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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 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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
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.
$8.3M*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$8.3M*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$9.4M
Rank#121 / 218
$4.9M*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$4.9M*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$5.4M
Rank#102 / 218
59.6%*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility59.6%*Fiscal year ending 11/2023These 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
Ideally situated near local amenities in 12th Avenue, Fort Worth, TX, Forth Worth Transitional Care Center is a dependable community that offers nursing care and therapy services. With its dedication to improving residents’ welfare, the community provides different levels of care and clinical services including cardiac care, stroke care, respiratory therapy, tube feeding, wound care, respite care, and pulmonary care. Private and semi-private rooms, alongside short-term transitional care units are provided to meet residents’ preferences and ensure their comfort.
Aside from care services, fun activities and enriching programs are also conducted to foster belongingness among the residents. The community accepts Medicare, Medicaid, Managed Care, and Private Pay to optimize residents’ resources and ease their financial burdens. Physical, occupational, speech, and outpatient therapy are also provided to enhance residents’ wellness. Enjoy a worry-free retirement while receiving top-tier care for your special needs.
Lakeshore Village Nursing and Rehab is a nursing home and skilled nursing facility in Waco, Texas. Skilled nursing provides licensed nursing care on site around the clock for residents who need ongoing nursing attention. The home may be a good fit for someone whose care needs call for continuous nursing support. It has 151 beds, with both long term and short term care available, so a resident may stay for ongoing care or receive a shorter period of support.
Rehabilitation therapy is available during a resident’s stay, and personalized care plans organize services around individual needs. Total nurse staffing is 3 hours and 14 minutes per resident per day, representing the daily nurse time available for each resident’s care. Payment options include Medicaid, Medicare, and private pay: Medicaid may help when savings do not cover a long stay, Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay means the family pays directly. Travis Ward serves as the administrator.
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.
Park Place Care Center is a skilled nursing facility dedicated to providing comprehensive and compassionate services to residents in need, ensuring their well-being and comfort are the top priorities. Located in Georgetown, TX, this facility focuses on holistic healing and personalized attention, and offers a wide range of amenities and programs tailored to meet the diverse needs of its patients and residents. Some of the specialized services such as rehab-to-Home programs, nursing restorative programs, and respite Care, helps facilitate smooth transitions and enhance recovery of its residents.
Park Place Care Center is equipped with expert staff and resources for wound care, surgery recovery, diabetes management, and podiatry experts, ensuring residents receive top-notch medical attention. Additionally, the facility provides physical, occupational, and speech therapy to support residents in regaining their independence and mobility. With services like hospice care and medication management, this facility aims to enhance the quality of life for residents with advanced medical needs. The facility also offers a range of holistic amenities, including nutritional services, grooming services, as well as laundry & housekeeping assistance. Engaging Activities are also incorporated into the daily routine, fostering a vibrant community where residents can participate in enriching experiences and maintain a fulfilling lifestyle.
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.
Treviso Transitional Care, situated in Longview, Texas, is a Medicaid and Medicare-certified for-profit nursing home. This facility prioritizes creating a supportive environment where senior residents’ comfort and well-being are prioritized. They also participate in Medicare and Medicaid programs, making this center accessible to many individuals seeking quality senior living options in the Longview area.
Treviso Transitional Care prides itself on its team of experienced and highly skilled clinicians dedicated to ensuring the best possible care for its residents. With a capacity of 62 beds, this facility caters to both short-term rehabilitation and long-term care needs.
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.
Located in Sugar Land, TX, The Crescent provides nursing home, hospice care, palliative care, respite care, and skilled nursing. Nursing services provide continuous clinical support for those who require it. Moreover, residents with serious illness or terminal conditions receive comfort-focused care to help manage their symptoms and ease their pain.
The community has 112 beds and private rooms, giving each resident a single private space. Occupancy is at 78%, with residents receiving a total of 3 hours and 23 minutes of nursing care daily. Moreover, families can use Medicare for short-term skilled care after a hospital stay, Medicaid when savings may not cover a long stay, or private pay for direct payment.
Additionally, short-term stays are welcome to provide temporary relief for family caregivers. Residents also have access to housekeeping and beauty services, helping them maintain cleanliness in their surroundings and on themselves.
Overview of Capstone Healthcare Estates at Veterans Memorial
Capstone Healthcare Estates at Veterans Memorial in Houston, Texas, provides nursing home, skilled nursing, memory care, hospice care, palliative care, and respite care. Nursing home and skilled nursing care include licensed nursing care on site around the clock. Memory care offers a secured setting with supervision for a resident who may be at risk of wandering.
Hospice care and palliative care focus on comfort for someone with a serious or end of life illness. Respite care provides a short stay when a usual caregiver needs to travel or recover. These care options may be a good fit for someone living with dementia who needs supervision or a family seeking short term support from a trained care setting.
The community has 120 beds. Payment options include Medicare, Medicaid, and private pay, with Medicare covering short term skilled care after a hospital stay, Medicaid helping with a long stay when savings may not cover it, and private pay meaning the family pays directly. Total nurse staffing is 3 hours and 2 minutes per resident per day, representing the daily hands on nursing time allocated to each resident, while a Walk Score of 51 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to handle some nearby errands independently.
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.
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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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