Best Nursing Homes in Texas

At 7499 Stanwick Drive in southeast Houston, Courtyard Nursing and Rehabilitation operates as a 120-bed skilled nursing facility owned by Stanwick Senior Care LLC. The resident census is predominantly Medicaid (74.6%), with Medicare at 3.2% and private pay at 22.2%; average length of stay stretches to 435 days, reflecting a long-term care focus.

The facility is 9.3 miles from downtown Houston in Harris County and located in a very walkable neighborhood (Walk Score: 73).

Courtyard’s 2-star CMS overall rating reflects a split performance: health inspection earns 3-star (8.6% above Texas average), and quality measures are rated 3-star (6.5% above state average), but staffing is severely constrained at 1-star (52.9% below state average). The 95-person workforce includes 19 contractors; staff-to-resident ratio is 1.51:1, at state average.

The facility provides 3h 3m of nursing per resident daily, but registered nurse presence is minimal: only 5 minutes per resident per day, 81% below the state average of 26 minutes. The facility has just 3 RNs serving 120 beds. Licensed practical nurses partially compensate with 1h 14m per day (30% above state), and certified nursing aides provide 2h 32m (26% above state). Weekend RN coverage drops to 4 minutes per day.

Long-stay residents experience urinary tract infections at 4.9%, dramatically worse than the 0.8% state average; a 510% variance and potential marker of infection control gaps. Weight loss affects 5.3%, 54% worse than state average. Short-stay residents newly started on antipsychotic medication run 6.8%, 370% worse than the state average of 1.4%, raising questions about pharmacological care decisions. Falls with major injury and depression rates are impressively low.

A June 2023 federal fine of $36,000 was the only penalty; no payment denials occurred.

Occupancy stands at 59.6%, notably low and 6% below state average.

The facility reported an operating loss of $7.0 million in 2023, a severe deterioration from the $697,000 loss in 2022. By revenue, it’s ranked 256th of 297 Texas SNFs.

Courtyard offers in-house therapy, wellness classes, rehabilitation services, and a courtyard. The facility suits long-term Medicaid residents, though minimal RN staffing, elevated infection and medication-initiation rates, and mounting operational losses present significant clinical and financial risk.

Overview of San Pedro Manor

San Pedro Manor is a distinguished community situated in the charming neighborhood of West Ashley Pl, San Antonio, TX, providing in-house therapy and skilled nursing. With its dedication to improving residents’ welfare, the community utilizes a holistic approach to care tailored to their unique needs. Keep peace of mind with a compassionate and specially trained team helping with your day-to-day activities 24/7.

Enjoy fun activities and engaging programs, aiming to keep residents active and socially connected. Physical, occupational, and speech therapy, alongside wound care, memory care, and pulmonary programs are provided to meet residents’ healthcare needs. Receive the utmost care and support you deserve with the community’s top-notch care and specially designed amenities.

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.

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.

Overview of Brownsville Nursing and Rehabilitation Center

At 320 Lorenaly Dr in Brownsville, Texas, this 120-bed nursing home offers skilled nursing, memory care, rehabilitation, therapy, and hospice services to residents across Cameron County. Administered by Giselle Gomez and operated by Regency IHS of Brownsville LLC, the facility maintains an above average 81.2% occupancy rate and primarily serves short-term rehabilitation patients with an average stay of 67 days. Walk score 34 indicates most residents will need transportation for daily services. The facility accepts Medicare, Medicaid, and private pay; the resident census reflects a payer mix of 75.5% Medicaid, 19.5% private pay, and 5% Medicare.

Nursing coverage runs 2 hours 39 minutes per resident daily, which is 30% below Texas state norms and places staffing 284th among 289 Texas nursing homes. Registered nurses average 23 minutes per resident per day, 12% below state levels, while licensed practical nurses at 56 minutes per day track in line with state averages. Certified nursing assistant hours of 1 hour 49 minutes per day run 10% below state norms, and weekend nursing coverage drops 24% below daytime levels.

