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Page 19 of Best Nursing Homes in Texas

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
Reviewed by
Last updated
Jul 2026
We analyzed
269 homes
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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.
National Average: 3.0/ 5

Compare Nursing Homes around Texas

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.

The Legacy at Willow Bend
NH
AL
HC
HOS
IL
MC
SNF
Plano
72
Facility 72
TX AVG 78
Rank #486 / 981
--
5.73
Facility 5.73
TX AVG 3.63
Rank #6 / 233
+54%+58%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
17
Facility 17
TX AVG 25.9
Rank #73 / 235
5.7
Facility 5.7
TX AVG 3.7
Rank #225 / 235
-56A+
45
Facility 45
TX AVG 42
Rank #628 / 1346
The Legacy Willow Bend, Inc
$22.1MFiscal year ending 09/2023
Facility $22.1MFiscal year ending 09/2023
TX AVG $9.3M
Rank #9 / 219
$13.7MFiscal year ending 09/2023
Facility $13.7MFiscal year ending 09/2023
TX AVG $5.4M
Rank #10 / 219
61.9%Fiscal year ending 09/2023
Facility 61.9%Fiscal year ending 09/2023
TX AVG 71.6%
Rank #83 / 200
676189
Vogel Center Assisted Living With Memory Support
NH
AL
IL
MC
SNF
Midland (Trinity Towers Manor)
44
Facility 44
TX AVG 78
Rank #708 / 981
91.6%
Facility 91.6%
TX AVG 66.3
Rank #16 / 175
+38%
5.19
Facility 5.19
TX AVG 3.63
Rank #14 / 233
-22%+43%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
10
Facility 10
TX AVG 25.9
Rank #21 / 235
3.3
Facility 3.3
TX AVG 3.7
Rank #125 / 235
-40-
47
Facility 47
TX AVG 42
Rank #586 / 1346
Manor Park, Inc
$2.8MFiscal year ending 05/2024
Facility $2.8MFiscal year ending 05/2024
TX AVG $9.3M
Rank #214 / 219
$14.3MFiscal year ending 05/2024
Facility $14.3MFiscal year ending 05/2024
TX AVG $5.4M
Rank #9 / 219
513.4%Fiscal year ending 05/2024
Facility 513.4%Fiscal year ending 05/2024
TX AVG 71.6%
Rank #1 / 200
676015
The Legacy Midtown Park
NH
AL
HOS
IL
MC
SNF
Dallas (Vickery Meadow)
98
Facility 98
TX AVG 78
Rank #356 / 981
--
5.42
Facility 5.42
TX AVG 3.63
Rank #11 / 233
+1%+49%
$27.5k
Facility $27.5k
TX AVG $81.8k
Rank #131 / 238
4
Facility 4
TX AVG 25.9
Rank #2 / 235
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 235
-48-
45
Facility 45
TX AVG 42
Rank #628 / 1346
The Legacy Midtown Park Inc
$16.1MFiscal year ending 09/2023
Facility $16.1MFiscal year ending 09/2023
TX AVG $9.3M
Rank #18 / 219
$15.0MFiscal year ending 09/2023
Facility $15.0MFiscal year ending 09/2023
TX AVG $5.4M
Rank #8 / 219
93%Fiscal year ending 09/2023
Facility 93%Fiscal year ending 09/2023
TX AVG 71.6%
Rank #20 / 200
676489
Park Manor of CyFair
NH
SNF
Houston (White Oak Bend)
120
Facility 120
TX AVG 78
Rank #192 / 981
89.2%
Facility 89.2%
TX AVG 66.3
Rank #26 / 175
+34%
3.27
Facility 3.27
TX AVG 3.63
Rank #154 / 233
+82%-10%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
7
Facility 7
TX AVG 25.9
Rank #11 / 235
2.3
Facility 2.3
TX AVG 3.7
Rank #38 / 235
-107-
55
Facility 55
TX AVG 42
Rank #385 / 1346
Hmg Park Manor Of Cyfair, L.l.c
$9.7MFiscal year ending 08/2024
Facility $9.7MFiscal year ending 08/2024
TX AVG $9.3M
Rank #77 / 219
$4.4MFiscal year ending 08/2024
Facility $4.4MFiscal year ending 08/2024
TX AVG $5.4M
Rank #127 / 219
45.1%Fiscal year ending 08/2024
