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Page 25 of Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 266 nursing homes in Texas using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Reviewed by
Last updated
Jul 2026
We analyzed
266 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

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

CMS & TX Dept. of Health data

Meadow Lake Senior Living – Tyler
NH
AL
IL
MC
RC
SNF
Tyler
20
Facility 20
TX AVG 80
Rank #792 / 976
--
4.30
Facility 4.30
TX AVG 3.63
Rank #54 / 273
+156%+18%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
4
Facility 4
TX AVG 25.9
Rank #2 / 274
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 274
-27A+
33
Facility 33
TX AVG 41
Rank #882 / 1389
Robbin Bell
$9.8MFiscal year ending 12/2023
Facility $9.8MFiscal year ending 12/2023
TX AVG $8.4M
Rank #131 / 280
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
TX AVG $3.5M
Rank #116 / 280
51.5%Fiscal year ending 12/2023
Facility 51.5%Fiscal year ending 12/2023
TX AVG 47%
Rank #106 / 280
676286
The Legacy at Willow Bend
NH
AL
HC
HOS
IL
MC
SNF
Plano
60
Facility 60
TX AVG 80
Rank #572 / 976
93.7%
Facility 93.7%
TX AVG 67.5
Rank #14 / 200
+39%
5.73
Facility 5.73
TX AVG 3.63
Rank #8 / 273
+54%+58%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
17
Facility 17
TX AVG 25.9
Rank #84 / 274
5.7
Facility 5.7
TX AVG 3.7
Rank #262 / 274
-56A+
45
Facility 45
TX AVG 41
Rank #626 / 1389
The Legacy Willow Bend, Inc
$22.1MFiscal year ending 09/2023
Facility $22.1MFiscal year ending 09/2023
TX AVG $8.4M
Rank #17 / 280
$13.7MFiscal year ending 09/2023
Facility $13.7MFiscal year ending 09/2023
TX AVG $3.5M
Rank #14 / 280
61.9%Fiscal year ending 09/2023
Facility 61.9%Fiscal year ending 09/2023
TX AVG 47%
Rank #147 / 280
676189
The Legacy Midtown Park
NH
AL
HOS
IL
MC
SNF
Dallas (Vickery Meadow)
98
Facility 98
TX AVG 80
Rank #370 / 976
--
5.42
Facility 5.42
TX AVG 3.63
Rank #13 / 273
+1%+49%
$27.5k
Facility $27.5k
TX AVG $81.8k
Rank #157 / 278
4
Facility 4
TX AVG 25.9
Rank #2 / 274
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 274
-48-
45
Facility 45
TX AVG 41
Rank #626 / 1389
The Legacy Midtown Park Inc
$16.1MFiscal year ending 09/2023
Facility $16.1MFiscal year ending 09/2023
TX AVG $8.4M
Rank #11 / 280
$15.0MFiscal year ending 09/2023
Facility $15.0MFiscal year ending 09/2023
TX AVG $3.5M
Rank #11 / 280
93%Fiscal year ending 09/2023
Facility 93%Fiscal year ending 09/2023
TX AVG 47%
Rank #194 / 280
676489
Sun Valley Rehabilitation and Healthcare Center
NH
HOS
MC
RC
SNF
Harlingen (Estrellita Subdivision)
124
Facility 124
TX AVG 80
Rank #174 / 976
75.6%
Facility 75.6%
TX AVG 67.5
Rank #82 / 200
+12%
3.79
Facility 3.79
TX AVG 3.63
Rank #87 / 273
-15%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
5
Facility 5
TX AVG 25.9
Rank #6 / 274
2.5
Facility 2.5
TX AVG 3.7
Rank #60 / 274
-94-
37
Facility 37
TX AVG 41
Rank #806 / 1389
Av Rehab LLC
$9.2MFiscal year ending 03/2024
Facility $9.2MFiscal year ending 03/2024
TX AVG $8.4M
Rank #165 / 280
$4.9MFiscal year ending 03/2024
Facility $4.9MFiscal year ending 03/2024
TX AVG $3.5M
Rank #155 / 280
53.1%Fiscal year ending 03/2024
Facility 53.1%Fiscal year ending 03/2024
TX AVG 47%
Rank #121 / 280
676493
Baywind Village Skilled Nursing & Rehabilitation
NH
HOS
RC
SNF
League City
107
Facility 107
TX AVG 80
Rank #323 / 976
77.2%
Facility 77.2%
TX AVG 67.5
Rank #74 / 200
+14%
4.70
Facility 4.70
TX AVG 3.63
Rank #34 / 273
+31%+29%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
15
Facility 15
TX AVG 25.9
Rank #61 / 274
1.9
Facility 1.9
TX AVG 3.7
Rank #20 / 274
183A+
52
Facility 52
TX AVG 41
Rank #455 / 1389
