Page 22 of Best Nursing Homes in Texas

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
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Last updated
We analyzed These are the facilities in Texas our team has analyzed — not a count of every nursing home provider in Texas.
285 homes
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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

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.
Le Reve Memory Care
NH
HOS
MC
RC
SNF
Dallas (Casa View)
40
Facility 40
TX AVG 108
Rank #234 / 255
--
3.44
Facility 3.44
TX AVG 3.63
Rank #101 / 234
+15%-5%
$120.6k
Facility $120.6k
TX AVG $81.8k
Rank #204 / 237
26
Facility 26
TX AVG 25.9
Rank #120 / 234
2.6
Facility 2.6
TX AVG 3.7
Rank #98 / 234
653-
48
Facility 48
TX AVG 43
Rank #121 / 276
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
Avir at Woodlands Villas
NH
AL
MC
SNF
Eastland
48
Facility 48
TX AVG 108
Rank #227 / 255
--
4.00
Facility 4.00
TX AVG 3.63
Rank #57 / 234
+35%+10%
$85.6k
Facility $85.6k
TX AVG $81.8k
Rank #192 / 237
34
Facility 34
TX AVG 25.9
Rank #192 / 234
3.8
Facility 3.8
TX AVG 3.7
Rank #144 / 234
367-
49
Facility 49
TX AVG 43
Rank #113 / 276
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
Gracy Woods I Nursing Center-
NH
MC
SNF
Austin (Gracy Woods)
118
Facility 118
TX AVG 108
Rank #135 / 255
71.2%
Facility 71.2%
TX AVG 71.2%
Rank #89 / 162
0%
3.81
Facility 3.81
TX AVG 3.63
Rank #70 / 234
----79%+5%
$222.2k
Facility $222.2k
TX AVG $81.8k
Rank #227 / 237
64
Facility 64
TX AVG 25.9
Rank #227 / 234
3.6
Facility 3.6
TX AVG 3.7
Rank #169 / 234
1084-
54
Facility 54
TX AVG 43
Rank #82 / 276
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 108
Rank #178 / 255
--------------
50
Facility 50
TX AVG 43
Rank #106 / 276
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 108
Rank #96 / 255
--------------
53
Facility 53
TX AVG 43
Rank #85 / 276
$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: 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

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Overview of Le Reve Memory Care

Owned by Mark Noel and operated by Le Reve Memory Care LLC, Le Reve Memory Care is a nursing facility on Dilido Road in Dallas, Texas. The 40-bed facility accepts Medicare, Medicaid, and private pay, providing families with coverage options for short-term rehabilitation and ongoing skilled care.

Short-term rehabilitation is the primary focus of the facility. Residents are supported by a dedicated nursing staff throughout their stay. Total nurse staffing averages 2 hours and 53 minutes per resident daily. Registered nurses provide 24 minutes of daily care. Nurse aides contribute 1 hour and 54 minutes, while licensed practical nurses and vocational nurses add another 38 minutes per resident. Supporting recovery and daily care needs, the staffing structure provides nursing oversight and hands-on assistance.

Residents stay an average of 150 days due to the mix of post-acute rehabilitation population, short-term recovery cases, and some residents under ongoing skilled care. The facility’s location has a Walk Score of 48. A few nearby services are within walking distance, but most trips require driving.

Contact Le Reve Memory Care

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 Brookdale Trinity Towers

Located in “America’s Birdiest City” Corpus Christi, TX, is Brookdale Trinity Towers, Brookdale Senior Living’s pride. It is a senior living community in one building and offers a variety of services from independent living, to assisted living, memory care, and skilled nursing services. This senior living community’s independent living services uphold the same Brookdale standard of care that it also offers in all its locations all over the country, providing a worry-free, maintenance-free lifestyle for its residents.

Independent living residents at Brookdale Trinity Towers enjoy a variety of amenities such as their superb dining options, access to cafe/bistro, and private dining room for dining with guests. They also provide residents with access to fitness centers, game rooms, snack shops, and therapy rooms. Furthermore, regular entertainment and social events are planned to provide residents opportunities to socialize and create new memories with other residents and staff.

Contact Brookdale Trinity Towers

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.

Contact Brookdale Lakeway

Overview of Discovery Village at Southlake

Discover a vibrant senior living community at Discovery Village at Southlake, nestled in the heart of Southlake, Texas, dedicated to meeting the distinct needs and aspirations of its residents. With a firm commitment to elevating the quality of life, Discovery Village offers a diverse range of lifestyle options, ensuring that each individual discovers their ideal place to thrive. At Discovery Village, the emphasis isn’t solely on living—it’s about thriving. Exclusive lifestyle programs, gourmet dining, and engaging activities define this community as a place where residents can wholeheartedly embrace life. Whether strolling through the exquisitely landscaped grounds or participating in invigorating fitness classes, every moment at Discovery Village at Southlake is an opportunity to create treasured memories.

Residents relish the liberty of independent living, enjoying their golden years free from the burdens of home maintenance. The community fosters an environment steeped in comfort and companionship by offering spacious floor plans, engaging activities, and delectable gourmet meals. For those desiring extra assistance, Discovery Village provides compassionate assisted living services. A team of professionals attends to daily chores, allowing residents to focus on what truly matters to them. The SHINE® Memory Care program nurtures a secure and supportive environment for individuals facing memory challenges. Tailored activities and personalized care are integral to promoting dignity and overall well-being. Discovery Village extends its dedication to excellence through its skilled nursing program, offering comprehensive care for those requiring rehabilitation or long-term support. The community ensures exceptional standards across every facet of residents’ lives.

