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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.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
$9.4M*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$9.4M*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#86 / 218
$5.0M*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$5.0M*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#100 / 218
53.2%*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.
Facility53.2%*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.
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
Overview of Highland Pines Nursing and Rehabilitation Center
Highland Pines Nursing and Rehabilitation Center provides nursing home, palliative care, and skilled nursing in Longview, TX. Skilled nursing and nursing care around the clock give residents access to licensed nursing support on site, while palliative care centers on comfort and symptom relief. The community may be a good fit for someone who needs ongoing nursing support, rehabilitation, or comfort focused care, as well as a family seeking a short respite stay. It is a larger community with 171 beds.
That size means more residents, staff, and programming than a smaller home. Total nurse staffing is 3 hours and 14 minutes per resident each day, describing the amount of nurse time associated with each resident’s daily care. A doctor is on staff, so medical care is available within the facility.
Rehabilitation services support recovery and functional needs, while wound care and dietary and nutritional needs management address specific clinical and daily care requirements. Beauty and barber services, private rooms, and respite care give residents access to grooming, an individual room, or a short stay when a usual caregiver needs time away. Payment options include Medicare, Medicaid, and private pay, depending on a resident’s eligibility and coverage.
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.
Signature Pointe provides independent living, memory care, skilled nursing, hospice, palliative care, and respite options in Dallas, Texas. The 76-bed campus features one- and two-bedroom apartment layouts, accommodating both single residents and couples. On-site services range from independent living routines to secured memory care for individuals prone to wandering. Hands-on nursing care averages 3 hours and 53 minutes per resident daily. The pet-friendly location allows residents to bring animals.
Administrator Jordan S Blake oversees operations alongside operating organization Lcs-Sp. Financial options include private pay, Medicare for short-term rehabilitation stays, and Medicaid for long-term support. Running daily errands without a car is convenient due to an 81 walk score.
Families looking for flexible care tiers or short-term respite stays can contact Signature Pointe to learn about current room layouts and schedule a tour of the facility.
Overview of Marine Creek Nursing and Rehabilitation
In Fort Worth, TX, Marine Creek Nursing and Rehabilitation operates as a nursing home, with memory care and skilled nursing inside it. Under the skilled nursing label, licensed nurses handle care that is medical in nature. Residents with dementia or a risk of wandering live in memory care, which is kept both supervised and secured.
Rehabilitation services cover therapy for residents who need it as part of their care. Ventilation Care, a program under that name, serves residents on ventilation support. Respite helps when the relative who usually checks in every day can’t get there for a stretch, and the stay itself is short.
A salon handles grooming, and religious services mean worship doesn’t require a trip out. The home has 164 beds, and the nursing hours average out to 2 hours and 44 minutes for each resident every day.
Medicaid can cover a long stay once savings are used up. Medicare’s share is a brief skilled stretch after a hospitalization, and private pay is taken as well.
Brenda Wright is administrator here. The home suits a person with dementia in need of a secured, supervised place, or a family that needs care covered for a short stretch.
Overview of SilverSpring Health and Rehabilitation Center
Silver Springs Health and Rehabilitation is a skilled nursing facility based in Abilene, TX. As part of their skilled nursing services, they offer physical, occupational, speech, and respiratory therapy on top of their skilled nursing services. Each patient is offered a care and rehabilitation program tailor-made for their goals and their current strength and functional status. Their patient-centered care also ensures that individual dietary needs are accommodated, and they are supported with daily living activities.
Silver Springs also offers facilities for 1-week transitional stay and long-term care. Long-term care residents may avail of 24/7 skilled nursing and medical supervision, medication management, dialysis facilities, and pain management on top of the aforementioned therapy services.
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.
Located in Austin, TX, Brookdale Westlake Hills is a senior living community, offering independent living and assisted living options, along with comprehensive medical services such as short-term and long-term care, ensuring peace of mind for residents at every stage. Surrounded by landscaped grounds, residents can relax by the outdoor pool or stroll along beautiful walking paths, all within minutes of Austin’s top shopping, dining, and cultural attractions. Known for its lively music scene and cultural diversity, Austin provides an enriching backdrop for residents to explore local galleries, museums, and culinary delights.
Brookdale Westlake Hills is committed to creating a luxurious yet comfortable environment that feels just right. The community offers spacious accommodations and inviting common areas that encourage relaxation and social engagement. With a focus on personalized dining experiences featuring healthy, delicious meals and special community events like festive holiday buffets, residents enjoy culinary delights that cater to their preferences. The jam-packed calendar of activities includes everything from shopping excursions and cooking classes to card games and fitness sessions, ensuring there’s always something exciting to participate in and opportunities to foster holistic well-being.
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Starting Price $6,340/MonthPricing updated on October 7th, 2026
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.
Windsor Atrium provides nursing home, home care, hospice care, respite care, and skilled nursing in Harlingen, TX. Nursing home and skilled nursing services provide daily support and licensed nursing care, while home care assists a person in their own residence. Hospice care provides end of life support, and respite care offers a short stay when a usual caregiver needs time to travel or recover. The range of services suits families seeking short term caregiver relief or ongoing nursing support.
Windsor Atrium has 120 beds, with private rooms and suites. Medicaid, Medicare, and private pay are accepted. Medicaid can help when a family’s savings may not cover a long stay, Medicare can cover short term skilled care after a hospital stay, and private pay means the family pays directly for care.
Total nurse staffing is 3 hours and 11 minutes per resident per day. This represents the total hands on nursing time available to each resident across a day. Timothy G Beall serves as the administrator.
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.
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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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