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Why trust this guide?
Our editorial team analyzed 285 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Video Tour: Top-rated Nursing Homes facilities in Texas.
Watch this Video to see Texas's Top-rated Senior Communities
Avg Overall CMS Rating:2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.1/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (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.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide: each nursing home is ranked against every TX nursing home we track that reports that metric, not just the 285 on this page. See how we rank facilities
Overview of Texhoma Christian Care Center for Alzheimer‘s and Dementia
Texhoma Christian Care Center for Alzheimer’s and Dementia is a special care facility within Texhoma Christian Care Center in Wichita Falls, TX, that offers focused care services for residents living with Alzheimer’s and dementia. The Alzheimer’s and Dementia unit features secure, magnetically locked entrances and exits, to ensure the safety of residents who wander.
Residents of Texhoma’s Alzheimer’s and Dementia unit are also provided dietary services, physician services, as well as transportation for scheduled medical appointments. Housekeeping and laundry services, as well as salon and barber services are provided on-site.
Embrace phenomenal senior living with Buckner Parkway Place situated in Houston, TX. Offering a comprehensive range of exceptional services including independent living, assisted living, memory care, long-term care, and respite services, this community is committed to providing top-of-the-line care and support for its residents in an exciting and vibrant environment. Elegant and cozy accommodations are available and tailored to the preferences of its residents. Having a highly equipped and passionate team, residents can receive personalized care and support catering to their immediate needs and interests.
Discover its top-quality amenities and services where residents can make the most out of their stay. Indulge in delectable and healthy meals based on dietary needs prepared by a talented culinary team. Boost engagement and wellness by joining a carefully designed set of activities and programs. At Parkway Place Senior Living, seniors can enjoy a glorious living experience.
Meadow Lake Senior Living is a vibrant senior living community for adults and seniors who wish to retire in a luxurious community. Offering residential assisted living, independent living, memory care, and skilled nursing services– the nurturing environment empowers and enhances the quality of life for residents by providing tailored care to each unique individual. Residents are given the freedom and choice to build a lifestyle on their terms with the unwavering support of the professional staff.
Meadow Lake’s all-inclusive amenities include delicious and nutritious daily meals, weekly housekeeping and laundry, transportation to and from, specialized programs, social gatherings, and educational activities.
Nestled in the harmonious community of East Plaza Boulevard, Hurst, TX, Hurst Plaza Nursing and Rehab offers various care options including skilled nursing, rehabilitation therapy, and long and short-term care. Featuring occupational, physical, and speech therapy, and other care services, the community promises residents are comfortable and well-taken care of. Hurst Plaza Nursing and Rehab prides itself on a team of compassionate, trusted, and highly skilled professionals lending exceptional care and support to seniors.
The community fosters a warm and nurturing environment, conducting social activities to ensure seniors remain actively engaged with their surroundings. Tasty and healthy meals are served to cater to its residents’ dietary needs and preferences. Hurst Plaza Nursing and Rehab goes above and beyond in ensuring residents achieve optimal wellness and enjoy a life free of worries.
Overview of Lakeside Nursing and Rehabilitation Center
Along the picturesque lakeside in beautiful San Antonio lies a beacon of compassionate care for elderly loved ones – Lakeside Nursing and Rehabilitation Center. With 120 beds, they participate in Medicare and Medicaid, ensuring their exceptional services are accessible to those in need. They exhibit a culture of warmth, respect, and individualized care. They believe in providing state-of-the-art rehabilitation facilities that promote healing and recovery. The home’s cutting-edge technology and personalized therapies are tailored to the distinct needs of each resident, helping them regain their maximum independence and strength. The home has inviting and spacious common areas, providing ample room for residents to relax, socialize, and form meaningful connections. Moreover, their housekeeping management ensures that every corner of our facility is meticulously maintained, creating a spotless and safe environment. Choosing Lakeside Nursing and Rehabilitation Center makes it impossible for residents and their families to regret reaching out for help.
Wesley Court is a senior living community located in Abilene, TX, offering a variety of services including assisted living, respite care, rehabilitation, and skilled nursing services. This senior living community provides individualized care tailored to meet the needs of their residents without taking away their sense of independence. They offer one and two bedroom apartments equipped with kitchenettes. Their assisted living services include 24/7 supervision and assistance from certified nursing staff, medication management, pharmacy services, emergency response system throughout the facility, and assistance to daily living activities.
The residents of Wesley Court also enjoy top quality amenities. This includes chef inspired meals, transportation assistance for medical appointments, access to wellness areas, and scheduled programs and activities that promote physical and mental wellness. They also offer housekeeping and laundry services to ensure that residents can have a worry-free, comfortable stay.
Longhorn Village is a nursing home in Austin, Texas, located on Longhorn Parkway on the city’s western edge. The community has been in operation for 21 years and is owned by Stacy Hibma. It is a 60-bed community currently running at about 51 percent occupancy, which means there tends to be more room available here than at communities running closer to full capacity.
Care includes rehabilitation services, respite care, and 24-hour staffing, with a nursing team that averages 5 hours and 35 minutes of direct nursing care per resident each day. That level of daily attention is worth noting for families weighing options for a loved one who needs steady, hands on support. Longhorn Village accepts Medicaid, Medicare, and private pay, which gives families several ways to cover the cost of care.
State inspection reviews of the community have centered on administrative and documentation matters rather than resident care or safety concerns, with no complaints substantiated. That pattern points to a facility whose day to day regulatory footing tends to run smoothly.
Outside of clinical care, residents have access to a fitness center, library, and outdoor spaces, along with salon and spa services. Building-wide wifi, emergency call systems, and a secured perimeter round out the safety and comfort features. A Lifelong Learning program gives residents a structured way to stay engaged. The location is car-dependent, with a Walk Score of 20, so getting around the neighborhood will typically mean driving rather than walking.
Overview of Bangs Nursing Home and Rehabilitation Center
Located in Bangs, Texas, Bangs Nursing and Rehabilitation Center is dedicated to enhancing individual wellness through skilled care services, including long term & short term care and recovery care. The community offers a range of personalized therapies including physical, occupational, and speech therapies tailored to support post-surgical recovery and independence goals. Seniors here can enjoy a supportive environment where they receive expert care to manage health needs comfortably.
Bangs Nursing and Rehabilitation Center aims to provide exceptional rehabilitation and skilled nursing care in a compassionate setting. The community offers an array of amenities and services, such as personalized care plans, social services, and specialized therapies like pain management and wound care. Bangs Nursing and Rehabilitation Center’s goal is to ensure every resident feels at home while receiving the highest quality of care and support.
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.
Overview of Harbor Lakes Nursing and Rehabilitation Center
Harbor Lakes Nursing and Rehabilitation is a trusted nursing home in Granbury, TX, offering long-term care, skilled nursing, and rehabilitation. The community ensures older adults are treated well, especially with its nurturing and welcoming environment. With round-the-clock medical supervision, nutritious meals, and pain management, residents experience a worry-free retirement. Dedicated to residents’ welfare, personalized care plans are also provided for their unique needs and habits.
Light physical activities, fun events, and various games foster interactions and encourage residents to stay active. Thoughtfully furnished rooms and cozy communal spaces are also available, so residents can freely move around and connect with the community. Set near the Brazos River, restaurants, and shops, the community guarantees accessibility and convenience. Providing top-tier services and a clean setting, this nursing home is one of the leading choices for senior living in Texas.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Texas
What's the difference between assisted living and a nursing home in Texas?
Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Texas Medicaid cover nursing home care?
Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 285 nursing homes in Texas. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Texas?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Texas, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Texas?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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