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Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 262 nursing homes in Texas using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Reviewed by
Last updated
Jun 2026
We analyzed
262 homes
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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.
National Average: 3.0/ 5

Compare Nursing Homes around Texas

The information below is reported by the Texas Health and Human Services Commission.

205 facilities compared · CMS & TX Dept. of Health data

Caraday of Houston
NH
MC
RC
Houston (Northside / Northline)
150
Facility 150
TX AVG 80
Rank #63 / 988
--
3.76
Facility 3.76
TX AVG 3.63
Rank #93 / 296
-32%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
-12-
41
Facility 41
TX AVG 41
Rank #709 / 1391
E&R Cunningham Investments, LP
$2.7M
Facility $2.7M
TX AVG $8.4M
Rank #299 / 304
$1.8M
Facility $1.8M
TX AVG $3.5M
Rank #297 / 304
66.5%
Facility 66.5%
TX AVG 47%
Rank #103 / 304
676470
The Legacy Midtown Park
NH
AL
HC
IL
MC
Dallas (Vickery Meadow)
98
Facility 98
TX AVG 80
Rank #376 / 988
87.5%
Facility 87.5%
TX AVG 63.5%
Rank #31 / 304
+38%
5.42
Facility 5.42
TX AVG 3.63
Rank #14 / 296
+1%+49%
$27.5k
Facility $27.5k
TX AVG $81.8k
Rank #168 / 301
4
Facility 4
TX AVG 25.9
Rank #2 / 299
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 299
-48-
45
Facility 45
TX AVG 41
Rank #628 / 1391
The Legacy Midtown Park Inc
$16.1M
Facility $16.1M
TX AVG $8.4M
Rank #9 / 304
$15.0M
Facility $15.0M
TX AVG $3.5M
Rank #9 / 304
93%
Facility 93%
TX AVG 47%
Rank #214 / 304
676489
Houston Transitional Care
NH
HC
MC
NC
PC
RC
Houston (Braeburn)
70
Facility 70
TX AVG 80
Rank #517 / 988
90.3%
Facility 90.3%
TX AVG 63.5%
Rank #18 / 304
+42%
3.17
Facility 3.17
TX AVG 3.63
Rank #222 / 296
+22%-13%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
5.3
Facility 5.3
TX AVG 3.7
Rank #274 / 299
-67-
75
Facility 75
TX AVG 41
Rank #67 / 1391
Ahmad El-Saadi
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #31 / 304
$5.1M
Facility $5.1M
TX AVG $3.5M
Rank #134 / 304
41.4%
Facility 41.4%
TX AVG 47%
Rank #301 / 304
676435
Sun Valley Rehabilitation and Healthcare Center
NH
HC
MC
NC
RC
Harlingen (Estrellita Subdivision)
124
Facility 124
TX AVG 80
Rank #178 / 988
76.4%
Facility 76.4%
TX AVG 63.5%
Rank #102 / 304
+20%
3.79
Facility 3.79
TX AVG 3.63
Rank #93 / 296
-15%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
5
Facility 5
TX AVG 25.9
Rank #6 / 299
2.5
Facility 2.5
TX AVG 3.7
Rank #64 / 299
-94-
37
Facility 37
TX AVG 41
Rank #808 / 1391
Av Rehab LLC
$9.2M
Facility $9.2M
TX AVG $8.4M
Rank #176 / 304
$4.9M
Facility $4.9M
TX AVG $3.5M
Rank #163 / 304
53.1%
Facility 53.1%
TX AVG 47%
Rank #129 / 304
676493
Pflugerville Nursing and Rehabilitation Center
NH
HC
MC
PC
RC
Pflugerville (Kuempel Tract Phase 1)
120
Facility 120
TX AVG 80
Rank #210 / 988
--
2.71
Facility 2.71
TX AVG 3.63
Rank #284 / 296
-1%-25%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
