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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.
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.
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
Set within the quiet neighborhood of Stephenville, TX, Mulberry Manor is a dependable senior living community, offering excellent care services, including assisted living and memory care services. The community also caters to the needs of those who are recovering from illnesses or hospitalization with skilled nursing, short-term rehabilitation, and long-term care services. Apart from having 24-hour nurses, residents find comfort in having emergency response systems installed in their cozy accommodations for quick assistance during emergencies.
A full-time Certified Activity Director is available to plan vibrant and enriching activities and monthly outings for residents’ fun and enjoyment. Delicious meals and a long-list of thoughtful amenities are also offered for a well-rounded living experience. At Mulberry Manor, residents are guaranteed to enjoy the lifestyle they deserve without the need to move into another community for their ever-changing needs.
Paradigm at First Colony provides skilled nursing and nursing care in Missouri City, TX. Licensed nursing care is available on site around the clock. Rehabilitation services support recovery as part of the care available at the community, so structured care can suit someone recovering from an illness, injury, or hospital stay. Long-Term Services suit a resident who needs ongoing nursing support.
The community has 150 beds, with private and semi-private rooms. Residents may have an individual room or share with another resident. Beauty and barber services bring grooming services into the community, while transportation coordination services help arrange transportation when needed. Johnny Richardson serves as the administrator.
Payment options include Medicaid, Medicare, and private pay. Medicaid may help families whose savings do not cover a long stay, while Medicare covers short-term skilled care after a hospital stay rather than long-term residence. Private pay means the family pays directly. Total nurse staffing is 3h 7m per resident/day, representing the daily hands-on nurse time allocated per resident.
Ennis Care Center is a trusted senior care provider situated in South Street, Ennis, TX, that provides skilled nursing, rehabilitation, and long- and short-term care. The community goes above and beyond to ensure seniors are comfortable and well taken care of. Rest assured that residents experience exceptional comfort with a team of respectful, compassionate, and skilled professionals prepared to lend support in their healing journey.
The community is committed to delivering the highest standards of care, utilizing approaches tailored to every resident’s unique needs. With its cozy and warm interior, residents feel at ease knowing they are in safe hands. Promising optimal wellness, the community serves delightful and healthy meals to satisfy residents’ dietary needs and cravings. Ennis Care Center is an ideal place to refresh your mind and find solace with its purposely-made amenities.
Overview of Lake Village Nursing & Rehabilitation Center
Lake Village Nursing and Rehabilitation Center is a senior living community providing long-term skilled nursing services, respite care, and skilled rehabilitation. Located in Lewisville, TX, this long-term care facility is committed to provide the best care for their residents, creating individualized care plans from admission to discharge. As part of their services, their residents receive 24/7 nursing assistance, medication management, and assistance with daily living activities.
Lake Village Nursing and Rehabilitation Center also offers customizable therapy programs to care for their full-time, in-house therapy team. In addition, they also offer wound care, electrical stimulation, pulmonary programs, and speech-language therapy services.
Overview of Marine Creek Nursing and Rehabilitation
Marina Creek is one of the best nursing home facilities in Fort Worth that provides exceptional care. The community offers an inviting community with exemplary hospitality. With a focus on long-term care services, a team of dedicated staff who are compassionately ready to attend to any need one may have. Residents are encouraged and motivated to live fully in a nurturing, home-like setting.
The residential lifestyle at Marine Creek is built on compassion and care. Residents are guaranteed to make the most of their day-to-day while receiving significant hospitality and attentive assistance. Community services include 24-hour nursing care, stimulating activities, engaging social activities and programs, therapy services (speech, occupational, physical), orthopedic recovery, surgery recovery, diabetes management, dentistry, Alzheimer’s care, and stroke recovery– are few of the many things provided at the nursing home.
Overview of The Residences at Bridgepoint Medical Lodge
The Residences at Bridgepoint Medical Lodge offers nursing home and skilled nursing, assisted living, memory care, hospice and palliative care, and respite care in Bridgeport, TX. Assisted living provides help with daily tasks while a resident maintains a private living space, while memory care provides a secured setting with supervision for someone at risk of wandering. Skilled nursing provides licensed nursing care on site around the clock, and hospice and palliative care support comfort-focused needs; respite care provides a short stay when a usual caregiver needs time to travel or recover.
The community has 36 beds, making it a smaller setting that may suit someone who prefers a community where staff and residents can get to know each other. Studio, one-bedroom, and two-bedroom units are available, with the larger layouts potentially suiting a couple moving together or someone who wants a companion. The combination of several care levels may also suit a resident whose needs grow over time without requiring a move to a different community.
Medicare, Medicaid, and private pay are accepted. Medicare can help cover short-term skilled care after a hospital stay, Medicaid may assist when savings do not cover a long stay, and private pay provides another payment route. Total nurse staffing is 2 hours and 46 minutes per resident per day, representing the daily nursing time allocated to each resident.
Residents can receive rehabilitation services through the outpatient therapy program, and the activity calendar includes musical performances, movies, game time, fitness classes, and holiday parties. A hair and nail salon brings grooming services into the community, while the outdoor garden provides a seated outdoor area. Chef-prepared meals include options for cardiac-healthy, diabetic-friendly, mechanical soft, and pureed diets. A Walk Score of 50 places the area in the somewhat walkable band, meaning some errands can be done on foot and a resident who no longer drives may be able to handle certain nearby trips independently. The community is operated by Pmg Opco-Bridgeport.
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.
Located in Grapevine, Texas, The Lodge at Bear Creek operates a 100-bed campus delivering nursing home services and short-term rehabilitation. On-site therapy resources include physical, occupational, and speech sessions, enabling individuals to receive specialized recovery care directly within the building.
Regulatory tracking shows nurse staffing levels average 3 hours and 26 minutes per resident each day. Recent health survey records reflect strong overall performance.
Living options accommodate both extended stays and short-term post-acute recovery. Payment structures accept private funding as well as Medicare and Medicaid enrollment for eligible individuals.
Older adults comparing short-term rehabilitation or long-term nursing care in Grapevine can contact the administrative office to view the facility layout, inspect the therapy rooms, and review financial arrangements.
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.
Greeting seniors and their loved ones warmly, Deer Creek Nursing and Rehab located on Ranch Road, Wimberly, TX, provides skilled nursing, rehabilitation therapy, and long- and short-term care. Promoting a nurturing environment, the community promises a comfortable and healing residence. Enjoy exceptional care and assistance from a team of respectful and well-trained professionals.
Focusing on seniors’ rehabilitation, Deer Creek Nursing and Rehab offers physical, occupational, and speech therapy. To ensure residents’ needs are met, the community doubles its efforts to understand and get to know them to devise a personalized care plan. Healthy and tasty meals are served to satisfy the seniors’ dietary needs and preferences. At Deer Creek Nursing and Rehab, seniors experience state-of-the-art amenities for their peace of mind and well-being.
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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