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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.
Watch this Video to see Texas's Top-rated Senior Communities
Avg Overall CMS Rating:2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.1/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-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.
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.
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.
$3.9M*Fiscal year ending 01/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.0M*Fiscal year ending 01/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
51.5%*Fiscal year ending 01/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.3M*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.
$7.8M*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.
46.2%*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.
$6.7M*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.
$4.0M*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.
59.9%*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
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.
Operated by Pf Sp Alf Ops Ii, LLC under owner Sp Alf Ops Co, Simpson Place is a skilled nursing and rehabilitation community in Dallas. The home is on Simpson Street, a highly walkable area with a Walk Score of 81. Families can easily visit here.
The community is designed for short-term post-acute care and rehabilitation stays, with residents staying an average of 62 days. Families can pay through Medicaid, Medicare, and private pay. The 50-bed facility currently serves 42 residents, reflecting an occupancy rate of 84%.
Rehabilitation services are at the center of the community’s care model. Short-term rehabilitation, respite care, and 24-hour staffing are all available. Total nurse staffing averages under 4 hours per resident each day. Registered nurses, nurse aides, and LPNs make up the care team. The care structure supports therapy goals and recovery needs while reflecting the home’s focus on post-hospital rehabilitation rather than longer-term residential care.
Over time, inspection findings have involved the home’s compliance with medication management and building systems. Families considering the community should ask how these areas are managed and what practices are in place.
Residents receive three chef-prepared meal options daily, made with fresh ingredients. Coordinated transportation, routine nursing evaluations, monthly blood pressure monitoring, and laundry services are also available on-site. Other amenities include life-enrichment activities, social gatherings, and exercise programs. The facility’s walkable location can benefit families visiting from other parts of Dallas.
Landmark of Plano, located in Plano, TX, is a facility that offers skilled nursing and rehabilitation services to its residents. For residents in need of skilled nursing care, the team of professional and licensed staff provides 24/7 skilled nursing, early to late-stage dementia care, on-going dementia and behavioral education, as well as physical, occupational, and speech therapy. Additionally they are accepting both Medicare and Medicaid payments, as well as most major HMO and insurances.
As part of the services provided, their residents are also given delicious menus that feature a balanced diet, and prepared under the guidance of a registered dietician. Residents are also encouraged to take advantage of the other amenities provided during their stay such as the basic cable tv service, on site podiatry, dental, and audiology services, and the secure patio for relaxation.
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.
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.
Fortress Nursing and Rehabilitation is a well-recognized nursing home in College Station, TX, offering skilled nursing and rehabilitation. Promoting a supportive and welcoming environment, the community ensures older adults can feel at home during their stay. Well-balanced meals, therapy services, and transportation are just some of the excellent services provided to enrich residents’ living experiences. The community also strives to meet residents’ unique needs and preferences through individualized care plans.
Religious services and recreational activities help improve residents’ moods and encourage them to stay active. With clean amenities and cozy communal lounges, residents can rest and move around comfortably. St. Joseph Health College Station Hospital, parks, and a variety of dining options are also available in the area, providing residents with convenient access to their needs and leisure. Providing comprehensive care options, this nursing home is one of the leading options for senior living in Texas.
Overview of Meadow Creek Nursing and Rehabilitation
Residing in the neighborhood of San Angelo, TX, Meadow Creek Nursing and Rehabilitation is a trusted senior living community that provides extensive short-term rehabilitation and long-term skilled nursing care. An expert team of healthcare professionals and caregivers are always available to provide residents with these services and assist them with their daily living activities. Warm and inviting accommodations are provided to residents, giving them an ideal space for relaxing, resting, and enjoying their precious personal time.
Dedicated to helping residents maintain their overall well-being, the community also offers an array of engaging activities for entertainment, recreation, and socialization. Free from the hassles of their day-to-day activities, residents can fully devote themselves to their wellness and fulfillment. At Meadow Creek Nursing and Rehabilitation, they provide residents with support and care they need to continue living their desired lifestyle.
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.
Falcon Point Post Acute is a nursing home in Katy, TX, offering skilled nursing, rehabilitation, hospice care, and respite care. Promoting a warm and nurturing environment, the community ensures older adults can keep their peace of mind. With 24-hour care, nutritious meals, and recreational programs, residents receive exceptional services to live comfortably in retirement. Dedicated to meeting residents’ unique needs at every stage of their lives, the community continuously provides the best possible care.
Light exercises, social events, and a variety of recreational activities foster engagement and encourage residents to create fun memories. Residents can also lounge and converse with friends in the spacious courtyard. Situated near major roads, restaurants, and other local amenities in Katy, the community guarantees accessibility and convenience. This nursing home is one of the best choices for senior living in Texas, as it has top-notch services dedicatedto older adults’ welfare.
Overview of Hidalgo Nursing and Rehabilitation Center
Tucked in the harmonious grounds of Sugar Road, Edinburg, TX, Hidalgo Nursing and Rehabilitation Center is an extraordinary senior living community offering skilled nursing, rehabilitation, hospice services, and home health services. As a non-profit community, Hidalgo Nursing and Rehabilitation Center is dedicated to providing accessible and top-tier care and assistance. With private and semi-private accommodations, seniors experience unparalleled comfort and convenience.
Pursue your interests and relive passions through enjoyable recreational activities and fun events. With an onsite beauty salon, residents can keep looking good to feel good. The community goes above and beyond to ensure residents are well-cared for. Hidalgo Nursing and Rehabilitation Center is a safe place for seniors to start their healing journey.
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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