30
Facility 30
TX AVG 25.9
Rank #218 / 299
4.3
Facility 4.3
TX AVG 3.7
Rank #233 / 299
124-
40
Facility 40
TX AVG 41
Rank #734 / 1391
Regency Ihs Of Pflugerville LLC
$8.3M
Facility $8.3M
TX AVG $8.4M
Rank #167 / 304
$5.2M
Facility $5.2M
TX AVG $3.5M
Rank #98 / 304
63%
Facility 63%
TX AVG 47%
Rank #46 / 304
676245
Brookdale Lakeway
NH
AL
MC
Lakeway (The Towers Of Lakeway)
132
Facility 132
TX AVG 80
Rank #121 / 988
69.8%
Facility 69.8%
TX AVG 63.5%
Rank #136 / 304
+10%
3.89
Facility 3.89
TX AVG 3.63
Rank #81 / 296
+73%+7%
$91.4k
Facility $91.4k
TX AVG $81.8k
Rank #249 / 301
21
Facility 21
TX AVG 25.9
Rank #152 / 299
3.5
Facility 3.5
TX AVG 3.7
Rank #178 / 299
450A+
28
Facility 28
TX AVG 41
Rank #956 / 1391
Henry Kaestner
$10.2M
Facility $10.2M
TX AVG $8.4M
Rank #88 / 304
$6.6M
Facility $6.6M
TX AVG $3.5M
Rank #75 / 304
64.5%
Facility 64.5%
TX AVG 47%
Rank #156 / 304
676131
Magnolia Crossing Nursing and Rehabilitation Center
NH
NC
Houston
128
Facility 128
TX AVG 80
Rank #152 / 988
73.1%
Facility 73.1%
TX AVG 63.5%
Rank #110 / 304
+15%
3.31
Facility 3.31
TX AVG 3.63
Rank #191 / 296
-31%-9%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.4
Facility 2.4
TX AVG 3.7
Rank #57 / 299
-108-
39
Facility 39
TX AVG 41
Rank #754 / 1391
Magnolia Crossing Nh LLC
$8.7M
Facility $8.7M
TX AVG $8.4M
Rank #183 / 304
$6.3M
Facility $6.3M
TX AVG $3.5M
Rank #83 / 304
72.2%
Facility 72.2%
TX AVG 47%
Rank #29 / 304
676333
Christian Care Communities and Services – Mesquite
NH
AL
IL
MC
RC
Mesquite
180
Facility 180
TX AVG 80
Rank #26 / 988
40.3%
Facility 40.3%
TX AVG 63.5%
Rank #273 / 304
-36%
3.66
Facility 3.66
TX AVG 3.63
Rank #111 / 296
+32%+1%
$28.9k
Facility $28.9k
TX AVG $81.8k
Rank #170 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
1.6
Facility 1.6
TX AVG 3.7
Rank #7 / 299
4100-
31
Facility 31
TX AVG 41
Rank #914 / 1391
Ccc Mesquite Management LLC
$8.4M
Facility $8.4M
TX AVG $8.4M
Rank #24 / 304
$11.6M
Facility $11.6M
TX AVG $3.5M
Rank #13 / 304
137.7%
Facility 137.7%
TX AVG 47%
Rank #61 / 304
455617
Harlingen Nursing and Rehabilitation Center
NH
MC
RC
Harlingen (Hale Avenue)
120
Facility 120
TX AVG 80
Rank #210 / 988
--
2.98
Facility 2.98
TX AVG 3.63
Rank #255 / 296
-25%-18%
$100.0k
Facility $100.0k
TX AVG $81.8k
Rank #254 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
118-
49
Facility 49
TX AVG 41
Rank #543 / 1391
Regency Ihs Of Harlingen LLC
$7.8M
Facility $7.8M
TX AVG $8.4M
Rank #206 / 304
$3.6M
Facility $3.6M
TX AVG $3.5M
Rank #220 / 304
45.8%
Facility 45.8%
TX AVG 47%
Rank #168 / 304
675606
Brookdale Westlake Hills
NH
AL
IL
Austin (Treemont)
90
Facility 90
TX AVG 80
Rank #419 / 988
96.7%
Facility 96.7%
TX AVG 63.5%
Rank #4 / 304
+52%
3.81
Facility 3.81
TX AVG 3.63
Rank #93 / 296
+23%+5%
$300.6k
Facility $300.6k
TX AVG $81.8k
Rank #297 / 301
24
Facility 24
TX AVG 25.9
Rank #178 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
748A-
45
Facility 45
TX AVG 41
Rank #628 / 1391
Arcpi Holdings Inc
$26.5M
Facility $26.5M
TX AVG $8.4M
