Page 27 of Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 281 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
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We analyzed These are the facilities in Texas our team has analyzed — not a count of every nursing home provider in Texas.
281 homes
Other senior care options in Texas:

Nursing homes 261-270 of 281

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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-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Le Reve Memory Care ★ ☆ ☆ ☆ ☆
NH
HOS
MC
RC
SNF
Dallas (Casa View)
40
Facility 40
TX AVG 107
Rank #236 / 258
--
3.44
Facility 3.44
TX AVG 3.49
Rank #101 / 234
★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +15%-1%
$120.6k
Facility $120.6k
TX AVG $66.1k
Rank #208 / 237
26
Facility 26
TX AVG 27.7
Rank #136 / 235
2.6
Facility 2.6
TX AVG 3.6
Rank #57 / 235
653-
48
Facility 48
TX AVG 44
Rank #126 / 278
Le Reve Memory Care LLC
$5.9MFiscal year ending 12/2024
Facility $5.9MFiscal year ending 12/2024
TX AVG $9.4M
Rank #192 / 218
$3.3MFiscal year ending 12/2024
Facility $3.3MFiscal year ending 12/2024
TX AVG $5.4M
Rank #192 / 218
54.9%Fiscal year ending 12/2024
Facility 54.9%Fiscal year ending 12/2024
TX AVG 71.6%
Rank #155 / 199
676474
Avir at Woodlands Villas ★ ☆ ☆ ☆ ☆
NH
AL
MC
SNF
Eastland
48
Facility 48
TX AVG 107
Rank #228 / 258
--
4.00
Facility 4.00
TX AVG 3.49
Rank #57 / 234
★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ +35%+15%
$85.6k
Facility $85.6k
TX AVG $66.1k
Rank #197 / 237
31
Facility 31
TX AVG 27.7
Rank #167 / 235
4.4
Facility 4.4
TX AVG 3.6
Rank #203 / 235
367-
49
Facility 49
TX AVG 44
Rank #118 / 278
125 Inspiration Blvd Alf Opco LLC
$6.7MFiscal year ending 06/2025
Facility $6.7MFiscal year ending 06/2025
TX AVG $9.4M
Rank #141 / 218
$2.7MFiscal year ending 06/2025
Facility $2.7MFiscal year ending 06/2025
TX AVG $5.4M
Rank #190 / 218
40.4%Fiscal year ending 06/2025
Facility 40.4%Fiscal year ending 06/2025
TX AVG 71.6%
Rank #196 / 199
675001
Gracy Woods I Nursing Center ★ ☆ ☆ ☆ ☆
NH
MC
SNF
Austin (Gracy Woods)
118
Facility 118
TX AVG 107
Rank #135 / 258
71.2%
Facility 71.2%
TX AVG 71.6%
Rank #97 / 174
-1%
3.81
Facility 3.81
TX AVG 3.49
Rank #70 / 234
★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -79%+9%
$204.4k
Facility $204.4k
TX AVG $66.1k
Rank #229 / 237
63
Facility 63
TX AVG 27.7
Rank #230 / 235
3.7
Facility 3.7
TX AVG 3.6
Rank #166 / 235
1084-
54
Facility 54
TX AVG 44
Rank #87 / 278
Winnie-Stowell Hospital District
$7.0MFiscal year ending 12/2024
Facility $7.0MFiscal year ending 12/2024
TX AVG $9.4M
Rank #166 / 218
$4.3MFiscal year ending 12/2024
Facility $4.3MFiscal year ending 12/2024
TX AVG $5.4M
Rank #143 / 218
61.5%Fiscal year ending 12/2024
Facility 61.5%Fiscal year ending 12/2024
TX AVG 71.6%
Rank #70 / 199
675918
The Pines at Rolling Meadows-
NH
AL
IL
MC
SNF
Wichita Falls
86
Facility 86
TX AVG 107
Rank #179 / 258
--------------
50
Facility 50
TX AVG 44
Rank #111 / 278
Wichita Falls Retirement Foundation
$9.1MFiscal year ending 12/2024
Facility $9.1MFiscal year ending 12/2024
TX AVG $9.4M
Rank #115 / 218
$4.9MFiscal year ending 12/2024
Facility $4.9MFiscal year ending 12/2024
TX AVG $5.4M
Rank #119 / 218
53.7%Fiscal year ending 12/2024
Facility 53.7%Fiscal year ending 12/2024
TX AVG 71.6%
Rank #118 / 199
676203
Remarkable Healthcare-
NH
Fort Worth (Summerfields)
120
Facility 120
TX AVG 107
Rank #96 / 258
--------------
53
Facility 53
TX AVG 44
Rank #90 / 278
$7.2M*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $7.2M*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG $9.4M
Rank #144 / 218
$4.9M*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility $4.9M*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG $5.4M
Rank #107 / 218
68.5%*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility 68.5%*Fiscal year ending 05/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG 71.6%
Rank #56 / 199
676285

Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 281 on this page. See how we rank facilities

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Overview of Brookdale Pecan Park

Brookdale Pecan Park provides nursing home, skilled nursing, assisted living, independent living, and memory care in Arlington, TX. Its nursing home and skilled nursing services provide licensed nursing care on site around the clock, while assisted living helps residents with daily tasks such as bathing, dressing, and medication. Independent living provides private living with community services and no daily care, and memory care offers a secured setting with supervision for someone at risk of wandering.

Several care levels are available in one community, which can suit a resident whose needs grow over time without leaving the community. Respite care provides a short stay for a family whose usual caregiver needs time to travel or recover. Brookdale Pecan Park may be a good fit for someone who wants access to multiple care levels as support needs change.

The community has 31 beds, making it a smaller community where staff and residents can get to know each other. Starting prices are $2,930 for assisted living and $6,985 for memory care; the higher memory care rate corresponds to the secured setting and supervision that level provides. Pets are allowed, so a resident may keep a pet while living at the community.

A salon and spa provides an on-site place for personal grooming, while the courtyard and garden give residents outdoor space to use. Transportation is available, and the community offers the Clare Bridge and Brookdale HealthPlus programs. S-H Opco Pecan Park operates Brookdale Pecan Park.

$2,930/Month Info Pricing updated on March 20th, 2026

Contact Brookdale Pecan Park

Overview of House of Hope by Presbyterian Manor

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.

Contact House of Hope by Presbyterian Manor

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

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To request photos, use the contact form.

Overview of Winkler Court

Winkler Court provides nursing care, skilled nursing, palliative care, and respite care in Carthage, TX. Skilled nursing provides licensed nursing on site around the clock, while palliative care supports comfort-focused needs. Respite care offers a short stay for someone whose usual caregiver is traveling or recovering.

The community has 36 beds, making it a smaller setting where staff and residents can get to know one another. Post-acute, rehabilitation, and restorative programs support care after a hospital stay and help residents work on recovery or maintain daily abilities. Winkler Court may be a good fit for someone who needs nursing support, rehabilitation, palliative care, or a temporary respite stay. The community is operated by Carthage Al.

Contact Winkler Court

Overview of Tomball Retirement Center

Tomball Retirement Center offers nursing home, skilled nursing, assisted living, and independent living in Tomball, TX. Skilled nursing provides licensed nursing care on site around the clock, while assisted living supports daily tasks and independent living provides private living with community services and no daily care.

The community has 60 beds and offers rehabilitation services, giving residents access to recovery support while living at the community. With several care levels, Tomball Retirement Center may be a good fit for a resident whose needs change over time and who may be able to remain in the same community as care requirements grow; it is operated by Hsmtx/Stallones-Tomball.

