Page 24 of Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 281 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
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We analyzed These are the facilities in Texas our team has analyzed — not a count of every nursing home provider in Texas.
281 homes
Other senior care options in Texas:

Nursing homes 231-240 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 The Heights of Alamo

The Heights of Alamo offers nursing home, memory care, respite care, and skilled nursing in Alamo, TX. Skilled nursing provides licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for a resident at risk of wandering. Respite care provides a short stay when someone’s usual caregiver needs to travel or recover.

The community has 130 beds, with private and semi-private housing. A private option gives one resident an individual living space, while a semi-private option accommodates two residents. The range of care can suit a resident whose needs grow over time, including someone who needs supervised memory care or nursing support.

Payment options include Medicaid, Medicare, and private pay. Medicaid may help a family whose savings do not cover a long stay, while Medicare applies to short-term skilled care after a hospital stay rather than long-term residence. Federico Stutzner serves as the administrator.

Contact The Heights of Alamo

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Overview of Knopp Retirement Center

Knopp Retirement Center provides nursing home, assisted living, hospice care, memory care, palliative care, and skilled nursing in Fredericksburg, TX. Assisted living helps with daily tasks while a resident maintains their own apartment, while memory care offers a secured setting with supervision for someone at risk of wandering.

Nursing home and skilled nursing care provide licensed nursing care on site around the clock. Hospice care supports residents receiving end-of-life care, while palliative care focuses on comfort and symptom relief.

Knopp Retirement Center opened in 1965 and has 60 beds. Having several care types in one community may suit a resident whose needs change over time, since moving between care levels may not require leaving the community. Physical, occupational, and speech therapy are among the specific programs, giving residents access to help with movement, daily tasks, communication, or swallowing. A Walk Score of 67 means the area is somewhat walkable, with some errands possible on foot for a resident who no longer drives.

Contact Knopp Retirement Center

Overview of Golden Palms Rehabilitation and Retirement

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.

Contact Golden Palms Rehabilitation and Retirement

Overview of Edgemere

Edgemere operates as a continuing care retirement community in Dallas’s Preston Hollow neighborhood, featuring one-, two-, and three-bedroom floor plans. Residents can access independent living, assisted living, memory care in a secured setting, skilled nursing, and short-term respite stays. The multi-tiered structure allows individuals or couples to transition between support levels as health needs change over time.

Most daily errands require a car due to a walk score of 38, so non-driving residents will rely on transportation services for routine trips out. Payment options accepted include Medicare, Medicaid, and private funds.

Individuals considering future healthcare planning alongside current residential living can reach out to Edgemere to inquire about floor plans and available services.

Contact Edgemere

Overview of The Orchard

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.

Contact The Orchard

Overview of The Pines at Rolling Meadows

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.

Contact The Pines at Rolling Meadows

Overview of Remarkable Healthcare

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.

Contact Remarkable Healthcare

Overview of Brookdale Pecan Park

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.

$2,930/Month Info Pricing updated on February 27th, 2026

Contact Brookdale Pecan Park

Brookdale North Richland Hills

8500 Emerald Hills Way, North Richland Hills, TX 76180
Overview of Brookdale North Richland Hills

Brookdale North Richland Hills offers nursing home, skilled nursing, assisted living, independent living, memory care, and continuing care retirement community living in North Richland Hills, TX. Nursing home and skilled nursing care provide licensed nursing care on site around the clock, while assisted living helps with daily tasks such as dressing, bathing, and medication while a resident maintains a private living space. Memory care provides a secured setting with supervision for someone at risk of wandering. Independent living offers private living with community services and no daily care.

The range of care levels can allow a resident to move to a different level without leaving the community or starting over socially as needs grow. Respite care provides a short stay for a family whose usual caregiver needs to travel or recover. Independent living starts at $3,925 per month, and assisted living starts at $3,935 per month. The community has 110 beds and offers studios, one-bedroom residences, two-bedroom residences, and cottages. A studio is a single private space, while two-bedroom housing can suit a couple moving together or someone who wants a companion.

A Walk Score of 58 places the area in the somewhat walkable band, meaning some errands can be done on foot and a resident who no longer drives can handle some nearby errands independently. Residents can use the outdoor pool, salon, courtyard and garden, and arts and crafts studio, with gardening, trivia night, and arts and crafts also available. Pets are allowed, and transportation is available for trips beyond the community without driving. Caleb Brown is the administrator, and Brookdale North Richland Hills is operated by S-H Thirty-Five Opco, North Richland Hills.

$3,925/Month Info Pricing updated on February 27th, 2026

Contact Brookdale North Richland Hills

Overview of Rolling Meadows Retirement Community

Rolling Meadows Retirement Community in Wichita Falls, TX offers pet friendly independent living options for active seniors looking to live independently but with the comfort and security of easy access to medical help and assistance, should they need it. They offer one-to-three bedroom cottages and apartments featuring full kitchens and patios/balconies, and individual heating and air conditioning units. All the units and facilities at Rolling Meadows are also equipped with 24hr emergency call systems.

There’s so many things any active senior can do at Rolling Meadows Retirement Community such as trying their fine dining in the Renaissance Room Restaurant, working up a sweat at their fitness center, or spending time with their beloved pet at the designated dog park.

Price range $5,500 - $7,500/Month Info Pricing updated on August 25th, 2026

Contact Rolling Meadows Retirement Community

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