Page 5 of Best Nursing Homes in Texas

Why trust this guide? Our editorial team analyzed 285 nursing homes in TX using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in TX
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We analyzed These are the facilities in Texas our team has analyzed — not a count of every nursing home provider in Texas.
285 homes
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Avg Overall CMS Rating: 2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.1/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Texas

Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. 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. CCRC( (Continuing Care Retirement Communities (CCRC)):
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.
The Village at Incarnate Word
NH
AL
HC
IL
MC
SNF
San Antonio
60
Facility 60
TX AVG 108
Rank #209 / 255
94.7%
Facility 94.7%
TX AVG 71.2%
Rank #10 / 162
+33%
4.32
Facility 4.32
TX AVG 3.63
Rank #39 / 234
-46%+19%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
17
Facility 17
TX AVG 25.9
Rank #36 / 234
4.3
Facility 4.3
TX AVG 3.7
Rank #186 / 234
-57A+
75
Facility 75
TX AVG 43
Rank #15 / 276
Incarnate Word Retirement Community Inc
$6.7MFiscal year ending 08/2024
Facility $6.7MFiscal year ending 08/2024
TX AVG $9.4M
Rank #157 / 218
$7.9MFiscal year ending 08/2024
Facility $7.9MFiscal year ending 08/2024
TX AVG $5.4M
Rank #34 / 218
117.9%Fiscal year ending 08/2024
Facility 117.9%Fiscal year ending 08/2024
TX AVG 71.6%
Rank #12 / 199
676498
Life Care Center of Plano
NH
SNF
Plano
120
Facility 120
TX AVG 108
Rank #96 / 255
55.8%
Facility 55.8%
TX AVG 71.2%
Rank #135 / 162
-22%
3.65
Facility 3.65
TX AVG 3.63
Rank #86 / 234
-35%0%
$8.3k
Facility $8.3k
TX AVG $81.8k
Rank #71 / 237
21
Facility 21
TX AVG 25.9
Rank #99 / 234
3.0
Facility 3.0
TX AVG 3.7
Rank #163 / 234
167A+
83
Facility 83
TX AVG 43
Rank #5 / 276
Plano Skilled Operations, LLC
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
TX AVG $9.4M
Rank #94 / 218
$5.9MFiscal year ending 12/2023
Facility $5.9MFiscal year ending 12/2023
TX AVG $5.4M
Rank #63 / 218
65.5%Fiscal year ending 12/2023
Facility 65.5%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #62 / 199
455864
Princeton Medical Lodge
NH
PC
RC
SNF
Princeton
138
Facility 138
TX AVG 108
Rank #45 / 255
87.2%
Facility 87.2%
TX AVG 71.2%
Rank #33 / 162
+22%
2.44
Facility 2.44
TX AVG 3.63
Rank #233 / 234
+2%-33%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
11
Facility 11
TX AVG 25.9
Rank #52 / 234
3.7
Facility 3.7
TX AVG 3.7
Rank #209 / 234
-120-
24
Facility 24
TX AVG 43
Rank #219 / 276
Nocona Hospital District
$12.7MFiscal year ending 12/2023
Facility $12.7MFiscal year ending 12/2023
TX AVG $9.4M
Rank #28 / 218
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
TX AVG $5.4M
Rank #49 / 218
51.4%Fiscal year ending 12/2023
Facility 51.4%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #141 / 199
676485
Senior Care Health & Rehabilitation
NH
SNF
Wichita Falls
144
Facility 144
TX AVG 108
Rank #37 / 255
89.8%
Facility 89.8%
TX AVG 71.2%
Rank #21 / 162
+26%
2.68
Facility 2.68
TX AVG 3.63
Rank #222 / 234
+2%-26%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
10
Facility 10
TX AVG 25.9
Rank #21 / 234
2.5
Facility 2.5
TX AVG 3.7
Rank #50 / 234
-129-
23
Facility 23
TX AVG 43
Rank #224 / 276
Nocona Hospital District
$17.6MFiscal year ending 08/2024
Facility $17.6MFiscal year ending 08/2024
TX AVG $9.4M
Rank #14 / 218
$6.9MFiscal year ending 08/2024
Facility $6.9MFiscal year ending 08/2024
TX AVG $5.4M
Rank #44 / 218
39.4%Fiscal year ending 08/2024
Facility 39.4%Fiscal year ending 08/2024
TX AVG 71.6%
Rank #188 / 199
676144
Belterra Health & Rehabilitation
NH
HOS
PC
RC
SNF
Mckinney
103
Facility 103
TX AVG 108
Rank #158 / 255
88.4%
Facility 88.4%
TX AVG 71.2%
Rank #25 / 162
+24%
2.81
Facility 2.81
TX AVG 3.63
Rank #208 / 234
+39%-23%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
20
Facility 20
TX AVG 25.9
Rank #26 / 234
6.7
Facility 6.7
