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Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 262 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
Jun 2026
We analyzed
262 homes
Other senior care options in Texas:

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.
National Average: 3.0/ 5

Compare Nursing Homes around Texas

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

205 facilities compared · CMS & TX Dept. of Health data

Caraday of Houston
NH
MC
RC
Houston (Northside / Northline)
150
Facility 150
TX AVG 80
Rank #63 / 988
- -
3.76
Facility 3.76
TX AVG 3.63
Rank #93 / 296
-32% +4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
- 12 -
41
Facility 41
TX AVG 41
Rank #709 / 1391
E&R Cunningham Investments, LP
$2.7M
Facility $2.7M
TX AVG $8.4M
Rank #299 / 304
$1.8M
Facility $1.8M
TX AVG $3.5M
Rank #297 / 304
66.5%
Facility 66.5%
TX AVG 47%
Rank #103 / 304
676470
The Legacy Midtown Park
NH
AL
HC
IL
MC
Dallas (Vickery Meadow)
98
Facility 98
TX AVG 80
Rank #376 / 988
87.5%
Facility 87.5%
TX AVG 63.5%
Rank #31 / 304
+38%
5.42
Facility 5.42
TX AVG 3.63
Rank #14 / 296
+1% +49%
$27.5k
Facility $27.5k
TX AVG $81.8k
Rank #168 / 301
4
Facility 4
TX AVG 25.9
Rank #2 / 299
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 299
- 48 -
45
Facility 45
TX AVG 41
Rank #628 / 1391
The Legacy Midtown Park Inc
$16.1M
Facility $16.1M
TX AVG $8.4M
Rank #9 / 304
$15.0M
Facility $15.0M
TX AVG $3.5M
Rank #9 / 304
93%
Facility 93%
TX AVG 47%
Rank #214 / 304
676489
Houston Transitional Care
NH
HC
MC
NC
PC
RC
Houston (Braeburn)
70
Facility 70
TX AVG 80
Rank #517 / 988
90.3%
Facility 90.3%
TX AVG 63.5%
Rank #18 / 304
+42%
3.17
Facility 3.17
TX AVG 3.63
Rank #222 / 296
+22% -13%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
5.3
Facility 5.3
TX AVG 3.7
Rank #274 / 299
- 67 -
75
Facility 75
TX AVG 41
Rank #67 / 1391
Ahmad El-Saadi
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #31 / 304
$5.1M
Facility $5.1M
TX AVG $3.5M
Rank #134 / 304
41.4%
Facility 41.4%
TX AVG 47%
Rank #301 / 304
676435
Sun Valley Rehabilitation and Healthcare Center
NH
HC
MC
NC
RC
Harlingen (Estrellita Subdivision)
124
Facility 124
TX AVG 80
Rank #178 / 988
76.4%
Facility 76.4%
TX AVG 63.5%
Rank #102 / 304
+20%
3.79
Facility 3.79
TX AVG 3.63
Rank #93 / 296
-15% +4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
5
Facility 5
TX AVG 25.9
Rank #6 / 299
2.5
Facility 2.5
TX AVG 3.7
Rank #64 / 299
- 94 -
37
Facility 37
TX AVG 41
Rank #808 / 1391
Av Rehab LLC
$9.2M
Facility $9.2M
TX AVG $8.4M
Rank #176 / 304
$4.9M
Facility $4.9M
TX AVG $3.5M
Rank #163 / 304
53.1%
Facility 53.1%
TX AVG 47%
Rank #129 / 304
676493
Pflugerville Nursing and Rehabilitation Center
NH
HC
MC
PC
RC
Pflugerville (Kuempel Tract Phase 1)
120
Facility 120
TX AVG 80
Rank #210 / 988
- -
2.71
Facility 2.71
TX AVG 3.63
Rank #284 / 296
-1% -25%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
30
Facility 30
TX AVG 25.9
Rank #218 / 299
4.3
Facility 4.3
TX AVG 3.7
