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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.
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.
Overview of Advanced Health and Rehabilitation Center of Garland
Advanced Health and Rehabilitation Center of Garland provides nursing home care, hospice care, memory care, respite care, and skilled nursing in Garland, Texas. Nursing home care offers ongoing residential support for residents who need help with daily needs and nursing oversight, while skilled nursing provides licensed nursing care on site around the clock.
Hospice care focuses on comfort at the end of life. Memory care provides a secured setting with supervision for someone at risk of wandering. Respite care is available for a short stay, which can give a family caregiver time to travel, recover, or manage other responsibilities.
The range of services suits someone who needs supervised memory care, short term support, or ongoing skilled nursing. The community has 139 beds, with Medicare, Medicaid, and private pay among the payment options, including short term skilled care through Medicare and longer stays through Medicaid or direct payment.
Total nurse staffing is 3h 16m per resident/day. That represents the daily nursing time recorded for each resident. A Walk Score of 51 out of 100 places the area in the somewhat walkable band, so some errands can be done on foot and a resident who no longer drives may be able to reach some nearby errands independently.
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 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.
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.
The Concierge provides nursing home and hospice care in Houston. Residents receive assistance with daily living tasks alongside ongoing nursing oversight.
This 148-bed community allocates 2 hours and 47 minutes of total daily nursing care per resident. Accepted payment sources include Medicare, Medicaid, and private pay.
Interested individuals can contact the staff at The Concierge to schedule a visit or inquire about care options and current availability.
The Crescent is a nursing home in Sugarland, TX, offering a wide range of skilled nursing services and rehabilitation. Promoting a nurturing and welcoming environment, the community strives to keep older adults comfortable and well-cared for. Physical, occupational, and speech therapies, restaurant-style dining, and housekeeping services are among the excellent services provided to improve residents’ living experiences. The community also works closely with residents to understand their needs and habits, ensuring they can recover and return to their routines with ease.
Social gatherings, light exercises, and various recreational opportunities help residents explore new interests and make friends. Residents can also relax in the community’s indoor garden, outdoor patio, and state-of-the-art rehabilitation gym. With its ideal setting near shops and other local amenities in Sugarland, residents have easy access to their necessities and leisure. As one of the trusted options for senior living in Texas, this nursing home continuously provides exceptional standards of care.
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.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Texas
What's the difference between assisted living and a nursing home in Texas?
Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Texas Medicaid cover nursing home care?
Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 281 nursing homes in Texas. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Texas?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Texas, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Texas?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in Texas at a glance
Avg Overall CMS Rating:2.7/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:1.9/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
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