Page 18 of Best Nursing Homes in Texas

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
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We analyzed These are the facilities in Texas our team has analyzed — not a count of every nursing home provider in Texas.
285 homes
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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

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 Table 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. 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.
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.
Advanced Health and Rehabilitation Center of Garland
NH
HOS
MC
RC
SNF
Garland
139
Facility 139
TX AVG 108
Rank #44 / 255
27.3%
Facility 27.3%
TX AVG 71.2%
Rank #161 / 162
-62%
3.27
Facility 3.27
TX AVG 3.63
Rank #121 / 234
-31%-10%
$237.2k
Facility $237.2k
TX AVG $81.8k
Rank #229 / 237
41
Facility 41
TX AVG 25.9
Rank #165 / 234
3.2
Facility 3.2
TX AVG 3.7
Rank #136 / 234
438-
51
Facility 51
TX AVG 43
Rank #95 / 276
Hamilton County Hospital District
$10.3MFiscal year ending 08/2024
Facility $10.3MFiscal year ending 08/2024
TX AVG $9.4M
Rank #61 / 218
$0.0kFiscal year ending 08/2024
Facility $0.0kFiscal year ending 08/2024
TX AVG $5.4M
Rank #215 / 218
0%Fiscal year ending 08/2024455731
BrightPointe at Lytle Lake
NH
Abilene
120
Facility 120
TX AVG 108
Rank #96 / 255
85.0%
Facility 85.0%
TX AVG 71.2%
Rank #39 / 162
+19%
2.75
Facility 2.75
TX AVG 3.63
Rank #208 / 234
-63%-24%
$23.7k
Facility $23.7k
TX AVG $81.8k
Rank #119 / 237
27
Facility 27
TX AVG 25.9
Rank #165 / 234
3.4
Facility 3.4
TX AVG 3.7
Rank #136 / 234
2102-
34
Facility 34
TX AVG 43
Rank #188 / 276
-
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
TX AVG $9.4M
Rank #101 / 218
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
TX AVG $5.4M
Rank #116 / 218
53.1%Fiscal year ending 12/2023
Facility 53.1%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #129 / 199
676416
Accel at Willow Bend
NH
HOS
RC
SNF
Plano
110
Facility 110
TX AVG 108
Rank #150 / 255
64.3%
Facility 64.3%
TX AVG 71.2%
Rank #114 / 162
-10%
3.73
Facility 3.73
TX AVG 3.63
Rank #72 / 234
-9%+3%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
49
Facility 49
TX AVG 25.9
Rank #209 / 234
4.5
Facility 4.5
TX AVG 3.7
Rank #209 / 234
571-
66
Facility 66
TX AVG 43
Rank #40 / 276
South Limestone Hospital District
$10.7MFiscal year ending 09/2023
Facility $10.7MFiscal year ending 09/2023
TX AVG $9.4M
Rank #53 / 218
$4.9MFiscal year ending 09/2023
Facility $4.9MFiscal year ending 09/2023
TX AVG $5.4M
Rank #103 / 218
46.2%Fiscal year ending 09/2023
Facility 46.2%Fiscal year ending 09/2023
TX AVG 71.6%
Rank #165 / 199
676349
VibraLife Senior Living and Memory Care
NH
PC
SNF
El Paso (East El Paso)
60
Facility 60
TX AVG 108
Rank #209 / 255
85.0%
Facility 85.0%
TX AVG 71.2%
Rank #39 / 162
+19%
2.81
Facility 2.81
TX AVG 3.63
Rank #208 / 234
-20%-23%
$67.4k
Facility $67.4k
TX AVG $81.8k
Rank #167 / 237
45
Facility 45
TX AVG 25.9
Rank #175 / 234
4.5
Facility 4.5
TX AVG 3.7
Rank #209 / 234
351-
41
Facility 41
TX AVG 43
Rank #153 / 276
Vibralife Holdings Of El Paso, LP
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
TX AVG $9.4M
Rank #154 / 218
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
TX AVG $5.4M
Rank #133 / 218
62.7%Fiscal year ending 12/2023
Facility 62.7%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #77 / 199
676428
The Crescent
NH
HOS
PC
RC
SNF
Sugar Land
112
Facility 112
TX AVG 108
Rank #148 / 255
77.9%
Facility 77.9%
TX AVG 71.2%
Rank #61 / 162
+9%
3.38
Facility 3.38
TX AVG 3.63
Rank #101 / 234
+59%-7%
$107.9k
Facility $107.9k
TX AVG $81.8k
Rank #201 / 237
41
Facility 41
TX AVG 25.9
Rank #202 / 234
2.1
Facility 2.1
TX AVG 3.7
Rank #38 / 234
787-
39
Facility 39
TX AVG 43
Rank #160 / 276
Crescent Continuing Care Center Ltd Co
$8.3MFiscal year ending 12/2023
Facility $8.3MFiscal year ending 12/2023