Rank #233 / 299
1 24 -
40
Facility 40
TX AVG 41
Rank #734 / 1391
Regency Ihs Of Pflugerville LLC
$8.3M
Facility $8.3M
TX AVG $8.4M
Rank #167 / 304
$5.2M
Facility $5.2M
TX AVG $3.5M
Rank #98 / 304
63%
Facility 63%
TX AVG 47%
Rank #46 / 304
676245
Brookdale Lakeway
NH
AL
MC
Lakeway (The Towers Of Lakeway)
132
Facility 132
TX AVG 80
Rank #121 / 988
69.8%
Facility 69.8%
TX AVG 63.5%
Rank #136 / 304
+10%
3.89
Facility 3.89
TX AVG 3.63
Rank #81 / 296
+73% +7%
$91.4k
Facility $91.4k
TX AVG $81.8k
Rank #249 / 301
21
Facility 21
TX AVG 25.9
Rank #152 / 299
3.5
Facility 3.5
TX AVG 3.7
Rank #178 / 299
4 50 A+
28
Facility 28
TX AVG 41
Rank #956 / 1391
Henry Kaestner
$10.2M
Facility $10.2M
TX AVG $8.4M
Rank #88 / 304
$6.6M
Facility $6.6M
TX AVG $3.5M
Rank #75 / 304
64.5%
Facility 64.5%
TX AVG 47%
Rank #156 / 304
676131
Magnolia Crossing Nursing and Rehabilitation Center
NH
NC
Houston
128
Facility 128
TX AVG 80
Rank #152 / 988
73.1%
Facility 73.1%
TX AVG 63.5%
Rank #110 / 304
+15%
3.31
Facility 3.31
TX AVG 3.63
Rank #191 / 296
-31% -9%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.4
Facility 2.4
TX AVG 3.7
Rank #57 / 299
- 108 -
39
Facility 39
TX AVG 41
Rank #754 / 1391
Magnolia Crossing Nh LLC
$8.7M
Facility $8.7M
TX AVG $8.4M
Rank #183 / 304
$6.3M
Facility $6.3M
TX AVG $3.5M
Rank #83 / 304
72.2%
Facility 72.2%
TX AVG 47%
Rank #29 / 304
676333
Christian Care Communities and Services – Mesquite
NH
AL
IL
MC
RC
Mesquite
180
Facility 180
TX AVG 80
Rank #26 / 988
40.3%
Facility 40.3%
TX AVG 63.5%
Rank #273 / 304
-36%
3.66
Facility 3.66
TX AVG 3.63
Rank #111 / 296
+32% +1%
$28.9k
Facility $28.9k
TX AVG $81.8k
Rank #170 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
1.6
Facility 1.6
TX AVG 3.7
Rank #7 / 299
4 100 -
31
Facility 31
TX AVG 41
Rank #914 / 1391
Ccc Mesquite Management LLC
$8.4M
Facility $8.4M
TX AVG $8.4M
Rank #24 / 304
$11.6M
Facility $11.6M
TX AVG $3.5M
Rank #13 / 304
137.7%
Facility 137.7%
TX AVG 47%
Rank #61 / 304
455617
Harlingen Nursing and Rehabilitation Center
NH
MC
RC
Harlingen (Hale Avenue)
120
Facility 120
TX AVG 80
Rank #210 / 988
- -
2.98
Facility 2.98
TX AVG 3.63
Rank #255 / 296
-25% -18%
$100.0k
Facility $100.0k
TX AVG $81.8k
Rank #254 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
1 18 -
49
Facility 49
TX AVG 41
Rank #543 / 1391
Regency Ihs Of Harlingen LLC
$7.8M
Facility $7.8M
TX AVG $8.4M
Rank #206 / 304
$3.6M
Facility $3.6M
TX AVG $3.5M
Rank #220 / 304
45.8%
Facility 45.8%
TX AVG 47%
Rank #168 / 304
675606
Brookdale Westlake Hills
NH
AL
IL
Austin (Treemont)
90
Facility 90
TX AVG 80
Rank #419 / 988
96.7%
Facility 96.7%
TX AVG 63.5%
Rank #4 / 304
+52%
3.81
Facility 3.81
TX AVG 3.63
Rank #93 / 296
+23% +5%
$300.6k
Facility $300.6k
TX AVG $81.8k
Rank #297 / 301
24
Facility 24
TX AVG 25.9
Rank #178 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
7 48 A-
45
Facility 45
TX AVG 41
Rank #628 / 1391
Arcpi Holdings Inc
$26.5M
Facility $26.5M
TX AVG $8.4M
Rank #49 / 304
$12.5M
Facility $12.5M
TX AVG $3.5M
