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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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
$6.7M*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.
$726.3k*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.
10.9%*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.
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
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.
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 Heritage Trails Nursing & Rehabilitation
Offering skilled nursing, rehabilitation therapy, and long and short-term care, Heritage Trails Nursing and Rehab located in Lincoln Park Drive, Cleburne, TX, strives to enhance seniors’ quality of life. With physical, speech, and occupational therapy, the community provides its residents with the utmost care and support they deserve. Residents may keep their woes away and families ease their minds with a team of compassionate, reliable, and well-trained professionals tending to their needs.
The community understands the uniqueness of every individual, communicating with its residents to devise a care plan that best suits their specific needs. Fostering a healing and nurturing environment, the community ensures a comfortable and safe accommodation. Heritage Trails Nursing and Rehab is an ideal place to start your healing journey accompanied by serene surroundings.
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.
Overview of Golden Palms Retirement Center and Healthcare
Golden Palms Retirement Center and Healthcare in Harlingen, Texas, offers nursing home, assisted living, continuing care retirement communities, independent living, memory care, respite care, and skilled nursing. Assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment, while independent living provides private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering, and nursing home and skilled nursing provide licensed nursing care on site around the clock.
Respite care offers a short stay when a family caregiver needs to travel or recover. The range of care levels can suit a resident whose needs grow over time within the same community.
The home has 60 beds, with total nurse staffing of 3 hours and 11 minutes per resident per day. That figure represents the daily hands on nursing time assigned to each resident. Payment options are Medicare, Medicaid, and private pay; Medicare applies to short term skilled care after a hospital stay rather than long term residence, while Medicaid may help a family whose savings may not cover a long stay.
In house therapy and rehabilitation services let a resident receive therapy without arranging transportation elsewhere, and physician house calls bring medical visits to the community. A pool, salon or spa, landscaped courtyard, and walking paths provide on site options for swimming, personal grooming, and outdoor time, while pets are allowed so a resident may keep a pet at the community.
Monthly activity calendars include group activities, frequent outings, and sightseeing trips, and transportation is available to medical and retail appointments. A Walk Score of 50 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to handle some nearby errands independently.
Brookdale Trinity Towers offers nursing home and skilled nursing care, assisted living, independent living, and memory care in Corpus Christi, TX. Skilled nursing and nursing home care provide licensed nursing care on site around the clock, while assisted living provides help with daily tasks such as bathing, dressing, and medication. Independent living provides private living with community services and no daily care, and memory care provides a secured setting with supervision for a resident at risk of wandering. The range of care levels can suit a resident whose needs may grow over time without requiring a move to a different community.
Starting prices are $2,405 for independent living, $3,070 for assisted living, and $3,820 for memory care. The different rates let families compare the entry cost associated with each care level, with memory care carrying the higher listed rate for its secured, supervised setting. Payment options include Medicaid, Medicare, and private pay. The community has 90 beds and provides 4h 41m of total nurse staffing per resident per day, representing the daily hands-on nursing time allocated per resident.
Restaurant-style dining with chef-prepared meals gives residents meals prepared and served in a restaurant-style setting. An outdoor pool and gardens provide places for residents to spend time outdoors, while rehabilitation services and a therapy room allow therapy to take place on site without arranging separate transportation. A beauty and barber shop provides on-site grooming services, and pets are allowed so residents can continue living with an animal.
Respite care provides a short stay for a family whose usual caregiver needs to travel or recover, while short-term rehabilitation provides a temporary setting for rehabilitation. Transportation is available when a resident needs to travel beyond the community. A Walk Score of 50 is somewhat walkable, meaning some errands can be done on foot, so a resident who no longer drives may be able to reach some errands independently while using transportation for others. American Retirement operates Brookdale Trinity Towers.
Overview of Rowlett Health and Rehabilitation Center
Rowlett Health and Rehabilitation Center operates a 163-bed facility in Rowlett, Texas, offering nursing home care, skilled nursing services, and secure memory care. Memory care programs utilize a structured, enclosed setting to ensure safety for individuals living with cognitive loss or a tendency to wander. On-site rehabilitation and physical therapy allow residents to undergo recovery programs directly within the building.
Daily nurse staffing averages 3 hours and 14 minutes per resident. Under administrator Scott Howard, the center maintains a 76% occupancy rate. Community features include scheduled religious services, structured excursions, and designated transportation for resident travel. A 57 walk score indicates that the surrounding neighborhood offers limited opportunities for walking to nearby shops or appointments.
Interested individuals can connect with the staff at Rowlett Health and Rehabilitation Center to discuss admission requirements and review space in specific care wings.
On the Far West Side of San Antonio, Texas, Silver Creek Nursing and Rehab runs a nursing home and skilled nursing care. Licensed nursing staff stay on the floor at every hour, so residents admitted on a Saturday get the same coverage as those admitted during the work week.
Medicare, Medicaid, and private pay are all accepted. Medicare handles short skilled weeks after a hospital stay rather than acting as a permanent address, and Medicaid becomes important once savings stop being able to cover the bill. Private pay means the family is directly paying for services.
The home holds 120 beds. Daniella Suarez is the administrator. Nursing time comes to 2 hours and 52 minutes per resident across a day, counted as the average for everyone rather than for any specific individual.
The Park in Plano, situated in Plano, TX, is a distinguished nursing home offering comprehensive healthcare services. Specializing in skilled nursing and rehabilitation, this community provides patient-centered care with a focus on nursing restorative programs. Residents benefit from a range of healthcare services, including wound care, diabetes management, medication management, and assistance with daily activities as needed. The Park in Plano is committed to ensuring the well-being and comfort of its residents through personalized care and professional services.
In addition to its healthcare focus, The Park in Plano offers a variety of amenities to enhance residents’ daily lives. Nutritious meals, housekeeping, sanitation, and laundry services contribute to a comfortable living environment. The community also provides transportation services for outside appointments, ensuring residents have access to essential healthcare resources. Engaging in a diverse array of social, physically, and mentally stimulating activities, residents at The Park in Plano can enjoy a fulfilling and vibrant lifestyle, fostering a sense of community and well-rounded care.
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 281 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:2.7/ 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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