Best Nursing Homes in Texas

At 150 licensed beds in Missouri City, Paradigm at First Colony operates under the administration of Johnny Richardson with active Texas licensure through February 2028. The facility serves a mixed population of Medicare, Medicaid, and private-pay residents; currently filling 43 beds at 29% occupancy. Staffing includes 220 employees (83 certified nursing assistants, 30 licensed practical nurses, 27 registered nurses) with round-the-clock coverage, supplemented by rehabilitation, dietary, and social work personnel.

From June 2022 through December 2025, the facility received 16 state inspections that yielded 49 health citations, including nine coded as critical. This represents 329% more deficiencies annually than the Texas average of 3.5 per year. Federal penalties of $211,000 were imposed across three separate citations in 2023 and 2024 for noncompliance with care and safety standards. The CMS overall rating stands at 1 star; health inspection scoring shows 65.4% below state average; quality measures trail Texas homes by 24.1%.

Documented deficiencies center on failure to develop comprehensive care plans, inadequate supervision resulting in resident falls and serious injuries, medication administration errors, substantiated allegations of rough care and neglect, lapses in abuse reporting protocols, wound care failures leading to pressure ulcers, and privacy and infection control violations.

Inspection summaries note corrective actions were implemented following substantiated complaints of abuse, failure to report injuries, and lack of resident advocacy. And yet, recent inspections from mid-2025 indicate ongoing noncompliance with resident rights and care planning standards.

The facility provides services including skilled rehabilitation, memory care (not Alzheimer’s-certified), on-site medical oversight, housekeeping, laundry, and transportation coordination alongside amenities such as semi-private rooms, beauty services, and complimentary Wi-Fi and cable.

Quality-of-care measures show residents at the facility experience pressure ulcer rates 126% above state average and emergency department visits 176% higher than typical Texas nursing homes.

The 1-star federal rating reflects these persistent compliance and quality challenges.

Overview of Memorial Medical Nursing Center

Memorial Medical Nursing and Rehab, located in San Antonio, TX, is a skilled nursing facility dedicated 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 team of professionals committed to treating every patient with the utmost care and respect, Memorial Medical Nursing and Rehab delivers personalized solutions tailored to each individual’s needs. The facility offers skilled nursing, rehabilitation therapy, and both long-term and short-term care options. While Memorial Medical Nursing Center has an overall rating of 1 out of 5 and a short-term rehabilitation rating of Below Average, it remains committed to its mission of ensuring the best possible service for its residents. As a large facility with 135 beds and for-profit, llc ownership, Memorial Medical Nursing Center strives to create a warm and welcoming environment where residents can receive the care they need while maintaining their dignity and independence.

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.

San Rafael Nursing and Rehabilitation located in Corpus Christi, TX, is a skilled nursing and rehabilitation facility offering quality healthcare and compassion to its patients and residents. Their dedicated nursing assistants, therapists, and other medical professional staff are highly motivated in providing nursing and rehabilitation services from 24/7 skilled nursing care, medication management, assistance with daily living activities, and incontinence support.

Long-term residents of San Rafael are also provided with professionally supervised therapy programs, onsite therapy services, as well as psychosocial programs designed to provide mental health support, and stimulation. Their well-trained and dedicated staff also provides respite care, and takes care of housekeeping and laundry to keep the environment clean and safe for everyone.

Choosing San Antonio North Nursing and Rehab means choosing a place where comfort, care, and community are at the crossroads. For those who need long-term care, the facility offers a wide range of services, including lab and x-ray services, medication management, dining services, assistance with daily activities, social services, dialysis, dental care, podiatry, and more. Every aspect of resident care is meticulously taken care of, ensuring their physical, emotional, and social well-being. From post-operative rehab to specialized care such as cardiac care, stroke recovery, and wound care, residents receive comprehensive and personalized care to support their recovery.
With breathtaking views that inspire healing, San Antonio North Nursing and Rehab boasts state-of-the-art facilities, designed to enhance the recovery journey. The therapy gym is equipped with modern equipment and expert therapists, offering physical, occupational, and speech therapies tailored to each resident’s needs. Located just minutes away from local hospitals, residents have access to quality medical care round the clock.

Birchwood of Spring Branch is a memory care, skilled nursing, and rehabilitation community that provides exceptional care. The community offers an inviting community with fine hospitality. The nursing home community houses a team of dedicated staff who are compassionately ready to attend to any need one may have. Residents are encouraged and motivated to live their life to the fullest in a nurturing home-like setting. Birchwood of Spring Branch is able to provide structure and maintain their residents’ sense of individuality while being able to enhance the quality of life for them.

The lifestyle at Birchwood of Spring Branch is built on compassion and care where residents are guaranteed to make the most of their individual day to day while receiving a great amount of hospitality and attentive assistance. Community services include 24-hour nursing care, stimulating activities, engaging social activities and programs; with therapy services that include speech, occupational, and physical; as well as orthopedic recovery, postoperative care, and discharge planning– among many others.

Overview of Woodland Springs Nursing Center

Woodland Springs Nursing Center, situated in Waco, Texas, distinguishes itself as a dependable nursing home with a commitment to personalized care. Unlike adopting a one-size-fits-all approach, this facility caters specifically to seniors in need of nursing care. With professional care available 24 hours a day, residents can access a range of therapy services, including physical, occupational, and speech therapies, along with IV therapy. The facility offers regular physician visits, IV antibiotics, hospice care, and more, ensuring a comprehensive approach to healthcare.

The facility goes beyond the standard services by providing on-site dental, podiatry, and optometry care, enhancing the overall well-being of its residents. As a Medicare and Medicaid-approved provider, this nursing home stands as a reliable choice for seniors seeking high-quality healthcare services, with a focus on skilled nursing tailored to individual needs.

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.

Overview of Lakeshore Village Nursing and Rehab

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.

Located in Pleasanton, TX, Pleasanton North Nursing and Rehab is a skilled nursing facility that delivers a comprehensive range of services to support the well-being of its residents. The center recognizes the importance of providing a safe, controlled environment for older adults with medical conditions that require constant monitoring and management. Pleasanton North Nursing and Rehab’s team of healthcare experts, including certified nurses, licensed medical practitioners, certified nursing assistants, and physical therapists, work together to offer customized care tailored to each resident’s individual needs.

The facility provides support with daily activities, personal care, medication administration, mobility assistance, and other important safety and security precautions. These amenities ensure that residents can sustain or improve their physical and mental health, enhancing their quality of life during retirement. Pleasanton North Nursing and Rehab’s highly protected environment helps prevent patients from wandering off or getting lost, prioritizing their safety and security. The center’s level of engagement and personalized approach make it a compelling choice for seniors in need of specialized care and support.