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Page 2 of Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 266 nursing homes in Texas using Centers for Medicare & Medicaid Services (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
266 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

The information below is reported by the Texas Health and Human Services Commission.

CMS & TX Dept. of Health data

Meadow Lake Senior Living – Tyler
NH
AL
IL
MC
RC
SNF
Tyler
20
Facility 20
TX AVG 80
Rank #792 / 976
--
4.30
Facility 4.30
TX AVG 3.63
Rank #54 / 273
+156%+18%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
4
Facility 4
TX AVG 25.9
Rank #2 / 274
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 274
-27A+
33
Facility 33
TX AVG 41
Rank #882 / 1389
Robbin Bell
$9.8MFiscal year ending 12/2023
Facility $9.8MFiscal year ending 12/2023
TX AVG $8.4M
Rank #131 / 280
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
TX AVG $3.5M
Rank #116 / 280
51.5%Fiscal year ending 12/2023
Facility 51.5%Fiscal year ending 12/2023
TX AVG 47%
Rank #106 / 280
676286
The Legacy at Willow Bend
NH
AL
HC
HOS
IL
MC
SNF
Plano
60
Facility 60
TX AVG 80
Rank #572 / 976
93.7%
Facility 93.7%
TX AVG 67.5
Rank #14 / 200
+39%
5.73
Facility 5.73
TX AVG 3.63
Rank #8 / 273
+54%+58%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
17
Facility 17
TX AVG 25.9
Rank #84 / 274
5.7
Facility 5.7
TX AVG 3.7
Rank #262 / 274
-56A+
45
Facility 45
TX AVG 41
Rank #626 / 1389
The Legacy Willow Bend, Inc
$22.1MFiscal year ending 09/2023
Facility $22.1MFiscal year ending 09/2023
TX AVG $8.4M
Rank #17 / 280
$13.7MFiscal year ending 09/2023
Facility $13.7MFiscal year ending 09/2023
TX AVG $3.5M
Rank #14 / 280
61.9%Fiscal year ending 09/2023
Facility 61.9%Fiscal year ending 09/2023
TX AVG 47%
Rank #147 / 280
676189
The Legacy Midtown Park
NH
AL
HOS
IL
MC
SNF
Dallas (Vickery Meadow)
98
Facility 98
TX AVG 80
Rank #370 / 976
--
5.42
Facility 5.42
TX AVG 3.63
Rank #13 / 273
+1%+49%
$27.5k
Facility $27.5k
TX AVG $81.8k
Rank #157 / 278
4
Facility 4
TX AVG 25.9
Rank #2 / 274
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 274
-48-
45
Facility 45
TX AVG 41
Rank #626 / 1389
The Legacy Midtown Park Inc
$16.1MFiscal year ending 09/2023
Facility $16.1MFiscal year ending 09/2023
TX AVG $8.4M
Rank #11 / 280
$15.0MFiscal year ending 09/2023
Facility $15.0MFiscal year ending 09/2023
TX AVG $3.5M
Rank #11 / 280
93%Fiscal year ending 09/2023
Facility 93%Fiscal year ending 09/2023
TX AVG 47%
Rank #194 / 280
676489
Sun Valley Rehabilitation and Healthcare Center
NH
HOS
MC
RC
SNF
Harlingen (Estrellita Subdivision)
124
Facility 124
TX AVG 80
Rank #174 / 976
75.6%
Facility 75.6%
TX AVG 67.5
Rank #82 / 200
+12%
3.79
Facility 3.79
TX AVG 3.63
Rank #87 / 273
-15%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
5
Facility 5
TX AVG 25.9
Rank #6 / 274
2.5
Facility 2.5
TX AVG 3.7
Rank #60 / 274
-94-
37
Facility 37
TX AVG 41
Rank #806 / 1389
Av Rehab LLC
$9.2MFiscal year ending 03/2024
Facility $9.2MFiscal year ending 03/2024
TX AVG $8.4M
Rank #165 / 280
$4.9MFiscal year ending 03/2024
Facility $4.9MFiscal year ending 03/2024
TX AVG $3.5M
Rank #155 / 280
53.1%Fiscal year ending 03/2024
Facility 53.1%Fiscal year ending 03/2024
TX AVG 47%
Rank #121 / 280
676493
Baywind Village Skilled Nursing & Rehabilitation
NH
HOS
RC
SNF
League City
107
Facility 107
TX AVG 80
Rank #323 / 976
77.2%
Facility 77.2%
TX AVG 67.5
Rank #74 / 200
+14%
4.70
Facility 4.70
TX AVG 3.63
Rank #34 / 273
+31%+29%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
15
Facility 15
TX AVG 25.9
Rank #61 / 274
1.9
Facility 1.9
TX AVG 3.7
Rank #20 / 274
183A+
52
Facility 52
TX AVG 41
