We arrange tours, appointments, and even moving support so you don’t have to
2
Ranked on Data, Not Dollars
We rank communities on objective measures like inspection records, quality scores, and care data, so you can find trusted options without the guesswork.
3
Personalized Guidance
From lifestyle matching to help with insurance and financial assistance, we make sure the community is the right fit
Explore Open Rooms
1Contact details
2What type of senior care service are you looking for?
3What budget do you have in mind for senior care?
4How soon do you need to find care?
5Additional details
Thank you for your interest!
A member of our team will be in touch by phone or email shortly to help with next steps.
Why trust this guide?
Our editorial team analyzed 282 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
$10.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
31.5%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$5.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
51.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
455613
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 282 on this page. See how we rank facilities
Embrace phenomenal senior living with Buckner Parkway Place situated in Houston, TX. Offering a comprehensive range of exceptional services including independent living, assisted living, memory care, long-term care, and respite services, this community is committed to providing top-of-the-line care and support for its residents in an exciting and vibrant environment. Elegant and cozy accommodations are available and tailored to the preferences of its residents. Having a highly equipped and passionate team, residents can receive personalized care and support catering to their immediate needs and interests.
Discover its top-quality amenities and services where residents can make the most out of their stay. Indulge in delectable and healthy meals based on dietary needs prepared by a talented culinary team. Boost engagement and wellness by joining a carefully designed set of activities and programs. At Parkway Place Senior Living, seniors can enjoy a glorious living experience.
The Legacy Midtown Park is at 8240 Manderville Ln in Dallas’s Midtown corridor; a high-rise nursing facility, which is an unusual configuration that signals something about the kind of experience the building is designed to deliver. Five years into operation, it carries 98 beds across one- and two-bedroom floor plans, with 86 currently occupied. An 88% occupancy rate at a post-acute facility is a substantive number; it means this building is running close to capacity.
The 37-day average length of stay defines the model: short-stay, post-acute, recovery-focused. Nursing coverage totals 5 hours and 25 minutes per resident per day; 4 hours and 2 minutes from nurse aides, 1 hour and 15 minutes from LPN/LVN staff, and 51 minutes of RN time. Medicare and private pay are accepted; the absence of Medicaid is consistent with the private-pay orientation one would expect from a high-rise Midtown building with apartment-style floor plans. The Walk Score of 45 reflects a somewhat walkable area where some nearby services are reachable, but most trips require a car.
State inspections have touched on emergency preparedness, care planning, and documentation. For someone leaving a Dallas hospital who wants a short-stay rehabilitation setting that looks and operates more like a residential building than a traditional nursing facility, The Legacy Midtown Park’s profile of a high-rise layout, high occupancy, strong nursing hours, and a five-year operating track record makes it one of the more distinctive options in the Dallas market.
C C Young Memorial Home provides independent living, assisted living, memory care, home care, hospice care, palliative care, nursing home and skilled nursing services in Dallas, TX. Independent living offers private living with community services and no daily care, while assisted living adds help with dressing, bathing and medication while a resident keeps their own apartment. Memory care provides a secured setting with supervision for someone at risk of wandering.
The range of care can suit a resident whose needs change over time and require a different level of support. Home care supports a person in their own home, hospice care provides end of life support, and palliative care focuses on comfort and symptom relief during serious illness. Nursing home and skilled nursing services provide licensed nursing care on site around the clock.
Rehabilitation services and short term rehab offer a temporary care setting focused on recovery, while respite care provides a short stay when a usual caregiver needs to travel or recover. With 55 beds, the community is smaller, so staff and residents can get to know each other. Total nurse staffing is 5 hours and 28 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare and private pay are accepted, with Medicare relevant to eligible short term skilled care and private pay meaning a family pays directly. A Campus Clinic gives residents access to clinic services on campus, and massage therapy provides massage without arranging an outside visit. Pastoral care offers spiritual support within the community.
San Pedro Manor is a distinguished community situated in the charming neighborhood of West Ashley Pl, San Antonio, TX, providing in-house therapy and skilled nursing. With its dedication to improving residents’ welfare, the community utilizes a holistic approach to care tailored to their unique needs. Keep peace of mind with a compassionate and specially trained team helping with your day-to-day activities 24/7.
Enjoy fun activities and engaging programs, aiming to keep residents active and socially connected. Physical, occupational, and speech therapy, alongside wound care, memory care, and pulmonary programs are provided to meet residents’ healthcare needs. Receive the utmost care and support you deserve with the community’s top-notch care and specially designed amenities.