Village Skilled Nursing & Rehab Care LLC
$12.6MFiscal year ending 12/2023
Facility $12.6MFiscal year ending 12/2023
TX AVG $8.4M
Rank #95 / 280
$7.8MFiscal year ending 12/2023
Facility $7.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #42 / 280
61.9%Fiscal year ending 12/2023
Facility 61.9%Fiscal year ending 12/2023
TX AVG 47%
Rank #30 / 280
675323
Vogel Center Assisted Living With Memory Support
NH
AL
IL
MC
SNF
Midland (Trinity Towers Manor)
44
Facility 44
TX AVG 80
Rank #714 / 976
91.6%
Facility 91.6%
TX AVG 67.5
Rank #23 / 200
+36%
5.19
Facility 5.19
TX AVG 3.63
Rank #16 / 273
-22%+43%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
10
Facility 10
TX AVG 25.9
Rank #23 / 274
3.3
Facility 3.3
TX AVG 3.7
Rank #143 / 274
-40-
47
Facility 47
TX AVG 41
Rank #585 / 1389
Manor Park, Inc
$2.8MFiscal year ending 05/2024
Facility $2.8MFiscal year ending 05/2024
TX AVG $8.4M
Rank #8 / 280
$14.3MFiscal year ending 05/2024
Facility $14.3MFiscal year ending 05/2024
TX AVG $3.5M
Rank #12 / 280
513.4%Fiscal year ending 05/2024
Facility 513.4%Fiscal year ending 05/2024
TX AVG 47%
Rank #209 / 280
676015
Parkwood Assisted Living
NH
AL
IL
MC
Bedford
84
Facility 84
TX AVG 80
Rank #457 / 976
--
4.87
Facility 4.87
TX AVG 3.63
Rank #21 / 273
-36%+34%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
15
Facility 15
TX AVG 25.9
Rank #61 / 274
3.8
Facility 3.8
TX AVG 3.7
Rank #190 / 274
-103-
34
Facility 34
TX AVG 41
Rank #863 / 1389
Lcs Phc Operator Mm LLC
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
TX AVG $8.4M
Rank #143 / 280
$5.8MFiscal year ending 12/2023
Facility $5.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #91 / 280
70.3%Fiscal year ending 12/2023
Facility 70.3%Fiscal year ending 12/2023
TX AVG 47%
Rank #55 / 280
675565
Windsor Nursing and Rehabilitation Center of Corpus Christi
NH
AL
MC
SNF
Corpus Christi (Central City)
120
Facility 120
TX AVG 80
Rank #205 / 976
92.2%
Facility 92.2%
TX AVG 67.5
Rank #18 / 200
+37%
2.98
Facility 2.98
TX AVG 3.63
Rank #237 / 273
-31%-18%
$12.2k
Facility $12.2k
TX AVG $81.8k
Rank #92 / 278
13
Facility 13
TX AVG 25.9
Rank #44 / 274
1.9
Facility 1.9
TX AVG 3.7
Rank #20 / 274
-111-
69
Facility 69
TX AVG 41
Rank #150 / 1389
Regency Ihs Of Windsor Corpus Christi LLC
$8.2MFiscal year ending 09/2023
Facility $8.2MFiscal year ending 09/2023
TX AVG $8.4M
Rank #170 / 280
$4.6MFiscal year ending 09/2023
Facility $4.6MFiscal year ending 09/2023
TX AVG $3.5M
Rank #133 / 280
55.7%Fiscal year ending 09/2023
Facility 55.7%Fiscal year ending 09/2023
TX AVG 47%
Rank #80 / 280
676321
Texhoma Christian Care Center for Alzheimer‘s and Dementia
NH
IL
MC
RC
SNF
Wichita Falls
234
Facility 234
TX AVG 80
Rank #6 / 976
65.5%
Facility 65.5%
TX AVG 67.5
Rank #119 / 200
-3%
4.57
Facility 4.57
TX AVG 3.63
Rank #42 / 273
-36%+26%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
12
Facility 12
TX AVG 25.9
Rank #35 / 274
3.0
Facility 3.0
TX AVG 3.7
Rank #112 / 274
-153-
8
Facility 8
TX AVG 41
Rank #1257 / 1389
Texhoma Christian Care Center Inc
$16.4MFiscal year ending 02/2024
Facility $16.4MFiscal year ending 02/2024
TX AVG $8.4M
Rank #90 / 280
$10.3MFiscal year ending 02/2024
Facility $10.3MFiscal year ending 02/2024
TX AVG $3.5M
Rank #21 / 280
63.1%Fiscal year ending 02/2024
Facility 63.1%Fiscal year ending 02/2024
TX AVG 47%
Rank #6 / 280
455965
Park Manor of CyFair
NH
SNF
Houston (White Oak Bend)
120
Facility 120
TX AVG 80
Rank #205 / 976
89.2%
Facility 89.2%
TX AVG 67.5
Rank #35 / 200
+32%
3.27
Facility 3.27
TX AVG 3.63
Rank #181 / 273
+82%-10%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
7
Facility 7
TX AVG 25.9
Rank #12 / 274
2.3