Contact Discovery Village At Southlake

Overview of Brookdale Galleria

Tucked away in Houston, Texas’ vibrant Galleria district, Brookdale Galleria offers a refined senior living experience tailored to independence and comfort. The community provides both Independent and Assisted Living options, ensuring personalized care that adapts to evolving needs, while our newly renovated apartments offer a modern, welcoming retreat. Residents enjoy easy access to shops, restaurants, and medical facilities, enhancing convenience and peace of mind. Nearby landmarks like the Galleria Mall and tranquil Waterwall Park provide opportunities for leisurely outings.

Brookdale Galleria aims to enrich the lives of residents through engaging activities and exceptional amenities. From chef-prepared meals served daily to a variety of enriching activities such as tai chi, live music, and themed events, there’s always something enjoyable to participate in. We prioritize creating a vibrant community where every resident feels valued and supported, allowing them to embrace each day with comfort and fulfillment. Whether relaxing in our beautifully landscaped grounds or participating in a stimulating activity, residents find a place where they can thrive and live life to the fullest.

Contact Brookdale Galleria

Overview of The Heights of Alamo

Settled in the quiet neighborhood of Alamo, TX, The Heights of Alamo is an idyllic senior living community that offers short-term care, post-hospital recovery, skilled nursing, long-term care, rehabilitation therapy, and dementia support or respite care services. A wide array of large and cozy accommodations are available for its residents based on their preferences. With a highly trained and compassionate team, the community ensures individualized care and support for its residents that they deserve.

The community is committed to delivering exceptional amenities and services including tasty and healthy home-cooked meals, internet services, on-site beauty salon and barber services, Come and visit its beautiful outdoor garden, pergola, and covered patios. Engage in various social activities and community events that are essential in nourishing your physical, mental, social, and spiritual well-being. At The Heights of Alamo, seniors are guaranteed an empowering and secure stay.

Contact The Heights of Alamo

Overview of The Healthcare Resort of Plano

The Healthcare Resort of Plano is a licensed skilled nursing and rehabilitation community in Plano, Texas, serving older adults who require short-term recovery support, long-term nursing care, and rehabilitation services. Operated by Oak Point Healthcare, Inc. in Collin County, the 70-bed community combines clinical care with a hospitality-focused atmosphere designed to feel more comfortable and residential than a traditional institutional environment. The community also accepts both Medicare and Medicaid and maintains 24-hour staffing across all levels of care.

One of the community’s strongest differentiators is its staffing performance, starting with registered nurse coverage that averages 43 minutes per resident each day, significantly above the Texas average of 26 minutes. LPN and LVN staffing levels are also notably higher than statewide benchmarks, while physical therapy coverage substantially exceeds state averages. Weekend nursing support remains strong as well, with above-average RN and overall nursing hours available during weekends. However, certified nursing assistant coverage is slightly below the Texas average.

The community has recorded a total of six violations, including five Life Safety Code citations, primarily involving fire safety systems such as sprinklers, smoke detection equipment, and portable fire extinguishers under NFPA 101 standards. These issues had originally been identified during an earlier inspection cycle and were corrected within the required compliance period. Additionally, no enforcement actions have been recorded against the community.

Care services include skilled nursing, rehabilitation, respite care, and specialized support for residents living with Alzheimer’s disease or related dementias. Rehabilitation programming is a major emphasis, supported by extensive therapy staffing and clinical oversight. The community also features a resort-style setting with amenities such as a movie theater, wellness gyms, landscaped outdoor courtyards with a fire pit, a multimedia library with computer access, restaurant-style and outdoor dining options, and private dining spaces for family gatherings and events.

The Healthcare Resort of Plano is an excellent match for older adults recovering from surgery, illness, or hospitalization, especially with its strong therapy presence and elevated nursing coverage. Families seeking long-term skilled nursing in a setting that emphasizes both clinical quality and resident comfort are also likely to find the community’s care model appealing.

Contact The Healthcare Resort of Plano

Overview of Denton Village by Purehealth

Operated by Dv Ops Denton LLC under owner Freddie Martinez, Denton Village by Purehealth is a skilled nursing home in Denton, Texas. Located on Hinkle Drive, the community is in a highly walkable neighborhood where most errands can be completed by walking. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover both post-acute rehabilitation and longer-term skilled nursing care.

The 88-bed facility has an occupancy rate of 80%, creating a stable setting without being full. Residents stay an average of 49 days due to the home’s focus on rehabilitation and short-term recovery. Total nurse staffing averages 4 hours and 20 minutes per resident each day, including 51 minutes of registered nurse care. The level of staffing supports residents recovering from surgery, illness, or a recent hospital stay.

Rehabilitation services and respite care are available for those who need additional support during recovery. The rehabilitation center includes modern therapy equipment for residents working toward their recovery goals.

State inspections reviewed areas such as medication storage, emergency equipment, lighting, sprinkler systems, and ventilation. These are important parts of daily operations in a nursing home. Issues noted in previous years have been corrected, and there were no substantiated complaints reported.

Chef-prepared meals are served in the community’s gourmet dining room. Residents also have access to a full-service chapel, worship services, and Bible studies. Amenities include a salon, coffee bar, library, and on-site general store. Supporting both comfort and resident engagement, these amenities complement the home’s nursing and rehabilitation services. The walkable location and range of services are worth considering for families exploring skilled nursing care.

Contact Denton Village by Purehealth

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

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
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 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.