Contact Tomball Retirement Center

The Craig Senior Living

5500 Sw 9Th Avenue, Amarillo, TX 79106
Overview of The Craig Senior Living

Dedicated to improving the lives of seniors, The Craig Senior Living is a premier provider of retirement living in Amarillo, TX. Ever since it opened in 1997, The Craig has been providing the people of Amarillo, TX top-notch independent living, assisted living, and skilled nursing care all under one roof. Prioritizing the well-being of their residents, each care plan is customized to meet each individual’s needs. Situated on a beautiful 40-acre campus, this community puts an emphasis on comfortable and peaceful living with its luxurious floor plans ranging from 1-2 bedroom apartments to private homes with garages and spacious walk-in closets. Aside from this, the community also has several amenities and features that are made for the socialization and engagement of the residents, as well as to ensure their wellness and safety. To highlight a few, residents are provided with weekly housekeeping, transportation services, a complete utilities package, scheduled shopping trips and much more. It is no surprise that The Craig has established itself as the premier provider in Amarillo due to its dedication to compassionate care in a beautiful environment.

$2,909/Month Info Pricing updated on October 12th, 2026

Contact The Craig Senior Living

Overview of The Crossings Retirement Community

Located about 1.5 miles from downtown League City, Texas, and just under 2 miles from Houston Methodist Clear Lake Hospital, The Crossings Retirement Community is a senior living campus offering nursing home care, assisted living, independent living, memory care, and skilled nursing. The several levels of care in one community allow residents to receive more support as their needs change without relocating. Its location also keeps hospital care within easy reach if residents need it.

Licensed nursing staff is available 24 hours a day. Residents recovering from surgery, illness, or injury have access to on-site speech, physical, and occupational therapy. Short-term rehabilitation is available for those working toward returning home. Residents have access to prepared meals, scheduled transportation, and a regular calendar of activities.

Residents receive an average of about 57 minutes of registered nurse care, 52 minutes of licensed practical or vocational nurse care, and 2 hours and 39 minutes of nurse aide care each day. These staffing levels provide licensed nursing support along with the hands-on personal care residents need every day. One-bedroom and two-bedroom floor plans are available. The community welcomes pets, allowing them to keep a companion animal after moving in.

The area has a Walk Score of 55, which is moderately walkable. Some errands can be completed on foot, but most trips require a car. Families who want a closer look at the community’s daily routines and apartment layouts should schedule an in-person tour.

$349/Day Info Pricing updated on October 12th, 2026

Contact The Crossings Retirement Community

Overview of Highland Springs Senior Living

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

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

Starting Price $2,948/Month Info Pricing updated on October 7th, 2026

Contact Highland Springs Senior Living

Overview of Baptist Retirement Community

Baptist Retirement Community offers independent living, assisted living, memory care, respite care, and skilled nursing and nursing home care in San Angelo, TX. Independent living means private living with community services and no daily care, while assisted living includes help with everyday tasks such as bathing, dressing, and taking medication. Memory care provides a secured setting with supervision, and having several care levels may suit a resident whose needs change over time.

Skilled nursing and nursing home care provide licensed nursing care on site around the clock. Respite care offers a short stay when a usual caregiver needs to travel or recover, while medication management supports residents with medication routines and personal assistance services help with personal tasks. Rehabilitation services are available for residents who need therapy during recovery or as part of ongoing care. With a Walk Score of 33 / 100, the area is quieter and dependent on cars, so most errands require a car or a ride and a resident who no longer drives would need transportation for routine errands.

Starting Price $1,245/Month Info Pricing updated on October 7th, 2026

Contact Baptist Retirement Community

Overview of Treasure Hills Residential Care Homes

Treasure Hills Residential Care Homes provides nursing home and skilled nursing care in Harlingen, TX. Skilled nursing includes licensed nursing care on site around the clock, with personnel present at all hours.

Rehabilitation services are available within the community through in-house therapy, allowing residents to work on regaining strength and mobility without leaving for therapy elsewhere. A doctor is on staff, and the community may be a good fit for someone who needs skilled nursing alongside rehabilitation support.

Contact Treasure Hills Residential Care Homes

Rankings on this page follow the same method as page 1: see how we rank these nursing homes.

Nursing Homes in Texas at a glance

Avg Overall CMS Rating: 2.7/ 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: 1.9/ 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