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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.
Based in a serene area in San Antonio, TX, Passion Hospice provides an ideal setting for hospice care. Those diagnosed with a life-limiting illness find comfort in the community with its kind and reliable team of care experts available to attend to their overall needs. Through skilled nursing care, personalized attention, and even spiritual support, the community makes sure residents and their families maintain their peace of mind, knowing that they’re in great hands.
Dedicated to making residents’ lives as comfortable as possible, Passion Hospice also provides an end-of-life doula to guide them and their loved ones throughout their journey. Caring for everyone involved, the community offers compassionate bereavement support to help residents’ families navigate the process of grief. At Passion Hospice, they make sure residents’ enjoy a smooth and peaceful end-of-life journey.
John Knox Village Personal Care is a Type B assisted living community in Weslaco, Texas, providing personal care within an extensive LifeCare retirement campus. This 32-bed community is managed by John Knox Villages of the Lower Rio Grande Valley Inc., a nonprofit entity dedicated to helping older adults throughout the Rio Grande Valley. The community has an active license in Hidalgo County from the Texas Health and Human Services Commission.
This community cited a total of two findings throughout its operational history, which is 67% lower than the Texas state mean of six. Remarkably, no clinical or health-related infractions were identified. The two points that were raised fell under the Life Safety Code and concerned standards for sprinkler systems and emergency power generators, which were addressed and resolved in early 2019. No administrative penalties were issued in connection with these findings, and the frequency of reviews is consistent with state norms. For families prioritizing safety records, this record illustrates a home that has kept a spotless health record while effectively managing property maintenance.
The residential building is part of an expansive retirement property that features a LifeCare Program, a dedicated medical center, and various independent housing styles such as garden cottages, townhouses, and patio homes. Since this community does not maintain an Alzheimer’s certification, it is best suited for individuals who do not need specialized memory support. While specific features for this particular building were not provided in detail, the overall campus is known for promoting an energetic lifestyle across its many residential settings.
Boasting a Walk Score of 89 out of 100, this location is in a premier, pedestrian-friendly spot near the heart of Weslaco. It is also one of the most conveniently placed environments for older adults in the region, allowing for most daily tasks and local services to be reached on foot. This accessibility provides a significant advantage for both the people living there and their visiting relatives.
John Knox Village Personal Care is a good option for older adults who require help with daily tasks in Weslaco and the surrounding Hidalgo County region, especially those seeking an intimate environment within a reputable nonprofit campus. The variety of care levels available, ranging from independent residency to professional nursing, ensures long-term stability as health requirements change over time.
House of Hope by Presbyterian Manor is a memory care community in Wichita Falls, Texas, created specifically for residents living with Alzheimer’s disease and other forms of dementia. It is part of the larger Presbyterian Manor campus, giving residents access to a broader senior living network while keeping memory care as the main focus of daily life. The 75-bed community creates a setting that feels more manageable than a much larger community and can help residents and families adjust more easily.
The community is designed around the needs of residents with memory loss. Living spaces are arranged with memory impairment in mind. Built-in security and emergency systems help support resident safety and give families more peace of mind. Staff are available 24 hours a day, and every resident receives an individualized care plan instead of a one-size-fits-all approach. They also assist with activities of daily living that can become more difficult as memory changes progress.
Residents receive nutritious meals and snacks prepared to meet their needs. Daily programs include activities designed specifically to provide mental stimulation. House of Hope has a community support group, so residents can share the emotional challenges of memory loss with others going through similar experiences. The community welcomes pets, allowing residents to keep a familiar companion after moving in.
The car-dependent area has a Walk Score of 14 out of 100, so most errands and outings require driving. Families comparing daily convenience with the benefits of a quieter, more residential setting may want to keep that tradeoff in mind when visiting the community.
Located 2.5 miles from downtown Harlingen at 2202 S 23rd Street, Treasure Hills Residential Care Homes, locally known as The Cano Homes, operates as an assisted living facility providing personal care services for residents across multiple care needs. The single-story building accommodates residents in private suites with flexible floor plan options tailored to individual preference. The community also maintains capacity for memory care and rehabilitation services.
Daily operations rest on a 24-hour staffing model employing a physician, licensed nurses, and nursing assistants. Medical supervision occurs alongside personalized care planning that addresses each resident’s distinct functional and health requirements. Daily meal service, housekeeping, and laundry are incorporated into the facility model. Documented healthcare partnerships augment in-house care delivery.
The community’s activity structure centers on two formal programs: In-House Therapy and Stay Active. These initiatives aim to maintain resident function and engagement through therapeutic and recreational participation. Transportation is available for community outings, and on-site fitness and recreation areas support active resident pursuits. The facility describes its programming as encompassing diverse social activities and continuous learning opportunities.
Treasure Hills accepts both Medicaid and Medicare from eligible residents. Notably, the community does not hold CMS certification as a Medicare or Medicaid provider, meaning its regulatory standing differs from federally certified facilities and may affect eligibility or coverage scope for certain residents.
The neighborhood registers a Walk Score of 55 out of 100, characterizing it as moderately walkable with mixed foot-traffic potential for daily errands.
The community serves residents requiring significant assistance with daily activities, combined with structured therapeutic engagement and round-the-clock medical supervision.
New Life Care Homes is an affordable, safe, and convenient assisted living where residents truly feel at home. Their mission is to meet and exceed the needs of loved ones by providing compassionate and customizable services. Focused on a holistic approach, New Life Care Homes caregivers strive to offer a balanced mix of physical, spiritual, and social activities, ensuring each resident’s mental and physical well-being. With a commitment to creating a foundation for care, the community values a warm and supportive environment where individuals can age with dignity and comfort.