TX AVG 3.7
Rank #157 / 234
-91-
41
Facility 41
TX AVG 43
Rank #153 / 276
Fannin County Hospital Authority
$12.3MFiscal year ending 12/2023
Facility $12.3MFiscal year ending 12/2023
TX AVG $9.4M
Rank #34 / 218
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
TX AVG $5.4M
Rank #96 / 218
41.5%Fiscal year ending 12/2023
Facility 41.5%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #181 / 199
676367
Marbridge Village
NH
AL
SNF
Manchaca
96
Facility 96
TX AVG 108
Rank #167 / 255
87.1%
Facility 87.1%
TX AVG 71.2%
Rank #34 / 162
+22%
4.98
Facility 4.98
TX AVG 3.63
Rank #19 / 234
-12%+37%
$45.8k
Facility $45.8k
TX AVG $81.8k
Rank #162 / 237
14
Facility 14
TX AVG 25.9
Rank #44 / 234
4.7
Facility 4.7
TX AVG 3.7
Rank #202 / 234
-80-
49
Facility 49
TX AVG 43
Rank #113 / 276
Marbridge Foundation
$7.6MFiscal year ending 06/2024
Facility $7.6MFiscal year ending 06/2024
TX AVG $9.4M
Rank #134 / 218
$8.0MFiscal year ending 06/2024
Facility $8.0MFiscal year ending 06/2024
TX AVG $5.4M
Rank #30 / 218
105.5%Fiscal year ending 06/2024
Facility 105.5%Fiscal year ending 06/2024
TX AVG 71.6%
Rank #16 / 199
675923
Mystic Park Nursing and Rehabilitation Center
NH
MC
SNF
San Antonio (Far West Side)
119
Facility 119
TX AVG 108
Rank #133 / 255
89.3%
Facility 89.3%
TX AVG 71.2%
Rank #22 / 162
+25%
3.41
Facility 3.41
TX AVG 3.63
Rank #101 / 234
-5%-6%
$111.1k
Facility $111.1k
TX AVG $81.8k
Rank #203 / 237
22
Facility 22
TX AVG 25.9
Rank #120 / 234
4.4
Facility 4.4
TX AVG 3.7
Rank #181 / 234
2106-
59
Facility 59
TX AVG 43
Rank #63 / 276
West Wharton County Hospital District
$10.8MFiscal year ending 03/2024
Facility $10.8MFiscal year ending 03/2024
TX AVG $9.4M
Rank #51 / 218
$6.7MFiscal year ending 03/2024
Facility $6.7MFiscal year ending 03/2024
TX AVG $5.4M
Rank #47 / 218
62%Fiscal year ending 03/2024
Facility 62%Fiscal year ending 03/2024
TX AVG 71.6%
Rank #81 / 199
676012
The Buckingham
NH
AL
IL
MC
RC
SNF
Houston (Mid West)
130
Facility 130
TX AVG 108
Rank #63 / 255
--
5.93
Facility 5.93
TX AVG 3.63
Rank #4 / 234
+113%+63%
$32.4k
Facility $32.4k
TX AVG $81.8k
Rank #171 / 237
25
Facility 25
TX AVG 25.9
Rank #148 / 234
3.6
Facility 3.6
TX AVG 3.7
Rank #150 / 234
257-
56
Facility 56
TX AVG 43
Rank #70 / 276
Buckingham Senior Living, Inc
$28.4MFiscal year ending 12/2023
Facility $28.4MFiscal year ending 12/2023
TX AVG $9.4M
Rank #3 / 218
$15.0MFiscal year ending 12/2023
Facility $15.0MFiscal year ending 12/2023
TX AVG $5.4M
Rank #7 / 218
52.7%Fiscal year ending 12/2023
Facility 52.7%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #133 / 199
676111
Christian Care Communities and Services – Mesquite
NH
AL
CCRC(
IL
MC
RC
SNF
Mesquite
180
Facility 180
TX AVG 108
Rank #11 / 255
41.2%
Facility 41.2%
TX AVG 71.2%
Rank #154 / 162
-42%
4.17
Facility 4.17
TX AVG 3.63
Rank #43 / 234
+32%+15%
$28.9k
Facility $28.9k
TX AVG $81.8k
Rank #133 / 237
15
Facility 15
TX AVG 25.9
Rank #59 / 234
1.7
Facility 1.7
TX AVG 3.7
Rank #7 / 234
474-
31
Facility 31
TX AVG 43
Rank #200 / 276
Fannin County Hospital Authority$5.4M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$11.2M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.206.1%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.455617
Ebony Lake Nursing and Rehabilitation Center
NH
HC
HOS
RC
SNF
Brownsville (Los Ebanos)
122
Facility 122
TX AVG 108
Rank #88 / 255
69.0%
Facility 69.0%
TX AVG 71.2%
Rank #96 / 162
-3%
3.07
Facility 3.07
TX AVG 3.63
Rank #161 / 234
+18%-15%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
24
Facility 24
TX AVG 25.9
Rank #52 / 234
2.7
Facility 2.7
TX AVG 3.7
Rank #50 / 234
-84-
63
Facility 63
TX AVG 43
Rank #46 / 276
Val Verde County Hospital District
$5.8MFiscal year ending 09/2023
Facility $5.8MFiscal year ending 09/2023
TX AVG $9.4M
Rank #181 / 218
$3.1MFiscal year ending 09/2023
Facility $3.1MFiscal year ending 09/2023
TX AVG $5.4M
Rank #180 / 218
53.3%Fiscal year ending 09/2023
Facility 53.3%Fiscal year ending 09/2023
TX AVG 71.6%
Rank #126 / 199
675635

