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Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 262 nursing homes in Texas using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
Reviewed by
Last updated
Jun 2026
We analyzed
262 homes
Other senior care options in Texas:

Video Tour: Top-rated Nursing Homes facilities in Texas.

Watch this Video to see Texas's Top-rated Senior Communities
Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.1/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Texas

The information below is reported by the Texas Health and Human Services Commission.

205 facilities compared · CMS & TX Dept. of Health data

Caraday of Houston
NH
MC
RC
Houston (Northside / Northline)
150
Facility 150
TX AVG 80
Rank #63 / 988
--
3.76
Facility 3.76
TX AVG 3.63
Rank #93 / 296
-32%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
-12-
41
Facility 41
TX AVG 41
Rank #709 / 1391
E&R Cunningham Investments, LP
$2.7M
Facility $2.7M
TX AVG $8.4M
Rank #299 / 304
$1.8M
Facility $1.8M
TX AVG $3.5M
Rank #297 / 304
66.5%
Facility 66.5%
TX AVG 47%
Rank #103 / 304
676470
The Legacy Midtown Park
NH
AL
HC
IL
MC
Dallas (Vickery Meadow)
98
Facility 98
TX AVG 80
Rank #376 / 988
87.5%
Facility 87.5%
TX AVG 63.5%
Rank #31 / 304
+38%
5.42
Facility 5.42
TX AVG 3.63
Rank #14 / 296
+1%+49%
$27.5k
Facility $27.5k
TX AVG $81.8k
Rank #168 / 301
4
Facility 4
TX AVG 25.9
Rank #2 / 299
1.3
Facility 1.3
TX AVG 3.7
Rank #2 / 299
-48-
45
Facility 45
TX AVG 41
Rank #628 / 1391
The Legacy Midtown Park Inc
$16.1M
Facility $16.1M
TX AVG $8.4M
Rank #9 / 304
$15.0M
Facility $15.0M
TX AVG $3.5M
Rank #9 / 304
93%
Facility 93%
TX AVG 47%
Rank #214 / 304
676489
Houston Transitional Care
NH
HC
MC
NC
PC
RC
Houston (Braeburn)
70
Facility 70
TX AVG 80
Rank #517 / 988
90.3%
Facility 90.3%
TX AVG 63.5%
Rank #18 / 304
+42%
3.17
Facility 3.17
TX AVG 3.63
Rank #222 / 296
+22%-13%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
5.3
Facility 5.3
TX AVG 3.7
Rank #274 / 299
-67-
75
Facility 75
TX AVG 41
Rank #67 / 1391
Ahmad El-Saadi
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #31 / 304
$5.1M
Facility $5.1M
TX AVG $3.5M
Rank #134 / 304
41.4%
Facility 41.4%
TX AVG 47%
Rank #301 / 304
676435
Sun Valley Rehabilitation and Healthcare Center
NH
HC
MC
NC
RC
Harlingen (Estrellita Subdivision)
124
Facility 124
TX AVG 80
Rank #178 / 988
76.4%
Facility 76.4%
TX AVG 63.5%
Rank #102 / 304
+20%
3.79
Facility 3.79
TX AVG 3.63
Rank #93 / 296
-15%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
5
Facility 5
TX AVG 25.9
Rank #6 / 299
2.5
Facility 2.5
TX AVG 3.7
Rank #64 / 299
-94-
37
Facility 37
TX AVG 41
Rank #808 / 1391
Av Rehab LLC
$9.2M
Facility $9.2M
TX AVG $8.4M
Rank #176 / 304
$4.9M
Facility $4.9M
TX AVG $3.5M
Rank #163 / 304
53.1%
Facility 53.1%
TX AVG 47%
Rank #129 / 304
676493
Pflugerville Nursing and Rehabilitation Center
NH
HC
MC
PC
RC
Pflugerville (Kuempel Tract Phase 1)
120
Facility 120
TX AVG 80
Rank #210 / 988
--
2.71
Facility 2.71
TX AVG 3.63
Rank #284 / 296
