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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.
Blue Skies of Texas East is a 24-bed nursing facility at 4917 Ravenswood Dr in San Antonio, with 14 years of operating history and a current occupancy of 68%. The average length of stay runs 109 days, which is longer than a strictly short-term rehab model but short enough to signal that post-acute recovery defines much of what happens here. Medicare and private pay are both accepted.
Nursing coverage totals 6 hours and 31 minutes per resident per day: 3 hours and 1 minute from nurse aides, 1 hour and 22 minutes from LPN/LVN staff, and 46 minutes of RN time. The service list includes rehabilitation, respite care, and 24-hour staffing. State inspections have addressed themes spanning medication management, infection prevention, emergency preparedness, care planning and documentation, dietary services, resident rights, and staffing and staff credentials; a broad cross-section of operational areas rather than any single concentrated focus.
What distinguishes this community is the amenity picture, which reads like a much larger campus than 24 beds would suggest. Residents have access to a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, a library, a billiard and game room, outdoor walking trails, interdenominational chapels, and 24-hour concierge service. Dining centers on fresh, seasonal, made-from-scratch preparation, and over 70 activity groups are available. For a small nursing unit, the physical environment and activity infrastructure here are substantively above what most facilities at this scale offer.
Situated in the serene neighborhood of Chambers Street, Marlin, TX, Golden Years Nursing and Rehab is a distinguished senior care community offering skilled nursing, rehabilitation therapy, and long- and short-term care. With its cozy and spacious rooms, the community promises a comfortable and safe residence. The community features round-the-clock care and assistance with a team of dedicated and skilled professionals comprised of licensed nurses, therapists, and social workers.
Golden Years Nursing and Rehab strives to improve seniors’ well-being, providing physical, occupational, and speech therapy, alongside other care services. Fun activities and wellness programs are conducted to ensure seniors remain active and happy. The community serves healthy and delicious meals to cater to residents’ dietary needs and preferences. Golden Years Nursing and Rehab is a great place to heal with its campus surrounded by wonderful trees and a serene environment.
Overview of Lakeside Nursing and Rehabilitation Center
Along the picturesque lakeside in beautiful San Antonio lies a beacon of compassionate care for elderly loved ones – Lakeside Nursing and Rehabilitation Center. With 120 beds, they participate in Medicare and Medicaid, ensuring their exceptional services are accessible to those in need. They exhibit a culture of warmth, respect, and individualized care. They believe in providing state-of-the-art rehabilitation facilities that promote healing and recovery. The home’s cutting-edge technology and personalized therapies are tailored to the distinct needs of each resident, helping them regain their maximum independence and strength. The home has inviting and spacious common areas, providing ample room for residents to relax, socialize, and form meaningful connections. Moreover, their housekeeping management ensures that every corner of our facility is meticulously maintained, creating a spotless and safe environment. Choosing Lakeside Nursing and Rehabilitation Center makes it impossible for residents and their families to regret reaching out for help.
Mansfield Nursing and Rehabilitation is where residents thrive with the support of quality services for long-term care. The facility offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. The dedicated team of professionals ensures seniors can restore wellness, recover health, and return to their loved ones.
The nursing home services are resident-focused, ensuring residents receive holistic wellness in a home-like atmosphere. Residents live their best lives because of excellent benefits that help speed recovery. Essential services include housekeeping, restaurant-style dining, stimulating activities, and specialized programs.
Overview of Bangs Nursing Home and Rehabilitation Center
Located in Bangs, Texas, Bangs Nursing and Rehabilitation Center is dedicated to enhancing individual wellness through skilled care services, including long term & short term care and recovery care. The community offers a range of personalized therapies including physical, occupational, and speech therapies tailored to support post-surgical recovery and independence goals. Seniors here can enjoy a supportive environment where they receive expert care to manage health needs comfortably.
Bangs Nursing and Rehabilitation Center aims to provide exceptional rehabilitation and skilled nursing care in a compassionate setting. The community offers an array of amenities and services, such as personalized care plans, social services, and specialized therapies like pain management and wound care. Bangs Nursing and Rehabilitation Center’s goal is to ensure every resident feels at home while receiving the highest quality of care and support.
Saint Francis Nursing Home, a nonprofit community in San Antonio, TX, has been a cherished haven since 1970. Owned and operated by the Seraphic Sisters, it embodies the teachings of St. Francis of Assisi, providing holistic, compassionate care to the sick and elderly. Rooted in Catholic values, this community ensures a nurturing environment where residents and families find vital support and peace.
At St. Francis Nursing Home, the belief in true wellness goes beyond physical health. Through personalized care plans and spiritual services, the community offers unwavering support to residents and their families, ensuring compassionate guidance and care every step of the way. Residents can live peacefully knowing its mission is to ensure that every individual in its care experiences dignity, respect, and a sense of belonging.
Stonegate Nursing and Rehabilitation boasts an advanced care plan leading to a speedy recovery. The long-term care facility with skilled nursing and rehabilitation services aims to enhance the quality of life for its residents by ensuring that seniors can satisfy their holistic wellness. The resident-centered community has a warm and welcoming atmosphere that many seniors have praised because it helps them feel comfortable and have a sense of belonging. Stonegate uplifts the standard of senior recovery with its services delivered by a dedicated team of caregivers who strive to meet and follow a resident’s individualized care plan for a complete healing period. Areas of expertise include wound care, pain management, palliative care, cardiac rehabilitation, and physical, occupational, and speech therapy.