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

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Overview of The Village at Incarnate Word

The Village at Incarnate Word offers nursing home, assisted living, home care, independent living, memory care, nursing care, and skilled nursing in San Antonio, Texas. Independent living provides private living with community services and no daily care, while assisted living offers help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment.

Memory care provides a secured setting with supervision for someone at risk of wandering. Nursing home, nursing care, and skilled nursing provide licensed nursing care on site around the clock, while home care brings support to a person’s residence. Several care levels can suit a resident whose needs grow over time, allowing a move between levels without leaving the community or starting over socially.

Respite care provides a short stay for a family whose usual caregiver needs to travel or recover. The community opened in 1988 and is operated by Incarnate Word Retirement Community. It has 60 beds, with total nurse staffing of 4 hours and 19 minutes per resident per day, representing the daily hands on nursing time assigned to each resident.

Medicaid, Medicare, and private pay are accepted. Medicare applies to short term skilled care after a hospital stay rather than long term residence. A Walk Score of 75 out of 100 places the area in the very walkable band, meaning most errands can be completed on foot; a resident who no longer drives can still reach nearby shops, pharmacies, or cafes independently.

The community has a salon or spa and rehabilitation services, giving residents access to grooming and rehabilitation without arranging those services elsewhere. Religious services and a Spiritual Life program are also available for residents who want to participate.

Contact The Village at Incarnate Word

Overview of Life Care Center of Plano

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.

Contact Life Care Center of Plano

Overview of Princeton Medical Lodge

Ideally situated in the vibrant neighborhood of Princeton, TX, Princeton Medical Lodge is an outstanding community that offers skilled nursing and rehabilitation. Featuring newly-furnished and sophisticated accommodations, alongside comprehensive care from a respectful and highly trained team available 24/7, residents’ comfort and safety are guaranteed. The community also promotes a nurturing and welcoming environment for residents to feel a sense of belonging while they recover or as they spend their later years within its spaces.

Enriching activities and engaging programs are also conducted for residents to remain active and meet new friends. Delightful dining options are also served to meet residents’ dietary needs and preferences. With the Rapid Recovery Rehab Program, residents undergo intense care to help them recover as soon as they can. Here, residents can rest assured of receiving the highest quality of care to live their golden years without worries.

Contact Princeton Medical Lodge

Overview of Senior Care Health & Rehabilitation

Senior Care Health & Rehabilitation in Wichita Falls, TX is a facility that offers long-term nursing care and short-term rehabilitation services. This facility employs licensed and registered medical professionals in order to provide top quality care for their residents. Such care includes 24 hour skilled nursing care and supervision, medication management, and assistance with daily living activities.

Their long-term care program also provides individualized care plans to cater to the residents’ specific needs such as therapy services, recreational activities to boost strength and range of motion, and other medical needs like pain management.