-1%-25%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
30
Facility 30
TX AVG 25.9
Rank #218 / 299
4.3
Facility 4.3
TX AVG 3.7
Rank #233 / 299
124-
40
Facility 40
TX AVG 41
Rank #734 / 1391
Regency Ihs Of Pflugerville LLC
$8.3M
Facility $8.3M
TX AVG $8.4M
Rank #167 / 304
$5.2M
Facility $5.2M
TX AVG $3.5M
Rank #98 / 304
63%
Facility 63%
TX AVG 47%
Rank #46 / 304
676245
Brookdale Lakeway
NH
AL
MC
Lakeway (The Towers Of Lakeway)
132
Facility 132
TX AVG 80
Rank #121 / 988
69.8%
Facility 69.8%
TX AVG 63.5%
Rank #136 / 304
+10%
3.89
Facility 3.89
TX AVG 3.63
Rank #81 / 296
+73%+7%
$91.4k
Facility $91.4k
TX AVG $81.8k
Rank #249 / 301
21
Facility 21
TX AVG 25.9
Rank #152 / 299
3.5
Facility 3.5
TX AVG 3.7
Rank #178 / 299
450A+
28
Facility 28
TX AVG 41
Rank #956 / 1391
Henry Kaestner
$10.2M
Facility $10.2M
TX AVG $8.4M
Rank #88 / 304
$6.6M
Facility $6.6M
TX AVG $3.5M
Rank #75 / 304
64.5%
Facility 64.5%
TX AVG 47%
Rank #156 / 304
676131
Magnolia Crossing Nursing and Rehabilitation Center
NH
NC
Houston
128
Facility 128
TX AVG 80
Rank #152 / 988
73.1%
Facility 73.1%
TX AVG 63.5%
Rank #110 / 304
+15%
3.31
Facility 3.31
TX AVG 3.63
Rank #191 / 296
-31%-9%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.4
Facility 2.4
TX AVG 3.7
Rank #57 / 299
-108-
39
Facility 39
TX AVG 41
Rank #754 / 1391
Magnolia Crossing Nh LLC
$8.7M
Facility $8.7M
TX AVG $8.4M
Rank #183 / 304
$6.3M
Facility $6.3M
TX AVG $3.5M
Rank #83 / 304
72.2%
Facility 72.2%
TX AVG 47%
Rank #29 / 304
676333
Christian Care Communities and Services – Mesquite
NH
AL
IL
MC
RC
Mesquite
180
Facility 180
TX AVG 80
Rank #26 / 988
40.3%
Facility 40.3%
TX AVG 63.5%
Rank #273 / 304
-36%
3.66
Facility 3.66
TX AVG 3.63
Rank #111 / 296
+32%+1%
$28.9k
Facility $28.9k
TX AVG $81.8k
Rank #170 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
1.6
Facility 1.6
TX AVG 3.7
Rank #7 / 299
4100-
31
Facility 31
TX AVG 41
Rank #914 / 1391
Ccc Mesquite Management LLC
$8.4M
Facility $8.4M
TX AVG $8.4M
Rank #24 / 304
$11.6M
Facility $11.6M
TX AVG $3.5M
Rank #13 / 304
137.7%
Facility 137.7%
TX AVG 47%
Rank #61 / 304
455617
Harlingen Nursing and Rehabilitation Center
NH
MC
RC
Harlingen (Hale Avenue)
120
Facility 120
TX AVG 80
Rank #210 / 988
--
2.98
Facility 2.98
TX AVG 3.63
Rank #255 / 296
-25%-18%
$100.0k
Facility $100.0k
TX AVG $81.8k
Rank #254 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
118-
49
Facility 49
TX AVG 41
Rank #543 / 1391
Regency Ihs Of Harlingen LLC
$7.8M
Facility $7.8M
TX AVG $8.4M
Rank #206 / 304
$3.6M
Facility $3.6M
TX AVG $3.5M
Rank #220 / 304
45.8%
Facility 45.8%
TX AVG 47%
Rank #168 / 304
675606
Brookdale Westlake Hills
NH
AL
IL
Austin (Treemont)
90
Facility 90
TX AVG 80
Rank #419 / 988
96.7%
Facility 96.7%
TX AVG 63.5%
Rank #4 / 304
+52%
3.81
Facility 3.81
TX AVG 3.63
Rank #93 / 296
+23%+5%
$300.6k
Facility $300.6k
TX AVG $81.8k
Rank #297 / 301
24
Facility 24
TX AVG 25.9
Rank #178 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
748A-
45
Facility 45
TX AVG 41
Rank #628 / 1391
Arcpi Holdings Inc
$26.5M
