Page 22 of Best Nursing Homes in Texas

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
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We analyzed These are the facilities in Texas our team has analyzed — not a count of every nursing home provider in Texas.
281 homes
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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 Table AL (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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over 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.
Avir at Woodlands Villas ★ ☆ ☆ ☆ ☆
NH
AL
MC
SNF
Eastland
48
Facility 48
TX AVG 107
Rank #228 / 258
--
4.00
Facility 4.00
TX AVG 3.49
Rank #57 / 234
★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ +35%+15%
$85.6k
Facility $85.6k
TX AVG $66.1k
Rank #197 / 237
31
Facility 31
TX AVG 27.7
Rank #182 / 234
4.4
Facility 4.4
TX AVG 3.6
Rank #173 / 234
367-
49
Facility 49
TX AVG 44
Rank #118 / 278
125 Inspiration Blvd Alf Opco LLC
$7.3MFiscal year ending 06/2024
Facility $7.3MFiscal year ending 06/2024
TX AVG $9.4M
Rank #141 / 218
$2.5MFiscal year ending 06/2024
Facility $2.5MFiscal year ending 06/2024
TX AVG $5.4M
Rank #190 / 218
34.3%Fiscal year ending 06/2024
Facility 34.3%Fiscal year ending 06/2024
TX AVG 71.6%
Rank #196 / 199
675001
Le Reve Memory Care ★ ☆ ☆ ☆ ☆
NH
HOS
MC
RC
SNF
Dallas (Casa View)
40
Facility 40
TX AVG 107
Rank #236 / 258
--
3.44
Facility 3.44
TX AVG 3.49
Rank #101 / 234
★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +15%-1%
$120.6k
Facility $120.6k
TX AVG $66.1k
Rank #208 / 237
26
Facility 26
TX AVG 27.7
Rank #137 / 234
2.6
Facility 2.6
TX AVG 3.6
Rank #53 / 234
653-
48
Facility 48
TX AVG 44
Rank #126 / 278
Le Reve Memory Care LLC
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
TX AVG $9.4M
Rank #192 / 218
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
TX AVG $5.4M
Rank #192 / 218
49.7%Fiscal year ending 12/2023
Facility 49.7%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #155 / 199
676474
Gracy Woods I Nursing Center-
NH
MC
SNF
Austin (Gracy Woods)
118
Facility 118
TX AVG 107
Rank #135 / 258
71.2%
Facility 71.2%
TX AVG 71.6%
Rank #97 / 174
-1%
3.81
Facility 3.81
TX AVG 3.49
Rank #70 / 234
----79%+9%
$204.4k
Facility $204.4k
TX AVG $66.1k
Rank #229 / 237
63
Facility 63
TX AVG 27.7
Rank #230 / 234
3.7
Facility 3.7
TX AVG 3.6
Rank #157 / 234
1084-
54
Facility 54
TX AVG 44
Rank #87 / 278
Winnie-Stowell Hospital District
$6.4MFiscal year ending 12/2023
Facility $6.4MFiscal year ending 12/2023
TX AVG $9.4M
Rank #166 / 218
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
TX AVG $5.4M
Rank #143 / 218
63.4%Fiscal year ending 12/2023
Facility 63.4%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #70 / 199
675918
The Pines at Rolling Meadows-
NH
AL
IL
MC
SNF
Wichita Falls
86
Facility 86
TX AVG 107
Rank #179 / 258
--------------
50
Facility 50
TX AVG 44
Rank #111 / 278
Wichita Falls Retirement Foundation
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
TX AVG $9.4M
Rank #115 / 218
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
TX AVG $5.4M
Rank #119 / 218
54.9%Fiscal year ending 12/2023
Facility 54.9%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #118 / 199
676203
Remarkable Healthcare-
NH
Fort Worth (Summerfields)
120
Facility 120
TX AVG 107
Rank #96 / 258
--------------
53
Facility 53
TX AVG 44
Rank #90 / 278
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
TX AVG $9.4M
Rank #144 / 218
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
TX AVG $5.4M
Rank #107 / 218
68.5%Fiscal year ending 12/2023
Facility 68.5%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #56 / 199
676285

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

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Overview of Avir at Woodlands Villas

Avir at Woodlands Villas in Eastland, TX provides nursing home, skilled nursing, assisted living, and memory care. Nursing home and skilled nursing include licensed nursing on site around the clock. Assisted living helps with daily tasks such as dressing, bathing, and medication, while memory care provides a secured setting with supervision for someone at risk of wandering.

The combination of care levels may suit a resident whose needs grow over time, since care can continue within the same community. There are 48 beds. That puts Avir at Woodlands Villas in the smaller community range, where staff and residents get to know each other. Total nurse staffing is four hours per resident per day, representing the daily hands on nursing time allocated to each resident.

Medicaid, Medicare, and private pay are accepted. Medicaid can help when savings may not cover a long stay, while Medicare applies to short term skilled care rather than long term residence. Private pay means paying directly for care. Respite care supports a short stay when a usual caregiver needs to travel or recover, and short term rehabilitation provides a temporary setting for rehabilitation.

