Page 23 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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Last updated
We analyzed These are the facilities in Texas our team has analyzed — not a count of every nursing home provider in Texas.
281 homes
Other senior care options in Texas:

Nursing homes 221-230 of 281

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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.
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 #136 / 235
2.6
Facility 2.6
TX AVG 3.6
Rank #57 / 235
653-
48
Facility 48
TX AVG 44
Rank #126 / 278
Le Reve Memory Care LLC
$5.9MFiscal year ending 12/2024
Facility $5.9MFiscal year ending 12/2024
TX AVG $9.4M
Rank #192 / 218
$3.3MFiscal year ending 12/2024
Facility $3.3MFiscal year ending 12/2024
TX AVG $5.4M
Rank #192 / 218
54.9%Fiscal year ending 12/2024
Facility 54.9%Fiscal year ending 12/2024
TX AVG 71.6%
Rank #155 / 199
676474
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 #167 / 235
4.4
Facility 4.4
TX AVG 3.6
Rank #203 / 235
367-
49
Facility 49
TX AVG 44
Rank #118 / 278
125 Inspiration Blvd Alf Opco LLC
$6.7MFiscal year ending 06/2025
Facility $6.7MFiscal year ending 06/2025
TX AVG $9.4M
Rank #141 / 218
$2.7MFiscal year ending 06/2025
Facility $2.7MFiscal year ending 06/2025
TX AVG $5.4M
Rank #190 / 218
40.4%Fiscal year ending 06/2025
Facility 40.4%Fiscal year ending 06/2025
TX AVG 71.6%
Rank #196 / 199
675001
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 / 235
3.7
Facility 3.7
TX AVG 3.6
Rank #166 / 235
1084-
54
Facility 54
TX AVG 44
Rank #87 / 278
Winnie-Stowell Hospital District
$7.0MFiscal year ending 12/2024
Facility $7.0MFiscal year ending 12/2024
TX AVG $9.4M
Rank #166 / 218
$4.3MFiscal year ending 12/2024
Facility $4.3MFiscal year ending 12/2024
TX AVG $5.4M
Rank #143 / 218
61.5%Fiscal year ending 12/2024
Facility 61.5%Fiscal year ending 12/2024
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
$9.1MFiscal year ending 12/2024
Facility $9.1MFiscal year ending 12/2024
TX AVG $9.4M
Rank #115 / 218
$4.9MFiscal year ending 12/2024
Facility $4.9MFiscal year ending 12/2024
TX AVG $5.4M
Rank #119 / 218
53.7%Fiscal year ending 12/2024
Facility 53.7%Fiscal year ending 12/2024
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
$7.2M*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $7.2M*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG $9.4M
Rank #144 / 218
$4.9M*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $4.9M*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG $5.4M
Rank #107 / 218
68.5%*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility 68.5%*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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 Rambling Oaks Courtyard Assisted Living Residence

Rambling Oaks Courtyard Assisted Living Residence provides assisted living and skilled nursing care in Highland Village, Texas. Assisted living includes help with daily tasks such as bathing, dressing, and medication while residents maintain private living spaces. Skilled nursing provides licensed nursing care on site around the clock. With both care levels available, the community can suit a resident whose needs may grow over time without requiring a move to a different community.

Rambling Oaks Courtyard ALR Highland Village operates the community, which has 79 beds. Rehabilitation services and a physical therapy or wellness room allow residents to receive therapy within the community rather than arrange transportation elsewhere. Three enclosed courtyards with gazebos provide shaded outdoor areas. A hairstyling salon and barber shop give residents access to grooming services without leaving the community.

Contact Rambling Oaks Courtyard Assisted Living Residence

Overview of Brookdale San Marcos North

Brookdale San Marcos North offers assisted living, independent living, memory care, nursing home care, and skilled nursing in San Marcos, TX. Assisted living provides help with daily tasks while a resident keeps a private apartment, while independent living provides private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.

With 12 beds, Brookdale San Marcos North may be a good fit for someone who prefers a smaller community where residents and staff can get to know each other. Starting prices are $3,480 for assisted living and $8,370 for memory care, giving families separate care-level figures for budgeting. Respite care is available for short stays, which can suit a family caregiver who needs to travel or recover. Pets are allowed, so residents may keep a pet at the community.

A salon and spa, fitness center, outdoor spaces, and transportation give residents access to grooming, exercise, outdoor time, and community transportation on site. Daily activities include fitness classes, arts and crafts, and social events, offering structured ways to spend time during the day. Dining reflects residents’ favorite recipes and preferences, with an emphasis on healthy options. Hcp operates Brookdale San Marcos North.

$3,480/Month Info Pricing updated on March 20th, 2026

Contact Brookdale San Marcos North

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.

Starting Price $2,470/Month Info Pricing updated on October 7th, 2026

Contact Brookdale Trinity Towers

Overview of Discovery Village at Southlake

Discovery Village at Southlake offers nursing home, skilled nursing, assisted living, independent living, and memory care in Southlake, Texas. Having these care levels within one community can allow a resident’s care to continue there as needs change, instead of requiring a move to another setting.

Assisted living provides help with daily tasks while the resident keeps a private living space. Memory care offers supervision for someone living with dementia who may be at risk of wandering. Skilled nursing and nursing home care provide nursing services on site, while independent living is intended for residents who do not need daily care.