Facility 2.3
TX AVG 3.7
Rank #44 / 274
-107-
55
Facility 55
TX AVG 41
Rank #385 / 1389
Hmg Park Manor Of Cyfair, L.l.c
$9.7MFiscal year ending 08/2024
Facility $9.7MFiscal year ending 08/2024
TX AVG $8.4M
Rank #142 / 280
$4.4MFiscal year ending 08/2024
Facility $4.4MFiscal year ending 08/2024
TX AVG $3.5M
Rank #143 / 280
45.1%Fiscal year ending 08/2024
Facility 45.1%Fiscal year ending 08/2024
TX AVG 47%
Rank #141 / 280
675818
Windsor Nursing and Rehabilitation Center of Harlingen
NH
MC
RC
SNF
Harlingen
154
Facility 154
TX AVG 80
Rank #60 / 976
79.7%
Facility 79.7%
TX AVG 67.5
Rank #63 / 200
+18%
2.99
Facility 2.99
TX AVG 3.63
Rank #237 / 273
-14%-18%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
12
Facility 12
TX AVG 25.9
Rank #35 / 274
3.0
Facility 3.0
TX AVG 3.7
Rank #112 / 274
-123-
44
Facility 44
TX AVG 41
Rank #645 / 1389
Regency Ihs Of Harlingen Manor LLC
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
TX AVG $8.4M
Rank #122 / 280
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
TX AVG $3.5M
Rank #114 / 280
43.6%Fiscal year ending 12/2023
Facility 43.6%Fiscal year ending 12/2023
TX AVG 47%
Rank #121 / 280
455822
Presbyterian Village North
NH
AL
IL
MC
RC
SNF
Dallas (Lake Highlands)
88
Facility 88
TX AVG 80
Rank #433 / 976
78.4%
Facility 78.4%
TX AVG 67.5
Rank #69 / 200
+16%
4.80
Facility 4.80
TX AVG 3.63
Rank #25 / 273
+20%+32%
$36.5k
Facility $36.5k
TX AVG $81.8k
Rank #177 / 278
18
Facility 18
TX AVG 25.9
Rank #94 / 274
2.3
Facility 2.3
TX AVG 3.7
Rank #44 / 274
269-
61
Facility 61
TX AVG 41
Rank #267 / 1389
Dustin Allen
$11.4MFiscal year ending 12/2023
Facility $11.4MFiscal year ending 12/2023
TX AVG $8.4M
Rank #5 / 280
$20.1MFiscal year ending 12/2023
Facility $20.1MFiscal year ending 12/2023
TX AVG $3.5M
Rank #4 / 280
176.3%Fiscal year ending 12/2023
Facility 176.3%Fiscal year ending 12/2023
TX AVG 47%
Rank #207 / 280
676135
Caraday of Houston
NH
MC
RC
Houston (Northside / Northline)
150
Facility 150
TX AVG 80
Rank #63 / 976
--
3.76
Facility 3.76
TX AVG 3.63
Rank #87 / 273
-32%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
15
Facility 15
TX AVG 25.9
Rank #61 / 274
3.8
Facility 3.8
TX AVG 3.7
Rank #190 / 274
-12-
41
Facility 41
TX AVG 41
Rank #707 / 1389
E&R Cunningham Investments, LP
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
TX AVG $8.4M
Rank #278 / 280
$1.8MFiscal year ending 12/2023
Facility $1.8MFiscal year ending 12/2023
TX AVG $3.5M
Rank #275 / 280
66.5%Fiscal year ending 12/2023
Facility 66.5%Fiscal year ending 12/2023
TX AVG 47%
Rank #96 / 280
676470
Houston Transitional Care
NH
HOS
MC
PC
RC
SNF
Houston (Braeburn)
70
Facility 70
TX AVG 80
Rank #507 / 976
96.0%
Facility 96.0%
TX AVG 67.5
Rank #4 / 200
+42%
3.17
Facility 3.17
TX AVG 3.63
Rank #209 / 273
+22%-13%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
16
Facility 16
TX AVG 25.9
Rank #69 / 274
5.3
Facility 5.3
TX AVG 3.7
Rank #254 / 274
-67-
75
Facility 75
TX AVG 41
Rank #67 / 1389
Ahmad El-Saadi
$12.3MFiscal year ending 12/2023
Facility $12.3MFiscal year ending 12/2023
TX AVG $8.4M
Rank #32 / 280
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
TX AVG $3.5M
Rank #129 / 280
41.4%Fiscal year ending 12/2023
Facility 41.4%Fiscal year ending 12/2023
TX AVG 47%
Rank #275 / 280
676435
Saint Francis Nursing Home
NH
AL
IL
San Antonio (Midtown)
116
Facility 116
TX AVG 80
Rank #270 / 976
--
3.93
Facility 3.93
TX AVG 3.63
Rank #75 / 273
-+8%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 278
---92-
71
Facility 71
TX AVG 41
Rank #124 / 1389
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Nursing Home Explorer
Overview of Golden Palms Rehabilitation and Retirement