On site rehabilitation services and a therapy gym let a resident receive therapy without arranging transportation. The community also has a salon and offers pet visits. A Walk Score of 49 out of 100 places the area in a car dependent setting, so most errands require a car or a ride. Avir at Woodlands Villas is operated by 125 Inspiration Blvd Alf Opco.

Contact Avir at Woodlands Villas

Overview of Le Reve Memory Care

With a 40-bed capacity, Le Reve Memory Care offers nursing home, hospice care, memory care, respite care, and skilled nursing in Dallas, Texas. The community has an Alzheimer’s certification and can accommodate those living with memory-related conditions. Hospice services also provide comfort and symptom management for the terminally ill residents. Moreover, those seeking short-term stays are welcome with respite care.

Rehabilitation services, including short-term rehab, give residents a temporary stay focused on rehabilitation rather than ongoing residence. Residents also receive a total of 3 hours and 26 minutes of nursing care daily. Moreover, families can use Medicare, Medicaid, or private pay toward covered care or private payment. The area has a Walk Score of 48, placing it in a car-dependent setting where most errands require a car or a transportation service.

Contact Le Reve Memory Care

Brookdale Lakeway

1915 Lohmans Crossing Rd, Lakeway, TX 78734
Overview of Brookdale Lakeway

A lively and engaging senior living community located in Lakeway, TX, Brookdale Lakeway offers a vibrant senior living community with various care options designed to enhance independence while ensuring peace of mind. From assisted living to memory care, residents benefit from tailored care plans that cater to individual needs, such as medication management and mobility assistance. Beyond care, residents can savor the convenience of nutritious meals, transportation services, and housekeeping, along with access to amenities like a community spa, game room, concierge service, and more. Brookdale Lakeway strives to provide comprehensive lifestyle amenities and engaging programs.

From enjoying yoga classes, movie nights, to participating in community clubs, such as the bridge club, there’s always something stimulating to do. Additional amenities include an arts and crafts studio, scenic outdoor walking paths, and the convenience of the Personal Solutions program, which delivers personal hygiene items directly to residents’ doors. With a range of floor plans available, from cozy studios to spacious two-bedroom apartments, Brookdale Lakeway offers a personalized living experience where residents can embrace a comfortable lifestyle free from everyday worries.

$5,635/Month

Contact Brookdale Lakeway

Overview of Treemont Health Care Center

Treemont Health Care Center is a skilled nursing facility located at 2501 Westerland Drive in the Mid West area of Houston, Texas. Owned and operated by Treemont Care, LLC, the facility provides short-term rehabilitation and long-term skilled nursing care.

The 54-bed center operates at an occupancy rate of approximately 51 percent, with an average length of stay of 161 days. Clinical operations combine registered nurse, licensed vocational nurse, and nurse aide coverage to deliver an average of 4 hours and 51 minutes of direct nursing care per resident daily.

The facility accepts Medicare, Medicaid, and private-pay options. Holding a walk score of 58, the immediate neighborhood is moderately walkable, meaning a few errands can be managed on foot while others require a vehicle. For acute medical services, the community is located about a third of a mile from the nearest hospital center.

Prospective families and healthcare representatives can contact the Westerland Drive administrative office directly to confirm current bed openings, verify admission criteria, or coordinate a property tour.

Contact Treemont Health Care Center

Overview of Brookdale Western Hills

Brookdale Western Hills offers nursing home care, assisted living, continuing care retirement community services, independent living, memory care, and skilled nursing in Temple, Texas. Its range of care levels can support a resident whose needs grow over time without requiring a move to another community or a new social setting. The community has 54 beds, which may suit someone who prefers a smaller setting where staff and residents can get to know each other.

Independent living provides private living with community services and no daily care. Assisted living helps with dressing, bathing, and medication while a resident retains a private living space, and memory care offers a secured setting with supervision for someone at risk of wandering. Nursing home care and skilled nursing provide licensed nursing care on site around the clock, while a suite layout can suit a couple moving together or someone who wants a companion.

Residents can use the fitness center and therapy room, cafe or bistro, beauty or barber shop, courtyard and garden, library, and game room. Transportation and outings support activities beyond the community, and pets are allowed, so a resident can continue living with a pet. Brookdale Western Hills is administered by Ms. Amber D Adcock and operated by Febc-Alt Holdings; its Walk Score is 31, meaning most errands require a car or a ride, so someone who no longer drives will need transportation for most errands.

Contact Brookdale Western Hills

Overview of Arabella of Kilgore Senior Living

Arabella of Kilgore Senior Living in Kilgore, TX, offers independent living, assisted living, memory care, nursing home care, and skilled nursing. Independent living provides a private home with community services and no daily care, while assisted living adds help with bathing, dressing, medication, and other daily tasks. Memory care is provided in a secured, supervised setting, and nursing home and skilled nursing care include licensed nursing care on site around the clock.

