility offering private and semi-private facilities that are geared toward making each resident feel at home while providing them the care they need. The facility offers a secure environment with areas for conversation and social activities complete with accessibility.
The Oaks at Radford Hills Healthcare Center offers a broad range of services like memory care, rehabilitative care, 116 licensed beds, IV therapy, respite care, and a specialized wound management program on top of their skilled nursing care.
Park Manor Westchase is a trusted nursing home in Houston, TX, that offers long-term care, rehabilitation, and skilled nursing. Promoting a home-like environment, the community provides comprehensive care for residents to live comfortably. Therapy services, fun activities, and on-site physician visits are among the community’s exceptional services that aim to enhance residents’ living experiences. The community’s commitment to exceptional care ensures residents have a worry-free retirement.
Medication management, pain management, and wound care are provided to ease residents’ discomfort and pain. A variety of activities are also conducted to promote social interactions. With its wide range of services and state-of-the-art amenities, the community strives to help residents reach their potential in retirement.
Renaissance Park Multi Care Center is a skilled nursing and rehabilitation center in Fort Worth. The upscale nursing home aims to change the meaning of senior recovery through the exceptional care delivered by their patient-friendly staff to offer the best care possible for their residents. As a member of the Life Care Centers, Renaissance Park is known as a safe and secure community that cares for every individual’s needs.
Convenience and hassle-free living are the centers of Renaissance Park services: medication management, post-surgical care, wound care, and 24-hour skilled nursing and long-term care services. Other nursing home activities include daily activities, delicious dining, religious services, 24-hour security and safety, a library, landscaped grounds, courtyards, and a fine dining meal program.
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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