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Best Nursing Homes in Texas

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

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Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.1/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Texas

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

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

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

Brookdale Trinity Towers is a multi-level senior living community in downtown Corpus Christi, Texas, offering independent living, assisted living, respite care, and rehabilitation services within a 75-bed setting. Operated by a subsidiary of Brookdale Senior Living, one of the nation’s largest senior living providers, the community accepts both Medicare and Medicaid, helping expand access for older adults with varying financial and care needs. Its central location in Nueces County also provides residents with closer proximity to local services, healthcare resources, and downtown amenities.

A total of eight deficiencies have been documented, primarily related to emergency preparedness and fire safety systems, including generator and sprinkler maintenance requirements. No enforcement action appears on record, aligning with the Texas statewide average. Families reviewing compliance history are suggested to consider both the corrective actions taken and the community’s broader operational performance.

One of the strongest differentiators is its clinical staffing profile, which exceeds both Texas and national averages in several categories. Registered nurse coverage, licensed vocational nursing support, weekend staffing, and physical therapy hours all rank significantly above state benchmarks, indicating a higher level of medical oversight and rehabilitative support than many comparable communities. This staffing strength may be especially valuable for residents recovering from illness, managing chronic conditions, or transitioning between levels of care.

An extensive range of amenities is designed to support both independence and engagement, which include an outdoor swimming pool, fitness center, beauty and barber shop, library, concierge services, private dining areas, guest suites, a general store, and transportation services. Structured lifestyle programming also includes yoga classes, gardening activities, social events, and the Clare Bridge memory care program developed by Brookdale. Rehabilitation, respite care, and short-term recovery services are also available on-site. This broad continuum of care also allows many older adults to remain within the same community as healthcare needs evolve, reducing the disruption that can come with relocating to a different setting.

Its location in downtown Corpus Christi also offers a level of walkability that is less common among larger Texas senior living communities, allowing some residents easier access to nearby businesses and services.

Brookdale Trinity Towers is especially appealing for its combination of strong staffing levels, comprehensive care services, government funding acceptance, and extensive lifestyle amenities. It is also a practical and well-rounded option in the Corpus Christi area for older adults seeking a larger, professionally managed environment with support ranging from independent living through skilled nursing care.

Contact Brookdale Trinity Towers

Overview of Spjst Assisted Living Facility

S.P.J.S.T. Assisted Living Facility is a licensed Type B assisted living community in Taylor, Texas, providing personalized daily support and memory care. Operated by S.P.J.S.T. Rest Home, the 64-bed community is located near downtown Taylor and offers a welcoming, community-oriented environment designed to balance assistance with personal freedom. Services include medication management and individualized care planning.

For a community with a smaller scale, it offers extensive amenities, which include a fitness room, spa, beauty salon, chapel with religious services, internet-equipped library, landscaped courtyards, raised gardening areas, and even a shuffleboard court. Living accommodations are also designed with comfort and convenience in mind, featuring kitchenettes, personal climate controls, and private mailboxes. Most utilities are included, helping simplify day-to-day living for residents and families alike. Dining is also offered in a restaurant-style setting with menu choices and assistance available when needed. A private dining room supports family gatherings and celebrations, while larger shared spaces encourage social interaction among residents. Fitness classes, live entertainment, shopping trips, social gatherings, transportation to medical appointments, and recreational events are also available, tailored to residents’ interests and care needs.

The community operates under oversight from the Texas Health and Human Services Commission. Five Life Safety Code citations were identified, which remains below the Texas statewide average of six citations per community. No Health Code deficiencies were cited throughout the inspection cycle. These include building upkeep, fire drill documentation, lighting, janitorial maintenance, and fire marshal inspections, which were corrected within required timeframes. One administrative penalty was also issued in June 2023 concerning indoor temperature compliance in resident-use areas. However, no additional enforcement actions are documented.

Although the community does not hold Alzheimer’s certification, it does provide memory care support for residents in earlier stages of cognitive decline. Emergency call systems are also installed throughout the building to enhance resident safety and response capabilities. Its moderate size, active lifestyle programming, and individualized care approach foster an environment that feels connected and personal rather than institutional.

Focusing on social engagement, individualized assistance, and a close-knit atmosphere, S.P.J.S.T. Assisted Living Facility is a strong option for older adults in the Taylor area. Its diverse amenities, supportive services, and a longstanding local presence, as well as a resident-centered approach, also appeal to families.

Contact Spjst Assisted Living Facility

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

Mrc the Langford

1851 Carroll Fancher Way, College Station, TX 77845
Overview of Mrc the Langford

MRC The Langford is a licensed Type B senior living community in College Station, Texas, offering assisted living and memory care. With a mission-focused, faith-based framework, this 66-bed community is specifically designed as a dedicated environment for older adults rather than a general assisted living environment.

A wide spectrum of health requirements is provided in a single setting. Assisted living services include round-the-clock staffing, physical recovery programs, and temporary relief stays, which are highly useful for individuals healing after a hospital visit. Additionally, the official memory support program offers specialized assistance for residents facing dementia or related cognitive issues. This pet-friendly community also provides regular cleaning services and features several distinct apartment layouts named Baltic, Prada, Cecilia, and Kashmir to accommodate different tastes and financial plans.

