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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 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.
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.
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
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.
Deer Creek Nursing and Rehab is a nursing home in Wimberley, Texas, offering skilled nursing, hospice care, and short term rehabilitation. Skilled nursing provides licensed nursing care on site around the clock, while hospice care supports residents receiving end of life care. Long term care is also available for residents who need ongoing support.
With 122 beds, the home accommodates residents in a mid sized nursing community. Total nurse staffing is 3 hours and 5 minutes per resident each day, representing the daily nursing time allocated per resident. Amanda Malec serves as the administrator.
Rehabilitation therapy and short term rehabilitation can suit someone who needs a time limited period of recovery support. Additional services include dialysis, dental care, podiatry services, pain management, individualized care plans, social services, and care coordination, allowing these services to be incorporated into a resident’s broader care plan.
Medicaid, Medicare, and private pay are accepted. Medicaid may help families whose savings may not cover a long stay, while Medicare applies to short term skilled care after a hospital stay rather than long term residence. Private pay allows a family to pay directly. The combination of short term rehabilitation, ongoing nursing care, and hospice care may be a good fit for a resident whose needs may change over time.
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
Hilltop Park Rehabilitation and Care Center in Weatherford, Texas, offers multiple care levels, including assisted living, memory care, nursing home care, and short-term respite stays. Specialized hospice, palliative, and outpatient rehabilitation services are also integrated into the community. Assisted living staff assist residents with daily routines, while memory care facilities utilize secured areas to ensure safety for individuals prone to wandering. Special dietary accommodations cover cardiac-healthy, diabetic-friendly, mechanical-soft, and pureed meal preparation.
Parker County Hospital District manages the 132-bed residence. Daily care logs reflect an average of 3 hours and 40 minutes of direct nursing time assigned to each resident. Physical features include dedicated therapy gyms, an outdoor patio, and a hair and nail salon. Located in an area with a 62 walk score, nearby errands are partially walkable for residents who no longer drive. Payment methods accepted include Medicare, Medicaid, and direct private pay arrangements.
Older adults comparing full-time care options or outpatient therapy programs can contact Hilltop Park Rehabilitation and Care Center to check current unit availability, discuss financial plans, or schedule 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.
Overview of Hidalgo Nursing and Rehabilitation Center
Tucked in the harmonious grounds of Sugar Road, Edinburg, TX, Hidalgo Nursing and Rehabilitation Center is an extraordinary senior living community offering skilled nursing, rehabilitation, hospice services, and home health services. As a non-profit community, Hidalgo Nursing and Rehabilitation Center is dedicated to providing accessible and top-tier care and assistance. With private and semi-private accommodations, seniors experience unparalleled comfort and convenience.
Pursue your interests and relive passions through enjoyable recreational activities and fun events. With an onsite beauty salon, residents can keep looking good to feel good. The community goes above and beyond to ensure residents are well-cared for. Hidalgo Nursing and Rehabilitation Center is a safe place for seniors to start their healing journey.
Regent Care Center is a nursing home in League City, TX. It may be a good fit for someone whose needs require nursing care rather than only help with daily tasks. With 194 beds, it is among the larger communities, with more residents and staff than a smaller home would have.
Its 64% occupancy means fewer than all of its beds are occupied. Payment options include Medicare, Medicaid and private pay: Medicare can cover short term skilled care after a hospital stay, Medicaid can help when savings do not cover a long stay, and private pay means the resident or family pays directly. Total nurse staffing is 3 hours 24 minutes per resident per day, representing the daily nursing time allocated per resident.
Country Village Care in Angleton, Texas, maintains an array of residential options, including assisted living, memory care, nursing home care, skilled nursing, hospice, palliative care, and respite stays. Assisted living residents receive aid with day-to-day activities, while those in memory care benefit from a secured environment designed for safety and supervision. Short-term respite stays accommodate individuals whose primary home caregivers need time off.
This 38-bed location operates under director Amy Madrigal, RN, and operator Country Village Opco. Staff records reflect an average of 3 hours and 43 minutes of daily nursing coverage per resident. On-site rehabilitation support complements the general clinical care options. The community accepts Medicare for qualified short-term stays, Medicaid for eligible long-term coverage, and private payment. Situated in an area with a 49 walk score, the location relies primarily on vehicular transport for off-site errands.
Prospective representatives can contact Country Village Care to discuss specific care requirements, inquire about funding options, or schedule an on-site visit.
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.
Columbus Oaks Healthcare Community in Columbus, Texas, offers skilled nursing care and general nursing home services. Short-term rehabilitation programs assist individuals who are recovering after an illness or injury, while long-term care supports residents who need continuous assistance.
Operating a 40-bed setting under management firm Pmg Opco, Columbus, the facility features a location with a 47 walk score, indicating that most everyday errands rely on automobile transportation. Financial options accepted by the community include Medicare, Medicaid, and private funds.
Interested residents interested in learning more about services or tour availability can reach out to the Columbus Oaks Healthcare Community.
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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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