Facility $26.5M
TX AVG $8.4M
Rank #49 / 304
$12.5M
Facility $12.5M
TX AVG $3.5M
Rank #18 / 304
47.3%
Facility 47.3%
TX AVG 47%
Rank #9 / 304
455866
The Legacy at Willow Bend
NH
AL
HC
IL
MC
Plano
60
Facility 60
TX AVG 80
Rank #583 / 988
96.5%
Facility 96.5%
TX AVG 63.5%
Rank #6 / 304
+52%
5.73
Facility 5.73
TX AVG 3.63
Rank #9 / 296
+54%+58%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
5.7
Facility 5.7
TX AVG 3.7
Rank #283 / 299
-56A+
45
Facility 45
TX AVG 41
Rank #628 / 1391
The Legacy Willow Bend, Inc
$22.1M
Facility $22.1M
TX AVG $8.4M
Rank #15 / 304
$13.7M
Facility $13.7M
TX AVG $3.5M
Rank #12 / 304
61.9%
Facility 61.9%
TX AVG 47%
Rank #159 / 304
676189
Princeton Medical Lodge
NH
PC
RC
Princeton
138
Facility 138
TX AVG 80
Rank #95 / 988
88.3%
Facility 88.3%
TX AVG 63.5%
Rank #26 / 304
+39%
2.45
Facility 2.45
TX AVG 3.63
Rank #294 / 296
+2%-33%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
5.0
Facility 5.0
TX AVG 3.7
Rank #264 / 299
-125-
24
Facility 24
TX AVG 41
Rank #1040 / 1391
Jordan Moon
$12.7M
Facility $12.7M
TX AVG $8.4M
Rank #19 / 304
$6.5M
Facility $6.5M
TX AVG $3.5M
Rank #78 / 304
51.4%
Facility 51.4%
TX AVG 47%
Rank #300 / 304
676485
Hidalgo Nursing and Rehabilitation Center
NH
HC
MC
PC
RC
Edinburg
126
Facility 126
TX AVG 80
Rank #160 / 988
77.8%
Facility 77.8%
TX AVG 63.5%
Rank #85 / 304
+23%
2.74
Facility 2.74
TX AVG 3.63
Rank #284 / 296
-53%-24%
$7.6k
Facility $7.6k
TX AVG $81.8k
Rank #82 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.8
Facility 2.8
TX AVG 3.7
Rank #94 / 299
1104-
29
Facility 29
TX AVG 41
Rank #942 / 1391
Regency Ihs Of Hidalgo LLC
$9.7M
Facility $9.7M
TX AVG $8.4M
Rank #74 / 304
$5.8M
Facility $5.8M
TX AVG $3.5M
Rank #90 / 304
60.3%
Facility 60.3%
TX AVG 47%
Rank #215 / 304
676346
Prairie Estates
NH
Frisco (Meadow Creek)
180
Facility 180
TX AVG 80
Rank #26 / 988
79.6%
Facility 79.6%
TX AVG 63.5%
Rank #78 / 304
+25%- +113%-
$24.6k
Facility $24.6k
TX AVG $81.8k
Rank #159 / 301
20
Facility 20
TX AVG 25.9
Rank #139 / 299
2.9
Facility 2.9
TX AVG 3.7
Rank #110 / 299
2152-
22
Facility 22
TX AVG 41
Rank #1064 / 1391
Sutton Health Care Center Ltd Co
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #50 / 304
$8.0M
Facility $8.0M
TX AVG $3.5M
Rank #50 / 304
64.7%
Facility 64.7%
TX AVG 47%
Rank #146 / 304
676145
Village Creek Wellness and Rehabilitation
NH
PC
Fort Worth
100
Facility 100
TX AVG 80
Rank #363 / 988
80.7%
Facility 80.7%
TX AVG 63.5%
Rank #65 / 304
+27%
2.80
Facility 2.80
TX AVG 3.63
Rank #279 / 296
+16%-23%
$19.0k
Facility $19.0k
TX AVG $81.8k
Rank #131 / 301
19
Facility 19
TX AVG 25.9
Rank #126 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
285-
26
Facility 26
TX AVG 41
Rank #1005 / 1391
Village Creek Nursing & Rehabilitation LLC
$2.3M
Facility $2.3M
TX AVG $8.4M
Rank #253 / 304
$1.3M
Facility $1.3M
TX AVG $3.5M
Rank #214 / 304
54.4%
Facility 54.4%
TX AVG 47%
Rank #45 / 304
675977
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Nursing Home Explorer
Overview of The Crossings Retirement Community