TX AVG $9.4M
Rank #121 / 218
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
TX AVG $5.4M
Rank #102 / 218
59.6%Fiscal year ending 12/2023
Facility 59.6%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #101 / 199
676323
Chelsea Gardens Skilled Nursing & Rehab Center
NH
SNF
Missouri City
60
Facility 60
TX AVG 108
Rank #209 / 255
73.0%
Facility 73.0%
TX AVG 71.2%
Rank #76 / 162
+2%
3.98
Facility 3.98
TX AVG 3.63
Rank #57 / 234
+82%+10%
$64.9k
Facility $64.9k
TX AVG $81.8k
Rank #181 / 237
13
Facility 13
TX AVG 25.9
Rank #21 / 234
3.3
Facility 3.3
TX AVG 3.7
Rank #124 / 234
344-
51
Facility 51
TX AVG 43
Rank #95 / 276
The American Cornerstone Health Services Inc
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
TX AVG $9.4M
Rank #185 / 218
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
TX AVG $5.4M
Rank #185 / 218
50.2%Fiscal year ending 12/2023
Facility 50.2%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #149 / 199
676334
Capstone Healthcare Estates at Veterans Memorial
NH
HOS
MC
PC
RC
SNF
Houston
120
Facility 120
TX AVG 108
Rank #96 / 255
81.9%
Facility 81.9%
TX AVG 71.2%
Rank #47 / 162
+15%
3.03
Facility 3.03
TX AVG 3.63
Rank #184 / 234
+16%-17%
$22.8k
Facility $22.8k
TX AVG $81.8k
Rank #112 / 237
27
Facility 27
TX AVG 25.9
Rank #99 / 234
3.0
Facility 3.0
TX AVG 3.7
Rank #30 / 234
598-
51
Facility 51
TX AVG 43
Rank #95 / 276
Capstone Vm Opco LLC
$10.2MFiscal year ending 12/2023
Facility $10.2MFiscal year ending 12/2023
TX AVG $9.4M
Rank #65 / 218
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
TX AVG $5.4M
Rank #129 / 218
42.9%Fiscal year ending 12/2023
Facility 42.9%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #175 / 199
676252
Diversicare of Lake Highlands
NH
MC
SNF
Dallas (Lake Highlands)
280
Facility 280
TX AVG 108
Rank #1 / 255
62.1%
Facility 62.1%
TX AVG 71.2%
Rank #121 / 162
-13%
3.14
Facility 3.14
TX AVG 3.63
Rank #161 / 234
-1%-13%
$58.1k
Facility $58.1k
TX AVG $81.8k
Rank #184 / 237
53
Facility 53
TX AVG 25.9
Rank #209 / 234
3.5
Facility 3.5
TX AVG 3.7
Rank #67 / 234
5174-
16
Facility 16
TX AVG 43
Rank #246 / 276
Dallas I Enterprises
$13.2MFiscal year ending 03/2024
Facility $13.2MFiscal year ending 03/2024
TX AVG $9.4M
Rank #25 / 218
$9.6MFiscal year ending 03/2024
Facility $9.6MFiscal year ending 03/2024
TX AVG $5.4M
Rank #23 / 218
72.5%Fiscal year ending 03/2024
Facility 72.5%Fiscal year ending 03/2024
TX AVG 71.6%
Rank #42 / 199
455895
Highland Pines Nursing and Rehabilitation Center
NH
PC
SNF
Longview
171
Facility 171
TX AVG 108
Rank #17 / 255
56.7%
Facility 56.7%
TX AVG 71.2%
Rank #134 / 162
-20%
3.23
Facility 3.23
TX AVG 3.63
Rank #141 / 234
+1%-11%
$17.6k
Facility $17.6k
TX AVG $81.8k
Rank #104 / 237
48
Facility 48
TX AVG 25.9
Rank #216 / 234
6.9
Facility 6.9
TX AVG 3.7
Rank #230 / 234
197-
53
Facility 53
TX AVG 43
Rank #85 / 276
Hp Nursing & Rehab LLC
$9.4MFiscal year ending 12/2023
Facility $9.4MFiscal year ending 12/2023
TX AVG $9.4M
Rank #86 / 218
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
TX AVG $5.4M
Rank #100 / 218
53.2%Fiscal year ending 12/2023
Facility 53.2%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #128 / 199
675133
Regent Care Center
NH
League City
194
Facility 194
TX AVG 108
Rank #8 / 255
63.6%
Facility 63.6%
TX AVG 71.2%
Rank #116 / 162
-11%
3.39
Facility 3.39
TX AVG 3.63
Rank #101 / 234
-40%-7%
$144.7k
Facility $144.7k
TX AVG $81.8k
Rank #210 / 237
28
Facility 28
TX AVG 25.9
Rank #148 / 234
2.6
Facility 2.6
TX AVG 3.7
Rank #77 / 234
9123-
25
Facility 25
TX AVG 43
Rank #217 / 276
Regent Care Center Of League City, Limited Partnership
$9.7MFiscal year ending 12/2023
Facility $9.7MFiscal year ending 12/2023
TX AVG $9.4M
Rank #78 / 218
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
TX AVG $5.4M
Rank #45 / 218
71.1%Fiscal year ending 12/2023
Facility 71.1%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #45 / 199
676153