Rank #455 / 1389
Village Skilled Nursing & Rehab Care LLC
$12.6MFiscal year ending 12/2023
Facility $12.6MFiscal year ending 12/2023
TX AVG $8.4M
Rank #95 / 280
$7.8MFiscal year ending 12/2023
Facility $7.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #42 / 280
61.9%Fiscal year ending 12/2023
Facility 61.9%Fiscal year ending 12/2023
TX AVG 47%
Rank #30 / 280
675323
Vogel Center Assisted Living With Memory Support
NH
AL
IL
MC
SNF
Midland (Trinity Towers Manor)
44
Facility 44
TX AVG 80
Rank #714 / 976
91.6%
Facility 91.6%
TX AVG 67.5
Rank #23 / 200
+36%
5.19
Facility 5.19
TX AVG 3.63
Rank #16 / 273
-22%+43%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
10
Facility 10
TX AVG 25.9
Rank #23 / 274
3.3
Facility 3.3
TX AVG 3.7
Rank #143 / 274
-40-
47
Facility 47
TX AVG 41
Rank #585 / 1389
Manor Park, Inc
$2.8MFiscal year ending 05/2024
Facility $2.8MFiscal year ending 05/2024
TX AVG $8.4M
Rank #8 / 280
$14.3MFiscal year ending 05/2024
Facility $14.3MFiscal year ending 05/2024
TX AVG $3.5M
Rank #12 / 280
513.4%Fiscal year ending 05/2024
Facility 513.4%Fiscal year ending 05/2024
TX AVG 47%
Rank #209 / 280
676015
Parkwood Assisted Living
NH
AL
IL
MC
Bedford
84
Facility 84
TX AVG 80
Rank #457 / 976
--
4.87
Facility 4.87
TX AVG 3.63
Rank #21 / 273
-36%+34%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
15
Facility 15
TX AVG 25.9
Rank #61 / 274
3.8
Facility 3.8
TX AVG 3.7
Rank #190 / 274
-103-
34
Facility 34
TX AVG 41
Rank #863 / 1389
Lcs Phc Operator Mm LLC
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
TX AVG $8.4M
Rank #143 / 280
$5.8MFiscal year ending 12/2023
Facility $5.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #91 / 280
70.3%Fiscal year ending 12/2023
Facility 70.3%Fiscal year ending 12/2023
TX AVG 47%
Rank #55 / 280
675565
Windsor Nursing and Rehabilitation Center of Corpus Christi
NH
AL
MC
SNF
Corpus Christi (Central City)
120
Facility 120
TX AVG 80
Rank #205 / 976
92.2%
Facility 92.2%
TX AVG 67.5
Rank #18 / 200
+37%
2.98
Facility 2.98
TX AVG 3.63
Rank #237 / 273
-31%-18%
$12.2k
Facility $12.2k
TX AVG $81.8k
Rank #92 / 278
13
Facility 13
TX AVG 25.9
Rank #44 / 274
1.9
Facility 1.9
TX AVG 3.7
Rank #20 / 274
-111-
69
Facility 69
TX AVG 41
Rank #150 / 1389
Regency Ihs Of Windsor Corpus Christi LLC
$8.2MFiscal year ending 09/2023
Facility $8.2MFiscal year ending 09/2023
TX AVG $8.4M
Rank #170 / 280
$4.6MFiscal year ending 09/2023
Facility $4.6MFiscal year ending 09/2023
TX AVG $3.5M
Rank #133 / 280
55.7%Fiscal year ending 09/2023
Facility 55.7%Fiscal year ending 09/2023
TX AVG 47%
Rank #80 / 280
676321
Texhoma Christian Care Center for Alzheimer‘s and Dementia
NH
IL
MC
RC
SNF
Wichita Falls
234
Facility 234
TX AVG 80
Rank #6 / 976
65.5%
Facility 65.5%
TX AVG 67.5
Rank #119 / 200
-3%
4.57
Facility 4.57
TX AVG 3.63
Rank #42 / 273
-36%+26%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
12
Facility 12
TX AVG 25.9
Rank #35 / 274
3.0
Facility 3.0
TX AVG 3.7
Rank #112 / 274
-153-
8
Facility 8
TX AVG 41
Rank #1257 / 1389
Texhoma Christian Care Center Inc
$16.4MFiscal year ending 02/2024
Facility $16.4MFiscal year ending 02/2024
TX AVG $8.4M
Rank #90 / 280
$10.3MFiscal year ending 02/2024
Facility $10.3MFiscal year ending 02/2024
TX AVG $3.5M
Rank #21 / 280
63.1%Fiscal year ending 02/2024
Facility 63.1%Fiscal year ending 02/2024
TX AVG 47%
Rank #6 / 280
455965
Park Manor of CyFair
NH
SNF
Houston (White Oak Bend)
120
Facility 120
TX AVG 80
Rank #205 / 976
89.2%
Facility 89.2%
TX AVG 67.5
Rank #35 / 200
+32%
3.27
Facility 3.27
TX AVG 3.63
Rank #181 / 273
+82%-10%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
7
Facility 7
TX AVG 25.9
Rank #12 / 274
2.3
Facility 2.3