Rank #49 / 304
$12.5M
Facility $12.5M
TX AVG $3.5M
Rank #18 / 304
47.3%
Facility 47.3%
TX AVG 47%
Rank #9 / 304
455866
The Legacy at Willow Bend
NH
AL
HC
IL
MC
Plano
60
Facility 60
TX AVG 80
Rank #583 / 988
96.5%
Facility 96.5%
TX AVG 63.5%
Rank #6 / 304
+52%
5.73
Facility 5.73
TX AVG 3.63
Rank #9 / 296
+54%+58%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
5.7
Facility 5.7
TX AVG 3.7
Rank #283 / 299
-56A+
45
Facility 45
TX AVG 41
Rank #628 / 1391
The Legacy Willow Bend, Inc
$22.1M
Facility $22.1M
TX AVG $8.4M
Rank #15 / 304
$13.7M
Facility $13.7M
TX AVG $3.5M
Rank #12 / 304
61.9%
Facility 61.9%
TX AVG 47%
Rank #159 / 304
676189
Princeton Medical Lodge
NH
PC
RC
Princeton
138
Facility 138
TX AVG 80
Rank #95 / 988
88.3%
Facility 88.3%
TX AVG 63.5%
Rank #26 / 304
+39%
2.45
Facility 2.45
TX AVG 3.63
Rank #294 / 296
+2%-33%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
5.0
Facility 5.0
TX AVG 3.7
Rank #264 / 299
-125-
24
Facility 24
TX AVG 41
Rank #1040 / 1391
Jordan Moon
$12.7M
Facility $12.7M
TX AVG $8.4M
Rank #19 / 304
$6.5M
Facility $6.5M
TX AVG $3.5M
Rank #78 / 304
51.4%
Facility 51.4%
TX AVG 47%
Rank #300 / 304
676485
Hidalgo Nursing and Rehabilitation Center
NH
HC
MC
PC
RC
Edinburg
126
Facility 126
TX AVG 80
Rank #160 / 988
77.8%
Facility 77.8%
TX AVG 63.5%
Rank #85 / 304
+23%
2.74
Facility 2.74
TX AVG 3.63
Rank #284 / 296
-53%-24%
$7.6k
Facility $7.6k
TX AVG $81.8k
Rank #82 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.8
Facility 2.8
TX AVG 3.7
Rank #94 / 299
1104-
29
Facility 29
TX AVG 41
Rank #942 / 1391
Regency Ihs Of Hidalgo LLC
$9.7M
Facility $9.7M
TX AVG $8.4M
Rank #74 / 304
$5.8M
Facility $5.8M
TX AVG $3.5M
Rank #90 / 304
60.3%
Facility 60.3%
TX AVG 47%
Rank #215 / 304
676346
Prairie Estates
NH
Frisco (Meadow Creek)
180
Facility 180
TX AVG 80
Rank #26 / 988
79.6%
Facility 79.6%
TX AVG 63.5%
Rank #78 / 304
+25%- +113%-
$24.6k
Facility $24.6k
TX AVG $81.8k
Rank #159 / 301
20
Facility 20
TX AVG 25.9
Rank #139 / 299
2.9
Facility 2.9
TX AVG 3.7
Rank #110 / 299
2152-
22
Facility 22
TX AVG 41
Rank #1064 / 1391
Sutton Health Care Center Ltd Co
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #50 / 304
$8.0M
Facility $8.0M
TX AVG $3.5M
Rank #50 / 304
64.7%
Facility 64.7%
TX AVG 47%
Rank #146 / 304
676145
Village Creek Wellness and Rehabilitation
NH
PC
Fort Worth
100
Facility 100
TX AVG 80
Rank #363 / 988
80.7%
Facility 80.7%
TX AVG 63.5%
Rank #65 / 304
+27%
2.80
Facility 2.80
TX AVG 3.63
Rank #279 / 296
+16%-23%
$19.0k
Facility $19.0k
TX AVG $81.8k
Rank #131 / 301
19
Facility 19
TX AVG 25.9
Rank #126 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
285-
26
Facility 26
TX AVG 41
Rank #1005 / 1391
Village Creek Nursing & Rehabilitation LLC
$2.3M
Facility $2.3M
TX AVG $8.4M
Rank #253 / 304
$1.3M
Facility $1.3M
TX AVG $3.5M
Rank #214 / 304
54.4%
Facility 54.4%
TX AVG 47%
Rank #45 / 304
675977
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Nursing Home Explorer
Overview of Regent Care Center

