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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.
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.
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.
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
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.
Vista Hills Health Care Center, located in the sunny city of EL Paso, TX, is a care facility dedicated to providing quality skilled nursing and rehabilitation services. This skilled facility offers specialized care by highly skilled clinicians and therapists in a warm, home-like environment. As part of their services they provide residents with 24/7 skilled nursing care, physical, occupational, and speech therapy, respite care services, wound care, and other care services such as their memory care program for residents living with Alzheimer’s or dementia. Additionally they also provide nutritional services through their fine dining options, and full activities programs to ensure that their physical activity, mental stimulation and psychosocial needs are met.
Overview of Brush Country Nursing and Rehabilitation
Nestled in a peaceful area in Austin, TX, Brush Country Nursing and Rehabilitation is a nurturing community that offers excellent short-term rehabilitation and long-term care. Their accommodations are surrounded by lush oak trees and smiling faces that give residents the warm and comforting vibe they need to comfortably recover their strength or maintain their well-being. Their dedicated team of care experts is available 24/7 to offer residents quality nursing care and tailored treatment plans for those recovering from an injury or hospitalization.
They offer private and semi-private Medicare suites and flexible payment methods to ensure residents can receive the care they need without worrying about their finances. In addition to daily living assistance, engaging activities and amenities like an on-site salon, scheduled transportation, and housekeeping services are available to make residents’ living experience more enjoyable. With Brush Country Nursing and Rehabilitation, residents and their families can enjoy their peace of mind knowing their loved ones are well-cared for in a safe, welcoming, and nurturing setting.
Overview of Franklin Heights Nursing and Rehab Center
Franklin Heights, located in El Paso, TX, is a skilled nursing home and rehabilitation center offering excellent skilled nursing and rehabilitation services to its residents. This includes 24/7 skilled nursing care, assistance with daily living activities, medication management, respite care, wound care, and pain management. Additionally they also provide their residents with nutritional services by preparing meals with consideration to their bodies’ needs and restrictions. Laundry and housekeeping services are also provided during their stay, providing the residents with a clean environment, safe from diseases.
Lakeshore Village Nursing and Rehab, located in Waco, TX, is a trusted skilled nursing facility committed to providing exceptional care and rehabilitation services to its residents. The nursing home prioritizes individual wellness and places a special emphasis on rehabilitation, ensuring the best possible experience for its residents.
With a dedicated team of professionals, Lakeshore Village Nursing and Rehab delivers personalized and compassionate care, setting it apart from other facilities in the area. The skilled nursing staff, equipped with specialized training and a deep understanding of residents’ needs, provides comprehensive medical care, adept medication management, and tailor-made treatment plans. The nursing home’s mission is to treat every patient with the utmost care and respect, creating a warm and welcoming environment where residents can maintain their dignity and independence while receiving the care they need. Lakeshore Village Nursing and Rehab offers a seamless continuum of care, ensuring a smooth transition for residents and fostering consistency in their support.
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.
Memorial Medical Nursing Center is a nursing home offering skilled nursing in San Antonio, TX, in the Tobin Hill neighborhood. Skilled nursing provides licensed nursing care on site around the clock for residents who need ongoing clinical support.
The community has 135 beds and offers both short-term rehabilitation and long-term care. Short-term rehabilitation can suit someone who needs a temporary stay focused on recovery, while long-term care supports residents who require continuing nursing home services. Memorial Medical Nursing Center may be a good fit for a resident who needs either time-limited rehabilitation or ongoing skilled nursing care.
Specific services include pain management, dental care, dialysis and podiatry services, giving residents access to these forms of clinical support within the facility’s care offerings. Total nurse staffing is 2h 46m per resident/day, representing the daily hands-on nurse time assigned per resident.
Medicaid, Medicare and private pay are accepted. Medicare applies to short-term skilled care after a hospital stay rather than long-term residence, while Medicaid and private pay provide additional ways to cover care. Rosalinda Jaca serves as the administrator.
Ideally situated near local amenities in 12th Avenue, Fort Worth, TX, Forth Worth Transitional Care Center is a dependable community that offers nursing care and therapy services. With its dedication to improving residents’ welfare, the community provides different levels of care and clinical services including cardiac care, stroke care, respiratory therapy, tube feeding, wound care, respite care, and pulmonary care. Private and semi-private rooms, alongside short-term transitional care units are provided to meet residents’ preferences and ensure their comfort.
Aside from care services, fun activities and enriching programs are also conducted to foster belongingness among the residents. The community accepts Medicare, Medicaid, Managed Care, and Private Pay to optimize residents’ resources and ease their financial burdens. Physical, occupational, speech, and outpatient therapy are also provided to enhance residents’ wellness. Enjoy a worry-free retirement while receiving top-tier care for your special needs.
Park Place Care Center is a skilled nursing facility dedicated to providing comprehensive and compassionate services to residents in need, ensuring their well-being and comfort are the top priorities. Located in Georgetown, TX, this facility focuses on holistic healing and personalized attention, and offers a wide range of amenities and programs tailored to meet the diverse needs of its patients and residents. Some of the specialized services such as rehab-to-Home programs, nursing restorative programs, and respite Care, helps facilitate smooth transitions and enhance recovery of its residents.
Park Place Care Center is equipped with expert staff and resources for wound care, surgery recovery, diabetes management, and podiatry experts, ensuring residents receive top-notch medical attention. Additionally, the facility provides physical, occupational, and speech therapy to support residents in regaining their independence and mobility. With services like hospice care and medication management, this facility aims to enhance the quality of life for residents with advanced medical needs. The facility also offers a range of holistic amenities, including nutritional services, grooming services, as well as laundry & housekeeping assistance. Engaging Activities are also incorporated into the daily routine, fostering a vibrant community where residents can participate in enriching experiences and maintain a fulfilling lifestyle.
Fifty-four years in operation and 179 beds on View Street in Fort Worth. Park View Care Center is one of those facilities that has been part of the local landscape long enough to have a real track record. It runs two programs in parallel: Skilled Nursing Short-Term Rehab for people moving through post-acute recovery, and Skilled Nursing Long-Term Care for residents who are staying. The 235-day average length of stay and 77% occupancy together suggest the long-term population carries significant weight here.
The nursing footprint is substantial. Total nursing care across all staff roles runs 4 hours 10 minutes per resident per day. Nurse aides handle 2 hours 23 minutes of that; LPNs and LVNs contribute another 54 minutes. Respite care and 24-hour staffing round out the service structure.
The amenity mix makes sense for a community hosting long-stay residents. Lounges, sunrooms, outdoor patios and gardens, a beauty salon and barber shop, scheduled transportation, and a full calendar of clubs, classes, and events give people somewhere to be and something to do. These aren’t short-stay amenities; they’re built for people who live here.
Walk Score is 28, so the location is car-dependent. State inspections have centered on infection prevention and control. Medicaid, Medicare, and private pay are all accepted.
Park View is built for the full spectrum of skilled nursing need: people recovering and people settled in for the long term, all under one roof with over five decades of institutional continuity behind it.
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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