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Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 262 nursing homes in Texas using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Reviewed by
Last updated
Jun 2026
We analyzed
262 homes
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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.
National Average: 3.0/ 5

Compare Nursing Homes around Texas

The information below is reported by the Texas Health and Human Services Commission.

205 facilities compared · CMS & TX Dept. of Health data

Caraday of Houston
NH
MC
RC
Houston (Northside / Northline)
150
Facility 150
TX AVG 80
Rank #63 / 988
--
3.76
Facility 3.76
TX AVG 3.63
Rank #93 / 296
-32%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
-12-
41
Facility 41
TX AVG 41
Rank #709 / 1391
E&R Cunningham Investments, LP
$2.7M
Facility $2.7M
TX AVG $8.4M
Rank #299 / 304
$1.8M
Facility $1.8M
TX AVG $3.5M
Rank #297 / 304
66.5%
Facility 66.5%
TX AVG 47%
Rank #103 / 304
676470
The Legacy Midtown Park
NH
AL
HC
IL
MC
Dallas (Vickery Meadow)
98
Facility 98
TX AVG 80
Rank #376 / 988
87.5%
Facility 87.5%
TX AVG 63.5%
Rank #31 / 304
+38%
5.42
Facility 5.42
TX AVG 3.63
Rank #14 / 296
+1%+49%
$27.5k
Facility $27.5k
TX AVG $81.8k
Rank #168 / 301
4
Facility 4
TX AVG 25.9
Rank #2 / 299
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 299
-48-
45
Facility 45
TX AVG 41
Rank #628 / 1391
The Legacy Midtown Park Inc
$16.1M
Facility $16.1M
TX AVG $8.4M
Rank #9 / 304
$15.0M
Facility $15.0M
TX AVG $3.5M
Rank #9 / 304
93%
Facility 93%
TX AVG 47%
Rank #214 / 304
676489
Houston Transitional Care
NH
HC
MC
NC
PC
RC
Houston (Braeburn)
70
Facility 70
TX AVG 80
Rank #517 / 988
90.3%
Facility 90.3%
TX AVG 63.5%
Rank #18 / 304
+42%
3.17
Facility 3.17
TX AVG 3.63
Rank #222 / 296
+22%-13%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
5.3
Facility 5.3
TX AVG 3.7
Rank #274 / 299
-67-
75
Facility 75
TX AVG 41
Rank #67 / 1391
Ahmad El-Saadi
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #31 / 304
$5.1M
Facility $5.1M
TX AVG $3.5M
Rank #134 / 304
41.4%
Facility 41.4%
TX AVG 47%
Rank #301 / 304
676435
Sun Valley Rehabilitation and Healthcare Center
NH
HC
MC
NC
RC
Harlingen (Estrellita Subdivision)
124
Facility 124
TX AVG 80
Rank #178 / 988
76.4%
Facility 76.4%
TX AVG 63.5%
Rank #102 / 304
+20%
3.79
Facility 3.79
TX AVG 3.63
Rank #93 / 296
-15%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
5
Facility 5
TX AVG 25.9
Rank #6 / 299
2.5
Facility 2.5
TX AVG 3.7
Rank #64 / 299
-94-
37
Facility 37
TX AVG 41
Rank #808 / 1391
Av Rehab LLC
$9.2M
Facility $9.2M
TX AVG $8.4M
Rank #176 / 304
$4.9M
Facility $4.9M
TX AVG $3.5M
Rank #163 / 304
53.1%
Facility 53.1%
TX AVG 47%
Rank #129 / 304
676493
Pflugerville Nursing and Rehabilitation Center
NH
HC
MC
PC
RC
Pflugerville (Kuempel Tract Phase 1)
120
Facility 120
TX AVG 80
Rank #210 / 988
--
2.71
Facility 2.71
TX AVG 3.63
Rank #284 / 296
-1%-25%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
