Best Nursing Homes in Texas

Overview of The Gables at Rolling Meadows

Located within Rolling Meadows Campus in Wichita Falls, TX, is The Gables, a skilled nursing care center that offers skilled nursing and rehabilitation services. This care center provides both short term and long term skilled nursing care in the comfort of their private and semi-private room accommodations. The Gables’ skilled nursing program is medicare approved and residents can expect 24/7 care and supervision, as well as assistance with daily activities.

At The Gables, residents are provided with delicious meals, served daily in the dining room and are prepared according to the residents’ dietary needs and restrictions. Residents may also engage in social, spiritual, and recreational activities in the center’s outdoor courtyard. Furthermore, therapy services are also available, especially for residents recovering from an illness or surgery.

Wisteria Place Nursing & Rehabilitation is one of Wisteria Place’s senior living communities located in Abilene, TX. This community offers quality skilled nursing and rehabilitation services,  and also provides specialized memory care for patients and residents living with Alzheimer’s and other forms of dementia. Their team of dedicated staff ranging from registered nurses, therapists, and certified caregivers are committed in delivering expert care, and balancing it with compassion and kindness.

Their skilled nursing services are customizable depending on the needs of patients, and encourages the families’ participation in crafting the perfect care plan for their loved ones. Wisteria Place Nursing & Rehabilitation is dedicated to providing the best care to both their patients and residents, and this is evident through their in house therapy programs, as well as activities that help individuals stay active and healthy, and on their way to recovery.

Overview of Conroe Health Care Center

Conroe Health Care Center is a trusted nursing home in Conroe, TX, offering a wide range of care options, including skilled nursing, outpatient care, respite care, and hospice care. Fostering comfort and healing, the community features specially designed rooms in a clean and welcoming setting. Residents also have a maintenance-free lifestyle, with weekly housekeeping, well-balanced meals, and wellness programs. Alongside a well-trained team of healthcare professionals, the community also works closely with residents to develop care plans tailored to their needs and preferences.

Fitness classes, art workshops, and game nights are just some of the activities that aim to provide residents with emotional support and opportunities for engagement. A beauty and barber shop. a multimedia room, and a secure outdoor area, also ensure residents have plenty of spaces for relaxation and wellness. Located in the thriving neighborhood of Conroe, near restaurants and shops, the community ensures older adults have a convenient lifestyle. As one of the highly rated options for senior living in Texas, this nursing home provides high standards of care for older adults’ welfare.

The Buckingham occupies a 130-bed facility at 8580 Woodway Dr in Houston’s Mid West neighborhood, 11.4 miles from downtown Harris County. Operated by Greystone Management Services Company LLC and administered by Elise Green, the facility opened in August 2006. The license designates it a long-term care facility offering independent, assisted, and memory care alongside nursing home services.

Current occupancy sits at 51% (66 of 130 beds), trailing the Texas average of 63.5%. The community operates on a Medicare-and-private-pay model: 69% of new residents are Medicare-funded short-stay rehabilitation patients (averaging 18 days), while 31% are private-pay residents with typical stays of 1–2 years. Medicaid is not accepted.

Daily nursing hours/resident total 5 hours 5 minutes; 34% above the Texas average of 3 hours 47 minutes, positioning The Buckingham 18th among 289 state nursing homes.

The RN component, at 1 hour 31 minutes daily, surpasses the average by 250%, delivering markedly stronger clinical oversight than peer facilities. LPNs contribute 1 hour 18 minutes (37% above average), and certified nursing aides 2 hours 56 minutes (45% above average). Weekend nursing sustains 4 hours 13 minutes/resident, 41% above state benchmark; with weekend RN hours at 1 hour 6 minutes, 230% above average. Physical therapy hours run 7 minutes/day, 75% above average.

Personnel comprise 22 registered nurses, 18 licensed practical nurses, 47 certified nursing aides, seven speech language pathologists, four clinical nurse specialists, and auxiliary therapy staff.

Health inspection ratings stand at 2 stars, 30.8% below Texas average.

Three-year citation totals reach 25, including 2 critical and 23 moderate violations, with quality-of-life-and-care deficiencies comprising 36%.

Federal penalties imposed over 2023–2025 total $138,000 across nine assessments; 71% above the Texas average and 866% above the typical fine count.

An administrative penalty in January 2025 ($2,250) specifically addressed inadequate staffing for resident supervision.

Pressure ulcer prevalence in high-risk long-stay residents registers at 34.8%, drastically, 687%; above state benchmark of 4.4%. Urinary tract infections affect 4.6% of residents, 467% worse than the 0.8% average. High-risk clinical events score 13.2, 53% worse than Texas average. Functional decline metrics, conversely, run 39% better.