Situated in League City, Texas, The Crossings Retirement Community is a remarkable nonprofit facility, holding a prestigious five-star status. This community offers an exceptional array of services tailored to meet the diverse needs of seniors. Whether it’s skilled nursing, short-term rehabilitation, independent living, or assisted living, The Crossings excels in providing outstanding healthcare support. 

Their commitment is underscored by round-the-clock professional nursing care, complemented by top-notch services such as speech therapy, physical therapy, and occupational therapy. The community ensures residents enjoy nutritious meals, scheduled transportation, and a variety of activities designed to nurture the body, mind, and spirit. The team at The Crossings, composed of licensed professionals, is truly exceptional in their dedication to the well-being of the residents.

Contact The Crossings Retirement Community

Overview of Windsor Nursing and Rehabilitation Center of Corpus Christi

Surrounded by delightful local amenities in Corpus Christi, TX, Windsor Nursing and Rehabilitation Center of Corpus is a dependable community that offers short—and long-term skilled nursing. Residents receive the highest quality of care, with a kind and highly trained team attending to their needs 24/7. The community also accepts Medicare and Medicaid to ease residents’ financial burdens.

Engaging activities and enriching programs are orchestrated to keep residents active and socially engaged. Mealtimes promote social interactions and satisfy dietary needs with delightful and healthy dining options. The community also provides therapy services and hospice care to meet residents’ healthcare needs. Residents can rest their worries with the community’s comprehensive care and exceptional amenities.

Contact Windsor Nursing and Rehabilitation Center of Corpus Christi

Overview of Harlingen Nursing and Rehabilitation Center

Discover an exceptional living experience with the Harlingen Nursing and Rehabilitation Center located in Harlingen, TX, providing skilled nursing and clinical services, therapy services and rehabilitation, hospice services, and home health services. Here, well-appointed and comfortable accommodations with different floor plans are available for its residents. With an expert and dedicated team, residents can receive care and comfort for quality of life during their stay.

The community is committed to providing its residents with the healthiest life possible. Moreover, with its top-tier amenities and services, residents can enjoy the following: delightful and healthy meals, wifi and cable services, a beauty salon, and transportation services. Visit its beautiful and lovely common spaces such as the courtyard and meet new companions along the way. At the Harlingen Nursing and Rehabilitation Center, seniors are guaranteed a blissful and secure living experience.