30
Facility 30
TX AVG 25.9
Rank #218 / 299
4.3
Facility 4.3
TX AVG 3.7
Rank #233 / 299
124-
40
Facility 40
TX AVG 41
Rank #734 / 1391
Regency Ihs Of Pflugerville LLC
$8.3M
Facility $8.3M
TX AVG $8.4M
Rank #167 / 304
$5.2M
Facility $5.2M
TX AVG $3.5M
Rank #98 / 304
63%
Facility 63%
TX AVG 47%
Rank #46 / 304
676245
Brookdale Lakeway
NH
AL
MC
Lakeway (The Towers Of Lakeway)
132
Facility 132
TX AVG 80
Rank #121 / 988
69.8%
Facility 69.8%
TX AVG 63.5%
Rank #136 / 304
+10%
3.89
Facility 3.89
TX AVG 3.63
Rank #81 / 296
+73%+7%
$91.4k
Facility $91.4k
TX AVG $81.8k
Rank #249 / 301
21
Facility 21
TX AVG 25.9
Rank #152 / 299
3.5
Facility 3.5
TX AVG 3.7
Rank #178 / 299
450A+
28
Facility 28
TX AVG 41
Rank #956 / 1391
Henry Kaestner
$10.2M
Facility $10.2M
TX AVG $8.4M
Rank #88 / 304
$6.6M
Facility $6.6M
TX AVG $3.5M
Rank #75 / 304
64.5%
Facility 64.5%
TX AVG 47%
Rank #156 / 304
676131
Magnolia Crossing Nursing and Rehabilitation Center
NH
NC
Houston
128
Facility 128
TX AVG 80
Rank #152 / 988
73.1%
Facility 73.1%
TX AVG 63.5%
Rank #110 / 304
+15%
3.31
Facility 3.31
TX AVG 3.63
Rank #191 / 296
-31%-9%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.4
Facility 2.4
TX AVG 3.7
Rank #57 / 299
-108-
39
Facility 39
TX AVG 41
Rank #754 / 1391
Magnolia Crossing Nh LLC
$8.7M
Facility $8.7M
TX AVG $8.4M
Rank #183 / 304
$6.3M
Facility $6.3M
TX AVG $3.5M
Rank #83 / 304
72.2%
Facility 72.2%
TX AVG 47%
Rank #29 / 304
676333
Christian Care Communities and Services – Mesquite
NH
AL
IL
MC
RC
Mesquite
180
Facility 180
TX AVG 80
Rank #26 / 988
40.3%
Facility 40.3%
TX AVG 63.5%
Rank #273 / 304
-36%
3.66
Facility 3.66
TX AVG 3.63
Rank #111 / 296
+32%+1%
$28.9k
Facility $28.9k
TX AVG $81.8k
Rank #170 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
1.6
Facility 1.6
TX AVG 3.7
Rank #7 / 299
4100-
31
Facility 31
TX AVG 41
Rank #914 / 1391
Ccc Mesquite Management LLC
$8.4M
Facility $8.4M
TX AVG $8.4M
Rank #24 / 304
$11.6M
Facility $11.6M
TX AVG $3.5M
Rank #13 / 304
137.7%
Facility 137.7%
TX AVG 47%
Rank #61 / 304
455617
Harlingen Nursing and Rehabilitation Center
NH
MC
RC
Harlingen (Hale Avenue)
120
Facility 120
TX AVG 80
Rank #210 / 988
--
2.98
Facility 2.98
TX AVG 3.63
Rank #255 / 296
-25%-18%
$100.0k
Facility $100.0k
TX AVG $81.8k
Rank #254 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
118-
49
Facility 49
TX AVG 41
Rank #543 / 1391
Regency Ihs Of Harlingen LLC
$7.8M
Facility $7.8M
TX AVG $8.4M
Rank #206 / 304
$3.6M
Facility $3.6M
TX AVG $3.5M
Rank #220 / 304
45.8%
Facility 45.8%
TX AVG 47%
Rank #168 / 304
675606
Brookdale Westlake Hills
NH
AL
IL
Austin (Treemont)
90
Facility 90
TX AVG 80
Rank #419 / 988
96.7%
Facility 96.7%
TX AVG 63.5%
Rank #4 / 304
+52%
3.81
Facility 3.81
TX AVG 3.63
Rank #93 / 296
+23%+5%
$300.6k
Facility $300.6k
TX AVG $81.8k
Rank #297 / 301
24
Facility 24
TX AVG 25.9
Rank #178 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
748A-
45
Facility 45
TX AVG 41
Rank #628 / 1391
Arcpi Holdings Inc
$26.5M