TX AVG 3.7
Rank #44 / 274
-107-
55
Facility 55
TX AVG 41
Rank #385 / 1389
Hmg Park Manor Of Cyfair, L.l.c
$9.7MFiscal year ending 08/2024
Facility $9.7MFiscal year ending 08/2024
TX AVG $8.4M
Rank #142 / 280
$4.4MFiscal year ending 08/2024
Facility $4.4MFiscal year ending 08/2024
TX AVG $3.5M
Rank #143 / 280
45.1%Fiscal year ending 08/2024
Facility 45.1%Fiscal year ending 08/2024
TX AVG 47%
Rank #141 / 280
675818
Windsor Nursing and Rehabilitation Center of Harlingen
NH
MC
RC
SNF
Harlingen
154
Facility 154
TX AVG 80
Rank #60 / 976
79.7%
Facility 79.7%
TX AVG 67.5
Rank #63 / 200
+18%
2.99
Facility 2.99
TX AVG 3.63
Rank #237 / 273
-14%-18%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
12
Facility 12
TX AVG 25.9
Rank #35 / 274
3.0
Facility 3.0
TX AVG 3.7
Rank #112 / 274
-123-
44
Facility 44
TX AVG 41
Rank #645 / 1389
Regency Ihs Of Harlingen Manor LLC
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
TX AVG $8.4M
Rank #122 / 280
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
TX AVG $3.5M
Rank #114 / 280
43.6%Fiscal year ending 12/2023
Facility 43.6%Fiscal year ending 12/2023
TX AVG 47%
Rank #121 / 280
455822
Presbyterian Village North
NH
AL
IL
MC
RC
SNF
Dallas (Lake Highlands)
88
Facility 88
TX AVG 80
Rank #433 / 976
78.4%
Facility 78.4%
TX AVG 67.5
Rank #69 / 200
+16%
4.80
Facility 4.80
TX AVG 3.63
Rank #25 / 273
+20%+32%
$36.5k
Facility $36.5k
TX AVG $81.8k
Rank #177 / 278
18
Facility 18
TX AVG 25.9
Rank #94 / 274
2.3
Facility 2.3
TX AVG 3.7
Rank #44 / 274
269-
61
Facility 61
TX AVG 41
Rank #267 / 1389
Dustin Allen
$11.4MFiscal year ending 12/2023
Facility $11.4MFiscal year ending 12/2023
TX AVG $8.4M
Rank #5 / 280
$20.1MFiscal year ending 12/2023
Facility $20.1MFiscal year ending 12/2023
TX AVG $3.5M
Rank #4 / 280
176.3%Fiscal year ending 12/2023
Facility 176.3%Fiscal year ending 12/2023
TX AVG 47%
Rank #207 / 280
676135
Caraday of Houston
NH
MC
RC
Houston (Northside / Northline)
150
Facility 150
TX AVG 80
Rank #63 / 976
--
3.76
Facility 3.76
TX AVG 3.63
Rank #87 / 273
-32%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
15
Facility 15
TX AVG 25.9
Rank #61 / 274
3.8
Facility 3.8
TX AVG 3.7
Rank #190 / 274
-12-
41
Facility 41
TX AVG 41
Rank #707 / 1389
E&R Cunningham Investments, LP
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
TX AVG $8.4M
Rank #278 / 280
$1.8MFiscal year ending 12/2023
Facility $1.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #275 / 280
66.5%Fiscal year ending 12/2023
Facility 66.5%Fiscal year ending 12/2023
TX AVG 47%
Rank #96 / 280
676470
Houston Transitional Care
NH
HOS
MC
PC
RC
SNF
Houston (Braeburn)
70
Facility 70
TX AVG 80
Rank #507 / 976
96.0%
Facility 96.0%
TX AVG 67.5
Rank #4 / 200
+42%
3.17
Facility 3.17
TX AVG 3.63
Rank #209 / 273
+22%-13%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
16
Facility 16
TX AVG 25.9
Rank #69 / 274
5.3
Facility 5.3
TX AVG 3.7
Rank #254 / 274
-67-
75
Facility 75
TX AVG 41
Rank #67 / 1389
Ahmad El-Saadi
$12.3MFiscal year ending 12/2023
Facility $12.3MFiscal year ending 12/2023
TX AVG $8.4M
Rank #32 / 280
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
TX AVG $3.5M
Rank #129 / 280
41.4%Fiscal year ending 12/2023
Facility 41.4%Fiscal year ending 12/2023
TX AVG 47%
Rank #275 / 280
676435
Saint Francis Nursing Home
NH
AL
IL
San Antonio (Midtown)
116
Facility 116
TX AVG 80
Rank #270 / 976
--
3.93
Facility 3.93
TX AVG 3.63
Rank #75 / 273
-+8%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
---92-
71
Facility 71
TX AVG 41
Rank #124 / 1389
----45F410
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Nursing Home Explorer
Overview of Windsor Nursing and Rehabilitation Center of Harlingen

