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Why trust this guide?
Our editorial team analyzed 269 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 to lowest based on our ranking methodology.
Enjoy a comfortable recovery in River City Care Center, an excellent community in San Antonio, TX designed for skilled nursing and rehabilitation. The community also caters to residents living with the challenges of memory loss through their comprehensive memory care plans. Residents find peace of mind from having a dependable team of care experts available to support their daily activities and attend to their emergencies 24/7.
Fostering an active lifestyle, the community also features a wide array of fun and stimulating activities for residents’ enjoyment. With delicious and nutritionally-balanced meals, the community makes sure residents maintain healthy eating habits. The community also makes sure residents are liberated from their household responsibilities, giving them more time to spend on their happiness and well-being.
Pebble Creek Nursing Center is a skilled nursing home and rehabilitation facility located in El PAso, TX. They provide their residents with 24/7 skilled nursing care, assistance with daily living activities such as bathing and toileting, nursing restorative programs, and therapy services. As part of their healthcare services, residents are also provided medication management and administration assistance. To ensure that the residents live their best life, they also offer a rich array of non-medical related services and amenities. This includes meal provisions, beauty and barber services, laundry and housekeeping, and transportation services. Furthermore, the facility also offers respite and hospice care, for residents in their late stages of life.
Diversicare of Lake Highlands occupies 9009 White Rock Trail in Dallas’s Lake Highlands neighborhood, operating 280 beds across nursing home, assisted living, and memory care units. The facility, operated by Dallas I Enterprises, accepts Medicare, Medicaid, and private-pay residents and sits 11.9 miles from downtown Dallas and 1.99 miles from Texas Health Presbyterian Hospital. Walk score is 16, requiring car transportation for most errands. Occupancy runs at 57.2%, below the Texas state average.
The resident population is overwhelmingly Medicaid (85.9%), with minimal Medicare (4.3%) or private-pay (9.8%) presence. Financial performance improved, generating a $614,500 surplus in 2024 (4.1% margin). Average stay is 175 days.
The facility holds a 1-star overall CMS rating. Health inspection performance is rated 1 star, 63.8% below the Texas average, reflecting significant deficiency findings.
Staffing also earns a 1-star rating, 52.9% below state average. Adjusted nursing hours total 3 hours 1 minute per resident daily across all roles, placing the facility 248th of 289 in Texas. Registered nurses provide 20 minutes daily (23% below state average); licensed practical nurses 52 minutes (9% below); and certified nursing assistants 1 hour 54 minutes (6% below).
Four federal civil money penalties issued over three years, totaling $55,000, indicate repeated compliance violations at roughly double the typical frequency for Texas facilities.
Long-stay residents show strength in functional stability, pressure ulcer prevention, and infection control. Vaccination rates reach 100%. However, 5.4% of long-stay residents suffer depressive symptoms, 88% worse than state benchmarks. Short-stay rehabilitation outcomes are weak: 2.7% experienced major falls; nearly triple the state average, and only 25.4% achieved successful return to home or community, 50% below the state norm.
Diversicare serves primarily long-term Medicaid residents, with below-average staffing levels, repeated regulatory violations, and rehabilitation outcomes that underperform state standards significantly.
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.
Overview of Marine Creek Nursing and Rehabilitation
Marina Creek is one of the best nursing home facilities in Fort Worth that provides exceptional care. The community offers an inviting community with exemplary hospitality. With a focus on long-term care services, a team of dedicated staff who are compassionately ready to attend to any need one may have. Residents are encouraged and motivated to live fully in a nurturing, home-like setting.
The residential lifestyle at Marine Creek is built on compassion and care. Residents are guaranteed to make the most of their day-to-day while receiving significant hospitality and attentive assistance. Community services include 24-hour nursing care, stimulating activities, engaging social activities and programs, therapy services (speech, occupational, physical), orthopedic recovery, surgery recovery, diabetes management, dentistry, Alzheimer’s care, and stroke recovery– are few of the many things provided at the nursing home.
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.
Nestled in League City, Texas, the Regent Care Center stands out for its excellently maintained facility and a team of exceptional staff. Renowned for its competitive provision of rehabilitation and skilled nursing care, this center boasts a straightforward yet inviting environment with delightful outdoor spaces. Situated in the Victory Lakes area, it exudes a warm setting, offering both short-term and long-term care options while also extending a welcoming hand to those seeking respite care. In the realm of nursing homes, Regent Care Center emerges as a preferred choice in League City.
For those discerning individuals exploring nursing home options, Regent Care Center in League City meets the mark with its exceptional facility and dedicated staff. With a commitment to both short and long-term care solutions, including respite care, it stands as a distinguished choice in the League City area for those seeking high-quality senior living and nursing home services.
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.
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.
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.
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 269 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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