Regulatory findings show 10 inspections since 2023 with 40 total health citations. The most recent December 2025 inspection identified deficiencies related to medication consent, care plan updating, and physician communication; all subsequently corrected. Three critical citations were documented; recurring themes across all inspections include quality of life and care management (23% of citations), pharmacy and medication services (20%), and resident rights (8%). Two federal penalties totaling $62,000 were assessed; no Medicare/Medicaid payment denials occurred.

Quality outcome measures demonstrate strong performance on vaccination rates, short-stay rehabilitation success, and preventing functional decline, although weight loss rates and emergency department utilization exceed state benchmarks.

The facility’s care model and length-of-stay patterns structure it for short-term post-acute rehabilitation, with operational capacity supporting both Medicare short-stay admissions and a substantial Medicaid long-stay population.

Greeting seniors and their loved ones warmly, Deer Creek Nursing and Rehab located on Ranch Road, Wimberly, TX, provides skilled nursing, rehabilitation therapy, and long- and short-term care. Promoting a nurturing environment, the community promises a comfortable and healing residence. Enjoy exceptional care and assistance from a team of respectful and well-trained professionals.

Focusing on seniors’ rehabilitation, Deer Creek Nursing and Rehab offers physical, occupational, and speech therapy. To ensure residents’ needs are met, the community doubles its efforts to understand and get to know them to devise a personalized care plan. Healthy and tasty meals are served to satisfy the seniors’ dietary needs and preferences. At Deer Creek Nursing and Rehab, seniors experience state-of-the-art amenities for their peace of mind and well-being.

Overview of Longview Hill Nursing Center and Rehabilitation

Longview Hill Nursing and Rehabilitation Center is a distinguished provider of compassionate nursing home services recognized by the Centers for Medicare & Medicaid Services for its commitment to high-quality care. This contemporary facility, situated in Longview, Texas, prioritizes health promotion and aims to enhance the quality of life for its residents. The dedicated staff in this center has demonstrated their commitment to safety among staff and residents. This unwavering focus on well-being reflects the center’s dedication to maintaining a secure environment for its community. 

For those seeking a nurturing environment that intersects dignity, comfort, and health, Longview Hill Nursing and Rehabilitation Center stands as a beacon of care and compassion in the heart of Texas. With a warm and inviting atmosphere, Longview Hill Nursing and Rehabilitation Center offers personalized attention and support to seniors needing short-term rehabilitation or long-term care. Boasting 198 beds, the center serves a diverse community, ensuring each individual receives tailored care. Beyond physical health, the center fosters a sense of community engagement through its Resident Council, valuing residents’ voices and perspectives. While specialized Alzheimer’s care is not provided, participation in Medicare and Medicaid programs widens accessibility to quality care for a broad spectrum of individuals.

Overview of Wesley Woods Rehabilitation and Healthcare

Wesley Woods Rehabilitation and Healthcare in Waco, Texas, is a leading provider of senior long-term care and rehabilitation services. With an Alzheimer’s unit accommodating up to 150 residents, the facility ensures a secure and supportive community environment. Beyond its comprehensive care offerings, Wesley Woods boasts an on-site dialysis clinic and a myriad of engaging activities tailored to residents’ needs.

The facility takes pride in delivering personalized care, accepting various payment options, including Medicare, Medicaid, private insurance, and private pay resources. Wesley Woods understands the importance of connectivity in today’s world, providing wireless Internet services. The exceptional nursing services offered contribute to the overall excellence of this facility, making it a standout choice for those seeking quality senior living and comprehensive care.

Overview of Vista Ridge Nursing and Rehabilitation

Javelin Healthcare Vista Ridge is a nursing and rehabilitation facility located in Lewisville, TX providing skilled nursing and rehabilitation services. They offer a home-like environment to their long term-residents and patients to provide them a sense of ease on their journey to wellness. At Javelin Healthcare, each resident is provided a unique care plan designed to cater to their specific needs. This includes 24/7 attentive care, medication management, and assistance with daily living activities.

They offer their residents private and semi-private rooms for accommodation, as well as spacious common areas designed to promote engagement and socialization. They also provide various types of therapy services, disease management, wound care, and respite care, for residents who need them. And to ensure that the residents’ recovery is unhindered, they provide nutritious meals with consideration to the residents’ dietary restrictions, as well as housekeeping and laundry services.

Overview of Jourdanton Nursing and Rehab

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.