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

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Overview of Advanced Health and Rehabilitation Center of Garland

Advanced Health and Rehabilitation Center of Garland provides nursing home care, hospice care, memory care, respite care, and skilled nursing in Garland, Texas. Nursing home care offers ongoing residential support for residents who need help with daily needs and nursing oversight, while skilled nursing provides licensed nursing care on site around the clock.

Hospice care focuses on comfort at the end of life. Memory care provides a secured setting with supervision for someone at risk of wandering. Respite care is available for a short stay, which can give a family caregiver time to travel, recover, or manage other responsibilities.

The range of services suits someone who needs supervised memory care, short term support, or ongoing skilled nursing. The community has 139 beds, with Medicare, Medicaid, and private pay among the payment options, including short term skilled care through Medicare and longer stays through Medicaid or direct payment.

Total nurse staffing is 3h 16m per resident/day. That represents the daily nursing time recorded for each resident. A Walk Score of 51 out of 100 places the area in the somewhat walkable band, so some errands can be done on foot and a resident who no longer drives may be able to reach some nearby errands independently.

Ari Levy serves as the administrator.

Contact Advanced Health and Rehabilitation Center of Garland

Overview of BrightPointe at Lytle Lake

BrightPointe at Lytle Lake, located in Abilene, Texas, is committed to providing compassionate rehabilitative nursing care, aiming to restore patients to their highest level of function while preserving their independence. In a comforting, home-like setting, the community prioritizes individualized care, ensuring that each patient’s goals are met with meticulous attention to detail. Brightpointe strives to make a positive difference in the lives of every patient and their families with a focus on enhancing daily living.

At Brightpointe, residents enjoy many amenities and nursing home facilities designed to enrich their lives. From engaging in life enrichment activities to on-demand meal services, the community fosters a vibrant and supportive environment. Residents also benefit from religious services, transportation assistance, and access to private and semi-private suites, all within a pet-friendly community with beautifully landscaped courtyards and a convenient beauty/barber shop.

Contact BrightPointe at Lytle Lake

Overview of Accel at Willow Bend

Operating for 12 years, Accel at Willow Bend is a skilled nursing facility in Plano, Texas, with 110 beds. It serves residents in post-acute rehabilitation and long-term nursing care. The community is located on Communications Parkway in a moderately walkable area, with a Walk Score of 66, and maintains about 78% occupancy. The facility accepts Medicare, Medicaid, and private pay.

Rehabilitation is the facility’s core service. Programs are designed to help residents return home after hospitalization, and on-site outpatient rehabilitation is available. Respite care is also available. Residents stay for an average of 35 days, reflecting successful transitions of post-acute residents back to the community. Round-the-clock nursing averages approximately 3 hours and 28 minutes of care per resident daily.

State inspections documented issues in care planning, medication administration, infection control, and facility maintenance. Families evaluating the facility should ask about the community’s quality practices in these operational areas and how it has addressed inspection findings.

Contact Accel at Willow Bend

Overview of VibraLife Senior Living and Memory Care

VibraLife Senior Living and Memory Care provides nursing home, palliative care, and skilled nursing services in El Paso, TX. Nursing home and skilled nursing services provide ongoing clinical support, including licensed nursing care on site. Palliative care centers on comfort and symptom management for someone with serious illness, so the community may be a good fit for a resident who needs ongoing nursing support and palliative care alongside that care.