Facility $26.5M
TX AVG $8.4M
Rank #49 / 304
$12.5M
Facility $12.5M
TX AVG $3.5M
Rank #18 / 304
47.3%
Facility 47.3%
TX AVG 47%
Rank #9 / 304
455866
The Legacy at Willow Bend
NH
AL
HC
IL
MC
Plano
60
Facility 60
TX AVG 80
Rank #583 / 988
96.5%
Facility 96.5%
TX AVG 63.5%
Rank #6 / 304
+52%
5.73
Facility 5.73
TX AVG 3.63
Rank #9 / 296
+54%+58%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
5.7
Facility 5.7
TX AVG 3.7
Rank #283 / 299
-56A+
45
Facility 45
TX AVG 41
Rank #628 / 1391
The Legacy Willow Bend, Inc
$22.1M
Facility $22.1M
TX AVG $8.4M
Rank #15 / 304
$13.7M
Facility $13.7M
TX AVG $3.5M
Rank #12 / 304
61.9%
Facility 61.9%
TX AVG 47%
Rank #159 / 304
676189
Princeton Medical Lodge
NH
PC
RC
Princeton
138
Facility 138
TX AVG 80
Rank #95 / 988
88.3%
Facility 88.3%
TX AVG 63.5%
Rank #26 / 304
+39%
2.45
Facility 2.45
TX AVG 3.63
Rank #294 / 296
+2%-33%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
5.0
Facility 5.0
TX AVG 3.7
Rank #264 / 299
-125-
24
Facility 24
TX AVG 41
Rank #1040 / 1391
Jordan Moon
$12.7M
Facility $12.7M
TX AVG $8.4M
Rank #19 / 304
$6.5M
Facility $6.5M
TX AVG $3.5M
Rank #78 / 304
51.4%
Facility 51.4%
TX AVG 47%
Rank #300 / 304
676485
Hidalgo Nursing and Rehabilitation Center
NH
HC
MC
PC
RC
Edinburg
126
Facility 126
TX AVG 80
Rank #160 / 988
77.8%
Facility 77.8%
TX AVG 63.5%
Rank #85 / 304
+23%
2.74
Facility 2.74
TX AVG 3.63
Rank #284 / 296
-53%-24%
$7.6k
Facility $7.6k
TX AVG $81.8k
Rank #82 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.8
Facility 2.8
TX AVG 3.7
Rank #94 / 299
1104-
29
Facility 29
TX AVG 41
Rank #942 / 1391
Regency Ihs Of Hidalgo LLC
$9.7M
Facility $9.7M
TX AVG $8.4M
Rank #74 / 304
$5.8M
Facility $5.8M
TX AVG $3.5M
Rank #90 / 304
60.3%
Facility 60.3%
TX AVG 47%
Rank #215 / 304
676346
Prairie Estates
NH
Frisco (Meadow Creek)
180
Facility 180
TX AVG 80
Rank #26 / 988
79.6%
Facility 79.6%
TX AVG 63.5%
Rank #78 / 304
+25%- +113%-
$24.6k
Facility $24.6k
TX AVG $81.8k
Rank #159 / 301
20
Facility 20
TX AVG 25.9
Rank #139 / 299
2.9
Facility 2.9
TX AVG 3.7
Rank #110 / 299
2152-
22
Facility 22
TX AVG 41
Rank #1064 / 1391
Sutton Health Care Center Ltd Co
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #50 / 304
$8.0M
Facility $8.0M
TX AVG $3.5M
Rank #50 / 304
64.7%
Facility 64.7%
TX AVG 47%
Rank #146 / 304
676145
Village Creek Wellness and Rehabilitation
NH
PC
Fort Worth
100
Facility 100
TX AVG 80
Rank #363 / 988
80.7%
Facility 80.7%
TX AVG 63.5%
Rank #65 / 304
+27%
2.80
Facility 2.80
TX AVG 3.63
Rank #279 / 296
+16%-23%
$19.0k
Facility $19.0k
TX AVG $81.8k
Rank #131 / 301
19
Facility 19
TX AVG 25.9
Rank #126 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
285-
26
Facility 26
TX AVG 41
Rank #1005 / 1391
Village Creek Nursing & Rehabilitation LLC
$2.3M
Facility $2.3M
TX AVG $8.4M
Rank #253 / 304
$1.3M
Facility $1.3M
TX AVG $3.5M
Rank #214 / 304
54.4%
Facility 54.4%
TX AVG 47%
Rank #45 / 304
675977
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Nursing Home Explorer