Nestled in League City, Texas, the Regent Care Center stands out for its excellently maintained facility and a team of exceptional staff. Renowned for its competitive provision of rehabilitation and skilled nursing care, this center boasts a straightforward yet inviting environment with delightful outdoor spaces. Situated in the Victory Lakes area, it exudes a warm setting, offering both short-term and long-term care options while also extending a welcoming hand to those seeking respite care. In the realm of nursing homes, Regent Care Center emerges as a preferred choice in League City.

For those discerning individuals exploring nursing home options, Regent Care Center in League City meets the mark with its exceptional facility and dedicated staff. With a commitment to both short and long-term care solutions, including respite care, it stands as a distinguished choice in the League City area for those seeking high-quality senior living and nursing home services.

Contact Regent Care Center

Overview of Kirkwood Manor Nursing and Rehab Center

Kirkwood Manor is a state-of-the-art nursing and rehabilitation facility located in the serene community of New Braunfels, TX. Their skilled nursing and rehabilitative services provide individualized attention to patients and long-term residents, ensuring 24/7 staff availability, offering prompt assistance whenever needed. Each bedroom in the facility is thoughtfully equipped with modern amenities, including television and telephone. Their customizable therapy programs tailor rehabilitation services to meet the unique needs of each resident.

Kirkwood Manor is committed to providing holistic care; accommodating dietary restrictions and preferences, provision of individualized care plans meticulously crafted from admission to discharge, assistance with daily living activities, and housekeeping and laundry services, allowing residents to focus on their recovery journey.

Contact Kirkwood Manor Nursing and Rehab Center

Overview of Colonial Manor Nursing & Rehabilitation Center

Located in the beautiful greenery of New Braunfels, TX, Colonial Manor Nursing and Rehab stands as a haven for individuals in need of comprehensive care. This skilled nursing facility offers a wide range of services, including long-term care, skilled nursing, and rehabilitative care. The facility provides round-the-clock skilled nursing care, ensuring that residents receive the attention and medical expertise they need at any hour. Colonial Manor Nursing and Rehab specializes in rehabilitative care, offering physical, occupational, and speech therapy tailored to individual needs. Additionally, the facility provides IV therapy and hospice care, emphasizing the importance of personalized and holistic medical services.

Colonial Manor Nursing and Rehab’s building layout is thoughtfully designed, providing a secure environment with easy accessibility. The facility exudes a quiet setting and cozy atmosphere, fostering an environment conducive to meaningful conversation and leisure retreats. The professional staff, including experienced medical directors, registered nurses, certified nursing assistants, and dedicated administrative personnel, ensures a safe and comfortable living space for residents. With specialized programs like the Specialized Wound Management Program and options for vacation or respite care, Colonial Manor Nursing and Rehab prioritizes the well-being of its residents, offering not just care but a warm and supportive environment where individuals can thrive.

Contact Colonial Manor Nursing & Rehabilitation Center

Overview of The Villages of Dallas

The Villages of Dallas is a licensed skilled nursing and memory care community in Dallas, Texas, offering skilled nursing services, post-acute rehabilitation, memory care support, or long-term residential care. In affiliation with Eastland Memorial Hospital District, the community is operating under Alice Branch Healthcare LLC, with 160 beds. This large community is also certified for both Medicare and Medicaid, making it an accessible option for families navigating healthcare coverage and long-term care planning.