Golden Palms Rehabilitation and Retirement is a skilled nursing community in Harlingen, Texas, offering independent living, assisted living, skilled nursing, recovery services, respite care, and on-site therapy. Managed by Keystone Care LLC under the legal entity Santiago Healthcare LLC in Cameron County, this privately owned, 60-bed community is approved to accept both Medicare and Medicaid. It also achieved an overall CMS score of 3 out of 5 stars, which matches the Texas state average.

The community maintains a 3-star CMS Health Inspection score, which is marginally higher than the Texas average of 2.9, alongside a 2-star staffing score. Over the last three years, it documented 18 total health findings. However, it has faced three federal financial penalties, which is 80% lower than the state average, with no instances of denied payments. Notably, the most recent thorough state review in December 2023 identified zero deficiencies.

Constant staffing is provided with a caregiver-to-resident ratio of 1.65 to 1, performing 9% better than the state average. Physical therapy hours provided to each resident daily are 250% above the Texas average. The team includes speech language pathologists, physical therapy assistants, respiratory technicians, and occupational therapists. Restaurant-style meals are also served three times a day, and the community provides monthly schedules featuring group excursions, faith-based services, and active councils for residents and families.

It has a current occupancy rate of 82.8%, which is 30% higher than the state average. With an average residency of 42 days, the community reflects a clear focus on post-acute recovery for older adults. Additionally, Medicare represents 30% of stays, typically lasting 25 days, while those paying privately make up 69% of admissions and usually stay for about one month. The community also assists long-term Medicaid recipients. Its high numbers for rehabilitation staff, a strong rate of residents returning to their homes at 64.7%, and higher-than-average occupancy signify steady local interest and positive results.

Golden Palms Rehabilitation and Retirement is a great fit for older adults needing recovery support after a hospital visit and looking for short-term recovery options in the Harlingen area.

Contact Golden Palms Rehabilitation and Retirement

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 Spjst Assisted Living Facility

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

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

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

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

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

Contact Spjst Assisted Living Facility

Overview of Knopp Retirement Center

Knopp Retirement Center is a licensed senior living community in Fredericksburg, Texas, offering assisted living services. Managed as a family-owned enterprise under Knopp Retirement Center Inc., the community has a Type B license in Gillespie County. Operating since 1965 with a 60-bed capacity, it is one of the most enduring providers for older adults in the area.

In terms of state oversight, the most recent evaluation performed on April 27, 2023, identified five Health Code deficiencies, which involved delays in creating and starting individual service plans, gaps in annual background verifications through national and state registries, inadequate tuberculosis testing for staff, the absence of a yearly fire marshal review, and questions about food procurement from approved vendors. Notably, every concern was resolved between April 28 and June 9, 2023. No Life Safety Code deficiencies were found, and the community has faced zero enforcement actions, which is a better record than the Texas average of one. With five citations against a state average of six, the total volume of findings is slightly below the regional benchmark.

