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Why trust this guide?
Our editorial team analyzed 281 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.
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.
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.
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.
$13.1M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$13.1M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$9.4M
Rank#26 / 218
$7.8M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility$7.8M*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG$5.4M
Rank#35 / 218
60.1%*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility60.1%*Fiscal year ending 09/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 281 on this page. See how we rank facilities
Querencia at Barton Creek provides nursing home care, assisted living, independent living, memory care, and skilled nursing in Austin, TX. Having several care levels in one community may suit a resident whose needs change over time, since moving to a different level can happen without requiring a new setting.
The community has 73 beds. Total nurse staffing is 5h 6m per resident per day, which represents the total daily nurse time allocated to each resident.
Medicare and private pay are accepted. Medicare covers care for a limited period after a hospital stay, rather than long term residence, while private pay means the family pays directly for care.
Residents can use an on site pool, and rehabilitation services allow them to receive rehabilitation at the community instead of arranging transportation to an outside provider. Pets are allowed, so a resident may bring a pet to live with them.
Barton Creek Senior Living Center operates Querencia at Barton Creek.
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Starting Price $5,500/MonthPricing updated on October 7th, 2026
Brazos Tower at Bayou Manor offers independent living, assisted living, memory care, nursing home care and skilled nursing care in Houston, Texas. Nursing home and skilled nursing care provide licensed nursing care on site around the clock. Assisted living supports residents with daily tasks such as dressing, bathing and taking medication while they keep their own apartment. Independent living provides a private home with community services and no daily care, while memory care offers a secured setting with supervision for someone at risk of wandering.
The combination of care levels may be a good fit for a resident whose needs may grow over time, because care can change without leaving the community. With 33 beds, the community is smaller, giving staff and residents the opportunity to get to know one another. Brazos Tower at Bayou Manor opened in 1963 and is operated by Brazos Presbyterian Homes.
Residents can exercise at the indoor pool and in the wellness and fitness centers without leaving the community. Rehabilitation services also allow therapy to be received on site. Respite care provides a short stay when a resident’s usual caregiver needs to travel or recover.
Medicare and private pay are accepted. Medicare can cover short term skilled care after a hospital stay, while private pay means the resident or family pays directly.
Total nurse staffing is 5 hours and 23 minutes per resident per day, representing the daily nursing time allocated to each resident. In the Braeswood neighborhood, the area has a Walk Score of 64 and is somewhat walkable, so some errands can be completed on foot. A resident who no longer drives may be able to manage limited outings independently.
Nestled in Pleasanton, TX, Pleasanton South Nursing and Rehab is a nursing home that provides comprehensive support and care for its residents. The facility offers assistance with daily activities, personal care around the clock, medication and medical administration, mobility help, and other important safety and security measures. These services ensure that residents can retain or improve their physical and mental health, enriching their quality of life during retirement. Pleasanton South Nursing and Rehab’s team of healthcare experts, including qualified nurses, licensed medical practitioners, trained nursing assistants, and physical therapists, collaborate to provide customized care tailored to each resident’s distinctive needs.
The nursing home also provides a safe and controlled environment for seniors with medical conditions that require continuous monitoring and administration. Pleasanton South Nursing and Rehab has highly secured areas to help prevent patients from wandering off or getting lost, prioritizing their safety and well-being. The center’s dedication to treating every patient with the utmost care and respect, along with its commitment to crafting tailored solutions, make it a compelling choice for seniors in need of specialized care and support.
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.
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.
The Vosswood Nursing Center is a skilled nursing and rehabilitation center in Houston. The upscale nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through their exceptional level of care that is delivered by their patient-friendly staff as an approach to offer the best care possible for their residents. The Vosswood Nursing Center can be trusted as a safe and secure community that cares for every patients’ needs.
Convenience and hassle-free living are the center of Vosswood’s services: medication management, post surgical care, wound care; as well as their 24-hour skilled nursing care services provide compassionate care as it is their utmost priority. Other services include 247 easy admission, fall prevention, IV therapy, discharge planning, and case management.
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.
Blue Skies of Texas East is a 24-bed nursing facility at 4917 Ravenswood Dr in San Antonio, with 14 years of operating history and a current occupancy of 68%. The average length of stay runs 109 days, which is longer than a strictly short-term rehab model but short enough to signal that post-acute recovery defines much of what happens here. Medicare and private pay are both accepted.
Nursing coverage totals 6 hours and 31 minutes per resident per day: 3 hours and 1 minute from nurse aides, 1 hour and 22 minutes from LPN/LVN staff, and 46 minutes of RN time. The service list includes rehabilitation, respite care, and 24-hour staffing. State inspections have addressed themes spanning medication management, infection prevention, emergency preparedness, care planning and documentation, dietary services, resident rights, and staffing and staff credentials; a broad cross-section of operational areas rather than any single concentrated focus.
What distinguishes this community is the amenity picture, which reads like a much larger campus than 24 beds would suggest. Residents have access to a pool, fitness centers, a woodshop and art studio, a dog park, a community garden, a library, a billiard and game room, outdoor walking trails, interdenominational chapels, and 24-hour concierge service. Dining centers on fresh, seasonal, made-from-scratch preparation, and over 70 activity groups are available. For a small nursing unit, the physical environment and activity infrastructure here are substantively above what most facilities at this scale offer.
Crestview Retirement Community offers independent living, assisted living, memory care, and skilled nursing in Bryan, TX. Having these care levels in one community can allow a resident’s needs to change over time without requiring a move elsewhere.
The community has 72 beds and opened in 1970. Total nurse staffing is 5 hours and 3 minutes per resident each day, representing the daily hands on nursing time allocated to each resident. Mrc Crestview operates Crestview Retirement Community.
Respite care offers a short stay when a usual caregiver needs to travel or recover. Short term rehabilitation provides temporary care during recovery. Dining includes multi course meals in the dining room and quick bites in the Bistro, with fresh, from scratch cooking available through both options. Payment options include Medicaid, Medicare, and private pay, giving families public program and direct payment routes; Medicare applies to short term skilled care after a hospital stay rather than long term residence.
Mrc the Crossings in League City, Texas, offers independent living, assisted living, memory care, nursing home care, and skilled nursing. Independent living gives residents a private living space with community services and no daily care. Assisted living adds help with dressing, bathing, medication, and other daily tasks while the resident keeps a private apartment. Memory care is provided in a secured setting with supervision, while nursing home and skilled nursing care include licensed nursing on site around the clock.
Several care levels are available within one community. Mrc the Crossings may be a good fit for a resident whose needs grow over time and who may be able to move between care levels without leaving the community. Respite care provides a short stay when a family caregiver needs to travel or recover. Short term rehabilitation offers a temporary stay focused on recovery.
Medicaid, Medicare, and private pay are accepted, giving families those listed ways to fund care. Total nurse staffing is 4 hours and 46 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. The community has 68 beds.
Residents can use the salon and spa on site. Transportation is available for destinations outside the home. Chef prepared meals are served in both a restaurant and a Bistro, giving residents two dining settings within the community. A doctor is on staff, and pets are allowed. Greg Rossi is the director, and Happy Harbor Methodist Home operates the community.
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Nursing Homes in Texas at a glance
Avg Overall CMS Rating:2.7/ 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:1.9/ 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
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Pricing updated on October 7th, 2026
