Other senior care options in Texas:

Page 27 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
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.

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 Colonial Manor Nursing & Rehabilitation Center

Located in the beautiful greenery of New Braunfels, TX, Colonial Manor Nursing and Rehab stands as a haven for individuals in need of comprehensive care. This skilled nursing facility offers a wide range of services, including long-term care, skilled nursing, and rehabilitative care. The facility provides round-the-clock skilled nursing care, ensuring that residents receive the attention and medical expertise they need at any hour. Colonial Manor Nursing and Rehab specializes in rehabilitative care, offering physical, occupational, and speech therapy tailored to individual needs. Additionally, the facility provides IV therapy and hospice care, emphasizing the importance of personalized and holistic medical services.

Colonial Manor Nursing and Rehab’s building layout is thoughtfully designed, providing a secure environment with easy accessibility. The facility exudes a quiet setting and cozy atmosphere, fostering an environment conducive to meaningful conversation and leisure retreats. The professional staff, including experienced medical directors, registered nurses, certified nursing assistants, and dedicated administrative personnel, ensures a safe and comfortable living space for residents. With specialized programs like the Specialized Wound Management Program and options for vacation or respite care, Colonial Manor Nursing and Rehab prioritizes the well-being of its residents, offering not just care but a warm and supportive environment where individuals can thrive.

Contact Colonial Manor Nursing & Rehabilitation Center

Overview of Winkler Court

Winkler Court is a licensed Type B senior care community in Carthage, Texas, serving older adults throughout Panola County and the surrounding East Texas region. The community has been part of the local care landscape for more than 35 years under the Carthage AL, LLC, reflecting long-standing ties to the area and a well-established reputation among local families. With 36 licensed beds, the community offers a smaller-scale environment that emphasizes personal attention and a comfortable residential atmosphere.

The community’s care model is strongly focused on medical and rehabilitative support, offering services that include skilled nursing, post-acute recovery care, restorative therapy programs, palliative care, rehabilitation services, and respite stays. This range of care makes it a practical option for individuals recovering after hospitalization, managing chronic medical conditions, or requiring supportive long-term care.

With an occupancy rate of roughly 94%, substantially higher than the Texas state average, the community indicates stable operations and continued confidence from residents and families. No enforcement actions or federal CMS penalties have been reported within the past three years, further supporting the community’s overall compliance profile.

Four Life Safety Code citations were reported, connected to NFPA 101 building standards and sprinkler system compliance. These findings were tied to corrective actions completed between May and June 2019. The total citation count remains below the Texas average of six, and inspectors identified no Health Code deficiencies in the most recent review, reflecting positively on the quality of day-to-day resident care and operational oversight.

Winkler Court is well-suited for older adults who require skilled nursing support, rehabilitation services, or long-term care within a smaller and community-oriented environment in East Texas. Its decades-long operating history, strong occupancy levels, and clean enforcement record make it a dependable option for families seeking care in the Carthage and Panola County area.

Contact Winkler Court

Overview of Crestwood Assisted Living

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.

Contact Crestwood Assisted Living

Overview of Treasure Hills Residential Care Homes

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.

Contact Treasure Hills Residential Care Homes

Overview of Amedisys Hospice Care

Tucked away in the area of Fort Worth, TX, Amedisys Hospice Care is a compassionate community designed to provide comfort to those facing a terminal illness. Their dedicated care team is available 24/7 to offer an array of services, including pain management, nursing care, and hospice aides. Through personalized care plans, the community makes sure their residents live out their remaining days with dignity, comfort, and loving care.

Dedicated to making its residents’ lives as comfortable as possible, the community also features a compassionate team of social workers to offer them emotional support. They also guide residents’ families in the process of grief through bereavement counseling to help them cope healthily. Here, residents spend their final days filled with warmth and loving care.

Contact Amedisys Hospice Care

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
No paid rankings Facilities cannot pay to influence placement.
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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.