Contact Harlingen Nursing and Rehabilitation Center

Overview of Hurst Plaza Nursing and Rehab

Nestled in the harmonious community of East Plaza Boulevard, Hurst, TX, Hurst Plaza Nursing and Rehab offers various care options including skilled nursing, rehabilitation therapy, and long and short-term care. Featuring occupational, physical, and speech therapy, and other care services, the community promises residents are comfortable and well-taken care of. Hurst Plaza Nursing and Rehab prides itself on a team of compassionate, trusted, and highly skilled professionals lending exceptional care and support to seniors.

The community fosters a warm and nurturing environment, conducting social activities to ensure seniors remain actively engaged with their surroundings. Tasty and healthy meals are served to cater to its residents’ dietary needs and preferences. Hurst Plaza Nursing and Rehab goes above and beyond in ensuring residents achieve optimal wellness and enjoy a life free of worries.

Contact Hurst Plaza Nursing and Rehab

Overview of Discovery Village at Southlake

Discover a vibrant senior living community at Discovery Village at Southlake, nestled in the heart of Southlake, Texas, dedicated to meeting the distinct needs and aspirations of its residents. With a firm commitment to elevating the quality of life, Discovery Village offers a diverse range of lifestyle options, ensuring that each individual discovers their ideal place to thrive. At Discovery Village, the emphasis isn’t solely on living—it’s about thriving. Exclusive lifestyle programs, gourmet dining, and engaging activities define this community as a place where residents can wholeheartedly embrace life. Whether strolling through the exquisitely landscaped grounds or participating in invigorating fitness classes, every moment at Discovery Village at Southlake is an opportunity to create treasured memories.

Residents relish the liberty of independent living, enjoying their golden years free from the burdens of home maintenance. The community fosters an environment steeped in comfort and companionship by offering spacious floor plans, engaging activities, and delectable gourmet meals. For those desiring extra assistance, Discovery Village provides compassionate assisted living services. A team of professionals attends to daily chores, allowing residents to focus on what truly matters to them. The SHINE® Memory Care program nurtures a secure and supportive environment for individuals facing memory challenges. Tailored activities and personalized care are integral to promoting dignity and overall well-being. Discovery Village extends its dedication to excellence through its skilled nursing program, offering comprehensive care for those requiring rehabilitation or long-term support. The community ensures exceptional standards across every facet of residents’ lives.

Contact Discovery Village At Southlake

Overview of Christian Care Communities and Services – Mesquite

Christian Care Communities & Services – Mesquite is a faith-based, non-profit provider nestled in the heart of the Dallas/Fort Worth Metroplex. Their Life Plan Community offers a comprehensive spectrum of services tailored to seniors’ diverse needs, encompassing Independent Living, Assisted Living, Memory Care, Skilled Nursing and Rehab, and Hospice Services, creating an environment conducive to resident well-being and growth. The community’s ethos of compassionate care resonates through testimonials from residents and family members, echoing gratitude for the exceptional wellness programs and heartfelt appreciation for the attentive care provided. Christian Care Communities & Services stands dedicated to enriching the lives of the individuals they serve.

Christian Care Nursing & Rehabilitation provides comprehensive services for those needing post-hospitalization or extended care. Their fully licensed facility, sanctioned by the State of Texas, houses 140 beds in private and semi-private rooms. Since 1973, they have continued to serve seniors, specializing in rehabilitation services catering to post-surgical, cardiac, orthopedic, and neurological needs.

