Querencia at Barton Creek provides one of the most trusted nursing homes in Austin. The center consists of professional staff committed to providing a safe and comfortable environment for all seniors. With its professional approach, the assisted living, memory care, rehabilitation and skilled nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through the exceptional care the compassionate staff delivers.
The upscale nursing homes provide state-of-the-art features that cater to short-term or long-term residents; they are also guaranteed to feel comfortable and know that they belong in a home that offers 24-hour nursing care with specialized programs such as therapies in a resort-like community.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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| 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 | 6 | 53 | - |
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 | 3 | 67 | - |
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 | 10 | 84 | - |
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
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.
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.
Golden Palms Rehabilitation and Retirement offers nursing home care, assisted living, independent living, memory care, respite care, and skilled nursing in Harlingen, TX. Independent living provides a private home with community services and no daily care, while assisted living includes help with tasks such as dressing, bathing, and taking medication. Memory care provides a secured setting with supervision. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while respite care offers a short stay when a usual caregiver needs to travel or recover.
The range of care levels may suit a resident whose support needs could increase over time, allowing a move between care settings without leaving the community. The community has 60 beds, creating a defined setting rather than a large campus. Medicaid, Medicare, and private pay are accepted: Medicaid can matter when savings may not cover a long stay, Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay allows direct payment. Santiago Healthcare operates Golden Palms Rehabilitation and Retirement.
Pets are allowed, so a resident may bring a pet to the community. On site rehabilitation services allow therapy to take place at the community instead of requiring separate travel. Residents can use the pool, salon or spa, landscaped courtyard, and walking paths for recreation, grooming, and outdoor time.
Transportation is available to and from medical and retail appointments, giving residents a way to reach those destinations through community arranged rides. Restaurant style dining provides freshly prepared meals. Group activities, frequent outings, sightseeing trips, clergy visits, and transportation to off site religious services support a range of daily and community activities.
Edgemere is a senior living community located at 8523 Thackery Street in the Preston Hollow area of Dallas, Texas. Managed by Long Hill, the 16-acre campus serves adults aged 55 and older with a continuum of care that spans independent living, assisted living, memory support, and skilled nursing.
The property offers spacious one-, two-, and three-bedroom residential layouts. Residents in the skilled nursing wing, known as The Plaza at Edgemere, reside in a 72-bed certified care setting. This wing accommodates both short-term rehabilitation guests, who average a 96-day stay, and long-term residents. Caregivers provide an average of 3 hours and 32 minutes of nursing support per resident daily, keeping professional nursing and therapy services consistently available through weekends.
On-site amenities include restaurant-style dining, putting greens, a pool, and local transportation. The community has a walk score of 38, making a car necessary for most errands, though Texas Health Presbyterian Hospital Dallas sits just minutes away.
Recent health evaluations cited minor operational deficiencies, primarily in pharmacy services, routine infection-control records, and physical-plant systems, with all matters quickly resolved through approved facility-correction plans.
Family representatives can contact the Thackery Street office directly to check current apartment availability or to schedule an in-person tour.
The Pines, located in Wichita Falls, TX, is a senior living community within the Rolling Meadows senior living campus, offering assisted living with specialization in memory care services. They offer residents a secure home-like environment where they are provided 24/7 supervision, security, and assistance with daily living activities.
Some of the amenities they offer include meal preparation services, access to an on-site physician, housekeeping, and laundry services. They also curate special activities that promote the residents overall wellness, and enhance their independence.
The Orchard offers nursing home, skilled nursing, assisted living, independent living, and memory care in Woodville, TX. Skilled nursing provides licensed nursing care on site around the clock, while assisted living offers help with daily tasks such as bathing, dressing, and medication while a resident maintains an apartment. Independent living provides private living with community services and no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.
The Orchard has 55 beds, making it a smaller community that may suit someone who prefers a more intimate setting. Its several care levels can allow a resident whose needs grow to move to a different level of care without leaving the community. Respite care supports short stays when a usual caregiver needs to travel or recover, while short-term rehabilitation provides a temporary setting for recovery and therapy.
The area has a Walk Score of 39, a car-dependent setting where most errands require a car or a ride. Scheduled transportation serves medical facilities, retail outlets, and metro Jackson museums, galleries, and theaters. Restaurant-style dining, exercise classes, wellness activities, spiritual outlets, and on-site rehabilitation services give residents places to dine, participate in activities, and receive therapy without arranging outside transportation. Sharon Sullivan serves as director, and Woodville A.l. Home operates the community.
As its name suggests, Remarkable Healthcare delivers a marvelous approach to nursing home care. Specializing in post-hospital care, the results-driven environment is designed for a relaxing and rejuvenating recovery journey for seniors; their patient-friendly staff provides quality services to offer the best care possible for their residents. The upscale nursing home aims to enhance the recovery journey of its seniors through warm and welcoming, family-like care provided.
Nursing home services are supported by state-of-the-art technologies that help speed the recovery journey. These include individualized care plans, medication management, medical care, restaurant-style dining, social activities, scheduled transportation, and specialized programs.
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.
Situated in the peaceful neighborhood of North Fielder Road, Arlington, TX, Brookdale Pecan Park is a blissful senior living community that offers a variety of living options. These include assisted living, memory care, and its exclusive Brookdale HealthPlus. The community features a variety of cozy and elegant studio and alcove floor plans. Brookdale Pecan Park paves the way for its residents to live comfortably and thrive with dignity within its ethereal campus.
Brookdale Pecan Park fosters a warm and friendly environment, orchestrating events and activities for seniors’ amusement and well-being. Residents enjoy healthy and tasty meals that cater to their dietary needs and cravings. With a pet-friendly community, residents utilize fabulous amenities including a therapy room, a game room, a beauty and barbershop, a porch, a fireside living room, and a community kitchen. Brookdale Monroe is a great place for relaxation and wellness.
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.
Weighting overview
- 35%Care Quality
- 20%Staffing
- 20%Regulatory
- 20%Operational
- 5%Environment
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
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
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
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
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 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.