The most recent inspection, conducted on August 8, 2023, identified no Health Code or Life Safety Code deficiencies, and no enforcement actions have been recorded. Reported staffing levels also provide additional insight into the community’s operations. Licensed practical nurse staffing hours per resident are significantly above the Texas state average, while nurse aide staffing and weekend nursing coverage also exceed statewide benchmarks. Physical therapy staffing levels are especially strong, reflecting a substantial rehabilitation focus and a robust in-house therapy program. However, registered nurse staffing levels are lower than the state average, which may be an important consideration for families evaluating higher-acuity clinical needs.

Quality outcome measures also reflect strong performance in several key areas, with emergency department visit rates for long-stay residents are lower than the Texas average, while rehospitalization rates for short-stay residents perform better than statewide benchmarks. Rates of successful return to home or community settings following rehabilitation are also above the state average, suggesting positive outcomes for many residents completing post-hospital recovery programs.

Services include skilled nursing care, rehabilitation therapies, Alzheimer’s and dementia support, and residential living options. The availability of in-house therapy services also helps streamline care coordination and may improve continuity of treatment for residents recovering from surgery, illness, or injury. The community’s Medicare and Medicaid certification broadens access for residents with varying financial and insurance circumstances.

Featuring strong therapy services, above-average aide staffing, and access to Medicare or Medicaid-covered care, The Villages of Dallas is particularly well-suited for older adults who need short-term rehabilitation following hospitalization, ongoing skilled nursing oversight, or structured memory care support in the Dallas area.

Contact The Villages of Dallas

The Sycamore

1511 South Van Buren, Amarillo, TX 79101
Overview of The Sycamore

The Sycamore is a licensed assisted living and memory care community in Amarillo, Texas, that focuses heavily on memory care support for older adults living with varying stages of cognitive impairment. The community is operating with a Type B license under Baptist Community Services, a faith-based nonprofit organization with longstanding ties to the Amarillo region. It is particularly recognized for maintaining a low resident-to-nursing staff ratio with a 56-bed capacity, which can support more individualized attention and relationship-centered care.

The most recent state inspection, conducted on April 24, 2024, identified no Health Code or Life Safety Code deficiencies. No citations or enforcement actions were recorded. Since the inspection is recent and reflects a clean regulatory standing, families evaluating care quality may view this as a positive indicator of operational consistency and compliance.

The community holds Alzheimer’s certification and provides 24-hour staffing along with skilled nursing and rehabilitation services, which is a notable level of support for a community of its size. Amenities, including outdoor patios, a spa room, quiet relaxation spaces, group transportation, and pastoral care services, are also available, reflecting the organization’s faith-based mission. Meals are also served daily with menu options and accommodations for specialized dietary needs. Additional support roles, including a Resident Technology Coordinator and Nurse Navigator, help enhance communication, care coordination, and resident engagement. On-site religious services are also available for residents who value spiritual connection as part of daily life.

The Sycamore is a good option for older adults in the Amarillo area living with memory-related conditions seeking a quieter, community-focused environment with faith-informed programming and personalized support. The community also appeals to families with its strong staffing attention, spiritual care opportunities, and convenient access to local hospitals and healthcare providers.

Contact The Sycamore

Overview of Discovery Village at Southlake

Discovery Village at Southlake is a skilled nursing community in Southlake, Texas, offering independent living, assisted living, memory care, and skilled nursing. Operated by DSL Tenant II, LLC in Tarrant County, the community accepts Medicare, Medicaid, and private funds, ensuring diverse financial options for residents. Serving 29 residents with a 41-bed capacity, the community is currently operating at a 71% occupancy rate, which is higher than the state average. It also maintains an overall CMS score of 3 out of 5 stars, matching the typical Texas state average.

The health inspection score is 3 out of 5 stars, placing it slightly higher than the state average of 2.9. Furthermore, the staffing score of 3 out of 5 stars indicates strong performance, as the community ranks 65th out of 240 Texas skilled nursing locations for total adjusted nursing hours. With 3 hours and 59 minutes of care provided per resident daily, it surpasses the state mean by roughly 5%, reflecting stable care access. Weekend care is noted at 3 hours and 24 minutes daily, which is suggested for families to review in comparison to weekday levels. The quality measures score of 3 out of 5 stars is one point below the state average of 4.0, which points to potential areas for enhancing clinical data tracking.