Several care levels are available within one community. That may allow a resident whose needs grow over time to remain at Arabella of Kilgore Senior Living rather than move elsewhere. Housing includes studios, one bedroom residences, and two bedroom residences, with a studio offering one private space and a two bedroom layout potentially suiting a couple moving together.

Starting monthly rates are $3,775 for independent living, $4,014 for assisted living, and $5,600 for memory care. Families therefore have a separate starting figure for each of those residence levels. The community has 67 beds, and two courtyards with gardens give residents outdoor areas to use.

Respite care is available for short stays. This can suit a family caregiver who needs time to travel or recover. Pets are allowed, while Wilda Mathis serves as administrator and Vop Arabella Kilgore operates the community.

$3,775/Month

Contact Arabella of Kilgore Senior Living

Overview of Brookdale Medical Center Whitby

Brookdale Medical Center Whitby in San Antonio, Texas, is an inviting senior living community that offers vibrant assisted living where seniors can thrive in a supportive environment. Located conveniently near churches, hospitals, shopping, and dining spots, our community provides personalized care tailored to individual needs. Residents enjoy easy access to local attractions like the historic Alamo and the lively San Antonio RiverWalk, perfect for leisurely strolls or outings with friends.

Fostering a sense of community and shared interests, Brookdale Medical Center Whitby conducts engaging social activities, including card games, art classes, and fitness programs. The community features spacious apartments, available in various floor plans with options for studios, private suites, or companion living, featuring amenities like private baths and kitchenettes. Pets are welcome, enhancing the home-like atmosphere where residents can personalize their living spaces with cherished belongings. With delicious meals prepared by a dedicated culinary team, customizable menus, and nutritional support available, dining at Brookdale Medical Center Whitby is a delightful experience.

Contact Brookdale Medical Center Whitby

Overview of Brookdale San Marcos North

Located on a serene three-acre lot surrounded by oak and cedar trees, Brookdale San Marcos North in San Marcos, Texas, offers a welcoming community for seniors. With both assisted living and memory care available, residents can enjoy personalized care tailored to their needs. The community is designed to keep seniors engaged and connected, with a full calendar of events to explore new hobbies and meet new friends. Pet-friendly floor plans with plenty of natural lighting add to the inviting atmosphere, and there’s always support available with staff on hand 24/7 for emergencies.

Brookdale San Marcos North is committed to helping residents redefine their independence with fewer chores and more adventures. The community provides a variety of amenities, including a fitness center, library, beauty/barber shop, and landscaped grounds. Memory care residents benefit from six planned programs per day, including reading clubs, fitness classes, and baking sessions. Brookdale San Marcos North’s mission is to create a meaningful and purpose-filled life for all residents, ensuring they have the confidence and security to enjoy each day.

$3,480/Month

Contact Brookdale San Marcos North

CC Young Senior Living

4847 W Lawther Dr #100, Dallas, TX 75214
Overview of Cc Young Senior Living

Cc Young Senior Living in Dallas, Texas, provides a full spectrum of senior care, including independent living, assisted living, memory care, skilled nursing, home care, hospice, palliative care, and short-term respite stays. Having served seniors since 1922, the C. C. Young Memorial Home-operated community offers 164 beds across one- and two-bedroom apartments. This expansive continuum allows residents to transition smoothly between care levels as their health needs evolve.

Campus amenities feature an indoor pool, a full-service salon, pet-friendly residences, and landscaped outdoor spaces. Daily life includes access to rehabilitation therapy, fitness programs, lifelong learning classes, and art and music events. The location holds a walk score of 44, meaning most local errands require a vehicle, though Medicare acceptance helps offset costs for short-term rehabilitation following a hospital stay.

Older adults looking for a long-standing Dallas community with comprehensive, adaptable care options can reach out to Cc Young Senior Living to schedule a visit or request details.

Contact CC Young Senior Living

Overview of The Legacy Health Care of Edenhill

The Legacy Health Care is a compassionate haven for seniors in need of specialized assisted living with memory care services. With a dedicated focus on Alzheimer’s and dementia support, as part of Edenhill Communities, they provide a thoughtful and secure environment where residents can find comfort and understanding. The Legacy Health Care features cozy assisted living neighborhoods, each adorned with private rooms and baths. For those requiring skilled nursing care along with memory care, the community provides rooms with shared accommodations, blending professional assistance with a warm and caring atmosphere. The community also provides essential services such as medication management, emergency response systems in rooms, and 24-hour care delivered by trained caregivers and certified nursing staff.

The Legacy Health Care’s commitment to enhancing the lives of its residents is evident through its Life Reflections Program, also available in both assisted living and skilled nursing settings. This program offers personalized support and engagement, encouraging residents to reminisce, share stories, and participate in meaningful activities. With provisions for nutritious meals, assistance with daily living activities, and housekeeping and linen service, The Legacy Health Care ensures a secure and supportive environment, where residents receive the specialized care they need.

Contact The Legacy Health Care of Edenhill

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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • 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
No paid rankings Facilities cannot pay to influence placement.
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
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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 281 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.

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