Culinary services are a primary feature, with professional chefs preparing fresh meals three times daily, including convenient quick-service options. On-site spiritual gatherings are available, aligning with the organization’s religious roots. Situated in College Station, the property has a walkability score of 63, indicating that several local conveniences are within walking distance.

State reviews are performed by the Texas HHSC, accumulating a total of seven findings. Significantly, every citation was related to building safety standards, while no clinical or health-related infractions were identified. These involved technical issues like door locking mechanisms, specific building code standards for health care settings, and the status of climate control and sprinkler systems. Some improvements were documented as starting years prior, and no administrative penalties were issued. Additionally, the count of zero health violations is a positive indicator of the quality of care provided to the residents.

Offering active retirement living and certified cognitive support, along with various programs and high-quality dining, MRC The Langford is an excellent option for those in the Bryan–College Station region who desire a spiritually grounded home with a full range of services.

Contact Mrc the Langford

Overview of Tomball Retirement Center

Tomball Retirement Center is a licensed 60-bed assisted living community in Tomball, Texas, serving older adults in Harris County through both independent living and assisted living services. The community has been part of the local senior care landscape for more than 35 years, under the management of HSMTX/Stallones-Tomball LLC. Situated across HCA Tomball Regional Medical Center, the location offers convenient access to hospital services and ongoing medical care, which can be especially valuable for residents with recurring healthcare needs.

As a Type A licensed community in Texas, the community is intended for individuals who are ambulatory and able to respond independently during emergencies while still benefiting from daily support services as needed. 24-hour staffing and on-site rehabilitation services are also available, supporting residents who may need assistance with mobility, recovery, or routine care coordination.

The overall environment is centered on comfort, familiarity, and respectful care in a smaller residential setting. Scheduled activities and social programming are provided, while families can stay connected through an online Family Portal designed to support communication and engagement. Administrative office hours are maintained from 8 a.m. to 5 p.m. daily. Notably, the surrounding area is largely car-dependent, with the community located about 2.2 miles from downtown Tomball, so transportation planning may be important for visiting loved ones.

From a regulatory perspective, the Texas Health and Human Services Commission has identified six citations in total, matching the Texas statewide average. Five findings involved Life Safety Code matters, which were cited in an earlier inspection in November 2020, including documentation for fire drills, smoke detection and alarm systems, oxygen storage procedures, fire extinguisher inspections, and waste disposal practices. One Health Code citation was also noted, although detailed information was not included in the public summary. Importantly, no enforcement actions were taken against the community, placing it below the Texas average for enforcement activity.

Tomball Retirement Center is best suited for older adults seeking a long-established assisted living community with a more intimate atmosphere, access to rehabilitation services, and proximity to medical care.

Contact Tomball Retirement Center

Overview of Marbridge Village

Marbridge Village is a 92-bed non-profit nursing home operated by Marbridge Foundation in Manchaca, Texas. Dedicated to adults with intellectual and developmental disabilities, the facility is located in Travis County and accepts Medicaid, Medicare, and private pay. It provides individualized nursing care alongside vocational training, education, and socialization programming. Medicaid residents make up roughly 86 percent of the current census, and the typical Medicaid length of stay exceeds 17 years, reflecting the facility’s long-term mission.
CMS rates Marbridge Village 5 stars, 66 percent above the Texas average, with above-average scores across health inspection, staffing, and quality measures. Nursing hours reach 4 hours and 38 minutes per resident daily, ranking 41st of 289 Texas skilled nursing facilities and 23 percent above the state average of 3 hours and 47 minutes. Occupancy sits at 90.5 percent, ranked 15th of 297 Texas facilities and well above the 63.5 percent state average. State inspection records document a 2021 inspection that produced 2 Health Code deficiencies: inadequate water system maintenance and improper storage and handling of hazardous materials. A 2018 inspection cited one Life Safety Code deficiency related to sprinkler system maintenance, corrected the next day. No enforcement actions were recorded for those violations. CMS penalty data shows 7 civil money penalties assessed between October 2023 and February 2024, totaling $46,000, below the Texas average of $80,000 for penalized facilities. No payment denials were issued. The most recent CMS health inspection in May 2025 found no critical or serious citations; 14 moderate citations were recorded across three inspections since 2023, against a Texas average of 25.9 total citations, with infection control and life quality having the largest share.
Marbridge Village is built for adults with intellectual and developmental disabilities seeking a structured, long-term residence in Travis County. Families evaluating the community will find strong staffing here.

Contact Marbridge Village

Overview of Cornerstone Retirement Community
Cornerstone Retirement Community is a non-profit, faith-based senior living community in Texarkana, Texas. It offers a full continuum of services including independent living, assisted living, memory support, skilled nursing, rehabilitation, and home health. The community is dedicated to honoring and serving older adults as an expression of Christ’s love.

Contact Cornerstone Retirement Community

Overview of Brazos Tower at Bayou Manor

Part of a Continuing Care Retirement Community campus in Houston’s Braeswood neighborhood, Brazos Tower at Bayou Manor provides nursing home care, assisted living, and memory care services within a nonprofit setting. The community is operated by Brazos Presbyterian Homes, Inc. and includes 33 skilled nursing beds. The facility does not accept Medicaid but does accept Medicare and private pay.

