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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.
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.
$6.8M*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$6.8M*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$9.4M
Rank#154 / 218
$4.3M*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$4.3M*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$5.4M
Rank#133 / 218
62.7%*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility62.7%*Fiscal year ending 11/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 281 on this page. See how we rank facilities
Overview of Buena Vida Nursing and Rehab Center San Antonio
Ideally nestled in the quiet area of San Antonio, TX, Buena Vida Nursing and Rehab Center San Antonio provides a safe and secure setting for skilled nursing, rehabilitation, and memory care. Their team of kind and experienced caregivers works hard to meet residents’ unique needs with personalized care plans tailored to their preferences and care requirements. From daily living assistance to therapy services, the community provides all the comfort residents need to thrive.
Residents also enjoy an array of fun and engaging activities tailored to their interests and capabilities. A team of culinary experts carefully prepares healthy, nutritious, and delicious meals to make sure residents receive proper nourishment and nutrition. Here, everyone is guaranteed to enjoy a speedy recovery or maintain their maximum functionality to continue enjoying their golden years.
Receive top-tier care from Estates Healthcare and Rehab Center, a dedicated community located in the serene neighborhood of Sycamore School Road, Fort Worth, TX, that focuses on skilled nursing, memory care, and therapy services. Surgery recovery, wound care, respite care, podiatry, and care for cardiac-related illnesses are provided for residents’ complex healthcare needs. With its cozy and specially designed accommodations, residents will surely enjoy a comfortable and safe retirement.
The community also provides dentistry, optometry, transportation services, medication management, and hospice among others for residents’ everchanging needs. Here, residents enjoy healthy and delightful meals that cater to their dietary needs and preferences. Find all the care you need in one place with the community’s comprehensive care and carefully designed amenities.
Located in Pleasanton, TX, Pleasanton North Nursing and Rehab is a skilled nursing facility that delivers a comprehensive range of services to support the well-being of its residents. The center recognizes the importance of providing a safe, controlled environment for older adults with medical conditions that require constant monitoring and management. Pleasanton North Nursing and Rehab’s team of healthcare experts, including certified nurses, licensed medical practitioners, certified nursing assistants, and physical therapists, work together to offer customized care tailored to each resident’s individual needs.
The facility provides support with daily activities, personal care, medication administration, mobility assistance, and other important safety and security precautions. These amenities ensure that residents can sustain or improve their physical and mental health, enhancing their quality of life during retirement. Pleasanton North Nursing and Rehab’s highly protected environment helps prevent patients from wandering off or getting lost, prioritizing their safety and security. The center’s level of engagement and personalized approach make it a compelling choice for seniors in need of specialized care and support.
Greenview Nursing and Rehab in Waco, TX, delivers 24-hour skilled nursing, physical rehabilitation, and long-term nursing home care. Continuous licensed clinical oversight supports individuals recovering from surgery, illness, or injury, while long-term placement offers comprehensive daily care and health monitoring.
Operating 128 beds, the residence provides accommodations for both short-term rehabilitation stays and ongoing residential care. On-site care teams supply an average of 3 hours and 16 minutes of direct hands-on nursing care per resident each day under the administration of Deanna Truax.
Payment options encompass Medicare, Medicaid, and private funding. Medicare typically applies toward qualifying short-term post-hospital rehabilitation, whereas Medicaid assists eligible individuals requiring long-term care support.
Prospective representatives exploring post-acute rehabilitation or long-term skilled nursing can contact Greenview Nursing and Rehab to confirm room availability or schedule a tour.
Nestled in San Antonio, Texas, San Antonio West Nursing and Rehab is a senior care community committed to providing the best possible care for aging adults. The facility’s prime location allows residents to easily access the local activities and entertainment that the vibrant city has to offer. San Antonio West Nursing and Rehab offers a range of services, including skilled nursing and short-term respite care, to ensure that seniors get the most out of their retirement years. The community’s roomy, well-designed units and comfortable, secure atmosphere are complemented by dedicated staff who work hard to maintain the dignity and independence of each resident.
Residents enjoy a diverse array of amenities, including freshly prepared meals, private dining options, and a full schedule of social, educational, and entertaining activities. The facility’s structured program helps residents maintain a high quality of life, encouraging them to socialize and develop meaningful friendships with their peers.
Overview of VibraLife Senior Living and Memory Care
VibraLife Senior Living and Memory Care’s license in El Paso, TX, includes nursing home care, skilled nursing, and palliative care. East El Paso is the neighborhood it’s located in. Sixty beds are licensed, and private rooms are the housing option, so each resident gets a room of their own.
Skilled nursing describes care that a nurse’s license has to stand behind. Palliative care is a different thing again, comfort and symptom management alongside an illness.
Someone who needs ongoing nursing, or support focused on comfort instead, fits one half or the other. Medicare, Medicaid, and private pay are the three payment routes. Medicare goes to short-term skilled care after a hospital discharge, Medicaid helps where savings won’t cover a long stay, and private pay is paid out directly. Two hours and forty-nine minutes of nursing reaches each resident’s day.
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.
Woodland Springs Nursing Center, situated in Waco, Texas, distinguishes itself as a dependable nursing home with a commitment to personalized care. Unlike adopting a one-size-fits-all approach, this facility caters specifically to seniors in need of nursing care. With professional care available 24 hours a day, residents can access a range of therapy services, including physical, occupational, and speech therapies, along with IV therapy. The facility offers regular physician visits, IV antibiotics, hospice care, and more, ensuring a comprehensive approach to healthcare.
The facility goes beyond the standard services by providing on-site dental, podiatry, and optometry care, enhancing the overall well-being of its residents. As a Medicare and Medicaid-approved provider, this nursing home stands as a reliable choice for seniors seeking high-quality healthcare services, with a focus on skilled nursing tailored to individual needs.
Whispering Pines Lodge is a well-regarded nursing home in Longview, TX, offering comprehensive skilled nursing and rehabilitation. Here, older adults can ease their worries, especially with its warm and supportive environment. Transportation services, laundry, housekeeping, and thoughtfully prepared meals are also provided to enrich residents’ living experiences. The community also provides individualized care plans tailored to their unique needs and habits.
Fun gatherings, social events, and recreational activities provide residents with more opportunities to explore new hobbies and gain meaningful experiences. With state-of-the-art amenities and cozy communal spaces, residents can rest and move around comfortably. Residents have a stress-free retirement, as it is conveniently located in the quiet residential area of Longview. This nursing home has excellent services dedicated to older adults’ well-being, making it a great option for senior living in Texas.
Overview of Meadow Creek Nursing and Rehabilitation
Residing in the neighborhood of San Angelo, TX, Meadow Creek Nursing and Rehabilitation is a trusted senior living community that provides extensive short-term rehabilitation and long-term skilled nursing care. An expert team of healthcare professionals and caregivers are always available to provide residents with these services and assist them with their daily living activities. Warm and inviting accommodations are provided to residents, giving them an ideal space for relaxing, resting, and enjoying their precious personal time.
Dedicated to helping residents maintain their overall well-being, the community also offers an array of engaging activities for entertainment, recreation, and socialization. Free from the hassles of their day-to-day activities, residents can fully devote themselves to their wellness and fulfillment. At Meadow Creek Nursing and Rehabilitation, they provide residents with support and care they need to continue living their desired lifestyle.
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Nursing Homes in Texas at a glance
Avg Overall CMS Rating:2.7/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:1.9/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
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