Rank #18 / 304
47.3%
Facility 47.3%
TX AVG 47%
Rank #9 / 304
455866
The Legacy at Willow Bend
NH
AL
HC
IL
MC
Plano
60
Facility 60
TX AVG 80
Rank #583 / 988
96.5%
Facility 96.5%
TX AVG 63.5%
Rank #6 / 304
+52%
5.73
Facility 5.73
TX AVG 3.63
Rank #9 / 296
+54% +58%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
5.7
Facility 5.7
TX AVG 3.7
Rank #283 / 299
- 56 A+
45
Facility 45
TX AVG 41
Rank #628 / 1391
The Legacy Willow Bend, Inc
$22.1M
Facility $22.1M
TX AVG $8.4M
Rank #15 / 304
$13.7M
Facility $13.7M
TX AVG $3.5M
Rank #12 / 304
61.9%
Facility 61.9%
TX AVG 47%
Rank #159 / 304
676189
Princeton Medical Lodge
NH
PC
RC
Princeton
138
Facility 138
TX AVG 80
Rank #95 / 988
88.3%
Facility 88.3%
TX AVG 63.5%
Rank #26 / 304
+39%
2.45
Facility 2.45
TX AVG 3.63
Rank #294 / 296
+2% -33%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
5.0
Facility 5.0
TX AVG 3.7
Rank #264 / 299
- 125 -
24
Facility 24
TX AVG 41
Rank #1040 / 1391
Jordan Moon
$12.7M
Facility $12.7M
TX AVG $8.4M
Rank #19 / 304
$6.5M
Facility $6.5M
TX AVG $3.5M
Rank #78 / 304
51.4%
Facility 51.4%
TX AVG 47%
Rank #300 / 304
676485
Hidalgo Nursing and Rehabilitation Center
NH
HC
MC
PC
RC
Edinburg
126
Facility 126
TX AVG 80
Rank #160 / 988
77.8%
Facility 77.8%
TX AVG 63.5%
Rank #85 / 304
+23%
2.74
Facility 2.74
TX AVG 3.63
Rank #284 / 296
-53% -24%
$7.6k
Facility $7.6k
TX AVG $81.8k
Rank #82 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.8
Facility 2.8
TX AVG 3.7
Rank #94 / 299
1 104 -
29
Facility 29
TX AVG 41
Rank #942 / 1391
Regency Ihs Of Hidalgo LLC
$9.7M
Facility $9.7M
TX AVG $8.4M
Rank #74 / 304
$5.8M
Facility $5.8M
TX AVG $3.5M
Rank #90 / 304
60.3%
Facility 60.3%
TX AVG 47%
Rank #215 / 304
676346
Prairie Estates
NH
Frisco (Meadow Creek)
180
Facility 180
TX AVG 80
Rank #26 / 988
79.6%
Facility 79.6%
TX AVG 63.5%
Rank #78 / 304
+25% - +113% -
$24.6k
Facility $24.6k
TX AVG $81.8k
Rank #159 / 301
20
Facility 20
TX AVG 25.9
Rank #139 / 299
2.9
Facility 2.9
TX AVG 3.7
Rank #110 / 299
2 152 -
22
Facility 22
TX AVG 41
Rank #1064 / 1391
Sutton Health Care Center Ltd Co
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #50 / 304
$8.0M
Facility $8.0M
TX AVG $3.5M
Rank #50 / 304
64.7%
Facility 64.7%
TX AVG 47%
Rank #146 / 304
676145
Village Creek Wellness and Rehabilitation
NH
PC
Fort Worth
100
Facility 100
TX AVG 80
Rank #363 / 988
80.7%
Facility 80.7%
TX AVG 63.5%
Rank #65 / 304
+27%
2.80
Facility 2.80
TX AVG 3.63
Rank #279 / 296
+16% -23%
$19.0k
Facility $19.0k
TX AVG $81.8k
Rank #131 / 301
19
Facility 19
TX AVG 25.9
Rank #126 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
2 85 -
26
Facility 26
TX AVG 41
Rank #1005 / 1391
Village Creek Nursing & Rehabilitation LLC
$2.3M
Facility $2.3M
TX AVG $8.4M
Rank #253 / 304
$1.3M
Facility $1.3M
TX AVG $3.5M
Rank #214 / 304
54.4%
Facility 54.4%
TX AVG 47%
Rank #45 / 304
675977
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Nursing Home Explorer
Overview of Chelsea Gardens Skilled Nursing & Rehab Center

