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Why trust this guide?
Our editorial team analyzed 269 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Video Tour: Top-rated Nursing Homes facilities in Texas.
Watch this Video to see Texas's Top-rated Senior Communities
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.
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 to lowest based on our ranking methodology.
Perkins-Prothro Health Care Center is a licensed nursing facility within the Presbyterian Manor, located in Wichita Falls, TX. Dedicated to providing the best nursing care in North Texas, this skilled nursing facility provides 1:5 staff to resident ratio. Residents at Perkins-Prothro Health Care Center are provided 24/7 staff availability, and 16 hour nursing assistance and supervision, daily. The residents are also provided incontinence care, including supplies.
To ensure the residents’ health and well being this skilled nursing facility also provides meals and snacks throughout the day. Additionally, while the staff takes care of laundry and housekeeping to keep the facility clean and safe for everyone, the residents may enjoy participating in regular activities that promote and boost physical and mental well being.
The Orchard is a licensed senior living community in Woodville, Texas, that provides assisted living, independent living apartments, skilled nursing care, respite services, and short-term rehabilitation. This 55-bed community serves older adults in Tyler County and the surrounding East Texas region. Its smaller resident population supports a more personalized and relationship-centered environment than many larger communities.
The community has documented a total of four citations, all of which were categorized under the Life Safety Code, and no Health Code deficiencies were identified throughout the inspection cycle. The cited concerns involved fire safety maintenance items such as sprinkler system inspections, ventilation requirements, and hazard management within the building. Reported correction dates ranged from September through October 2018, indicating the issues had already been resolved well before the latest review cycle. The community has no enforcement actions on record, performing better than the Texas average of one enforcement action per community. Its total citation count of four also falls below the statewide average of six, reflecting a comparatively favorable compliance history.
A full continuum of care is provided, allowing residents to transition between independent living, assisted living, rehabilitation, and skilled nursing support as care needs evolve. Rehabilitation services include both temporary recovery support and respite care options for families needing short-term assistance. Dining is a notable feature, with restaurant-style meals overseen by Chef Michael Moore, and menus are designed around nutritious, chef-prepared cuisine. Wellness programs, exercise classes, social activities, and spiritual programming are intended to encourage engagement and quality of life. The community has additionally received recognition as the “Best Retirement Community in Ridgeland 2023,” adding to its local reputation.
Combining multiple care levels, rehabilitation services, strong dining experiences, and a stable regulatory record, The Orchard is especially well-suited for older adults seeking a smaller, continuum-of-care setting where they can remain within the same community as their support needs change in East Texas. Its intimate scale also appeals to residents who value familiar staff relationships and a quieter environment.
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.
Dedicated to improving the lives of seniors, The Craig Senior Living is a premier provider of retirement living in Amarillo, TX. Ever since it opened in 1997, The Craig has been providing the people of Amarillo, TX top-notch independent living, assisted living, and skilled nursing care all under one roof. Prioritizing the well-being of their residents, each care plan is customized to meet each individual’s needs. Situated on a beautiful 40-acre campus, this community puts an emphasis on comfortable and peaceful living with its luxurious floor plans ranging from 1-2 bedroom apartments to private homes with garages and spacious walk-in closets. Aside from this, the community also has several amenities and features that are made for the socialization and engagement of the residents, as well as to ensure their wellness and safety. To highlight a few, residents are provided with weekly housekeeping, transportation services, a complete utilities package, scheduled shopping trips and much more. It is no surprise that The Craig has established itself as the premier provider in Amarillo due to its dedication to compassionate care in a beautiful environment.
The Sycamore is a licensed assisted living and memory care community in Amarillo, Texas, that focuses heavily on memory care support for older adults living with varying stages of cognitive impairment. The community is operating with a Type B license under Baptist Community Services, a faith-based nonprofit organization with longstanding ties to the Amarillo region. It is particularly recognized for maintaining a low resident-to-nursing staff ratio with a 56-bed capacity, which can support more individualized attention and relationship-centered care.
The most recent state inspection, conducted on April 24, 2024, identified no Health Code or Life Safety Code deficiencies. No citations or enforcement actions were recorded. Since the inspection is recent and reflects a clean regulatory standing, families evaluating care quality may view this as a positive indicator of operational consistency and compliance.
The community holds Alzheimer’s certification and provides 24-hour staffing along with skilled nursing and rehabilitation services, which is a notable level of support for a community of its size. Amenities, including outdoor patios, a spa room, quiet relaxation spaces, group transportation, and pastoral care services, are also available, reflecting the organization’s faith-based mission. Meals are also served daily with menu options and accommodations for specialized dietary needs. Additional support roles, including a Resident Technology Coordinator and Nurse Navigator, help enhance communication, care coordination, and resident engagement. On-site religious services are also available for residents who value spiritual connection as part of daily life.
The Sycamore is a good option for older adults in the Amarillo area living with memory-related conditions seeking a quieter, community-focused environment with faith-informed programming and personalized support. The community also appeals to families with its strong staffing attention, spiritual care opportunities, and convenient access to local hospitals and healthcare providers.
Bayshire Torrey Pines is a continuing care senior living community located at 13101 Hartfield Avenue in San Diego, California. Operatively affiliated with Bayshire Senior Communities under the ownership interest and administration of Jeremy Danenhauer, the community features integrated residential living alongside a dedicated skilled nursing and post-acute rehabilitation center.