Short-stay rehabilitation outcomes show 60% of residents successfully discharged to home or community, 19% better than average.

Financially, The Buckingham reports gross revenue of $32.2 million but carries a net operating loss of $12.7 million. Payroll comprises 48.1% of revenue, ranked 123rd of 297 Texas facilities; below the typical 51–63% investment.

Occupancy declined 12.5%age points between 2022 (63.4%) and 2023 (50.8%).

The Buckingham accommodates Medicare-funded short-term rehabilitation and private-pay long-term residents, supported by high nursing staffing levels yet marked by clinical risks and regulatory penalties.

Located in Granbury, Texas, Avir at Granbury is a nursing home that offers skilled nursing and rehabilitation. Currently, the community has 42.1% occupancy, with an average stay of 363 days, indicating a focus on long-term care. Housekeeping services, on-site medical care, and beauty services are also offered to support residents’ daily living. Licensed practical nurses, certified nursing assistants, and registered nurses are part of the care team.

Social events and recreational activities foster socialization. Private rooms are also provided in a single-story setting for residents’ comfort and privacy. Notably, the community was issued a federal penalty for violating regulatory standards. Avir at Granbury also accepts Medicare, Medicaid, and private pay, providing a variety of payment options.

Conveniently located in the serene neighborhood of Metric Boulevard, Austin, TX, Gracy Woods – Nursing Center is a distinguished community that offers nursing care. With 118 cozy and specially designed accommodations, the community strives to provide the highest quality of care and assistance tailored to residents’ needs and preferences. Medicare and Medicaid are also accepted by the community, easing residents’ financial burdens.

To keep residents active and socially engaged, the community also conducts fun activities and engaging programs. With the community’s comprehensive care and purposely designed amenities, residents can rest assured of living their golden years without worries. Spend your golden years in the community’s nurturing and welcoming environment.

Mountain Villa, located in El Paso, TX, is a skil;led nursing facility offering high quality skilled nursing and long term care to its residents. Here the residents receive 24/7 staff availability for skilled nursing care, assistance with ADLs, medication management, and other specialized care depending on the residents’ healthcare needs. 
Other services that Mountain Villa provides include meal provisions which are prepared with care and consideration to the residents’ dietary needs, physical, occupational, and speech therapy services, housekeeping and laundry services, and access to the facilities activities and programs that promote overall well being.

Overview of Perkins-Prothro Health Care Center

Perkins-Prothro Health Care Center is a licensed nursing facility within the Presbyterian Manor, located in Wichita Falls, TX. Dedicated to providing the best nursing care in North Texas, this skilled nursing facility provides 1:5 staff to resident ratio. Residents at Perkins-Prothro Health Care Center are provided 24/7 staff availability, and 16 hour nursing assistance and supervision, daily. The residents are also provided incontinence care, including supplies.

To ensure the residents’ health and well being this skilled nursing facility also provides meals and snacks throughout the day. Additionally, while the staff takes care of laundry and housekeeping to keep the facility clean and safe for everyone, the residents may enjoy participating in regular activities that promote and boost physical and mental well being.

Overview of Pate Rehabilitation Center

Pate Rehabilitation has been serving patients for over 30 years as a stroke rehabilitation center in North Texas. The center is CARF accredited, which ensures high-quality services and patient care. Patients can choose from various programs, including outpatient neurorehabilitation, inpatient neurorehabilitation, and a supportive living community.
Alongside these programs, the community provides patients with educational and inspirational content to help them learn more about their neurorehabilitation journey, punctuated by a wide range of therapy services to help patients regain their independence and improve their quality of life. The center also invests in cutting-edge technologies for brain injury treatment, such as the ReoGo and Armeo Spring robotics, which provide residents with more advanced and effective rehabilitation options. Pate Rehabilitation is unquestionably dedicated to helping patients recover from their injuries and achieve their goals.

Overview of Hacienda Oaks Nursing & Rehabilitation Center

Focusing on seniors’ wellness, Hacienda Oaks Nursing and Rehab based in Beeville, TX, offers outstanding care services including skilled nursing, rehabilitation therapy, and long- and short-term care. The community features speech, occupational, and physical therapy, alongside other care services to ensure seniors are well taken care of. Seniors experience the utmost care and respect they deserve with a dedicated and highly trained team.

Hacienda Oaks Nursing and Rehab fosters meaning and strong connections, collaborating with residents to craft tailored approaches to their specific needs. The community strives to achieve optimal wellness by providing nutritious and delicious meals. Hacienda Oaks Nursing and Rehab is committed to providing seniors the care and support they need to live their golden years confidently and thrive with dignity.