Page 25 of Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 285 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
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Last updated
We analyzed These are the facilities in Texas our team has analyzed — not a count of every nursing home provider in Texas.
285 homes
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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

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 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
653-
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
367-
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
1084-
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

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Overview of Brookdale West University

Situated in Houston, TX, Brookdale West University offers carefree independent living for seniors looking to embrace a worry-free lifestyle. Choose from a variety of pet-friendly floor plans, including spacious one and two-bedroom apartments, where basic utilities and maintenance are included. Enjoy more time pursuing passions like learning Spanish or exploring art in our dedicated studio, with emergency support available round-the-clock. Whether socializing over coffee, taking a dip in the pool, or joining game nights and live music events, our community fosters a fulfilling social calendar tailored to diverse interests.

Brookdale West University is committed to enhancing your independence with a focus on enriching your daily life. From fitness facilities to a putting green, our amenities ensure a luxurious yet convenient lifestyle. Join a community recognized for excellence in independent living, where you can rediscover old hobbies and forge meaningful connections in a welcoming environment.

Contact Brookdale West University

Overview of Brookdale Memorial City

Supportive and engaging, Brookdale Memorial City is a one of a kind senior living community in Houston, Texas that offers independent living. Choose from a variety of spacious floor plans, including pet-friendly options, allowing you to settle into the perfect apartment. Enjoy a maintenance-free lifestyle, freeing up time for activities like swimming in the heated outdoor pool or exploring yoga and art classes. With 24/7 emergency support available, peace of mind comes standard in the community.

At Brookdale Memorial City, they work hard to provide luxurious retirement living in a dynamic urban setting. Nestled in Houston’s west side, our community combines city conveniences with nearby green spaces like Memorial Park. Residents can stroll to Memorial City Mall for shopping or dining. Our amenities include an arts and crafts studio, fitness center, and lush courtyard gardens, ensuring there’s always something new to explore. This is more than just a place to live; it’s a vibrant community where you can thrive and pursue your passions.

Contact Brookdale Memorial City

Overview of Spjst Assisted Living Facility

Spjst Assisted Living Facility provides assisted living, nursing home, and skilled nursing care in Taylor, TX. Assisted living includes help with daily tasks and medications, while nursing home and skilled nursing care provide licensed nursing care on site around the clock. The range of care can suit a resident whose support needs may increase over time.

The facility has 64 beds. Dining assistance with a selective menu supports residents who need help during meals while allowing them to retain menu choices. Transportation to local doctor appointments provides a way to attend those visits without arranging separate travel.

Daily fitness classes, activities, and social events offer scheduled opportunities for exercise and engagement, while courtyards and raised gardens provide outdoor areas for resident use. A Walk Score of 61 places the area in the somewhat walkable band, meaning some errands can be done on foot and a resident who no longer drives may be able to reach certain nearby destinations independently. S. P. J. S. T. Rest Home operates the facility, which also has a salon and chapel available on site.

Contact Spjst Assisted Living Facility

Overview of Wisteria Place Nursing & Rehabilitation

Wisteria Place Nursing & Rehabilitation is one of Wisteria Place’s senior living communities located in Abilene, TX. This community offers quality skilled nursing and rehabilitation services,  and also provides specialized memory care for patients and residents living with Alzheimer’s and other forms of dementia. Their team of dedicated staff ranging from registered nurses, therapists, and certified caregivers are committed in delivering expert care, and balancing it with compassion and kindness.

Their skilled nursing services are customizable depending on the needs of patients, and encourages the families’ participation in crafting the perfect care plan for their loved ones. Wisteria Place Nursing & Rehabilitation is dedicated to providing the best care to both their patients and residents, and this is evident through their in house therapy programs, as well as activities that help individuals stay active and healthy, and on their way to recovery.

Contact Wisteria Place Nursing & Rehabilitation

Good Living Community Care Inc.

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

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

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

Contact Good Living Community Care Inc.

Overview of Crestwood Assisted Living

Crestwood Assisted Living functions as a 72-bed nursing home facility in Wills Point, Texas. Clinical operations focus on skilled nursing assistance alongside targeted physical rehabilitation programs for individuals recovering from illness or injury.

Keystone Care manages the day-to-day operations of the building. Pet-friendly policies allow residents to keep companion animals on site during their stay.

Interested individuals can get in touch with Crestwood Assisted Living directly to request information on current bed availability, review specific admittance criteria, and arrange a guided visit.

Contact Crestwood Assisted Living

Overview of Brookdale Ennis

Burrowed in the quiet community in Ennis, Texas, Brookdale Ennis is a warm senior living community that offers assisted living just 25 miles south of Dallas. Here, seniors enjoy a community designed for fostering independence while receiving the right amount of care. Whether engaging in arts and crafts, strolling through the landscaped gardens, or relaxing in their private apartments, residents find ample opportunities for socializing and personal enjoyment.

Focused on enhancing quality of life, Brookdale Ennis provides personalized care with 24/7 emergency support, allowing residents to maintain an active lifestyle with peace of mind. The community’s mission is to empower seniors to live fully, offering amenities like a therapy pool, library, and pet-friendly accommodations. With a calendar full of enriching activities and spacious living areas, Brookdale Ennis ensures each resident feels at home and connected in their new community.

Contact Brookdale Ennis

Overview of John Knox Village Personal Care

John Knox Village Personal Care in Weslaco offers independent living, assisted living, nursing home care, and skilled nursing. Independent living gives residents private living space with community services and no daily care, while assisted living helps with tasks such as dressing, bathing, and taking medication. Nursing care and skilled nursing provide licensed nursing care on site around the clock.

The LifeCare program brings these care levels together under one community. It may suit a resident whose needs grow over time and can be met through a different level of care without leaving the community. With 32 beds, the home is small enough for staff and residents to get to know one another.

A Walk Score of 89 means the area is very walkable, with most errands possible on foot. A resident who no longer drives can still get out independently. John Knox Village Personal Care is operated by John Knox Villages Of The Lower Rio Grande Valley.

Contact John Knox Village Personal Care

Overview of Brookdale Round Rock

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.

Contact Brookdale Round Rock

Overview of Cimarron Place Health and Rehabilitation Center

Located in Corpus Christi, Cimarron Place Nursing and Rehabilitation offers quality skilled nursing and rehabilitation services to its residents and patients alike. They take pride in their specialized care, promising advanced recovery and total wellness. Here, residents in need of skilled nursing services are provided 24/7 nursing care and assistance with daily living activities, medication management, as well as wound care and pain management.

While the residents’ health are well taken care of, they are also provided access to Cimarron Place’s rich array of additional services such as dietitian services, palliative care, IV therapy and other therapy services like physical, occupational, and speech.

Contact Cimarron Place Health and Rehabilitation Center

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
No paid rankings Facilities cannot pay to influence placement.
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
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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.