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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.
Step into the charm of Oakridge Residential Care Home in Beaumont, TX, where assisted living, memory care, and respite care services come together in a warm and welcoming environment. With a well-trained and dedicated team, residents can receive the utmost care and support they need while maintaining their independence. In terms of memory care, the community provides personal care plans catering to the immediate needs and interests of its residents.
The community is dedicated to delivering top-notch amenities and services, including delightful and healthy home-cooked meals, transportation services, and regular housekeeping and laundry. With a robust calendar of fun and interactive activities and programs, residents can enjoy opportunities to socialize and build lasting connections. With Oakridge Residential Care Home, seniors are guaranteed an empowering and secure living experience.
Surrounded by breathtaking scenery and offering top-notch care, Arabella of Kilgore Senior Living proves to be the right choice for seniors in Texas. Residents can enjoy an elevated lifestyle as they are supported by an expert and compassionate team in delivering independent living, assisted living, and memory care services. The community provides natural settings and resort-style amenities. In addition to high-quality care, seniors can also take great pleasure in tending to the gardens in one of the two charming courtyards, each offering a unique and enriching experience.
The golden years are made even more vibrant and fulfilling in this exceptional community where residents can fully embrace the peaceful and idyllic charm of countryside living. Truly, seniors can enjoy an ultimately relaxing living experience with Arabella of Kilgore.
Overview of The Pinnacle and the Village of Edenhill
Part of Edenhill Communities, The Pinnacle and the Village of Edenhill is a senior living community in the Landa Park Estates neighborhood of New Braunfels, Texas. The community offers independent living, assisted living, memory care, skilled nursing, respite care, and hospice. Residents can transition between levels of care as their needs change without moving to a different address.
There are one-bedroom and two-bedroom apartments, each with a fully equipped kitchen and a full bathroom. These residences provide a more home-like setting than a single room. Every apartment has an emergency response system, so assistance is available at the touch of a button. Housekeeping and linen services are included to reduce everyday household responsibilities.
Wellness is a central part of life on campus. Residents have access to a Wellness Center with a covered, heated pool, along with a salon and spa. A nature area and walking trails provide peaceful outdoor spaces without leaving the property. The community also welcomes pets, allowing residents to keep a companion animal after they move in.
The car-dependent area has a Walk Score of 11, so most errands and outings require a vehicle. Families planning regular visits or outings may want to keep that tradeoff in mind when considering the community. Families touring The Pinnacle and the Village of Edenhill may also want to ask which apartment floor plans are currently available because availability can change with occupancy.
Overview of Rambling Oaks Courtyard Assisted Living Residence
With a Type B license in Denton County, Rambling Oaks Courtyard Assisted Living Residence is a senior care community in Highland Village, Texas, offering assisted living and rehabilitation services. Managed by Rambling Oaks Courtyard ALR Highland Village LLC, this 79-bed community reflects a domestic atmosphere, focusing on personalized attention and resident ease within a community-scale layout.
The most recent HHSC inspection on June 9, 2022, concluded with two findings, which included one health-related infraction and one life safety code issue, both of which are significantly lower than the Texas state averages of 6 total findings and 2 health findings. The life safety matter involved construction standards for hazardous zones and had been previously noted and partially resolved. There are no enforcement actions, and no federal financial penalties have been issued over the last three years. With a record of zero citations per evaluation in comparative data, the community maintains a generally positive regulatory history.
A remarkably thorough selection of features is available for a community of this size, such as three private courtyards, a day room, a sunroom, and a hair salon and barbershop. An ultrasound bath, a dedicated space for physical therapy and wellness, and a classic screened-in porch are among the amenities available, as well as a traditional dining area that focuses on nutritious, home-style cooking. Rehabilitative support is provided, and the memory care wing holds an official Alzheimer’s certification. While administrative offices are open during standard weekday hours, personal care is delivered around the clock.
Rambling Oaks Courtyard Assisted Living Residence is an excellent option for families in the Highland Village and North Dallas region looking for a cozy, residential-style setting that offers both daily assistance and memory care. Its unique features, specifically secured courtyards and the health room, serve older adults who appreciate outdoor access and active recovery.
Overview of The Heritage Assisted Living of Edenhill
Part of the Edenhill Communities campus, The Heritage Assisted Living of Edenhill is an assisted living community in the Landa Park Estates neighborhood of New Braunfels, Texas. While The Heritage focuses on assisted living, the larger Edenhill campus also offers independent living, memory care, respite care, and skilled nursing. This range of services allows residents to transition between levels of care as their needs change over time.
Residents can choose from studio and one-bedroom apartments. Each residence includes an emergency response system, a kitchenette, and a spacious bathroom with an easy-access shower. Medication management is available. Trained caregivers and certified nursing staff provide 24-hour care, ensuring support is available whenever it is needed.
Life at The Heritage extends beyond the residences. Flexible dining options accommodate different culinary preferences, while housekeeping and linen services reduce daily household responsibilities. Residents also have access to a salon and spa, a wellness center with a covered heated pool, a library, a business center, and a fourth-floor lounge with scenic views.
The Heritage welcomes pets, allowing residents to keep a companion animal after they move in. The community is about 1.5 miles from downtown New Braunfels, and Methodist Hospital Northeast is approximately 18 miles away. Hospital care is easy to reach when needed. The area has a Walk Score of 8. Most errands and outings require a vehicle, which is worth considering when planning visits or preparing for a move.