Respite care supports a short stay when a family caregiver needs to travel or recover. Short term rehabilitation provides a temporary setting for recovery and therapy needs, so a resident can receive support during that period without making a longer term move.

The community has 120 beds, with suites, one bedroom units, and two bedroom units. A suite or one bedroom unit provides a single living space, while a two bedroom option can accommodate two people moving together. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care.

Rehabilitation services are available on site, allowing a resident receiving therapy to access that support within the community. Named programs and services include Connections Transportation, Sensations Dining, Celebrations Activities, and SHINE® memory care.

Jennifer Hodges serves as the administrator, and Dsl Tenant Ii operates the community. The range of care options may make Discovery Village at Southlake a fit for residents who need independent living, assisted living, memory care, skilled nursing, or nursing home care, including someone whose needs may change over time.

Contact Discovery Village At Southlake

Good Living Community Care Inc.

5715 & 5719 Dolores Street, 5719 Dolores St, Houston, TX 77057
Overview of Good Living Community Care

Creating an environment that empowers residents to pursue the things they love, Good Living Community Care Inc. is a remarkable senior living community in Harris County, Houston, TX, offering nursing care, memory care, and assisted living. The community features a home-like environment supported by a professional management team and well-experienced care team that provides 24-hour supervision and assistance. Residents are empowered to live comfortably with the help of services like personal care assistance, meal preparation, medication management, and more.

Committed to keeping residents engaged, interested, and active as much as possible, the community conducts an array of social and recreational activities, including fitness activities, professional entertainment, community trips, recreational activities, and more. Housekeeping, laundry, and transportation services are provided to make residents’ daily life more convenient and simple. The community provides a nutritionist that works with residents to create a dietary plan that matches their needs and preferences.

Contact Good Living Community Care Inc.

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.

Starting Price $3,065/Month Info Pricing updated on October 7th, 2026

Contact Brookdale Galleria

Overview of The Healthcare Resort of Plano

With a 70-bed capacity, The Healthcare Resort of Plano provides nursing home, assisted living, and skilled nursing care in Plano, TX. The community also features 24-hour staffing to ensure residents receive support whenever needed. Residents can also stay even when their needs grow, as the community offers multiple levels of care.

Moreover, rehabilitation services can support residents recovering from illness, injury, or surgery. Respite care also offers short-term stays when a resident’s usual caregiver needs to travel or recover. The home also accepts Medicaid, Medicare, and private pay, giving families several ways to cover care.

An outdoor courtyard with a fire pit gives residents a place to spend time outside, while the movie theater provides an on-site option for watching films. Moreover, fully equipped health and wellness gyms support exercise activities, while restaurant-style dining offers a variety of choices at meals.

A Walk Score of 72 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives may still be able to reach nearby shops, pharmacies, or cafes independently.

Contact The Healthcare Resort of Plano

Overview of Denton Village by Purehealth

Denton Village by Purehealth in Denton, Texas, supports residents across independent living, assisted living, skilled nursing, and short-term respite care. Private residences come in one- to three-bedroom floor plans, accommodating single residents or couples moving in together. Assisted living services help residents manage bathing, dressing, and daily medications, while short-term respite options give primary caregivers a chance to travel or recharge.

Dv Ops Denton manages this 30-bed community, where available therapies take place inside an on-site rehabilitation center. Community amenities feature chef-prepared meals served in a main dining room, a full-service salon, a chapel, and regular spiritual activities. With an 81 walk score, the area lets residents handle routine errands on foot without needing a car. Payment structures accept private funds alongside Medicare for post-hospital stays and Medicaid for long-term clinical needs.

Families exploring senior living options or planning for changing health needs can contact Denton Village by Purehealth to check current floor plan availability, discuss pricing details, or arrange a property tour.

Starting Price $3,971/Month Info Pricing updated on October 7th, 2026

Contact Denton Village by Purehealth

Overview of Barton Valley Rehabilitation and Healthcare Center

Barton Valley Rehabilitation and Healthcare Center is a skilled nursing and rehabilitation community that has ensured its residents an upscale, hassle-free lifestyle. The community is where life-enriching daily activities happen, contributing to a purposeful living for its residents. Barton Valley is where seniors feel safe, comfortable, and belong.
Specializing in short-term rehabilitation, long-term care, and individualized care– the staff continues to offer its full support and assertiveness in assisting its residents to reach maximum recovery. The results-driven community offers an array of services that help with recovery–physical, occupational, and speech therapy, meal preparation, housekeeping, bathing and grooming, mobility assistance, and bowel care are offered.

Contact Barton Valley Rehabilitation and Healthcare Center

Overview of Gracy Woods I Nursing Center

Conveniently located in the serene neighborhood of Metric Boulevard, Austin, TX, Gracy Woods – Nursing Center is a distinguished community that offers nursing care. With 118 cozy and specially designed accommodations, the community strives to provide the highest quality of care and assistance tailored to residents’ needs and preferences. Medicare and Medicaid are also accepted by the community, easing residents’ financial burdens.

To keep residents active and socially engaged, the community also conducts fun activities and engaging programs. With the community’s comprehensive care and purposely designed amenities, residents can rest assured of living their golden years without worries. Spend your golden years in the community’s nurturing and welcoming environment.

Contact Gracy Woods I Nursing Center

Rankings on this page follow the same method as page 1: see how we rank these nursing homes.

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