Burrowed in the vibrant community of Harlingen, TX, Windsor Nursing and Rehabilitation Center of Harlingen is an inviting senior living community every senior deserves, skilled nursing and clinical services, therapy services and rehabilitation, hospice services, and home health services. Well-appointed private accommodations are available for its residents. With a well-trained and dedicated team, residents can receive the utmost care and support they need throughout their stay.

Having top-of-the-line amenities and services, residents can enjoy the following: tasty and nutritious meals, internet services, cable services, and transportation assistance. Take time for self-care by visiting either its beauty salon or the therapy gym. Meet new friends by participating in diverse social activities. At Windsor Nursing and Rehabilitation Center of Harlingen, seniors are assured of a worry-free retirement.

Contact Windsor Nursing and Rehabilitation Center of Harlingen

Overview of Presbyterian Village North

Presbyterian Village North is a continuing care retirement community (CCRC) in Dallas, TX, offering independent living, assisted living, memory care, rehabilitation, and skilled nursing. Promoting a comfortable, home-like setting, the community strives to help older adults age gracefully. Restaurant-style dining, weekly housekeeping, transportation, and 24/7 on-site nurses are among the exceptional services provided to help residents maintain their independence. The community also tailors care plans to residents’ needs and preferences, ensuring their holistic wellness.

Cultural programs, social events, and fitness programs provide residents with more opportunities to learn and stay active. Residents can also rest and interact with their surroundings, as a family-style living room and spacious rooms are among the first-class amenities available. Situated in the quiet residential area of Dallas, near public transportation, the community guarantees a stress-free retirement. This CCRC is a great choice for senior living in Texas, especially with a wide range of care options dedicated to older adults’ welfare.

Contact Presbyterian Village North

Caraday of Houston

6534 Stuebner Airline Rd, Houston, TX 77091
Overview of Caraday of Houston

Set in the neighborhood of Houston, TX, Caraday of Houston offers a warm and caring environment for those who need memory care and skilled nursing services. With the help of a 24/7 care team, residents receive compassionate assistance with their daily needs and emergencies at all times. Those living with memory challenges are offered a cognitive-based activity program in a secure environment tailored for them.

Therapy services like speech, physical, occupational, and wellness therapy are available on-site to ensure residents maintain or recover their highest level of function. The community also ensures their environment is safe and secure for residents to confidently enjoy the life they deserve. Here, everyone is given the care and support that allows them to fully enjoy living their best lives.

Contact Caraday of Houston

Overview of Houston Transitional Care

Peacefully nestled in Houston, TX, Houston Transitional Care provides an ideal and caring environment for skilled nursing and short-term rehabilitation. The community features a team of highly skilled nurses who genuinely care for residents and provide them with customized care plans. Designed to help residents regain their highest level of function, the community offers therapy services like physical, occupational, and speech therapy.

Residents’ proper nutrition is overseen by a registered dietitian who carefully prepares meals that meet their specific dietary and therapeutic needs. There’s a wide array of activities for residents to enjoy at their own leisure, keeping them as active and social as much as they want. Here, every corner of the community is designed to accommodate residents’ comfort and safety needs for a living experience that suits them.

Contact Houston Transitional Care

Overview of Saint Francis Nursing Home

Saint Francis Nursing Home, a nonprofit community in San Antonio, TX, has been a cherished haven since 1970. Owned and operated by the Seraphic Sisters, it embodies the teachings of St. Francis of Assisi, providing holistic, compassionate care to the sick and elderly. Rooted in Catholic values, this community ensures a nurturing environment where residents and families find vital support and peace.

