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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
Video Tour: Top-rated Nursing Homes facilities in Texas.
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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.
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 TableAL (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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative 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.
$8.0M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.1M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
51%*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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
Set in the neighborhood of Houston, TX, Caraday of Houston offers a warm and caring environment for those who need memory care and skilled nursing services. With the help of a 24/7 care team, residents receive compassionate assistance with their daily needs and emergencies at all times. Those living with memory challenges are offered a cognitive-based activity program in a secure environment tailored for them.
Therapy services like speech, physical, occupational, and wellness therapy are available on-site to ensure residents maintain or recover their highest level of function. The community also ensures their environment is safe and secure for residents to confidently enjoy the life they deserve. Here, everyone is given the care and support that allows them to fully enjoy living their best lives.
Overview of Grand Terrace Rehabilitation and Healthcare
Enticing seniors with a relaxing environment, Grand Terrace Rehabilitation and Healthcare is an outstanding senior living community located in the serene neighborhood of West Houston Avenue, McAllen, TX, that offers skilled nursing and in-house therapy. With its dedication to seniors’ well-being, the community strives to provide the highest quality of care and support around the clock. Grand Terrace Rehabilitation and Healthcare ensures the utmost comfort and healing of residents with a team of compassionate and highly trained professionals.
Pursue the lifestyle of your dreams while receiving the right assistance for your ever-changing needs. With a wide array of care options offered in the community, residents can ease their minds and do the things they love. Grand Terrace Rehabilitation and Healthcare promotes a lively and inviting environment for seniors to easily adapt into the community and have a smooth healing journey.
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.
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 Methodist Retirement Communities – Creekside Retirement Community
Operated by Methodist Retirement Communities, Creekside Retirement Community is a nursing home on Veterans Memorial Parkway in Huntsville, Texas. The community offers skilled nursing, assisted living, memory support, and short-term rehabilitation. With these care options, residents can receive different levels of support as their needs change. Families can choose from Medicare, Medicaid, and private pay. It serves residents from Huntsville and the surrounding Walker County area.
The 56-bed community has about 84% occupancy, where residents stay an average of about 69 days. The length of stay reflects a mix of residents recovering after a hospital visit and those receiving longer-term care. Residents receive about 5 hours and 29 minutes of total nursing care each day. Care is provided by registered nurses, licensed nurses, and nurse aides. The nursing coverage supports short-term rehabilitation and residents who need regular daily care.
The Texas Health and Human Services Commission conducts state inspections of the community. Reviews have covered building safety and daily operations. Findings have included fire safety requirements involving emergency exits and locking devices. Other citations have focused on pharmacy and nutrition records. Families can ask staff how these areas are managed when they visit.
Creekside holds an Alzheimer’s certification and provides memory support for residents who need it. Staff is available 24 hours a day, and short-term rehabilitation services are also offered. The community participates in the Eden Alternative Registry, which focuses on person-directed elder care. Pets are welcome. The surrounding area has a Walk Score of 87, which is very walkable. Visiting family members can easily get around on foot.
Located at 7400 Clarewood Drive in Houston, Clarewood House Assisted Living is a community owned by Edward Ashbaugh and operated by Clarewood House, Inc. The area has a Walk Score of 50, so some errands can be managed on foot. However, most trips require a short drive.
The 70-bed facility’s occupancy rate is 60%. Residents stay an average of 206 days, including intermediate and longer-term placements. Medicaid, Medicare, and private pay are accepted, giving families several options for covering care.
Total nurse staffing averages 5 hours and 2 minutes per resident each day. Registered nurses provide an average of 39 minutes of care daily. Nurse aides contribute 3 hours and 13 minutes per resident. The community also has an on-site licensed dietitian and social work support, while a 24-hour courtesy officer is available around the clock. This staffing structure provides ongoing access to professional oversight and hands-on assistance.
Amenities include a fitness center, wellness classes, and spiritual enrichment activities. There’s a restaurant-style dining room and room service available for those who prefer to eat privately. The campus also has a garden setting, a library with computer access, a multi-purpose room, and a party room used for family gatherings.
Scheduled transportation is available for grocery shopping and appointments. Hospice services are available on-site for residents nearing the end of life. Pet therapy is offered, and through guest accommodations, visiting family members can extend their stays when needed. A beauty and barber shop is also available.
Residents can participate in associations and volunteer committees regarding community matters. State inspections reviewed care practices and documentation systems. Families touring Clarewood House should ask how it maintains quality standards and how it addresses inspection findings.
Querencia at Barton Creek is a continuing care retirement community in southwest Austin, on Barton Creek Boulevard, about seven miles from downtown. It brings independent living, assisted living, memory care, and skilled nursing together on one campus, so residents and families can move between levels of care without changing communities. The community was named by Newsweek one of America’s Best Continuing Care Retirement Communities in 2025. It is operated by Barton Creek Senior Living Center, Inc.
The skilled nursing side of the campus has 42 beds and typically runs close to full, with an occupancy rate of 94 percent. The average stay is about 105 days, which points to a strong mix of residents recovering from a hospital stay or surgery alongside those settled in for longer-term nursing care. Rehabilitation and therapy services support that recovery-focused population. Nursing coverage is substantial, with total nursing care averaging 4 hours and 49 minutes per resident each day.
Querencia accepts Medicare and private pay, giving families two clear ways to cover a stay, whether a short rehabilitation stint or an extended one. State health inspectors have generally centered their findings on facility-standards and life-safety topics such as building and fire-safety compliance, with issues noted and corrected rather than concerns tied to immediate resident harm.
Day to day, residents have access to dining, health and wellness programming, and clubs and social groups built around shared hobbies and interests. An active Resident Council gives residents a regular voice in community policies and quality of life. Pets are welcome, which can matter for residents moving from a longtime home. The location is car-dependent, with a Walk Score of 8, so families and staff visiting the campus should plan to drive rather than walk to nearby errands.
The Madison on Marsh is a well-recognized nursing home in Carrollton, TX, offering skilled nursing and rehabilitation. Promoting a warm and inviting environment, the community ensures older adults can keep their peace of mind. Restaurant-style dining, housekeeping, pharmacy, and clinical services are also provided to meet residents’ unique needs and preferences. Through individualized care plans, the community strives to help residents recover and live to their potential.
Outings, group activities, and light exercises provide residents with various options for recreation and interaction. A cozy living room, spacious rehabilitation areas, and an interior garden are also available, so residents can rest and move around comfortably. Located in the serene residential area of Carrollton, near restaurants, the community ensures residents have easy access to their needs. Committed to older adults’ welfare, this nursing home is one of the finest options for senior living in Texas.
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.
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.
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 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.
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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