The facility holds a 5-star CMS overall rating. Its Health Inspection record is among the strongest in the state: 5 total citations over the past three years, ranking 6th out of 292 Texas SNFs, with a per-inspection citation rate of 1.67, compared with a Texas average of 3.67. None of those citations were critical or serious, and all five were moderate. Eight civil money penalties totaling $57,000 were assessed in 2023, roughly 29% below the Texas average for penalized facilities; no payment denials have been issued.

Staffing stands out. Nurse staffing averages 5 hours and 47 minutes per resident per day, and the staff-to-resident ratio of 2.86:1 is nearly double the Texas average of 1.48:1, a meaningful figure for residents with complex care needs. Occupancy is 80.2%, about 26 points above the state average, indicating consistent demand. The payer mix is 72% Medicare and 28% private pay, with a 26-day average Medicare stay, reflecting a short-term rehabilitation orientation.

Amenities include an indoor pool, wellness and fitness center, a bistro for casual gourmet dining, and a 180-seat event and performance center. The facility does not accept Medicaid.

Brazos Tower suits residents seeking short-term post-acute rehabilitation or longer-term assisted living and memory care within a well-resourced, nonprofit CCRC campus in Houston’s Braeswood corridor.

Contact Brazos Tower at Bayou Manor

Overview of Methodist Retirement Communities – Creekside Retirement Community

Methodist Retirement Communities – Creekside Retirement Community is a nonprofit nursing home in Huntsville, Texas, operated by Methodist Retirement Communities. The 56-bed facility serves older adults across Walker County and provides assisted living, memory support, long-term care, and short-term rehabilitation. The community accepts Medicare, Medicaid, and private pay.
Creekside holds a 5-star overall CMS rating, placing it 66% above the Texas average across all four CMS sub-categories. Staffing is the facility’s most defining strength. Nurse staffing averages 5 hours and 29 minutes per resident per day, ranking the facility 12th among 289 Texas skilled nursing facilities and approximately 45% above the state average of 3 hours and 47 minutes. Weekend nurse staffing averages 4 hours and 24 minutes per resident per day, 48% above the Texas norm, which means the gap between weekday and weekend staffing is narrow relative to most Texas peers.

One inspection appears on record. A June 2023 visit resulted in nine citations, all related to Life Safety Code issues, such as fire alarm documentation, lighting compliance, and NFPA 101 standards. No Health Code deficiencies were cited, and no enforcement actions followed. The facility’s occupancy rate is 84.4%, well above the Texas average of 63.5%, and its average length of stay is 69 days.

The community holds Alzheimer’s certification and provides 24-hour staffing. Pets are permitted on-site.

Creekside is best suited for residents who prioritize high nursing coverage and dementia-capable care in a mid-sized, faith-affiliated community — including those in memory support or transitioning from a hospital stay into short-term rehabilitation.

Contact Methodist Retirement Communities – Creekside Retirement Community

Overview of Crestview Retirement Community

Located in Bryan, Texas, Crestview Retirement Community is a nonprofit Continuing Care Retirement Community operated by Jesse Brannen. The 48-bed community offers independent living, assisted living, memory support, long-term care, and short-term rehabilitation on one campus at 2505 E Villa Maria Road in Brazos County. The facility accepts Medicare, Medicaid, and private pay, giving residents access to multiple levels of care within the same community.

CMS rates Crestview with an overall 5-star designation, placing it 66% above the Texas average. Health Inspection drives that result in the facility scoring 73% above the state average in that category. An April 2023 inspection produced a single citation for a fire alarm and smoke detection system issue; no enforcement actions were taken. A clean compliance record by any measure.

Staffing is a strength. Total nurse staffing averages 4 hours and 38 minutes per resident per day, ranking Crestview 41st out of 289 Texas skilled nursing facilities and roughly 23% above the Texas average of 3 hours and 47 minutes. The facility maintains 24-hour staffing.

A rehabilitation team that includes physical therapists, occupational therapists, and a respiratory therapy technician supports short- and long-term residents. Dining centers on made-from-scratch cooking served in a formal dining room, with a Bistro for casual meals.

The facility’s occupancy rate is 94%, with 45 of 48 beds filled. It is well above Texas’s average of 63.5%, which signals consistent demand for the community’s model.

The continuum of care at Crestview, from independent living through memory support and skilled nursing, serves residents and families planning for multiple levels of care under one roof in the Bryan–College Station area.

Contact Crestview Retirement Community

Ranking Methodology

How we rank these nursing homes

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

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

Weighting overview

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

Care Quality 35%

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

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

Staffing Adequacy 20%

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

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

Regulatory & Safety Record 20%

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

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

Operational & Financial Stability 20%

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

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

Environment & Accessibility 5%

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

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Texas

What's the difference between assisted living and a nursing home in Texas?

Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Texas Medicaid cover nursing home care?

Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 262 nursing homes in Texas. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Texas?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Texas, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Texas?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.