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Why trust this guide?
Our editorial team analyzed 281 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
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.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
$3.9M*Fiscal year ending 01/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.0M*Fiscal year ending 01/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
51.5%*Fiscal year ending 01/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 281 on this page. See how we rank facilities
Ennis Care Center is a nursing home in Ennis, Texas, offering skilled nursing and hospice care. Skilled nursing provides licensed nursing care on site around the clock, while hospice care supports residents receiving end of life care. Both long term and short term care are available, making the center a possible fit for someone who needs a temporary skilled nursing stay or ongoing nursing care.
The center has 155 beds. Rehabilitation therapy is available for residents working to recover function or maintain their abilities. Dialysis, dental care, and podiatry services are also available through the center, giving residents access to those forms of care without arranging them separately elsewhere.
Medicaid, Medicare, and private pay are accepted. Medicaid can help eligible residents cover care when personal savings may not cover a long stay, while Medicare can cover short term skilled care after a hospital stay rather than long term residence. Private pay allows payment from personal funds. Total nurse staffing is 3 hours and 16 minutes per resident per day, representing the daily nursing time allocated to each resident. Robert Reese serves as the administrator, and individualized care plans and care coordination organize support around each resident’s needs. Social activities provide scheduled opportunities for participation.
Paradigm at First Colony provides skilled nursing and nursing care in Missouri City, TX. Licensed nursing care is available on site around the clock. Rehabilitation services support recovery as part of the care available at the community, so structured care can suit someone recovering from an illness, injury, or hospital stay. Long-Term Services suit a resident who needs ongoing nursing support.
The community has 150 beds, with private and semi-private rooms. Residents may have an individual room or share with another resident. Beauty and barber services bring grooming services into the community, while transportation coordination services help arrange transportation when needed. Johnny Richardson serves as the administrator.
Payment options include Medicaid, Medicare, and private pay. Medicaid may help families whose savings do not cover a long stay, while Medicare covers short-term skilled care after a hospital stay rather than long-term residence. Private pay means the family pays directly. Total nurse staffing is 3h 7m per resident/day, representing the daily hands-on nurse time allocated per resident.
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.
Mulberry Manor handles two care types in Stephenville, TX. One is nursing home care, and the other is skilled nursing.
Nursing time for each resident totals four hours and nine minutes a day, spread over a home of 102 beds. The home may suit a resident who needs ongoing clinical support. Medicare and Medicaid both apply here, as does private pay.
Overview of Lake Village Nursing & Rehabilitation Center
Lake Village Nursing and Rehabilitation Center is a senior living community providing long-term skilled nursing services, respite care, and skilled rehabilitation. Located in Lewisville, TX, this long-term care facility is committed to provide the best care for their residents, creating individualized care plans from admission to discharge. As part of their services, their residents receive 24/7 nursing assistance, medication management, and assistance with daily living activities.
Lake Village Nursing and Rehabilitation Center also offers customizable therapy programs to care for their full-time, in-house therapy team. In addition, they also offer wound care, electrical stimulation, pulmonary programs, and speech-language therapy services.
Diversicare of Lake Highlands’ care list in Dallas, TX, includes nursing home care, skilled nursing, and memory care. What nursing home care and skilled nursing name is a level of need that a nursing license addresses. A wandering risk is what routes a resident into memory care, where the setting is secured and watched.
A resident needing ongoing nursing and a resident needing a secured memory care setting both fit here, and a need that grows moves between the two without having to move out.
At 280 beds, this is a large-scale building, with the range of programming that comes with that size. Rooms are private, so each resident has one to themselves.
Medicare covers the short skilled nursing course after a hospital stay. And Medicaid is what a family turns to when savings will not cover a long stay. Private pay is the third option. Each resident’s daily nursing figure is three hours and nine minutes.
Simpson Place in Dallas, Texas, delivers long-term and temporary care through assisted living, nursing home services, skilled nursing, and respite care. Assisted living assists with daily routines like dressing, bathing, and managing medications. Specialized short-term rehabilitation supports individuals recovering after a hospital stay, while respite programs accommodate temporary visits for individuals whose primary caregivers need time away.
This 120-bed community is managed by operator Pf Sp Alf Ops Ii. Daily nursing coverage averages 3 hours and 15 minutes per resident. Set in an area with an 81 walk score, the location enables residents to accomplish most daily tasks on foot without relying on vehicular transportation. Accepted payment methods include Medicare for qualifying short-term care, Medicaid, and private funds.
Prospective families seeking care options in Dallas can contact Simpson Place to verify room availability, ask about admissions requirements, or plan a tour of the grounds.
San Antonio North Nursing and Rehab is a nursing home and skilled nursing community in San Antonio, Texas. Skilled nursing provides licensed nursing care on site around the clock, making the community potentially suitable for someone who needs ongoing clinical support. The community has 118 beds, with 34% occupancy, so many beds are currently unoccupied.
Total nurse staffing is 2 hours and 57 minutes per resident per day. This represents the amount of nursing time assigned to each resident across a full day. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover a resident’s care. Deanna Truax serves as the administrator.
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.
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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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 281 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
Nursing Homes in Texas at a glance
Avg Overall CMS Rating:2.7/ 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:1.9/ 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
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