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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
Video Tour: Top-rated Nursing Homes facilities in Texas.
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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.
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 TableNH (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.
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
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.
Overview of Longview Hill Nursing Center and Rehabilitation
Longview Hill Nursing and Rehabilitation Center is a distinguished provider of compassionate nursing home services recognized by the Centers for Medicare & Medicaid Services for its commitment to high-quality care. This contemporary facility, situated in Longview, Texas, prioritizes health promotion and aims to enhance the quality of life for its residents. The dedicated staff in this center has demonstrated their commitment to safety among staff and residents. This unwavering focus on well-being reflects the center’s dedication to maintaining a secure environment for its community.
For those seeking a nurturing environment that intersects dignity, comfort, and health, Longview Hill Nursing and Rehabilitation Center stands as a beacon of care and compassion in the heart of Texas. With a warm and inviting atmosphere, Longview Hill Nursing and Rehabilitation Center offers personalized attention and support to seniors needing short-term rehabilitation or long-term care. Boasting 198 beds, the center serves a diverse community, ensuring each individual receives tailored care. Beyond physical health, the center fosters a sense of community engagement through its Resident Council, valuing residents’ voices and perspectives. While specialized Alzheimer’s care is not provided, participation in Medicare and Medicaid programs widens accessibility to quality care for a broad spectrum of individuals.
River City Care Center is a nursing home in San Antonio, Texas, offering skilled nursing care. Licensed nursing care is available on site around the clock, and rehabilitation services support residents recovering from illness, injury, or surgery. The community has 92 beds, with private and semiprivate rooms. A private room gives one resident an individual living space, while a semiprivate room accommodates two people.
The 3 hours and 18 minutes of total nurse staffing per resident per day represents the daily hands on nursing time allocated to each resident. Short term rehabilitation and respite care are available for temporary stays, including recovery after surgery or a period when a usual caregiver needs time away. Physical, occupational, and speech therapy support recovery and daily functioning, alongside Nursing Restorative Programs and the Rehab to Home program. Additional programs address stroke and neurological conditions, cardiac related illnesses, and diabetes management.
Residents can access podiatry, dentistry, optometry, a salon and spa, transportation services, and religious services. Medicaid, Medicare, and private pay are accepted. Medicare applies to short term skilled care after a hospital stay rather than long term residence, while Medicaid may help cover care when a resident’s savings do not cover a long stay. Tamara Raines serves as the administrator, and the combination of skilled nursing, short term rehabilitation, and respite care may suit someone who needs temporary clinical support or a family caregiver who needs short term coverage.
Overview of Garland Nursing & Rehabilitation Center
Located in Garland, Texas, the Garland Road Nursing & Rehabilitation Center is a distinguished facility renowned for its premium rehabilitative healthcare and skilled nursing services. Boasting glowing reviews and a stellar reputation in the local community, this center offers a luxurious atmosphere and a highly commendable staff. The center provides a holistic experience, ensuring residents feel truly comfortable. With a focus on inpatient and outpatient care, as well as long-term care, the facility stands out for its success in reducing rehospitalizations.
The facility is dedicated to providing a comprehensive and comfortable experience, emphasizing inpatient and outpatient care, along with long-term care options. A standout in reducing rehospitalizations, the center is celebrated for its commitment to exceptional customer service. Seniors residing here can partake in a variety of activities, benefit from pharmacy services, access social services, and enjoy the professionally landscaped grounds, along with dietary counseling and numerous other amenities.
Overview of Brownsville Nursing and Rehabilitation Center
Brownsville Nursing and Rehabilitation Center offers nursing home, skilled nursing, memory care, hospice care, palliative care, and respite care in Brownsville, TX. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for a resident at risk of wandering. Hospice and palliative care focus on comfort and symptom relief, and respite care provides a short stay when a family caregiver needs to travel or recover.
The center has 120 beds, with 82% occupancy, so the full bed capacity is not occupied. Payment options include Medicaid, Medicare, and private pay. Medicare applies to short term skilled care after a hospital stay rather than long term residence, while Medicaid may help families whose savings do not cover a long stay.
Total nurse staffing is 2 hours and 31 minutes per resident each day, representing the daily nursing time allocated per resident. A Walk Score of 34 places the area in a car dependent setting, so most errands require a car or a ride. Giselle Gomez serves as the administrator, and the range of care services may suit a resident whose needs could change over time or a family caregiver who needs a short term care arrangement.
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.
Overview of Buena Vida Nursing and Rehab Center San Antonio
Ideally nestled in the quiet area of San Antonio, TX, Buena Vida Nursing and Rehab Center San Antonio provides a safe and secure setting for skilled nursing, rehabilitation, and memory care. Their team of kind and experienced caregivers works hard to meet residents’ unique needs with personalized care plans tailored to their preferences and care requirements. From daily living assistance to therapy services, the community provides all the comfort residents need to thrive.
Residents also enjoy an array of fun and engaging activities tailored to their interests and capabilities. A team of culinary experts carefully prepares healthy, nutritious, and delicious meals to make sure residents receive proper nourishment and nutrition. Here, everyone is guaranteed to enjoy a speedy recovery or maintain their maximum functionality to continue enjoying their golden years.
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 Sienna Nursing and Rehabilitation Odessa
Sienna Nursing and Rehabilitation Odessa is the home for residents who seek to relax and recover. Specializing in short-term rehabilitation and long-term care, the resident-focused community provides professional and compassionate service for its residents. The nursing facility cultivates the holistic needs of its residents in a home-like setting.
Sienna’s services are multidisciplinary for both skilled nursing and rehabilitation– focusing on post-surgical care, on-site therapy (physical, occupational, speech), strength conditioning, wound care, stroke recovery, surgery recovery, and diabetes management. Essential services include medication management, respite stays, ADLs, and specialized meal plans.
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.
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 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.
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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