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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.
Watch this Video to see Texas's Top-rated Senior Communities
Avg Overall CMS Rating:2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.1/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-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.
RESC (Residential Care):
Personal care and daily-living support in a smaller, more intimate residential setting.
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.
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
Overview of Vista Ridge Nursing and Rehabilitation
Javelin Healthcare Vista Ridge is a nursing and rehabilitation facility located in Lewisville, TX providing skilled nursing and rehabilitation services. They offer a home-like environment to their long term-residents and patients to provide them a sense of ease on their journey to wellness. At Javelin Healthcare, each resident is provided a unique care plan designed to cater to their specific needs. This includes 24/7 attentive care, medication management, and assistance with daily living activities.
They offer their residents private and semi-private rooms for accommodation, as well as spacious common areas designed to promote engagement and socialization. They also provide various types of therapy services, disease management, wound care, and respite care, for residents who need them. And to ensure that the residents’ recovery is unhindered, they provide nutritious meals with consideration to the residents’ dietary restrictions, as well as housekeeping and laundry services.
Located in the warm city of McKinney, TX, is Baybrooke Village Care & Rehab Center, a senior living community and facility that offers skilled nursing, rehabilitation, respite, and long-term care services to their residents. Their clinical programs aim to treat residents that need higher levels of care; from 24/7 skilled nursing, to medication management, and assistance with daily living activities such as bathing, dressing, and eating.
Committed to providing high quality, individualized care, they employ a team of registered nurses, nurse practitioners, and medical professionals certified in IV therapy. They also offer occupational, physical, and speech therapy, as well as balance retraining and pain management services and programs.
In Southlake, Texas, Discovery Village runs six levels under one name: independent living, assisted living, residential care, memory care, nursing home care, and skilled nursing. Independent living is private living with community services and no daily care. Assisted living picks up dressing, bathing, and medication, memory care adds a secured and supervised setting for someone at risk of wandering, and skilled nursing puts licensed nurses on the floor at every hour.
That span is the point. A resident whose needs deepen shifts levels without packing a house or learning a new set of faces.
Respite stays exist for the caregiver who is still willing and simply out of road, having not slept through a night in months. Short-term rehabilitation covers the temporary stay instead: a new knee, a defined course of therapy, a recovery with a known arc after illness, injury, or a hospital visit.
Forty-one beds keep the place small, and nursing time comes to 4 hours and 5 minutes per resident daily. Medicare, Medicaid, and private pay all work here, covering skilled care after a hospital admission, a long stay once savings fall short, and direct payment respectively.
Sensations Dining and Connections Transportation are named programs, so meals arrive without anyone cooking and rides exist for residents who no longer drive. With a walk score of 74, the area rates very walkable, which means shops, a pharmacy, or a coffee stay reachable on foot for someone who handed over the car keys and did not intend to hand over their errands with them.
Windsor Calallen, located in Corpus Christi, TX, is a healthcare facility by Wellsential Health, offering skilled nursing and rehabilitation services, as well as hospice and home-health services. Their long term residents in need of skilled nursing care are provided 24/7 staff availability and nursing care for diabetes management, wound care, cardiac care, as well as stroke care.
As much as they provide quality healthcare services, their amenities are also state-of-the-art quality. They provide their residents and patients access to handicap accessible facilities, therapy gyms, and even beauty salons for grooming services. They also offer private and semi-private accommodations in a secure memory support unit. For residents living with Alzheimer’s and other forms of dementia.
Mansfield Medical Lodge provides nursing home and skilled nursing care, along with memory care, hospice and palliative care, and respite care in Mansfield, TX. Skilled nursing includes licensed nursing care around the clock, while memory care provides a secured setting with supervision for a resident living with dementia. Hospice and palliative care address end-of-life and comfort-focused needs, and respite care offers a short stay when a family caregiver needs temporary support.
Opened in 2013, Mansfield Medical Lodge has 118 beds in the Polo Crossing neighborhood. Short-term rehabilitation supports adults recovering from serious illness or injury, with a fully equipped rehabilitation area for therapy on site. An outpatient therapy program and long-term care are also available, giving residents options for continued therapy or ongoing care in the same community.