Facility 45.1%Fiscal year ending 08/2024
TX AVG 71.6%
Rank #170 / 200
675818
Baywind Village Skilled Nursing & Rehabilitation
NH
HOS
RC
SNF
League City
107
Facility 107
TX AVG 78
Rank #310 / 981
77.2%
Facility 77.2%
TX AVG 66.3
Rank #59 / 175
+16%
4.70
Facility 4.70
TX AVG 3.63
Rank #31 / 233
+31%+29%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
15
Facility 15
TX AVG 25.9
Rank #53 / 235
1.9
Facility 1.9
TX AVG 3.7
Rank #19 / 235
183A+
52
Facility 52
TX AVG 42
Rank #455 / 1346
Village Skilled Nursing & Rehab Care LLC
$12.6MFiscal year ending 12/2023
Facility $12.6MFiscal year ending 12/2023
TX AVG $9.3M
Rank #31 / 219
$7.8MFiscal year ending 12/2023
Facility $7.8MFiscal year ending 12/2023
TX AVG $5.4M
Rank #37 / 219
61.9%Fiscal year ending 12/2023
Facility 61.9%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #83 / 200
675323
Presbyterian Village North
NH
AL
IL
MC
RC
SNF
Dallas (Lake Highlands)
88
Facility 88
TX AVG 78
Rank #417 / 981
78.4%
Facility 78.4%
TX AVG 66.3
Rank #54 / 175
+18%
4.80
Facility 4.80
TX AVG 3.63
Rank #23 / 233
+20%+32%
$36.5k
Facility $36.5k
TX AVG $81.8k
Rank #149 / 238
18
Facility 18
TX AVG 25.9
Rank #80 / 235
2.3
Facility 2.3
TX AVG 3.7
Rank #38 / 235
269-
61
Facility 61
TX AVG 42
Rank #267 / 1346
Dustin Allen
$11.4MFiscal year ending 12/2023
Facility $11.4MFiscal year ending 12/2023
TX AVG $9.3M
Rank #44 / 219
$20.1MFiscal year ending 12/2023
Facility $20.1MFiscal year ending 12/2023
TX AVG $5.4M
Rank #4 / 219
176.3%Fiscal year ending 12/2023
Facility 176.3%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #6 / 200
676135
Texhoma Christian Care Center for Alzheimer‘s and Dementia
NH
IL
MC
RC
SNF
Wichita Falls
234
Facility 234
TX AVG 78
Rank #6 / 981
65.5%
Facility 65.5%
TX AVG 66.3
Rank #103 / 175
-1%
4.57
Facility 4.57
TX AVG 3.63
Rank #38 / 233
-36%+26%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
12
Facility 12
TX AVG 25.9
Rank #29 / 235
3.0
Facility 3.0
TX AVG 3.7
Rank #99 / 235
-153-
8
Facility 8
TX AVG 42
Rank #1260 / 1346
Texhoma Christian Care Center Inc
$16.4MFiscal year ending 02/2024
Facility $16.4MFiscal year ending 02/2024
TX AVG $9.3M
Rank #17 / 219
$10.3MFiscal year ending 02/2024
Facility $10.3MFiscal year ending 02/2024
TX AVG $5.4M
Rank #17 / 219
63.1%Fiscal year ending 02/2024
Facility 63.1%Fiscal year ending 02/2024
TX AVG 71.6%
Rank #74 / 200
455965
Meadow Lake Senior Living – Tyler
NH
AL
IL
MC
RC
SNF
Tyler
20
Facility 20
TX AVG 78
Rank #784 / 981
--
4.30
Facility 4.30
TX AVG 3.63
Rank #50 / 233
+156%+18%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
4
Facility 4
TX AVG 25.9
Rank #2 / 235
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 235
-27A+
33
Facility 33
TX AVG 42
Rank #885 / 1346
Robbin Bell
$9.8MFiscal year ending 12/2023
Facility $9.8MFiscal year ending 12/2023
TX AVG $9.3M
Rank #75 / 219
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
TX AVG $5.4M
Rank #99 / 219
51.5%Fiscal year ending 12/2023
Facility 51.5%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #141 / 200
676286
Windsor Nursing and Rehabilitation Center of Corpus Christi
NH
AL
MC
SNF
Corpus Christi (Central City)
120
Facility 120
TX AVG 78
Rank #192 / 981
92.2%
Facility 92.2%
TX AVG 66.3
Rank #13 / 175
+39%
2.98