Overview of Pflugerville Nursing and Rehabilitation Center
Located in the tranquil neighborhood of Rex Kerwin Court, Pflugerville, TX, is the outstanding senior living community of Pflugerville Nursing and Rehabilitation Center that provides skilled nursing, clinical services, therapy services, rehabilitation, and hospice care. The community works hard to meet seniors’ needs and aspirations 24/7 with the highest quality of care and assistance. With comprehensive care services, seniors and families can rest assured of finding the right care for their every need.
End-of-life journey can be intimidating and lonely, hence, the community supports families and accompanies residents to give them a positive outlook. With an abundance of recreational activities, residents always have something to do to keep an active and well-connected lifestyle. Pflugerville Nursing and Rehabilitation Center is a good place for seniors in need of supplementary care with its state-of-the-art amenities and genuine care.
St. Anthony’s Care Center is a trusted haven providing both rehabilitation and long-term care, assuring residents a profound sense of peace. Boasting an exceptional performance record, this facility houses a highly skilled nursing team adept at offering a spectrum of services. From short to long-term care, including IV therapy, CVC management, antibiotics, lab services, blood draws, and more, Saint Anthony’s Care Center prioritizes comprehensive healthcare.
Distinguishing itself further, the facility places a strong emphasis on restorative activities that stimulate independence, elevating the overall quality of life for seniors. In addition to exemplary skilled nursing care, St. Anthony’s Care Center extends its commitment to those with dementia, fostering a compassionate and supportive environment. Whether aiding in rehabilitation post-surgery or illness, or catering to long-term care needs, this facility stands as a beacon, dedicated to enhancing the well-being of its residents.
Life Care Center of Plano, located in Plano, TX, is a skilled nursing and rehabilitation facility providing a range of essential services from skilled nursing, rehabilitation, and both long and short-term care, including post-surgical care. Residents benefit from 24/7 skilled nursing care, along with services such as wound care, diabetes management, medication management, assistance with daily living activities, fall prevention, and access to social services, ensuring comprehensive and attentive healthcare.
Residents at Life Care Center of Plano experience a well-rounded living environment with a focus on quality amenities. Pet visitors are allowed, adding a comforting and therapeutic touch to the community. Nutritious meals, supervised by a registered dietitian, contribute to residents’ well-being, along with housekeeping, sanitation, and laundry services for a comfortable living space.
Garden Terrace offers a skilled nursing and rehabilitation center. The upscale nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through the exceptional care delivered by their patient-friendly staff to offer the best care possible for their residents. As a member of the Life Care Centers, Garden Terrace at Fort Worth can be trusted as a safe and secure community that cares for every individual’s needs.
Convenience and hassle-free living are the centers of Garden Terrace’s services: medication management, post-surgical care, and wound care; their 24-hour skilled nursing care services provide compassionate care as it is their utmost priority. Other nursing home services include memory care, 24/7 easy admission, fall prevention, IV therapy, and discharge planning.
Overview of Mission Nursing and Rehabilitation Center
Mission Nursing and Rehabilitation Center is a well-regarded nursing home in Mission, TX, offering long-term care, memory care, rehabilitation, and skilled nursing. The community also ensures older adults are treated like family, especially with its warm and nurturing environment. With 24-hour care, medication management, and nutritious meals, residents experience a worry-free retirement. Through a personalized approach to care, residents receive the utmost attention for their needs and habits.
Exercises, social events, and a variety of recreational programs help enhance residents’ holistic wellness. A spa room, a lively dining room, and spacious courtyards are among the top-notch amenities that aim to keep residents happy and safe. Mission Regional Medical Center, restaurants, shops, and Interstate 2 are also located nearby, ensuring residents have easy access to their necessities and leisure. As one of the best choices for senior living in Texas, this nursing home continuously provides exceptional care for older adults’ welfare.
Courtyard Nursing and Rehabilitation is a 120-bed nursing home in Houston, Texas, offering skilled care and temporary respite stays. Short-term respite care assists families when primary caregivers need time off or need to travel.
Daily nurse staffing averages 3 hours and 17 minutes per resident across the center. Residents recovering from illness or injury can utilize in-house therapy and rehabilitation services directly on site. Daily life includes access to outdoor spaces and courtyards, alongside social activities such as arts and crafts, ice cream socials, and trips to nearby shopping malls.
Individuals can reach out to Courtyard Nursing and Rehabilitation to schedule a tour or review financial options.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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 282 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
Nursing Homes in Texas at a glance
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
Need Help?
Let us help you or a loved one find the perfect senior home.