Ennis Care Center

1200 S Hall St, Ennis, TX 75119
Overview of Ennis Care Center

Ennis Care Center is a trusted senior care provider situated in South Street, Ennis, TX, that provides skilled nursing, rehabilitation, and long- and short-term care. The community goes above and beyond to ensure seniors are comfortable and well taken care of. Rest assured that residents experience exceptional comfort with a team of respectful, compassionate, and skilled professionals prepared to lend support in their healing journey.

The community is committed to delivering the highest standards of care, utilizing approaches tailored to every resident’s unique needs. With its cozy and warm interior, residents feel at ease knowing they are in safe hands. Promising optimal wellness, the community serves delightful and healthy meals to satisfy residents’ dietary needs and cravings. Ennis Care Center is an ideal place to refresh your mind and find solace with its purposely-made amenities.

Contact Ennis Care Center

Overview of San Antonio West Nursing and Rehab

Nestled in San Antonio, Texas, San Antonio West Nursing and Rehab is a senior care community committed to providing the best possible care for aging adults. The facility’s prime location allows residents to easily access the local activities and entertainment that the vibrant city has to offer. San Antonio West Nursing and Rehab offers a range of services, including skilled nursing and short-term respite care, to ensure that seniors get the most out of their retirement years. The community’s roomy, well-designed units and comfortable, secure atmosphere are complemented by dedicated staff who work hard to maintain the dignity and independence of each resident.

Residents enjoy a diverse array of amenities, including freshly prepared meals, private dining options, and a full schedule of social, educational, and entertaining activities. The facility’s structured program helps residents maintain a high quality of life, encouraging them to socialize and develop meaningful friendships with their peers.

Contact San Antonio West Nursing and Rehab

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.

Contact Parkview Nursing and Rehabilitation Center

Overview of Garland Nursing & Rehabilitation Center

Located in Garland, Texas, the Garland Road Nursing & Rehabilitation Center is a distinguished facility renowned for its premium rehabilitative healthcare and skilled nursing services. Boasting glowing reviews and a stellar reputation in the local community, this center offers a luxurious atmosphere and a highly commendable staff. The center provides a holistic experience, ensuring residents feel truly comfortable. With a focus on inpatient and outpatient care, as well as long-term care, the facility stands out for its success in reducing rehospitalizations.

The facility is dedicated to providing a comprehensive and comfortable experience, emphasizing inpatient and outpatient care, along with long-term care options. A standout in reducing rehospitalizations, the center is celebrated for its commitment to exceptional customer service. Seniors residing here can partake in a variety of activities, benefit from pharmacy services, access social services, and enjoy the professionally landscaped grounds, along with dietary counseling and numerous other amenities.