The community delivers assisted living and long-term support with a focus on empathy, dignity, and personal care, which are principles rooted in its independent family legacy. Available on-site clinical services also consist of physical, occupational, and speech therapy, positioning this location as a practical choice for older adults who need consistent rehabilitative help without relocating.

Providing assisted living, memory care capabilities, and on-site therapeutic support, Knopp Retirement Center is a good option for older adults who aim to age in place in the Fredericksburg region and the wider Hill Country and prefer a more intimate, family-run atmosphere with deep local roots.

Contact Knopp Retirement Center

Overview of Highland Springs Senior Living

Set in the quiet grounds of Frankford Road, Dallas, TX, Highland Springs by Erickson Senior Living is a distinguished senior living community that provides assisted living, memory care, long-term care, and rehabilitation. With snug and specially designed residences in a variety of studio, one-bedroom, and two-bedroom floor plans, seniors experience unparalleled comfort and security. A team of compassionate and highly trained professionals cares for seniors’ daily living activities and personal hygiene to ensure they have more time to focus on the things they truly want to do.

Try out new things and rediscover old interests through a variety of fun activities and enjoyable programs including woodworking, gardening, yoga, art club, book club, and so much more. Featuring multiple venues, residents enjoy mealtimes with friends over healthy and delicious meals that cater to dietary needs and preferences. Surrounded by scenic gardens and serene landscapes, Highland Springs is ideal for relaxation to ensure seniors thrive and live their best lives.

Contact Highland Springs Senior Living

Overview of Tomball Retirement Center

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

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

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

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

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

Contact Tomball Retirement Center

Overview of Baptist Retirement Community

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.

Contact Baptist Retirement Community

Overview of The Crossings Retirement Community

Situated in League City, Texas, The Crossings Retirement Community is a remarkable nonprofit facility, holding a prestigious five-star status. This community offers an exceptional array of services tailored to meet the diverse needs of seniors. Whether it’s skilled nursing, short-term rehabilitation, independent living, or assisted living, The Crossings excels in providing outstanding healthcare support. 

Their commitment is underscored by round-the-clock professional nursing care, complemented by top-notch services such as speech therapy, physical therapy, and occupational therapy. The community ensures residents enjoy nutritious meals, scheduled transportation, and a variety of activities designed to nurture the body, mind, and spirit. The team at The Crossings, composed of licensed professionals, is truly exceptional in their dedication to the well-being of the residents.

Contact The Crossings Retirement Community

Overview of House of Hope by Presbyterian Manor

House of Hope, located in Wichita Falls, is a special unit of Presbyterian Manor that offers memory care services for residents living with Alzheimer’s and other forms of dementia. This senior living facility provides accommodation thoughtfully designed to cater to individuals with memory impairments, and features security and emergency systems for added peace of mind of the residents and their families. Their memory care services provide residents with individualized care, from 24/7 staff availability, to assistance with their daily living activities.

Residents of House of Hope also enjoy a variety of amenities offered by the community including nutritionally appropriate meals and snacks, and specialized activities that promote mental stimulation. Their community support group also helps the residents manage their emotions as they go through the challenges of memory loss.

Contact House of Hope by Presbyterian Manor

Overview of Brookdale First Colony

Located in Sugar Land, Texas, just outside of Houston, Brookdale First Colony is an independent living community that allows residents to trade the headaches of homeownership for more time to pursue their passions. Residents can start their day with a swim in the heated, outdoor pool before joining the book club in the library or trying a meditation class. The community offers a variety of pet-friendly apartment floor plans, with enough room for a garden and a garden party. Residents have peace of mind knowing the staff is available 24/7 for emergencies. At Brookdale First Colony, fewer chores mean more adventures.

The luxury independent living community provides the time and freedom for residents to pursue their passions, discover new hobbies, and strengthen social connections. The maintenance-free lifestyle is complemented by support when needed. The community’s location offers a quiet retreat with big-city amenities nearby, including parks, greenways, and golf courses. Residents have choices when it comes to how they spend their time, with opportunities to learn to dance, try art classes, or practice tai chi. The monthly activities calendar is developed with resident input, ensuring there’s always something for everyone. The dining program creates memorable experiences with healthy, delicious meals made with seasonal ingredients.

Contact Brookdale First Colony

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 266 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.