Chelsea Gardens Skilled Nursing & Rehabilitation is a nursing home in Missouri City, TX, offering skilled nursing and rehabilitation. Fostering comfort and healing, the community ensures older adults are treated well during their stay. 24-hour care, therapy services, and social services are also provided, so residents have a worry-free lifestyle. Through an innovative approach to care, the community ensures residents receive exceptional care for their unique needs and preferences.

Group activities, fun gatherings, and light exercises ensure residents can stay active and gain meaningful experiences. With spacious, private rooms and lively gathering areas, residents can rest and move around comfortably. Located near Riverstone Shopping Center, fast-food chains, and restaurants, the community ensures residents have quick access to their necessities and leisure. This nursing home has high standards of care and top-notch amenities, making it a good option for senior living in Texas.

Contact Chelsea Gardens Skilled Nursing & Rehab Center

Overview of The Brightpointe

The Brightpointe is a nursing home in Conroe, TX, offering cardiac care, rehabilitation, and skilled nursing. Featuring private and semi-private rooms in a nurturing and welcoming environment, the community ensures older adults can feel at ease during their stay. Chef-prepared meals, 24-hour care, and comprehensive therapy programs are among the excellent services provided to enrich residents’ living experiences. Alongside a high caregiver-to-resident ratio, personalized care plans are also provided to help residents recover and return to their routines with ease.

Light exercises, social gatherings, and a variety of recreational programs help residents stay active and gain meaningful experiences. Two outdoor courtyards, a therapy gym, and spacious dining areas also ensure residents can interact with friends and rest comfortably. Set near the HCA Houston Healthcare Conroe and bus stops in the quiet residential area of Conroe, the community ensures residents have a convenient lifestyle. This nursing home has exceptional standards of care and state-of-the-art amenities, making it a great choice for senior living in Texas.

Contact The Brightpointe

Overview of Cypress Creek Rehabilitation & Healthcare Center

Cypress Creek Rehabilitation & Healthcare is a well-regarded nursing home in Cypress, TX, offering comprehensive care options, including long-term care, skilled nursing, rehabilitation, hospice, and respite care. Featuring a park-like landscape, the community ensures older adults live a comfortable retirement. Well-balanced meals, 24-hour care, and transportation services are also provided to improve residents’ quality of life. The community also strives to understand residents’ ever-changing needs and habits to provide the best possible care.

Recreational programs and fitness exercises tailored to residents’ interests encourage them to stay active and have fun. A rehabilitation gym, a gazebo, and a courtyard are among the many amenities dedicated to residents’ leisure and wellness. Nestled in the quiet residential area of Cypress, the community ensures residents have a stress-free retirement. Providing high-quality services, this nursing home is one of the best choices for senior living in Texas.

Contact Cypress Creek Rehabilitation & Healthcare Center

Overview of Victoria Gardens of Frisco

Victoria Gardens of Frisco is a nursing home in Frisco, TX, offering dementia care, long-term care, rehabilitation, and skilled nursing. The community also promotes a warm and welcoming environment, ensuring older adults can feel at ease during their stay. With chef-prepared meals, 24-hour care, and social services, residents experience a maintenance-free retirement. Through personalized care plans, residents receive the utmost attention and care to recover and return to their routines with ease.

Holiday parties, field trips, and fitness programs provide residents with more opportunities to explore new hobbies and make friends. Beautifully designed rooms and spacious gathering areas also ensure residents can rest and move around comfortably. Situated in the lively Frisco neighborhood, residents have a convenient lifestyle. This nursing home is a great choice for senior living in Texas, especially with its high standards of care.

Contact Victoria Gardens of Frisco

Overview of Whispering Pines Lodge

Whispering Pines Lodge is a well-regarded nursing home in Longview, TX, offering comprehensive skilled nursing and rehabilitation. Here, older adults can ease their worries, especially with its warm and supportive environment. Transportation services, laundry, housekeeping, and thoughtfully prepared meals are also provided to enrich residents’ living experiences. The community also provides individualized care plans tailored to their unique needs and habits.