The resident population is composed of approximately 37% Medicare recipients, 37% Medicaid recipients, and 26% private pay residents. With an average stay lasting 28 days, the population largely consists of those receiving short-term rehab or transitional medical support.

The SHINE® memory care program also offers a specialized and structured framework for those living with dementia or Alzheimer’s. Its larger campus also promotes an energetic lifestyle for those in independent and assisted living through a wide array of social, health, and leisure activities for older adults.

Discovery Village at Southlake is a practical option for older adults who need various stages of support under one roof, ranging from active retirement to skilled nursing recovery in the Southlake area, particularly those looking for a local community that accepts both Medicare and Medicaid.

Contact Discovery Village at Southlake

Overview of Knopp Retirement Center

Knopp Retirement Center is a licensed senior living community in Fredericksburg, Texas, offering assisted living services. Managed as a family-owned enterprise under Knopp Retirement Center Inc., the community has a Type B license in Gillespie County. Operating since 1965 with a 60-bed capacity, it is one of the most enduring providers for older adults in the area.

In terms of state oversight, the most recent evaluation performed on April 27, 2023, identified five Health Code deficiencies, which involved delays in creating and starting individual service plans, gaps in annual background verifications through national and state registries, inadequate tuberculosis testing for staff, the absence of a yearly fire marshal review, and questions about food procurement from approved vendors. Notably, every concern was resolved between April 28 and June 9, 2023. No Life Safety Code deficiencies were found, and the community has faced zero enforcement actions, which is a better record than the Texas average of one. With five citations against a state average of six, the total volume of findings is slightly below the regional benchmark.

The community delivers assisted living and long-term support with a focus on empathy, dignity, and personal care, which are principles rooted in its independent family legacy. Available on-site clinical services also consist of physical, occupational, and speech therapy, positioning this location as a practical choice for older adults who need consistent rehabilitative help without relocating.

Providing assisted living, memory care capabilities, and on-site therapeutic support, Knopp Retirement Center is a good option for older adults who aim to age in place in the Fredericksburg region and the wider Hill Country and prefer a more intimate, family-run atmosphere with deep local roots.

Contact Knopp Retirement Center

Overview of Meadow Lake Assisted Living Community

Meadow Lake Assisted Living Community is a licensed senior living community in Tyler, Texas, offering assisted living, memory care, and skilled nursing services. Operated by Meadow Lake LLC under Lifespace Communities, Inc. in Smith County, the community is licensed as a Type B community through the Texas Health and Human Services Commission. It also holds a 5-Star rating from the Centers for Medicare & Medicaid Services (CMS), the highest distinction, which highlights the community’s strong performance in staffing, inspections, and quality measures, making it a notable option for older adults in the Tyler area. Medicare is also accepted.

The community’s most recent comprehensive state inspection took place on December 20, 2023, with no Health Code or Life Safety Code deficiencies identified. Additionally, no concerns involving resident care, building safety, pest control, or fire protection systems were reported. Over the past three years, the community has recorded only one total citation, significantly below the Texas average of six citations during the same period. No enforcement actions have been reported. For families comparing assisted living and memory care options in East Texas, this regulatory history reflects a strong pattern of operational consistency and compliance with state standards.

The campus is centered around a scenic five-acre lake and includes walking paths, landscaped outdoor areas, and a rustic-style community lodge that creates a peaceful, nature-oriented environment. Several dining venues, including a casual buffet and grill, are available, along with a private dining room for gatherings and catered events. Additional amenities also include a beauty salon, arts and crafts studio, library, card and game rooms, fitness and exercise spaces, and a broad range of clubs, hobby groups, and enrichment activities. Scheduled transportation services are also available, and residences include personal safes for added convenience and security. Care services include 24-hour staffing, rehabilitation support, and respite care.

Meadow Lake Assisted Living Community is well-suited for older adults with a variety of care needs, including those seeking an active assisted living lifestyle, individuals requiring memory support, and residents recovering through short-term rehabilitation or respite services. The lake-centered campus and gated setting also appeal to those who value outdoor surroundings and a quieter atmosphere. While the surrounding area is not highly walkable, the community’s transportation services help support access to appointments, outings, and local destinations.