C C Young Memorial Home is a senior living community in Dallas, Texas, providing independent living, assisted living, memory care, professional nursing, and physical recovery. Independently managed by an organization of the same name, this non-profit community has a Type B license in the Dallas region and is CMS certified. It has also received a Best in Senior Living Award, which provides external validation of its quality. With a 129-bed capacity, the community is currently operating at a 76.5% occupancy rate, which is higher than the state average.
A primary advantage of this community is its impressive personnel profile. Registered nurses deliver 48 minutes of attention to each resident daily, which is 85% higher than the Texas state mean of 26 minutes. Support from vocational nurses reaches one hour and 18 minutes per day, exceeding the state average by 37%, while nursing assistant time is 52% above the typical Texas level at over three hours daily. Furthermore, nursing hours during the weekend remain 58% above the state average, showing that the community provides steady care all week long. The availability of physical therapy is especially remarkable, offering 21 minutes per resident daily, which is more than four times the state average and a major benefit for those focused on post-hospital recovery.
This community also accepts Medicare, increasing the financial options for those eligible. Alongside its official Alzheimer’s certification, specialized memory assistance, short-term relief stays, home health services, and hospice care are provided. A medical clinic, varied dining choices, a gift shop, massage services, spiritual support, and cutting-edge technology are among the amenities available on-site.
Regarding regulatory oversight, the community documented six total findings across two evaluations, which is in line with the Texas state average of six. These findings are four health code deficiencies and two life safety code violations, specifically related to infection management, pest oversight, and food preparation, all of which were resolved within a few weeks. No enforcement actions were reported.
C C Young Memorial Home is a good option for older adults seeking a wide variety of services in one setting, from an active retirement to high-level nursing and end-of-life care. The superior staff-to-resident ratios also make it an especially good choice for individuals with intricate health goals, particularly those undergoing rehabilitation.
Longhorn Village is a nursing home in Austin, Texas, located on Longhorn Parkway on the city’s western edge. The community has been in operation for 21 years and is owned by Stacy Hibma. It is a 60-bed community currently running at about 51 percent occupancy, which means there tends to be more room available here than at communities running closer to full capacity.
Care includes rehabilitation services, respite care, and 24-hour staffing, with a nursing team that averages 5 hours and 35 minutes of direct nursing care per resident each day. That level of daily attention is worth noting for families weighing options for a loved one who needs steady, hands on support. Longhorn Village accepts Medicaid, Medicare, and private pay, which gives families several ways to cover the cost of care.
State inspection reviews of the community have centered on administrative and documentation matters rather than resident care or safety concerns, with no complaints substantiated. That pattern points to a facility whose day to day regulatory footing tends to run smoothly.
Outside of clinical care, residents have access to a fitness center, library, and outdoor spaces, along with salon and spa services. Building-wide wifi, emergency call systems, and a secured perimeter round out the safety and comfort features. A Lifelong Learning program gives residents a structured way to stay engaged. The location is car-dependent, with a Walk Score of 20, so getting around the neighborhood will typically mean driving rather than walking.
Mrc the Crossings is a nonprofit Life Care community in League City, Texas, providing independent living, assisted living, nursing, memory support, respite care, and rehabilitation, with a 48-bed capacity. Managed by Happy Harbor Methodist Home, Inc., a faith-based organization, the community’s mission is rooted in a spiritual commitment to honor and assist older adults as a reflection of religious devotion, creating a unique atmosphere of dedicated service.
The community is currently operating at an 88.1% occupancy rate, reflecting a high level of neighborhood confidence and local demand. The typical stay for residents is 47 days, with Medicare accounting for 46% of new arrivals, while temporary recovery and private funds are at 53%. This financial variety shows that the community’s population is a balanced combination of both short-term rehabilitation patients and those seeking a permanent home.
The community has achieved a top overall score of 5 out of 5 stars from the Centers for Medicare & Medicaid Services, which is significantly higher than the Texas mean of 3.0 stars. Its health evaluation results earned a perfect 5-star rating compared to the state average of 2.9, and the employee ratio also received a full 5 stars against the state norm of 2.4. These figures demonstrate a history of excellent regulatory compliance and a deep investment in medical personnel. While clinical quality metrics received a 3-star score, which is a little below the state average of 4.0, the community’s overall performance remains exceptionally high.
Personnel levels represent a significant advantage at this community, with a total adjusted nursing time reaching 4 hours and 39 minutes for every resident daily, which is 23% higher than the Texas average. Registered Nurse presence is especially notable at 57 minutes per resident each day, exceeding the state average of 26 minutes by 119%. Coverage on the weekends is at 4 hours and 8 minutes daily, indicating that medical supervision remains steady all week.
Mrc the Crossings is a good option for older adults and their families looking for a spiritually guided nursing environment in the Houston region. Its premier federal ratings, exceptional professional nursing hours, and full spectrum of care options make it a standout choice for both temporary therapeutic needs and long-term residency.
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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