Meadow Lake Assisted Living Community is a licensed senior living community in Tyler, Texas, offering assisted living, memory care, and skilled nursing services. Operated by Meadow Lake LLC under Lifespace Communities, Inc. in Smith County, the community is licensed as a Type B community through the Texas Health and Human Services Commission. It also holds a 5-Star rating from the Centers for Medicare & Medicaid Services (CMS), the highest distinction, which highlights the community’s strong performance in staffing, inspections, and quality measures, making it a notable option for older adults in the Tyler area. Medicare is also accepted.
The community’s most recent comprehensive state inspection took place on December 20, 2023, with no Health Code or Life Safety Code deficiencies identified. Additionally, no concerns involving resident care, building safety, pest control, or fire protection systems were reported. Over the past three years, the community has recorded only one total citation, significantly below the Texas average of six citations during the same period. No enforcement actions have been reported. For families comparing assisted living and memory care options in East Texas, this regulatory history reflects a strong pattern of operational consistency and compliance with state standards.
The campus is centered around a scenic five-acre lake and includes walking paths, landscaped outdoor areas, and a rustic-style community lodge that creates a peaceful, nature-oriented environment. Several dining venues, including a casual buffet and grill, are available, along with a private dining room for gatherings and catered events. Additional amenities also include a beauty salon, arts and crafts studio, library, card and game rooms, fitness and exercise spaces, and a broad range of clubs, hobby groups, and enrichment activities. Scheduled transportation services are also available, and residences include personal safes for added convenience and security. Care services include 24-hour staffing, rehabilitation support, and respite care.
Meadow Lake Assisted Living Community is well-suited for older adults with a variety of care needs, including those seeking an active assisted living lifestyle, individuals requiring memory support, and residents recovering through short-term rehabilitation or respite services. The lake-centered campus and gated setting also appeal to those who value outdoor surroundings and a quieter atmosphere. While the surrounding area is not highly walkable, the community’s transportation services help support access to appointments, outings, and local destinations.
Brookdale Pecan Park is a senior living community in Arlington, Texas, offering assisted living and memory care. It is operated by S-H Opco Pecan Park, LLC under the Brookdale Senior Living brand with a Type B license in Tarrant County. With a 31-bed capacity, it offers a smaller-scale environment designed to provide more personalized support and closer staff-to-resident interaction.
The community features Brookdale’s nationally recognized Clare Bridge memory care program, which provides structured, research-based dementia support focused on routine, engagement, and cognitive wellness. The Brookdale HealthPlus program is also available, emphasizing preventive health management and personalized wellness coordination for those with ongoing medical needs. Short-term respite stays are offered to give families flexibility during caregiver transitions or recovery periods.
Meals are included, along with a broad selection of amenities and lifestyle services. A beauty and barber salon, an arts and crafts studio, a game room, a landscaped courtyard and garden spaces, walking paths, a private dining room, a piano lounge, pharmacy access, and guest accommodations for visiting family members are available on-site. Safety measures include a secured perimeter, wheelchair accessibility, and 24-hour emergency response systems designed to support residents with mobility or cognitive care needs.
A total of seven citations across both Health Code and Life Safety Code categories are recorded, with areas cited including lighting standards, exit signage, fire extinguisher placement, and hazardous area construction compliance. An administrative penalty was issued in September 2024 related to emergency care transfer procedures. While the citation total is higher than the Texas average, the findings were largely connected to one comprehensive inspection cycle.
Brookdale Pecan Park is best suited for older adults and families seeking a nationally operated assisted living and memory care community with structured dementia programming and extensive lifestyle amenities. The Clare Bridge and HealthPlus programs provide additional support for residents who benefit from a more coordinated, wellness-focused approach to cognitive and daily care needs.
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.
Brookdale San Marcos North is a senior living community in San Marcos, Texas, providing assisted living and memory support. Managed by HCP Inc. through S-H Thirty-Five Opco-San Marcos, LLC in Hays County, as part of the Brookdale Senior Living network, this licensed Type B community has a 12-bed capacity, fostering a more intimate atmosphere compared to large institutional locations. For families searching for tailored care in the San Marcos area, the limited capacity of the community can lead to higher levels of personal interaction between staff and residents.
The most recent evaluation in January 2024 concluded with three findings. All were categorized as Life Safety Code concerns, and no Health Code deficiencies were cited. These specific issues concerned the locking hardware on exit doors and the lack of a yearly fire marshal review. While similar concerns were identified in 2019 and resolved by early 2020, the 2024 report suggests they have reappeared. Additionally, no regulatory penalties were issued, and the count of three citations stays under the Texas state average of six.
24-hour staffing is provided along with Alzheimer’s certification, short-term stays, and the specialized Clare Bridge memory support curriculum. A gym, transit assistance, a library, concierge help, and a hair salon are also available, along with a courtyard, a greenhouse for gardening, a private dining area, a game room with billiards, strolling paths, guest quarters, and a business center. Pets are also allowed, and the culinary staff prepares meals based on the personal tastes of the older adults.
With a 12-bed capacity, Brookdale San Marcos North is ideal for those seeking a smaller and more private care setting with access to a wide variety of amenities. Its smaller scale, along with the presence of the Clare Bridge program, also allows for deeper connections between the team and the residents, which is often a major factor for families making choices about memory support. Additionally, its costs are reasonable compared to larger urban centers.
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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