The community has 60 beds, with an occupancy rate of 85%, meaning most of its beds are in use. Private rooms give each resident a single private living space. Medicare, Medicaid, and private pay are accepted, giving families options to use public coverage or pay directly for care. Total nurse staffing is 2 hours and 49 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident.

Contact VibraLife Senior Living and Memory Care

The Crescent

11353 Sugar Park Ln, Sugar Land, TX 77478
Overview of The Crescent

The Crescent is a nursing home in Sugarland, TX, offering a wide range of skilled nursing services and rehabilitation. Promoting a nurturing and welcoming environment, the community strives to keep older adults comfortable and well-cared for. Physical, occupational, and speech therapies, restaurant-style dining, and housekeeping services are among the excellent services provided to improve residents’ living experiences. The community also works closely with residents to understand their needs and habits, ensuring they can recover and return to their routines with ease.

Social gatherings, light exercises, and various recreational opportunities help residents explore new interests and make friends. Residents can also relax in the community’s indoor garden, outdoor patio, and state-of-the-art rehabilitation gym. With its ideal setting near shops and other local amenities in Sugarland, residents have easy access to their necessities and leisure. As one of the trusted options for senior living in Texas, this nursing home continuously provides exceptional standards of care.

Contact The Crescent

Overview of Chelsea Gardens Skilled Nursing & Rehab Center

Chelsea Gardens Skilled Nursing & Rehabilitation is a nursing home in Missouri City, TX, offering skilled nursing and rehabilitation. Fostering comfort and healing, the community ensures older adults are treated well during their stay. 24-hour care, therapy services, and social services are also provided, so residents have a worry-free lifestyle. Through an innovative approach to care, the community ensures residents receive exceptional care for their unique needs and preferences.

Group activities, fun gatherings, and light exercises ensure residents can stay active and gain meaningful experiences. With spacious, private rooms and lively gathering areas, residents can rest and move around comfortably. Located near Riverstone Shopping Center, fast-food chains, and restaurants, the community ensures residents have quick access to their necessities and leisure. This nursing home has high standards of care and top-notch amenities, making it a good option for senior living in Texas.

Contact Chelsea Gardens Skilled Nursing & Rehab Center

Overview of Capstone Healthcare Estates at Veterans Memorial

Residing in the serene residential grounds of Fallbrook Drive, Houston, TX, is the outstanding senior living community of Capstone Healthcare Estates at Veterans Memorial that offers memory care, rehabilitation, and skilled nursing. The community also features a wide array of care services including respite, hospice, diabetes care, respiratory, pneumonia care, and cardiac care, among others. A team of competent and highly qualified professionals delivers the highest quality of care and assistance around the clock to meet seniors’ needs and aspirations.

Utilizing a holistic approach to care, the community ensures residents are well-cared for in every aspect. With carefully curated enjoyable activities and enriching programs, residents are encouraged to mingle with friends and maintain an active lifestyle for better cognition and a well-connected lifestyle. Capstone Healthcare at Veterans is a good place to find exceptional care dedicated to enhancing seniors’ quality of life.

Contact Capstone Healthcare Estates at Veterans Memorial

Overview of Diversicare of Lake Highlands

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.

Contact Diversicare of Lake Highlands

Overview of Highland Pines Nursing and Rehabilitation Center

Highland Pines Nursing and Rehabilitation Center, in the heart of Longview, Texas, is a haven for senior residents who are looking for compassionate care and dedicated rehabilitation services. Here, complex medical needs such as wound care, diabetes management, enteral feeding, and respiratory treatments are expertly addressed. Highland Pines prides itself on maintaining a high patient-to-therapist ratio, fostering a nurturing environment that celebrates progress. Notably, guests often experience remarkable recovery within three weeks, a testament to the center’s robust and intensive rehabilitation program. With a longstanding legacy, this esteemed center is deeply attuned to the evolving needs of its community, prioritizing safety and well-being throughout its facility.

Highland Pines offers its residents skilled nursing care around the clock. Whether individuals require short-term rehabilitation or long-term support, the committed team ensures each person receives personalized attention. More than just a facility, Highland Pines Nursing and Rehabilitation Center embodies a sense of family—a place where resilience meets, laughter, stories are shared, and hope flourishes. Situated in the heart of Texas, this community embraces its seniors wholeheartedly. The facility boasts state-of-the-art rehab gyms resonating with determination, where patients diligently work towards regaining their independence.

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Overview of Regent Care Center

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.

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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
No paid rankings Facilities cannot pay to influence placement.
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
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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 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.