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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.
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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.
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.
$3.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$357.3k*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
11.8%*Fiscal year ending 12/2022These 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: 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
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.
Treviso Transitional Care, situated in Longview, Texas, is a Medicaid and Medicare-certified for-profit nursing home. This facility prioritizes creating a supportive environment where senior residents’ comfort and well-being are prioritized. They also participate in Medicare and Medicaid programs, making this center accessible to many individuals seeking quality senior living options in the Longview area.
Treviso Transitional Care prides itself on its team of experienced and highly skilled clinicians dedicated to ensuring the best possible care for its residents. With a capacity of 62 beds, this facility caters to both short-term rehabilitation and long-term care needs.
Operated by Country Village Opco LLC, Country Village Care is a skilled nursing and rehabilitation facility in Angleton, Texas. The home accepts Medicare, Medicaid, and private pay, giving families multiple ways to arrange care. With 136 beds, the current occupancy rate is 61%.
Residents stay an average of 90 days due to the facility’s role as a post-acute rehabilitation provider. The home primarily serves residents coming from hospital care or short-term rehabilitation rather than long-term permanent residents.
Rehabilitation services are available on site, and total nurse staffing averages 3 hours and 50 minutes per resident each day. The surrounding area has a Walk Score of 49 out of 100. Some errands can be completed while walking, but transportation is needed for most trips. Visiting can be convenient for family members who drive. Those who rely on walking or public transit may face some limitations.
State inspections reviewed how medications were given and stored. Care plans were also reviewed, with attention to pressure sore prevention and infection control. These are important parts of daily care in a skilled nursing home. Families considering the facility should ask how these areas are managed and what steps are used to spot and prevent problems.
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.
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.
Operated by Pmg Opco – Columbus LLC under the ownership of Dhc Opco-Columbus, Columbus Oaks Healthcare Community is a nursing home in Columbus, Texas. The 137-bed facility accepts Medicare, Medicaid, and private pay, giving families flexibility when arranging care. Residents stay an average of about 381 days, including post-acute rehabilitation patients and those with longer-term care needs.
The community currently serves 79 residents, resulting in an occupancy rate of 58%. Nursing coverage is available 24 hours a day. Total nurse staffing averages 3 hours and 40 minutes per resident each day. Registered nurses, nurse aides, and licensed practical nurses share responsibility for that care. The staffing structure focuses on direct support, supervision, and daily nursing services.
Rehabilitation services and short-term rehabilitation programs are available, especially for residents recovering from hospitalization or another acute health event. The home on Charter Street has a Walk Score of 47. Some nearby services are within walking distance, but transportation is needed for most trips.
State inspections found issues with building safety and equipment upkeep. Emergency systems and maintenance were among the areas reviewed. The facility has addressed past findings and continues to make improvements in these areas.
Families exploring care options should visit the facility, meet the staff, and discuss rehabilitation services in more detail. The home’s nursing care, rehabilitation programs, and acceptance of major payment sources are worth considering for post-hospital transitions.
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.
Five Points of College Station is a well-regarded nursing home in College Station, TX, offering long-term care and short-term rehabilitation. The community strives to treat older adults like family, ensuring their comfort and healing in a warm and nurturing environment. Housekeeping, laundry, well-balanced meals, therapy, and transportation services are also provided to enrich residents’ living experiences. Personalized care plans tailored to residents’ ever-changing needs and habits are also provided to help them recover and return to their routines with ease.
Social gatherings, light exercises, and recreational activities encourage residents to stay active and make friends. Spacious gathering areas and cozy rooms also ensure residents can rest and lounge comfortably. Set near major roads, a bank, parks, and restaurants, the community guarantees accessibility and convenience. This nursing home is dedicated to older adults’ holistic well-being, making it one of the best choices for senior living in Texas.
Overview of Hilltop Park Rehabilitation and Care Center
Operated by Parker County Hospital District under the ownership of Holland Lake Ohana LLC, Hilltop Park Rehabilitation and Care Center is a skilled nursing facility in Weatherford, Texas. The 132-bed home accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover both short-term rehabilitation and longer-term nursing care.
The facility’s occupancy rate is 53%, and most residents stay an average of 168 days. The population here includes both post-acute rehabilitation patients and those receiving longer-term care. Daily nurse staffing averages 3 hours and 15 minutes per resident. Registered nurses provide 11 minutes of direct care each day, and nurse aides contribute about 1 hour and 53 minutes.
Rehabilitation and restorative care are central parts of the facility’s clinical services. Outpatient therapy is available with a structured rehabilitation program. The home also offers respite care and hospice and palliative services for residents nearing the end of life. This combination of services supports residents recovering from surgery or hospitalization, as it serves families seeking temporary or longer-term care options.
The facility is in a neighborhood with a Walk Score of 62. Some errands can be done on foot, but many trips require transportation. The surrounding area is relatively convenient and accessible for visiting family members.
Residents are served home-style meals each day, including favorites such as meatloaf, fried catfish, chicken fried steak, and roast beef with gravy. Fresh salads, soups, and seasonal vegetables are also part of the dining program. Social, recreational, and educational activities are scheduled throughout the week to encourage interaction and engagement.
Private and semi-private rooms are available, along with an outdoor patio, therapy gyms, high-speed internet access, and a hair and nail salon. There’s 24-hour staffing throughout the community to support residents’ care needs.
State inspections focused on care planning, food safety, and infection control protocols. Other areas of focus included bed rail safety and staffing documentation. Families should ask about nursing home compliance during a tour.
Avir at Granbury provides nursing home care, hospice care, memory care, palliative care, respite care, and skilled nursing in Granbury, Texas. Nursing home and skilled nursing care include licensed nursing care on site around the clock. Memory care provides a secured setting with supervision for a resident at risk of wandering.
Hospice care supports end of life care, while palliative care focuses on comfort and symptom relief during serious illness. Respite care offers a short stay while a usual caregiver travels or recovers. The range of care may suit a resident whose needs grow over time, while respite care can suit a family caregiver who needs temporary support. Private rooms give each resident a single private living space.
Avir at Granbury has 90 beds. Families can use Medicare, Medicaid, or private pay to cover care. Total nurse staffing is 3 hours and 42 minutes per resident each day, representing the daily nursing time allocated to each resident.
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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