The property incorporates short-term respite stays and long-term 24-hour skilled nursing across its designated care wings. Services are structured around private, personalized resident care plans, funded through a combination of Medicare and private-pay options. Direct daily care incorporates mobile physician visits, podiatry support, and on-site dental coordinators.
Shared lifestyle spaces feature an outdoor garden, verandas, an indoor sunroom, a hair salon, and a 24-hour electronic security infrastructure. The campus is pet-friendly and sits in a highly walkable urban neighborhood holding a walk score of 81, allowing visitors and residents pedestrian access to everyday local errands.
Prospective residents and family representatives can contact the Hartfield Avenue administrative office directly to confirm current room vacancies, request specific care level pricing, or schedule a campus tour.
Winkler Court is a licensed Type B senior care community in Carthage, Texas, serving older adults throughout Panola County and the surrounding East Texas region. The community has been part of the local care landscape for more than 35 years under the Carthage AL, LLC, reflecting long-standing ties to the area and a well-established reputation among local families. With 36 licensed beds, the community offers a smaller-scale environment that emphasizes personal attention and a comfortable residential atmosphere.
The community’s care model is strongly focused on medical and rehabilitative support, offering services that include skilled nursing, post-acute recovery care, restorative therapy programs, palliative care, rehabilitation services, and respite stays. This range of care makes it a practical option for individuals recovering after hospitalization, managing chronic medical conditions, or requiring supportive long-term care.
With an occupancy rate of roughly 94%, substantially higher than the Texas state average, the community indicates stable operations and continued confidence from residents and families. No enforcement actions or federal CMS penalties have been reported within the past three years, further supporting the community’s overall compliance profile.
Four Life Safety Code citations were reported, connected to NFPA 101 building standards and sprinkler system compliance. These findings were tied to corrective actions completed between May and June 2019. The total citation count remains below the Texas average of six, and inspectors identified no Health Code deficiencies in the most recent review, reflecting positively on the quality of day-to-day resident care and operational oversight.
Winkler Court is well-suited for older adults who require skilled nursing support, rehabilitation services, or long-term care within a smaller and community-oriented environment in East Texas. Its decades-long operating history, strong occupancy levels, and clean enforcement record make it a dependable option for families seeking care in the Carthage and Panola County area.
Discover Baptist Retirement Community, a premier senior living destination nestled in the heart of San Angelo, Texas. With a proud tradition of excellence in care and service, our community offers a welcoming environment where residents can thrive in independence, wellness, and community engagement. From beautifully appointed residences to a wide array of amenities and activities, every aspect of life at Baptist Retirement Community is designed to enhance the quality of life for our residents. Our compassionate team provides personalized care and support, ensuring that each individual receives the attention and assistance they need to live life to the fullest. Join us and experience the warmth, hospitality, and fulfillment that define Baptist Retirement Community.
Nestled in Austin, Texas, Brookdale Round Rock offers a personalized senior living experience with assisted living and memory care options that focus on a holistic approach to wellness and a relaxed lifestyle. The community provides a continuum of care, allowing residents to often remain on the same campus even if their needs change over time. Brookdale Round Rock also has a full calendar of events to provide fun engagement and foster connections, with staff available 24/7 for emergencies.
The assisted living program helps residents with daily tasks like medications, dressing, and bathing, as well as services like cooking, cleaning, and transportation, allowing them to focus on redefining their independence. The memory care program takes a person-centered approach, helping residents find a sense of belonging and purpose in a secure setting while preserving their individuality. Both assisted living and memory care residents have access to an engaging activities calendar, with options ranging from the Bridge Club and movie matinees to pet therapy and group walks in the courtyard. Dining is also a highlight, with restaurant-style meals and dementia-friendly menus for memory care residents.
Blue Skies of Texas East is a 24-bed nursing home at 4917 Ravenswood Dr in San Antonio’s Valley High North neighborhood, Bexar County. BST Health Services Corp. operates it; Air Force Village Inc is the owner. The community has been running for 14 years, is part of a Continuing Care Retirement Community, and accepts Medicare and private pay. Bianca Cardenas serves as Executive Director, with 13 years of experience in senior living.
Five care levels are available here: nursing home, assisted living, hospice care, independent living, and memory care. Residential options spread across a Hi-Rise, Mid-Rise, Cottages, and a development called The Hills. Occupancy sits at 68%, with 16 of 24 nursing home beds currently filled, and the average stay runs 109 days.
Nursing care totals 6 hours and 31 minutes per resident per day: 46 minutes from an RN, 1 hour and 22 minutes from an LPN or LVN, and 3 hours and 1 minute from nurse aides. Rehabilitation services, respite care, and 24-hour staffing are all on offer. CMS-recognized programs include an on-site Nurse Aide Training and Competency Evaluation Program and an Active Resident Council.
The amenity footprint is large relative to the nursing home’s 24-bed size, because this is a full CCRC campus. That means a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, outdoor walking trails, a billiard and game room, a library, a Sky Lounge, a 24-hour concierge, and interdenominational chapels. Dining draws on fresh, seasonal ingredients with a made-from-scratch approach. More than 70 activity groups are on the calendar.
State inspections by the Texas Health and Human Services Commission have covered medication management, and care planning and documentation. Walk Score is 47; the neighborhood is only somewhat walkable, and most errands require a car.
For a small nursing home, Blue Skies of Texas East presents an unusually broad care and amenity profile, which reflects its position as part of a larger campus with multiple residential tiers rather than a standalone skilled nursing facility.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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 269 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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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