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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.
Ideally located in the harmonious neighborhood of Plano, TX, The Collinwood Care Center is a trusted community that specializes in rehabilitation and skilled nursing. Here, residents enjoy the highest quality of life with a compassionate and well-trained team attending to their needs 24/7. With the community helping with their daily living activities, residents are guaranteed a worry-free lifestyle.
Aside from their healthcare needs, the community conducts a variety of enriching activities and stimulating programs, including pet therapy and a music program to ensure residents’ holistic wellness. With dietitian-approved meals, residents enjoy the delightful and healthy meals that cater to their dietary needs and preferences. Therapy services, fall prevention, palliative care, and wound care are also provided to enhance residents’ living experiences. The community is ideal for those who need supplementary care to live their golden years without worries.
Overview of Cypress Creek Rehabilitation & Healthcare Center
Cypress Creek Rehabilitation & Healthcare is a well-regarded nursing home in Cypress, TX, offering comprehensive care options, including long-term care, skilled nursing, rehabilitation, hospice, and respite care. Featuring a park-like landscape, the community ensures older adults live a comfortable retirement. Well-balanced meals, 24-hour care, and transportation services are also provided to improve residents’ quality of life. The community also strives to understand residents’ ever-changing needs and habits to provide the best possible care.
Recreational programs and fitness exercises tailored to residents’ interests encourage them to stay active and have fun. A rehabilitation gym, a gazebo, and a courtyard are among the many amenities dedicated to residents’ leisure and wellness. Nestled in the quiet residential area of Cypress, the community ensures residents have a stress-free retirement. Providing high-quality services, this nursing home is one of the best choices for senior living in Texas.
Operated by Pmg Opco – Columbus LLC under the ownership of Dhc Opco-Columbus, Columbus Oaks Healthcare Community is a nursing home in Columbus, Texas. The 137-bed facility accepts Medicare, Medicaid, and private pay, giving families flexibility when arranging care. Residents stay an average of about 381 days, including post-acute rehabilitation patients and those with longer-term care needs.
The community currently serves 79 residents, resulting in an occupancy rate of 58%. Nursing coverage is available 24 hours a day. Total nurse staffing averages 3 hours and 40 minutes per resident each day. Registered nurses, nurse aides, and licensed practical nurses share responsibility for that care. The staffing structure focuses on direct support, supervision, and daily nursing services.
Rehabilitation services and short-term rehabilitation programs are available, especially for residents recovering from hospitalization or another acute health event. The home on Charter Street has a Walk Score of 47. Some nearby services are within walking distance, but transportation is needed for most trips.
State inspections found issues with building safety and equipment upkeep. Emergency systems and maintenance were among the areas reviewed. The facility has addressed past findings and continues to make improvements in these areas.
Families exploring care options should visit the facility, meet the staff, and discuss rehabilitation services in more detail. The home’s nursing care, rehabilitation programs, and acceptance of major payment sources are worth considering for post-hospital transitions.
Operated by Country Village Opco LLC, Country Village Care is a skilled nursing and rehabilitation facility in Angleton, Texas. The home accepts Medicare, Medicaid, and private pay, giving families multiple ways to arrange care. With 136 beds, the current occupancy rate is 61%.
Residents stay an average of 90 days due to the facility’s role as a post-acute rehabilitation provider. The home primarily serves residents coming from hospital care or short-term rehabilitation rather than long-term permanent residents.
Rehabilitation services are available on site, and total nurse staffing averages 3 hours and 50 minutes per resident each day. The surrounding area has a Walk Score of 49 out of 100. Some errands can be completed while walking, but transportation is needed for most trips. Visiting can be convenient for family members who drive. Those who rely on walking or public transit may face some limitations.
State inspections reviewed how medications were given and stored. Care plans were also reviewed, with attention to pressure sore prevention and infection control. These are important parts of daily care in a skilled nursing home. Families considering the facility should ask how these areas are managed and what steps are used to spot and prevent problems.