Fun gatherings, social events, and recreational activities provide residents with more opportunities to explore new hobbies and gain meaningful experiences. With state-of-the-art amenities and cozy communal spaces, residents can rest and move around comfortably. Residents have a stress-free retirement, as it is conveniently located in the quiet residential area of Longview. This nursing home has excellent services dedicated to older adults’ well-being, making it a great option for senior living in Texas.

Contact Whispering Pines Lodge

Overview of Carrollton Health & Rehabilitation Center

Carrollton Health and Rehabilitation Center is a trusted nursing home in Carrollton, TX, offering rehabilitation and skilled nursing. With its nurturing and inviting environment, older adults can ease their worries during their stay. Residents also experience a worry-free lifestyle, with 24-hour care, well-balanced meals, and therapy services. Following a holistic approach to care, the community ensures residents can recover and return to their routines without hassles.

Arts and crafts, local excursions, and ice cream socials encourage residents to explore new hobbies and make friends. State-of-the-art rehabilitation equipment and spacious communal areas allow residents to live comfortably and interact with their surroundings safely. Situated in the quiet residential area of Carrollton, the community ensures residents have a stress-free retirement. This nursing home strives to help older adults thrive in retirement, making it one of the leading options for senior living in Texas.

Contact Carrollton Health & Rehabilitation Center

Overview of Heritage Gardens Rehabilitation & Healthcare

Heritage Gardens Rehabilitation and Healthcare is a well-regarded nursing home in Carrollton, TX, offering skilled nursing and rehabilitation. Committed to older adults’ comfort and healing, the community continuously promotes a warm and nurturing environment. High-quality services, including 24-hour care, therapy services, and well-balanced meals, are also provided to improve residents’ quality of life. With personalized care plans anchored to its holistic approach to care, the community strives to meet residents’ unique needs and preferences.

Arts and crafts, church services, and trips are among the many activities that aim to keep residents happy and active. Beautiful outdoor spaces and well-lit amenities are also provided, so residents can lounge and interact with the community comfortably. Set in the peaceful residential area of Carrollton, the community guarantees a stress-free retirement. As one of the trusted options for senior living in Texas, this nursing home continuously provides exceptional care to help older adults thrive in retirement.

Contact Heritage Gardens Rehabilitation & Healthcare

Overview of Accel at College Station

Accel at College Station is a nursing home in College Station, TX, offering a wide range of care options, including long-term care, skilled nursing, rehabilitation, and pulmonary care. Here, older adults are treated like family, especially with a compassionate and nurturing atmosphere. With 24-hour care, medication management, and therapy services, residents do not have to worry about their needs and live comfortably in retirement. Through individualized care plans, the community strives to help residents recover with ease.

Recreational activities, light exercises, and social events also promote social engagement and an active lifestyle. With a spacious dining area, cozy communal spaces, and thoughtfully furnished rooms, residents can relax and interact with the community. A stress-free retirement is also guaranteed, as it is peacefully nestled in the residential area of College Station. This nursing home continuously provides exceptional standards of care, making it one of the best options for senior living in Texas.

Contact Accel at College Station

Overview of Fortress Nursing and Rehabilitation

Fortress Nursing and Rehabilitation is a well-recognized nursing home in College Station, TX, offering skilled nursing and rehabilitation. Promoting a supportive and welcoming environment, the community ensures older adults can feel at home during their stay. Well-balanced meals, therapy services, and transportation are just some of the excellent services provided to enrich residents’ living experiences. The community also strives to meet residents’ unique needs and preferences through individualized care plans.

Religious services and recreational activities help improve residents’ moods and encourage them to stay active. With clean amenities and cozy communal lounges, residents can rest and move around comfortably. St. Joseph Health College Station Hospital, parks, and a variety of dining options are also available in the area, providing residents with convenient access to their needs and leisure. Providing comprehensive care options, this nursing home is one of the leading options for senior living in Texas.

Contact Fortress Nursing and Rehabilitation

Passion Hospice

12042 Blanco Rd Ste 355, San Antonio, TX 78216
Overview of Passion Hospice

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.

Contact Passion Hospice

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
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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 262 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.