Facility 2.98
TX AVG 3.63
Rank #201 / 233
-31%-18%
$12.2k
Facility $12.2k
TX AVG $81.8k
Rank #79 / 238
13
Facility 13
TX AVG 25.9
Rank #37 / 235
1.9
Facility 1.9
TX AVG 3.7
Rank #19 / 235
-111-
69
Facility 69
TX AVG 42
Rank #150 / 1346
Regency Ihs Of Windsor Corpus Christi LLC
$8.2MFiscal year ending 09/2023
Facility $8.2MFiscal year ending 09/2023
TX AVG $9.3M
Rank #123 / 219
$4.6MFiscal year ending 09/2023
Facility $4.6MFiscal year ending 09/2023
TX AVG $5.4M
Rank #120 / 219
55.7%Fiscal year ending 09/2023
Facility 55.7%Fiscal year ending 09/2023
TX AVG 71.6%
Rank #115 / 200
676321
Windsor Nursing and Rehabilitation Center of Harlingen
NH
MC
RC
SNF
Harlingen
154
Facility 154
TX AVG 78
Rank #55 / 981
79.7%
Facility 79.7%
TX AVG 66.3
Rank #49 / 175
+20%
2.99
Facility 2.99
TX AVG 3.63
Rank #201 / 233
-14%-18%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
12
Facility 12
TX AVG 25.9
Rank #29 / 235
3.0
Facility 3.0
TX AVG 3.7
Rank #99 / 235
-123-
44
Facility 44
TX AVG 42
Rank #647 / 1346
Regency Ihs Of Harlingen Manor LLC
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
TX AVG $9.3M
Rank #58 / 219
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
TX AVG $5.4M
Rank #122 / 219
43.6%Fiscal year ending 12/2023
Facility 43.6%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #174 / 200
455822
Sun Valley Rehabilitation and Healthcare Center
NH
HOS
MC
RC
SNF
Harlingen (Estrellita Subdivision)
124
Facility 124
TX AVG 78
Rank #165 / 981
75.6%
Facility 75.6%
TX AVG 66.3
Rank #67 / 175
+14%
3.79
Facility 3.79
TX AVG 3.63
Rank #75 / 233
-15%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
5
Facility 5
TX AVG 25.9
Rank #6 / 235
2.5
Facility 2.5
TX AVG 3.7
Rank #51 / 235
-94-
37
Facility 37
TX AVG 42
Rank #809 / 1346
Av Rehab LLC
$9.2MFiscal year ending 03/2024
Facility $9.2MFiscal year ending 03/2024
TX AVG $9.3M
Rank #91 / 219
$4.9MFiscal year ending 03/2024
Facility $4.9MFiscal year ending 03/2024
TX AVG $5.4M
Rank #110 / 219
53.1%Fiscal year ending 03/2024
Facility 53.1%Fiscal year ending 03/2024
TX AVG 71.6%
Rank #130 / 200
676493
Veranda Rehabilitation and Healthcare
NH
SNF
Harlingen
100
Facility 100
TX AVG 78
Rank #345 / 981
87.5%
Facility 87.5%
TX AVG 66.3
Rank #33 / 175
+32%
2.96
Facility 2.96
TX AVG 3.63
Rank #201 / 233
-24%-18%
$8.0k
Facility $8.0k
TX AVG $81.8k
Rank #67 / 238
12
Facility 12
TX AVG 25.9
Rank #29 / 235
2.4
Facility 2.4
TX AVG 3.7
Rank #44 / 235
188-
33
Facility 33
TX AVG 42
Rank #885 / 1346
Harlingen Healthcare, Inc
$11.1MFiscal year ending 12/2023
Facility $11.1MFiscal year ending 12/2023
TX AVG $9.3M
Rank #46 / 219
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
TX AVG $5.4M
Rank #71 / 219
50.8%Fiscal year ending 12/2023
Facility 50.8%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #147 / 200
455925
Belterra Health & Rehabilitation
NH
HOS
PC
RC
SNF
Mckinney
103
Facility 103
TX AVG 78
Rank #334 / 981
90.4%
Facility 90.4%
TX AVG 66.3
Rank #23 / 175
+36%
2.06
Facility 2.06
TX AVG 3.63
Rank #233 / 233
+39%-43%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
11
Facility 11
TX AVG 25.9
Rank #26 / 235
3.7
Facility 3.7
TX AVG 3.7
Rank #158 / 235
-93-
41
Facility 41
TX AVG 42
Rank #710 / 1346
Pmg Opco - Mckinney LLC
$12.3MFiscal year ending 12/2023