The amenities and facilities at New Life Care Homes are designed to enhance the quality of life for residents. In the nursing home setting, 24/7 emergency care, personal care, dementia/Alzheimer’s care, and supplemental hospice care are provided. The community offers companionship, meal preparation, and laundry services, ensuring a comfortable and nurturing environment. New Life Care Homes is dedicated to providing caregivers for various specialized needs, including dementia, Alzheimer’s, chronic care, post-stroke care, cardiovascular care, Parkinson’s care, old age, and disability. The community strives to offer comprehensive care that promotes well-being and independence.
Knopp Retirement Center, situated on North Llano Street about a mile from downtown Fredericksburg, Texas, is a 119-bed skilled nursing facility. Owned by Jay Luchenbach, the single-story campus provides a continuum of care, including nursing home, assisted living, memory care, hospice, palliative care, and skilled nursing services, which allows residents to transition between levels of support without relocating. The facility accepts Medicare, Medicaid, and private pay.
The building maintains an occupancy rate of approximately 47 percent, and residents stay for an average of 90 days. Daily care is supported by an average of 3 hours and 31 minutes of nursing care per resident. For daily engagement, the community is a certified Music & Memory facility, offering personalized music programs alongside pet therapy, live music visits, and structured wellness initiatives like “Jay’s Time.”
Texas Health and Human Services Commission inspection reports highlight areas such as documentation, medication administration, and the upkeep of equipment and building systems, rather than direct clinical care. The facility has a citations-per-inspection rate of zero, though visiting families may still want to ask how staff monitor these administrative and operational processes.
The surrounding neighborhood has a Walk Score of 35, indicating that most errands require a car, though some destinations are reachable on foot.
Prospective residents looking for a comprehensive care setting with personalized cognitive programs near downtown Fredericksburg can schedule a visit to evaluate the community.
Crestwood Assisted Living is a senior care community in Wills Point, Texas, offering assisted living and rehabilitation services. This 72-bed community offers a moderately sized setting that combines individualized support with the benefits of a broader residential environment. The community is operated by Keystone Care LLC under the ownership of Appaloosa Healthcare, Inc., with a Type B license in Van Zandt. It also places a strong emphasis on nursing and rehabilitation services, making it a practical option for older adults who require ongoing medical oversight, recovery support, or assistance following a hospital stay.
24-hour staffing and on-site rehabilitation services are provided to support recovery, mobility, and daily functioning. This care mode benefits older adults managing chronic medical conditions or transitioning from short-term acute care. The community does not hold Alzheimer’s or dementia certification, which is an important consideration for families seeking specialized memory care services.
The community has accumulated a total of three findings, two of which were related to Life Safety Code requirements involving building code compliance and emergency-powered exit signage, while one involved a Health Code matter. All cited issues were corrected, and no enforcement actions were reported. With three citations overall, the community remains below the Texas statewide average of six citations, reflecting a comparatively favorable compliance history for a community of its size.
Although detailed amenity information is limited, the community’s operational focus on nursing support and rehabilitation services suggests a more medically oriented environment centered on care and recovery. Its location in Wills Point also appeals to families seeking support services in a smaller East Texas setting outside of the Dallas metropolitan area.
With a solid compliance history and a focus on healthcare-oriented services, Crestwood Assisted Living is best suited for older adults who need structured nursing assistance, rehabilitation support, or consistent medical oversight in a licensed residential environment.
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.
Mrc the Langford is a licensed Type B senior living community in College Station, Texas, offering assisted living and memory care. With a mission-focused, faith-based framework, this 66-bed community is specifically designed as a dedicated environment for older adults rather than a general assisted living environment.
A wide spectrum of health requirements is provided in a single setting. Assisted living services include round-the-clock staffing, physical recovery programs, and temporary relief stays, which are highly useful for individuals healing after a hospital visit. Additionally, the official memory support program offers specialized assistance for residents facing dementia or related cognitive issues. This pet-friendly community also provides regular cleaning services and features several distinct apartment layouts named Baltic, Prada, Cecilia, and Kashmir to accommodate different tastes and financial plans.
Culinary services are a primary feature, with professional chefs preparing fresh meals three times daily, including convenient quick-service options. On-site spiritual gatherings are available, aligning with the organization’s religious roots. Situated in College Station, the property has a walkability score of 63, indicating that several local conveniences are within walking distance.
State reviews are performed by the Texas HHSC, accumulating a total of seven findings. Significantly, every citation was related to building safety standards, while no clinical or health-related infractions were identified. These involved technical issues like door locking mechanisms, specific building code standards for health care settings, and the status of climate control and sprinkler systems. Some improvements were documented as starting years prior, and no administrative penalties were issued. Additionally, the count of zero health violations is a positive indicator of the quality of care provided to the residents.
Offering active retirement living and certified cognitive support, along with various programs and high-quality dining, Mrc the Langford is an excellent option for those in the Bryan–College Station region who desire a spiritually grounded home with a full range of services.
Offering independent living, assisted living, memory care, and both transitional and long-term nursing care, Morningside at Menger Springs is a senior living community in the Cottages Under the Oaks neighborhood of Boerne, Texas. The community is set on 34 acres, giving residents the option to move between levels of care without relocating to a different community.
Residents can choose between cottages and apartment homes. This gives them the option of a more private, house-style setting or a traditional apartment layout. Daily life includes chef-prepared meals, housekeeping, laundry services, professional landscaping, and a regular calendar of community activities. Residents in memory care receive individualized care plans based on their specific needs, including support for injuries, physical disabilities, or illness.
The community has a covered pool, a library, and a putting green, giving residents different ways to stay active and socialize close to home. The area has a Walk Score of 24 out of 100, which is car-dependent. Most errands and outings require a car.
Families considering Morningside at Menger Springs should take a tour of the cottages and apartment homes to see which setting best fits their needs.
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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