Contact Senior Care Health & Rehabilitation

Overview of Belterra Health & Rehabilitation

Belterra Health & Rehabilitation, operating under Priority Management and located in McKinney, TX, is a healthcare facility offering skilled nursing, and rehabilitation services with options for both short-term and long-term care. Part of the services provided in these care options include 24/7 nursing care by licensed nurses and certified nursing assistant, assistance with daily living activities, dedicated on-site therapy services, and patient-centered dining services.

They also provide residents and patients dementia care, diabetes management and education, as well as other restorative programs, to help residents get back on their own feet and live as independently as possible. At Belterra Health & Rehabilitation, quality care is top priority, only employing registered and licensed professionals, to ensure that every residents’ care needs are well met. 

Contact Belterra Health & Rehabilitation

Overview of Marbridge Village

Marbridge Village provides assisted living, nursing home, and skilled nursing care in Manchaca, TX. Assisted living supports daily tasks such as dressing, bathing, and medication, while skilled nursing provides licensed nursing care on site around the clock.

The community provides semi-independent living for adults with developmental disabilities, along with individualized care, training and education, vocational support, socialization, and counseling. These services give residents tailored daily support, structured learning, work-related development, and opportunities to connect with others.

Respite care is available for short stays, which can suit a household whose usual caregiver needs temporary relief, travel time, or recovery. Marbridge Village may be a good fit for an adult with a developmental disability who needs semi-independent living with individualized support and vocational training.

Marbridge Village has 96 beds. Total nurse staffing is 4h 59m per resident/day, representing daily nurse care time assigned per resident. The community is operated by Marbridge Foundation.

Payment options include Medicaid, Medicare, and private pay. The area has a car-dependent Walk Score of 49, so most errands require a car or a ride.

Contact Marbridge Village

Overview of Mystic Park Nursing and Rehabilitation Center

Set in the proximity of Nani Falcone Community Park in Mystic Park, San Antonio, TX, Mystic Park Nursing and Rehabilitation Center is an astounding community that specializes in skilled nursing and in-house therapy. Here, residents are guaranteed to receive the highest quality of care with the community’s comprehensive services tailored to their healthcare needs. With hands-on therapy services, residents can opt for short-term and long-term care depending on their needs.

Aside from comprehensive care, the community also conducts fun activities and engaging programs for residents’ enjoyment and wellness. Physical, occupational, and speech therapy are provided to enhance residents’ well-being. With a variety of care provided by a specially trained team including wound care, neurological conditions, lymphedema, and pulmonary programs, residents can rest assured of meeting their needs. The community is great for those who need additional support to live their golden years comfortably.

Contact Mystic Park Nursing and Rehabilitation Center

Overview of The Buckingham

The Buckingham offers nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Houston’s Mid West neighborhood. Assisted living includes help with dressing, bathing, and medication while a resident keeps a private living space. Independent living provides private living with community services but no daily care.

Memory care is provided in a secured setting with supervision. Respite care offers a short stay when a family caregiver needs to travel or recover, while skilled nursing provides licensed nursing care on site around the clock. The range of care types may suit a resident whose needs grow over time because different care levels are available within the same community.

The community has 130 beds, with one-bedroom, two-bedroom, and three-bedroom housing options. Medicare and private pay are accepted. Buckingham Senior Living Community operates the community, and Elise Green serves as administrator.

Total nurse staffing is 5 hours and 56 minutes per resident per day, representing the daily nursing time assigned to each resident. A Walk Score of 56 makes the area somewhat walkable, so some errands can be done on foot, and a resident who no longer drives may be able to reach nearby destinations independently.

Contact The Buckingham

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 Ebony Lake Nursing and Rehabilitation Center

Ebony Lake Nursing and Rehabilitation Center in Brownsville’s Los Ebanos neighborhood offers nursing home care, home care, hospice care, respite care, and skilled nursing. Nursing home and skilled nursing care provide licensed nursing care on site around the clock. Home care brings services to a person’s residence, while hospice focuses on comfort and support during end of life care.

Respite care provides short term stays, which may suit a family whose usual caregiver needs time away or recovery. The community has 122 beds, with a 69% occupancy rate, so just over two thirds of its beds are occupied. Medicaid, Medicare, and private pay are accepted, giving families those payment options for covered care and services. Total nurse staffing is 3 hours and 4 minutes per resident per day, representing the daily nursing time allocated to each resident, and Nanette D Spear serves as the administrator.

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Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Texas

What's the difference between assisted living and a nursing home in Texas?

Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Texas Medicaid cover nursing home care?

Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 285 nursing homes in Texas. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Texas?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Texas, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Texas?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.