Page 29 of Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 285 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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Last updated
We analyzed These are the facilities in Texas our team has analyzed — not a count of every nursing home provider in Texas.
285 homes
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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

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 108
Rank #234 / 255
--
3.44
Facility 3.44
TX AVG 3.63
Rank #101 / 234
+15%-5%
$120.6k
Facility $120.6k
TX AVG $81.8k
Rank #204 / 237
26
Facility 26
TX AVG 25.9
Rank #120 / 234
2.6
Facility 2.6
TX AVG 3.7
Rank #98 / 234
653-
48
Facility 48
TX AVG 43
Rank #121 / 276
Le Reve Memory Care LLC
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
TX AVG $9.4M
Rank #192 / 218
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
TX AVG $5.4M
Rank #192 / 218
49.7%Fiscal year ending 12/2023
Facility 49.7%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #155 / 199
676474
Avir at Woodlands Villas
NH
AL
MC
SNF
Eastland
48
Facility 48
TX AVG 108
Rank #227 / 255
--
4.00
Facility 4.00
TX AVG 3.63
Rank #57 / 234
+35%+10%
$85.6k
Facility $85.6k
TX AVG $81.8k
Rank #192 / 237
34
Facility 34
TX AVG 25.9
Rank #192 / 234
3.8
Facility 3.8
TX AVG 3.7
Rank #144 / 234
367-
49
Facility 49
TX AVG 43
Rank #113 / 276
125 Inspiration Blvd Alf Opco LLC
$7.3MFiscal year ending 06/2024
Facility $7.3MFiscal year ending 06/2024
TX AVG $9.4M
Rank #141 / 218
$2.5MFiscal year ending 06/2024
Facility $2.5MFiscal year ending 06/2024
TX AVG $5.4M
Rank #190 / 218
34.3%Fiscal year ending 06/2024
Facility 34.3%Fiscal year ending 06/2024
TX AVG 71.6%
Rank #196 / 199
675001
Gracy Woods I Nursing Center-
NH
MC
SNF
Austin (Gracy Woods)
118
Facility 118
TX AVG 108
Rank #135 / 255
71.2%
Facility 71.2%
TX AVG 71.2%
Rank #89 / 162
0%
3.81
Facility 3.81
TX AVG 3.63
Rank #70 / 234
----79%+5%
$222.2k
Facility $222.2k
TX AVG $81.8k
Rank #227 / 237
64
Facility 64
TX AVG 25.9
Rank #227 / 234
3.6
Facility 3.6
TX AVG 3.7
Rank #169 / 234
1084-
54
Facility 54
TX AVG 43
Rank #82 / 276
Winnie-Stowell Hospital District
$6.4MFiscal year ending 12/2023
Facility $6.4MFiscal year ending 12/2023
TX AVG $9.4M
Rank #166 / 218
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
TX AVG $5.4M
Rank #143 / 218
63.4%Fiscal year ending 12/2023
Facility 63.4%Fiscal year ending 12/2023
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 108
Rank #178 / 255
--------------
50
Facility 50
TX AVG 43
Rank #106 / 276
Wichita Falls Retirement Foundation
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
TX AVG $9.4M
Rank #115 / 218
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
TX AVG $5.4M
Rank #119 / 218
54.9%Fiscal year ending 12/2023
Facility 54.9%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #118 / 199
676203
Remarkable Healthcare-
NH
Fort Worth (Summerfields)
120
Facility 120
TX AVG 108
Rank #96 / 255
--------------
53
Facility 53
TX AVG 43
Rank #85 / 276
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
TX AVG $9.4M
Rank #144 / 218
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
TX AVG $5.4M
Rank #107 / 218
68.5%Fiscal year ending 12/2023
Facility 68.5%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #56 / 199
676285

Rank badges are statewide: each nursing home is ranked against every TX nursing home we track that reports that metric, not just the 285 on this page. See how we rank facilities

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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.

Contact The Pinnacle and The Village of Edenhill

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.

Contact The Heritage Assisted Living of Edenhill

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 Knopp Retirement Center

Knopp Retirement Center, situated on North Llano Street about a mile from downtown Fredericksburg, Texas, is a 119-bed skilled nursing facility. Owned by Jay Luchenbach, the single-story campus provides a continuum of care, including nursing home, assisted living, memory care, hospice, palliative care, and skilled nursing services, which allows residents to transition between levels of support without relocating. The facility accepts Medicare, Medicaid, and private pay.

The building maintains an occupancy rate of approximately 47 percent, and residents stay for an average of 90 days. Daily care is supported by an average of 3 hours and 31 minutes of nursing care per resident. For daily engagement, the community is a certified Music & Memory facility, offering personalized music programs alongside pet therapy, live music visits, and structured wellness initiatives like “Jay’s Time.”

Texas Health and Human Services Commission inspection reports highlight areas such as documentation, medication administration, and the upkeep of equipment and building systems, rather than direct clinical care. The facility has a citations-per-inspection rate of zero, though visiting families may still want to ask how staff monitor these administrative and operational processes.

The surrounding neighborhood has a Walk Score of 35, indicating that most errands require a car, though some destinations are reachable on foot.

Prospective residents looking for a comprehensive care setting with personalized cognitive programs near downtown Fredericksburg can schedule a visit to evaluate the community.

Contact Knopp Retirement Center

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.
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
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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 285 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.