Contact Christian Care Communities and Services – Mesquite

Overview of Morningside at the Meadows

Located in San Antonio, Texas, Morningside at The Meadows stands as a distinguished continuing care senior living community devoted to meeting the diverse needs of older adults. Providing an array of independent living options, Morningside at The Meadows creates an environment where seniors can relish the comforts of home without the burdens of maintenance. Whether one seeks independent living, assisted living, long-term care, or transitional care, Morningside at The Meadows provides a welcoming and enriching environment for seniors to embrace as their home.
Conveniently situated on Babcock Road, The Meadows radiates warmth, friendliness, and relaxation, seamlessly blending with the essence of senior living. Residents find elegant living spaces within the four-story Atrium Apartments, including studios and one- or two-bedroom residences. Accessible amenities encompass a state-of-the-art theater room, a modern gym, and delightful cuisine served at the Meadowlark Restaurant. The community is embraced by acres of scenic grounds, fostering a tranquil atmosphere. The outdoor experience is enhanced by picturesque gardens and well-maintained lawns, offering a serene setting.

Contact Morningside at the Meadows

Overview of Brookdale Galleria

Tucked away in Houston, Texas’ vibrant Galleria district, Brookdale Galleria offers a refined senior living experience tailored to independence and comfort. The community provides both Independent and Assisted Living options, ensuring personalized care that adapts to evolving needs, while our newly renovated apartments offer a modern, welcoming retreat. Residents enjoy easy access to shops, restaurants, and medical facilities, enhancing convenience and peace of mind. Nearby landmarks like the Galleria Mall and tranquil Waterwall Park provide opportunities for leisurely outings.

Brookdale Galleria aims to enrich the lives of residents through engaging activities and exceptional amenities. From chef-prepared meals served daily to a variety of enriching activities such as tai chi, live music, and themed events, there’s always something enjoyable to participate in. We prioritize creating a vibrant community where every resident feels valued and supported, allowing them to embrace each day with comfort and fulfillment. Whether relaxing in our beautifully landscaped grounds or participating in a stimulating activity, residents find a place where they can thrive and live life to the fullest.

Contact Brookdale Galleria

Overview of Brookdale Western Hills

Peacefully settled in the charming town of Temple, Texas, Brookdale Western Hills is a blissful senior living community that offers assisted living with personalized service plans. Residents can enjoy a vibrant retirement lifestyle with easy access to local shops, restaurants, and parks. The community is near attractions like the Temple Railroad & Heritage Museum. On-campus, seniors can participate in a variety of activities and events, ensuring there’s always something engaging to do. Plus, with a dedicated team available 24/7 to respond to emergencies, residents can have peace of mind while enjoying their golden years.

Brookdale Western Hills offers personalized assistance, ensuring a perfect balance of care and independence. A well-rounded calendar of activities supports six dimensions of wellness, promoting overall health. Residents can indulge in hobbies, make new friends, and enjoy a range of convenient amenities. With spacious apartments, engaging activities like bingo, crafting, and scenic drives, and a dining program featuring delicious, healthy meals, Brookdale Western Hills provides a fulfilling and enjoyable retirement experience.

Contact Brookdale Western Hills

Overview of Brookdale Westlake Hills

Located in Austin, TX, Brookdale Westlake Hills is a senior living community, offering independent living and assisted living options, along with comprehensive medical services such as short-term and long-term care, ensuring peace of mind for residents at every stage. Surrounded by landscaped grounds, residents can relax by the outdoor pool or stroll along beautiful walking paths, all within minutes of Austin’s top shopping, dining, and cultural attractions. Known for its lively music scene and cultural diversity, Austin provides an enriching backdrop for residents to explore local galleries, museums, and culinary delights.

Brookdale Westlake Hills is committed to creating a luxurious yet comfortable environment that feels just right. The community offers spacious accommodations and inviting common areas that encourage relaxation and social engagement. With a focus on personalized dining experiences featuring healthy, delicious meals and special community events like festive holiday buffets, residents enjoy culinary delights that cater to their preferences. The jam-packed calendar of activities includes everything from shopping excursions and cooking classes to card games and fitness sessions, ensuring there’s always something exciting to participate in and opportunities to foster holistic well-being.

Contact Brookdale Westlake Hills

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
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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 262 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.