Overview of Hilltop Park Rehabilitation and Care Center
Operated by Parker County Hospital District under the ownership of Holland Lake Ohana LLC, Hilltop Park Rehabilitation and Care Center is a skilled nursing facility in Weatherford, Texas. The 132-bed home accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover both short-term rehabilitation and longer-term nursing care.
The facility’s occupancy rate is 53%, and most residents stay an average of 168 days. The population here includes both post-acute rehabilitation patients and those receiving longer-term care. Daily nurse staffing averages 3 hours and 15 minutes per resident. Registered nurses provide 11 minutes of direct care each day, and nurse aides contribute about 1 hour and 53 minutes.
Rehabilitation and restorative care are central parts of the facility’s clinical services. Outpatient therapy is available with a structured rehabilitation program. The home also offers respite care and hospice and palliative services for residents nearing the end of life. This combination of services supports residents recovering from surgery or hospitalization, as it serves families seeking temporary or longer-term care options.
The facility is in a neighborhood with a Walk Score of 62. Some errands can be done on foot, but many trips require transportation. The surrounding area is relatively convenient and accessible for visiting family members.
Residents are served home-style meals each day, including favorites such as meatloaf, fried catfish, chicken fried steak, and roast beef with gravy. Fresh salads, soups, and seasonal vegetables are also part of the dining program. Social, recreational, and educational activities are scheduled throughout the week to encourage interaction and engagement.
Private and semi-private rooms are available, along with an outdoor patio, therapy gyms, high-speed internet access, and a hair and nail salon. There’s 24-hour staffing throughout the community to support residents’ care needs.
State inspections focused on care planning, food safety, and infection control protocols. Other areas of focus included bed rail safety and staffing documentation. Families should ask about nursing home compliance during a tour.
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 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.
Get back to living and loving the lifestyle you want with The Heights of North Houston, an excellent community in Houston, TX designed to offer an array of recovery services. With access to short-term care, long-term care, skilled nursing, and memory support, residents here are bound to enjoy a well-cared-for life. The community also provides a team of kind and caring caregivers committed to helping everyone live their lives to the fullest.
Recognizing the importance of staying active in a well-lived life, the community regularly organizes an array of activities and events for residents to enjoy. They also prepare healthy and delicious meals daily to provide the nourishment residents need. With its caring atmosphere and comfortable environment, The Heights of North Houston ensures everyone experiences a great improvement in their quality of life.
Nestled in the tranquil Owen Lane, Waco, TX, Greenview Nursing and Rehab is committed to providing exceptional care services including skilled nursing, rehabilitation, and long- and short-term care. Featuring elegant and spacious rooms, the community ensures the comfort and safety of its residents. Greenview Nursing and Rehab boasts a team of compassionate and highly skilled professionals consisting of licensed nurses, therapists, and social workers.
The community values the individuality of each resident, collaborating with them to devise a care plan that best matches their specific needs. Moreover, seniors may let go of their worries and their loved ones at ease with 24-hour care and assistance available onsite. Delightful and nutritious meals are served to cater to residents’ dietary needs and preferences. Greenview Nursing and Rehab provides an ideal place to heal and relax with its beautiful surroundings and wonderful amenities such as a therapy room and spacious lounge.
Overview of SilverSpring Health and Rehabilitation Center
Silver Springs Health and Rehabilitation is a skilled nursing facility based in Abilene, TX. As part of their skilled nursing services, they offer physical, occupational, speech, and respiratory therapy on top of their skilled nursing services. Each patient is offered a care and rehabilitation program tailor-made for their goals and their current strength and functional status. Their patient-centered care also ensures that individual dietary needs are accommodated, and they are supported with daily living activities.
Silver Springs also offers facilities for 1-week transitional stay and long-term care. Long-term care residents may avail of 24/7 skilled nursing and medical supervision, medication management, dialysis facilities, and pain management on top of the aforementioned therapy services.
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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