Contact Meadow Lake Assisted Living Community

Mrc the Crossings

255 N. Egret Bay Blvd, League City, TX 77573
Overview of Mrc the Crossings

MRC The Crossings is a nonprofit Life Care community in League City, Texas, providing independent living, assisted living, nursing, memory support, respite care, and rehabilitation, with a 48-bed capacity. Managed by Happy Harbor Methodist Home, Inc., a faith-based organization, the community’s mission is rooted in a spiritual commitment to honor and assist older adults as a reflection of religious devotion, creating a unique atmosphere of dedicated service.

The community is currently operating at an 88.1% occupancy rate, reflecting a high level of neighborhood confidence and local demand. The typical stay for residents is 47 days, with Medicare accounting for 46% of new arrivals, while temporary recovery and private funds are at 53%. This financial variety shows that the community’s population is a balanced combination of both short-term rehabilitation patients and those seeking a permanent home.

The community has achieved a top overall score of 5 out of 5 stars from the Centers for Medicare & Medicaid Services, which is significantly higher than the Texas mean of 3.0 stars. Its health evaluation results earned a perfect 5-star rating compared to the state average of 2.9, and the employee ratio also received a full 5 stars against the state norm of 2.4. These figures demonstrate a history of excellent regulatory compliance and a deep investment in medical personnel. While clinical quality metrics received a 3-star score, which is a little below the state average of 4.0, the community’s overall performance remains exceptionally high.

Personnel levels represent a significant advantage at this community, with a total adjusted nursing time reaching 4 hours and 39 minutes for every resident daily, which is 23% higher than the Texas average. Registered Nurse presence is especially notable at 57 minutes per resident each day, exceeding the state average of 26 minutes by 119%. Coverage on the weekends is at 4 hours and 8 minutes daily, indicating that medical supervision remains steady all week.

MRC The Crossings is a good option for older adults and their families looking for a spiritually guided nursing environment in the Houston region. Its premier federal ratings, exceptional professional nursing hours, and full spectrum of care options make it a standout choice for both temporary therapeutic needs and long-term residency.

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Overview of C C Young Memorial Home

C C Young Memorial Home is a senior living community in Dallas, Texas, providing independent living, assisted living, memory care, professional nursing, and physical recovery. Independently managed by an organization of the same name, this non-profit community has a Type B license in the Dallas region and is CMS certified. It has also received a Best in Senior Living Award, which provides external validation of its quality. With a 129-bed capacity, the community is currently operating at 76.5% occupancy rate, which is higher than the state average.

A primary advantage of this community is its impressive personnel profile. Registered nurses deliver 48 minutes of attention to each resident daily, which is 85% higher than the Texas state mean of 26 minutes. Support from vocational nurses reaches one hour and 18 minutes per day, exceeding the state average by 37%, while nursing assistant time is 52% above the typical Texas level at over three hours daily. Furthermore, nursing hours during the weekend remain 58% above the state average, showing that the community provides steady care all week long. The availability of physical therapy is especially remarkable, offering 21 minutes per resident daily, which is more than four times the state average and a major benefit for those focused on post-hospital recovery.

This community also accepts Medicare, increasing the financial options for those eligible. Alongside its official Alzheimer’s certification, specialized memory assistance, short-term relief stays, home health services, and hospice care are provided. A medical clinic, varied dining choices, a gift shop, massage services, spiritual support, and cutting-edge technology are among the amenities available on-site.

Regarding regulatory oversight, the community documented six total findings across two evaluations, which is in line with the Texas state average of six. These findings are four health code deficiencies and two life safety code violations, specifically related to infection management, pest oversight, and food preparation, all of which were resolved within a few weeks. No enforcement actions were also reported.

C C Young Memorial Home is a good option for older adults seeking a wide variety of services in one setting, from an active retirement to high-level nursing and end-of-life care. The superior staff-to-resident ratios also make it an especially good choice for individuals with intricate health goals, particularly those undergoing rehabilitation.

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Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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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 262 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.