At St. Francis Nursing Home, the belief in true wellness goes beyond physical health. Through personalized care plans and spiritual services, the community offers unwavering support to residents and their families, ensuring compassionate guidance and care every step of the way. Residents can live peacefully knowing its mission is to ensure that every individual in its care experiences dignity, respect, and a sense of belonging.

Contact Saint Francis Nursing Home

Overview of Senior Care Health & Rehabilitation

Senior Care Health & Rehabilitation in Wichita Falls, TX is a facility that offers long-term nursing care and short-term rehabilitation services. This facility employs licensed and registered medical professionals in order to provide top quality care for their residents. Such care includes 24 hour skilled nursing care and supervision, medication management, and assistance with daily living activities.

Their long-term care program also provides individualized care plans to cater to the residents’ specific needs such as therapy services, recreational activities to boost strength and range of motion, and other medical needs like pain management.

Contact Senior Care Health & Rehabilitation

Overview of The Army Residence Community Health Care Center

The Army Residence Community Healthcare Center is the premier veteran retirement home in San Antonio– welcoming all retired or honorably discharged officers; also housing senior-level federal employees of GS-14 and above, including their spouses. Reflected in their excellent service, the non-profit life plan community has maintained an active, social, and carefree lifestyle for their residents for over 30 years. The Army Residence is the place to live your golden years to the fullest, create memories, and achieve dreams. 
The life plan community boasts its exclusive program called the Army Residence Community (ARC), where residents can come together and be part of engaging activities. Retirees can choose to live in high-rise apartments or lakeside duplexes– all beautifully furnished.

Contact The Army Residence Community Health Care Center

Overview of Belterra Health & Rehabilitation

Belterra Health & Rehabilitation, operating under Priority Management and located in McKinney, TX, is a healthcare facility offering skilled nursing, and rehabilitation services with options for both short-term and long-term care. Part of the services provided in these care options include 24/7 nursing care by licensed nurses and certified nursing assistant, assistance with daily living activities, dedicated on-site therapy services, and patient-centered dining services.

They also provide residents and patients dementia care, diabetes management and education, as well as other restorative programs, to help residents get back on their own feet and live as independently as possible. At Belterra Health & Rehabilitation, quality care is top priority, only employing registered and licensed professionals, to ensure that every residents’ care needs are well met. 

Contact Belterra Health & Rehabilitation

Overview of Veranda Rehabilitation and Healthcare

Located in the beautiful neighborhood of Harlingen, TX, Veranda Rehabilitation and Healthcare is an esteemed senior living community that offers memory care, skilled nursing, short-term rehabilitation care, and long-term care services. Having a well-trained and compassionate team, residents can receive the caliber of care and services catering to their immediate needs and concerns.

Explore its state-of-the-art services from its well-knowledgeable and experienced rehabilitation team composed of physical therapists, occupational therapists, speech therapists, language pathologists, and rehab aide/technicians. The community is dedicated to elevating its return to home goal with a person-centered and holistic approach. With this, residents are taken care of well by determining the best treatment action plan and letting them maximize their living arrangements. At Veranda Rehabilitation and Healthcare, seniors are assured of extraordinary care and support.

Contact Veranda Rehabilitation and Healthcare

Overview of Blue Skies of Texas East

Blue Skies of Texas East is a 24-bed nursing facility at 4917 Ravenswood Dr in San Antonio, with 14 years of operating history and a current occupancy of 68%. The average length of stay runs 109 days, which is longer than a strictly short-term rehab model but short enough to signal that post-acute recovery defines much of what happens here. Medicare and private pay are both accepted.

Nursing coverage totals 6 hours and 31 minutes per resident per day: 3 hours and 1 minute from nurse aides, 1 hour and 22 minutes from LPN/LVN staff, and 46 minutes of RN time. The service list includes rehabilitation, respite care, and 24-hour staffing. State inspections have addressed themes spanning medication management, infection prevention, emergency preparedness, care planning and documentation, dietary services, resident rights, and staffing and staff credentials; a broad cross-section of operational areas rather than any single concentrated focus.

What distinguishes this community is the amenity picture, which reads like a much larger campus than 24 beds would suggest. Residents have access to a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, a library, a billiard and game room, outdoor walking trails, interdenominational chapels, and 24-hour concierge service. Dining centers on fresh, seasonal, made-from-scratch preparation, and over 70 activity groups are available. For a small nursing unit, the physical environment and activity infrastructure here are substantively above what most facilities at this scale offer.

Contact Blue Skies of Texas East

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 266 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.