Page 25 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 241-250 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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Helen Greathouse

401 Helen Greathouse Cir, Midland, TX 79707
Overview of Helen Greathouse

Helen Greathouse is a continuing care retirement community in the Trinity Towers Manor neighborhood of Midland, Texas. It offers independent living, assisted living, memory care, and skilled nursing. Independent living provides private living with community services and no daily care, while assisted living adds help with dressing, bathing, medication, and similar tasks. Memory care offers a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.

Several care levels are available within one community. Helen Greathouse may be a good fit for a resident whose needs may grow over time without requiring a move to another community. The community has 233 beds, so residents live in a larger setting with more residents and staff, along with usually more programming. It is a substantial community rather than a small household setting.

A Walk Score of 47 places the area in a setting where most errands require a car or a ride, including for a resident who no longer drives. Pets are allowed, so a resident moving in with a pet can keep that companion in the community. Amanda Quest serves as administrator, and Manor Park operates the community.

Contact Helen Greathouse

Overview of The Medallion Jewish Assisted Living

The Medallion Jewish Assisted Living provides assisted living, nursing home care, and skilled nursing in Houston’s Braeburn neighborhood. Assisted living includes help with daily tasks such as dressing, bathing, and medication while the resident keeps an apartment. Skilled nursing provides licensed nursing care on site around the clock.

The community has 90 beds and apartment housing with one-bedroom and two-bedroom layouts. A two-bedroom apartment can suit a couple moving together or someone who wants a companion.

Having assisted living and skilled nursing in one community can suit a resident whose care needs grow over time, since moving to another care level does not require leaving the community. The Walk Score is 55 out of 100, placing the area in the somewhat walkable band where some errands can be done on foot. A resident who no longer drives may be able to manage some nearby errands independently. Seven Acres Jewish Senior Care Services operates the community.

Contact The Medallion Jewish Assisted Living

The Sycamore

1511 South Van Buren, Amarillo, TX 79101
Overview of The Sycamore

The Sycamore provides nursing home, assisted living, memory care, and skilled nursing in Amarillo, Texas. Assisted living includes help with daily tasks while a resident keeps a private living space; memory care provides supervision in a secured setting; and skilled nursing provides licensed nursing care on site around the clock.

The range of care types may suit a resident whose needs change over time and who may be able to remain within the community as care needs grow. With 56 beds, the setting is smaller, allowing staff and residents to get to know each other. Outdoor patios and internal courtyards provide places to spend time outside, while a spa room and quiet room offer designated spaces for personal care or peaceful time.

Pastoral care is available, and pets are allowed. Transportation is available for medical appointments, which can help a resident attend scheduled care without arranging a separate ride. Daily menu choices include special diets, and rehabilitation services are available through contract therapy services and skilled nursing and rehabilitation. A Walk Score of 62 means some errands can be done on foot, so a resident who no longer drives may still be able to reach certain nearby destinations independently. Baptist Community Services operates The Sycamore.

Contact The Sycamore

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

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 The Gables at Rolling Meadows

The Gables at Rolling Meadows offers nursing home, assisted living, independent living, memory care, nursing care, and skilled nursing in Wichita Falls, TX. Independent living provides housing without daily care, while assisted living helps with daily tasks. Memory care provides a secured setting with supervision, and nursing care and skilled nursing provide licensed nursing care around the clock. With several care levels on one campus, the community may be a good fit for a resident whose needs may change over time and who may want to remain in the same community.

The community has 86 beds. A Walk Score of 50 out of 100 places the area in the somewhat walkable category, so some errands can be done on foot and a resident who no longer drives may be able to handle some outings independently. Pets are allowed, which means a resident can bring a pet when moving in. The Wichita Falls Retirement Foundation operates the community.

Contact The Gables at Rolling Meadows

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.

$4,200/Month Info Pricing updated on February 27th, 2026

Contact Brookdale Round Rock

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.

Starting Price $2,490/Month Info Pricing updated on May 15th, 2026

Contact Brookdale West University

Overview of Brookdale Memorial City

Brookdale Memorial City is a continuing care retirement community in Houston, TX, with independent living, assisted living, memory care, nursing home care, and skilled nursing. Independent living offers private living with community services and no daily care, while assisted living adds help with bathing, dressing, medication, and other daily tasks. Memory care is provided in a secured setting with supervision, and skilled nursing includes licensed nursing on site around the clock. For someone whose needs may increase over time, the range of care levels allows them to remain within the community rather than move elsewhere.

The home is in Houston’s Memorial neighborhood, where a Walk Score of 77 places it in the very walkable band. Most errands can be handled on foot, so a resident who no longer drives may still be able to get out independently. Housing includes one bedroom and two bedroom layouts; the two bedroom option may work for a couple moving together or for someone who wants a companion. The starting price is $2,025 per month, though the confirmed facts do not connect that figure to a particular care level.

Residents can use an outdoor pool, courtyard garden, walking paths, fitness center, and on site salon, barber, and spa. Dining follows seasonal menus built around fresh local ingredients, so meals change as the seasons do. Brookdale HealthPlus adds clinical care coordination and oversight from a dedicated Brookdale RN Care Manager. Respite care offers a short stay when a usual caregiver needs to travel or recover, and residents may keep pets with them.

Starting Price $2,025/Month Info Pricing updated on May 15th, 2026

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

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