Residents can use the hair and nail salon and outdoor patio, with scheduled activities that include movies, musical performances, outings, and birthday celebrations. Cardiac-healthy, diabetic-friendly, mechanical soft, and pureed diets are available for residents with those dietary needs. The community may be a good fit for a resident whose needs range from rehabilitation or skilled nursing to memory, hospice, palliative, or respite care.
Medicaid, Medicare, and private pay are accepted. Medicaid may help when savings do not cover a long stay, while Medicare covers short-term skilled care after a hospital stay rather than long-term residence. Total nurse staffing is 2 hours and 55 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident, and the community is administered by Jonathan C Tyner.
A Walk Score of 39 places the area in a car-dependent setting, so most errands require a car or a ride rather than a short walk. Mansfield Medical Lodge is in Mansfield, TX.
The Villages of Dallas offers nursing home care, assisted living, independent living, memory care, and skilled nursing in Dallas, Texas. Assisted living includes help with daily tasks, while independent living provides private living with community services and no daily care.
Memory care provides a secured setting with supervision, and skilled nursing provides licensed nursing care on site around the clock. With these care levels available in one community, The Villages of Dallas may suit a resident whose needs grow over time and who may be able to move between levels without leaving the community.
The community has 160 beds. That size accommodates more residents, staff, and usually more programming than a smaller community.
In house therapy and rehabilitation services allow residents to receive therapy at the community rather than arranging transportation elsewhere. Total nurse staffing is 4 hours and 11 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.
Payment options include Medicaid, Medicare, and private pay. Medicaid can help cover a long stay when personal savings may not be sufficient, Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay means the family pays directly.
The community is operated by Eastland Memorial Hospital District. A Walk Score of 68 places the area in a somewhat walkable setting, where some errands can be completed on foot and a resident who no longer drives may be able to manage certain nearby trips independently.
Parkwood Assisted Living offers independent living, nursing home care, assisted living, hospice care, memory care, nursing care, palliative care, respite care, and skilled nursing in Bedford, Texas. Independent living provides a private living arrangement without daily care, while assisted living helps with tasks such as dressing, bathing, and medication while the resident keeps a personal living space. Memory care is secured and supervised for someone at risk of wandering.
Skilled nursing and nursing care provide licensed nursing care on site around the clock. Hospice and palliative care focus on comfort and symptom support during serious illness, while respite care provides short stays for a family whose usual caregiver needs to travel or recover. The range of care options may suit a resident whose needs could grow over time.
The community has 84 beds, with studio, suite, and one bedroom housing options. Pets are allowed, so a resident can bring a pet to live with them. Parkwood Assisted Living is operated by Lcs Phc, and total nurse staffing is 4 hours and 39 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.
Medicare, Medicaid, and private pay are accepted, giving families three payment routes for care. The area has a Walk Score of 34 and is car dependent, so most errands require a car or a ride for a resident who no longer drives. Parkwood Assisted Living may also suit a family needing a short stay while a primary caregiver travels or recovers.
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.
Overview of Westover Hills Rehabilitation and Healthcare Center
Conveniently nestled in San Antonio, TX, Westover Hills Rehabilitation and Healthcare Center is a warm and dependable community designed to support residents with their recovery. They collaborate closely with residents, their families, and healthcare providers in creating an effective care plan tailored to their needs. The community also features an in-house therapy team that uses advanced therapeutic approaches to help residents regain their strength and overall functionality.
Residents’ schedules are packed with an array of fun and enriching activities tailored to their preferences and skills for an active lifestyle. In addition to nutritionally balanced meals, the community provides the convenience of housekeeping services for residents’ comfort. Here, residents are guaranteed to maintain their highest functionality to continue enjoying life.
Victoria Gardens of Frisco is a nursing home in Frisco, TX, offering dementia care, long-term care, rehabilitation, and skilled nursing. The community also promotes a warm and welcoming environment, ensuring older adults can feel at ease during their stay. With chef-prepared meals, 24-hour care, and social services, residents experience a maintenance-free retirement. Through personalized care plans, residents receive the utmost attention and care to recover and return to their routines with ease.
Holiday parties, field trips, and fitness programs provide residents with more opportunities to explore new hobbies and make friends. Beautifully designed rooms and spacious gathering areas also ensure residents can rest and move around comfortably. Situated in the lively Frisco neighborhood, residents have a convenient lifestyle. This nursing home is a great choice for senior living in Texas, especially with its high standards of care.
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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