Contact Garland Nursing & Rehabilitation Center

Overview of Wurzbach Nursing and Rehabilitation

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.

Contact Wurzbach Nursing and Rehabilitation

Overview of Treviso Transitional Care

Treviso Transitional Care, situated in Longview, Texas, is a Medicaid and Medicare-certified for-profit nursing home. This facility prioritizes creating a supportive environment where senior residents’ comfort and well-being are prioritized. They also participate in Medicare and Medicaid programs, making this center accessible to many individuals seeking quality senior living options in the Longview area. 

Treviso Transitional Care prides itself on its team of experienced and highly skilled clinicians dedicated to ensuring the best possible care for its residents. With a capacity of 62 beds, this facility caters to both short-term rehabilitation and long-term care needs.

Contact Treviso Transitional Care

Overview of Park Manor of Westchase

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.

Contact Park Manor of Westchase

Overview of Quality Care of Waco

Quality Care of Waco, located in Waco, Texas, is a trusted rehabilitation center providing exceptional services for seniors. This community stands out by offering adult rehabilitation and long-term care, emphasizing both comprehensive treatment plans and a home-like environment. The highly trained staff ensures residents feel at ease, while the facility boasts well-appointed rooms, including lounges, a beauty salon, and a recreation room.

The home not only provides delicious and flexible meal options but also engages residents in various activities that contribute to their mental, physical, and emotional well-being. The dedicated housekeeping staff adds to the overall excellence of the facility. With a specialized focus on complex care needs such as IV, tracheostomy, stroke, and cardiac care, Quality Care of Waco stands as a beacon in long-term nursing home services, redefining expectations for senior living.

Contact Quality Care of Waco

Overview of Landmark of Plano

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.

Contact Landmark of Plano

Overview of The Concierge

The Concierge operates a 114-bed nursing and hospice facility at 2310 Eldridge Parkway South in the Westside of Houston, Harris County, Texas. The community is 19 miles from downtown Houston and sits in a moderately walkable neighborhood (Walk Score: 51). Owned by The Ireland Family Limited Partnership and managed by Freddie Green, the facility’s census is predominantly Medicaid (88.8% of residents), though new admissions run 41% Medicare, 57% private pay, and 1% Medicaid. The average stay is 59 days, reflecting a short-term post-acute care model within a Medicaid-dependent resident base.

The facility’s 1-star CMS overall rating, 66.8% below the state average, reflects critical performance gaps. Health inspection earns 1-star (30.8% below state), staffing is rated 1-star (58.3% below state), and quality measures score 3-star (at state average).

Staffing is structurally misaligned: registered nurses provide 39 minutes per resident daily (50% above state), but certified nursing aides deliver just 11 minutes per day, 91% below the state average of 2 hours 1 minute. Weekend total nursing care plummets to 1h 17m daily, 57% below state.

Inspection records since 2023 document escalating clinical failures. Two immediate jeopardy findings occurred: February 2024 identified improper tracheostomy care and medication administration errors (14% error rate, nearly triple the 5% threshold); November 2023 documented a 12-hour delay in physician notification for a deteriorating resident, resulting in hospitalization with pneumonia, acute kidney failure, and septic shock. December 2025 complaint investigation revealed discharge of a cognitively impaired resident to a homeless shelter and immediate jeopardy pressure ulcer management, with hospital transfer.

Complaint investigations also substantiated incontinent care delays exceeding 10 hours, a resident left alone in an elevator 7-20 minutes, shower failures, and foot care delays.

Federal penalties included $29K in fines and one payment denial.

Pressure ulcers in high-risk residents run 8.9%, 101% worse than state average.

Occupancy at 61.3% is notably low. The facility invests 70.3% of revenue in payroll (among the highest in Texas) and returned to profitability with $397.7K net income in 2023.

The Concierge is structured for short-term post-acute Medicaid care, though immediate jeopardy findings, medication errors, and delayed clinical responses present substantial risk for residents.

Contact The Concierge

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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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 262 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.