Facility $12.3MFiscal year ending 12/2023
TX AVG $9.3M
Rank #34 / 219
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
TX AVG $5.4M
Rank #96 / 219
41.5%Fiscal year ending 12/2023
Facility 41.5%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #182 / 200
676367
Senior Care Health & Rehabilitation
NH
SNF
Wichita Falls (910)
144
Facility 144
TX AVG 78
Rank #73 / 981
89.1%
Facility 89.1%
TX AVG 66.3
Rank #27 / 175
+34%
3.02
Facility 3.02
TX AVG 3.63
Rank #201 / 233
+2%-17%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
10
Facility 10
TX AVG 25.9
Rank #21 / 235
2.5
Facility 2.5
TX AVG 3.7
Rank #51 / 235
-128-
23
Facility 23
TX AVG 42
Rank #1058 / 1346
Delana Hood
$17.6MFiscal year ending 08/2024
Facility $17.6MFiscal year ending 08/2024
TX AVG $9.3M
Rank #14 / 219
$6.9MFiscal year ending 08/2024
Facility $6.9MFiscal year ending 08/2024
TX AVG $5.4M
Rank #44 / 219
39.4%Fiscal year ending 08/2024
Facility 39.4%Fiscal year ending 08/2024
TX AVG 71.6%
Rank #189 / 200
676144
Parkwood Assisted Living
NH
AL
HOS
MC
PC
RC
SNF
Bedford
84
Facility 84
TX AVG 78
Rank #443 / 981
--
4.87
Facility 4.87
TX AVG 3.63
Rank #19 / 233
-36%+34%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 238
15
Facility 15
TX AVG 25.9
Rank #53 / 235
3.8
Facility 3.8
TX AVG 3.7
Rank #164 / 235
-103-
34
Facility 34
TX AVG 42
Rank #866 / 1346
Lcs Phc Operator Mm LLC
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
TX AVG $9.3M
Rank #124 / 219
$5.8MFiscal year ending 12/2023
Facility $5.8MFiscal year ending 12/2023
TX AVG $5.4M
Rank #68 / 219
70.3%Fiscal year ending 12/2023
Facility 70.3%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #49 / 200
675565
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Nursing Home Explorer
Overview of The Collinwood Care Center

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.

Contact The Collinwood Care Center

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.

Contact Cypress Creek Rehabilitation & Healthcare Center

Overview of Columbus Oaks Healthcare Community

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.

Contact Columbus Oaks Healthcare Community

Overview of Country Village Care

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.

Contact Country Village Care

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.

Contact Hilltop Park Rehabilitation and Care Center

Paradigm at First Colony

4710 Lexington Blvd, Missouri City, TX 77459
Overview of Paradigm at First Colony

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.

Contact Paradigm at First Colony

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.

Contact Chelsea Gardens Skilled Nursing & Rehab Center

Overview of The Heights of North Houston

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.

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Overview of Greenview Nursing and Rehab

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.

Contact Greenview Nursing and Rehab

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.

Contact SilverSpring Health and Rehabilitation Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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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.