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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.
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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.
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.
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.
$10.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
31.5%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$6.2M*Fiscal year ending 11/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.5M*Fiscal year ending 11/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
57%*Fiscal year ending 11/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$30.8M*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.
$14.8M*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.
48%*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.
$10.1M*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.
$4.1M*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.
40.3%*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: 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
Mirador Retirement Community is a non-profit senior living community in Nueces County, Corpus Christi, TX, offering vibrant independent living experience. Enjoy a precious time alone in comfortably designed accommodations in variations of one-bedroom and two-bedroom floor plans. Residents can look forward to 24/7 assistance response and the convenience of housekeeping, dry cleaning, maintenance, and transportation services.
Dedicated to providing residents with plenty of meaningful experiences and opportunities to socialize and learn new things, the community provides a full-time lifestyle director that carefully curates community activities, events, and programs. Residents can freely participate in the activity of their choosing, including fitness classes, lectures, bible studies, musical performances, or outdoor gardening. With most of the chores handled, residents have a lot of free time to spend on their enjoyment and well-being, enabling them to live a more full and meaningful life.
San Pedro Manor is a distinguished community situated in the charming neighborhood of West Ashley Pl, San Antonio, TX, providing in-house therapy and skilled nursing. With its dedication to improving residents’ welfare, the community utilizes a holistic approach to care tailored to their unique needs. Keep peace of mind with a compassionate and specially trained team helping with your day-to-day activities 24/7.
Enjoy fun activities and engaging programs, aiming to keep residents active and socially connected. Physical, occupational, and speech therapy, alongside wound care, memory care, and pulmonary programs are provided to meet residents’ healthcare needs. Receive the utmost care and support you deserve with the community’s top-notch care and specially designed amenities.
Overview of Pflugerville Nursing and Rehabilitation Center
Located in the tranquil neighborhood of Rex Kerwin Court, Pflugerville, TX, is the outstanding senior living community of Pflugerville Nursing and Rehabilitation Center that provides skilled nursing, clinical services, therapy services, rehabilitation, and hospice care. The community works hard to meet seniors’ needs and aspirations 24/7 with the highest quality of care and assistance. With comprehensive care services, seniors and families can rest assured of finding the right care for their every need.
End-of-life journey can be intimidating and lonely, hence, the community supports families and accompanies residents to give them a positive outlook. With an abundance of recreational activities, residents always have something to do to keep an active and well-connected lifestyle. Pflugerville Nursing and Rehabilitation Center is a good place for seniors in need of supplementary care with its state-of-the-art amenities and genuine care.
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.
St. Anthony’s Care Center is a trusted haven providing both rehabilitation and long-term care, assuring residents a profound sense of peace. Boasting an exceptional performance record, this facility houses a highly skilled nursing team adept at offering a spectrum of services. From short to long-term care, including IV therapy, CVC management, antibiotics, lab services, blood draws, and more, Saint Anthony’s Care Center prioritizes comprehensive healthcare.
Distinguishing itself further, the facility places a strong emphasis on restorative activities that stimulate independence, elevating the overall quality of life for seniors. In addition to exemplary skilled nursing care, St. Anthony’s Care Center extends its commitment to those with dementia, fostering a compassionate and supportive environment. Whether aiding in rehabilitation post-surgery or illness, or catering to long-term care needs, this facility stands as a beacon, dedicated to enhancing the well-being of its residents.
Overview of McKinney Healthcare and Rehabilitation Center
McKinney Healthcare and Rehabilitation Center provides exceptional skilled nursing, short-term rehabilitation, and long-term care services in a compassionate, comfortable nursing home environment. The community’s vision is centered on creating a sense of community and fostering a collaborative and compassionate staff that strives to exceed expectations. Their mission is to make a positive difference in the lives of those they serve, emphasizing exceptional care and service. The focus is on the well-being of each guest, ensuring comfort, safety, and therapeutic support throughout their stay.
At McKinney Healthcare and Rehabilitation Center, the commitment to state-of-the-art care is evident through a blend of high-tech and hands-on therapeutic approaches tailored to each individual. The community emphasizes personalized therapy programs designed to meet each resident’s unique needs. Their service-oriented approach recognizes each guest as a valued member, ensuring a stay filled with comfort, safety, and therapeutic benefits. The community also offers a variety of engaging activities and excursions to ensure that there’s never a dull moment, fostering an active and vibrant environment. McKinney Healthcare and Rehabilitation Center is not just a place for care; it’s a community dedicated to enhancing the quality of life for all who entrust them with their well-being.
The Plaza at Edgemere is a remarkable healthcare community located in the charming Preston Hollow neighborhood. The Tuscan inspired architecture is a sight to behold, and the apartments starting at 1000 square feet are spacious and elegant. This community offers assisted living, memory support, and skilled nursing, rehabilitation services. Understanding that senior living is continually evolving, they constantly upgrade their services to stay up-to-date with the latest trends and technology. The beautifully landscaped grounds, as well as spacious patios and balconies, offer a peaceful environment where residents can enjoy a peaceful abode. This home takes away the stress of home maintenance, allowing residents to focus on enjoying their golden years. Concierge services, housekeeping, and laundry, transportation services, and even underground parking for the convenience of its residents, are rendered with superb quality. Residents can take advantage of a wide range of amenities, including a library for book lovers, putting green, billiard room, herb garden, guest suites that provide comfortable accommodations for visitors, an arts studio and woodshop offering creative spaces for artists and craftsmen, and a heated indoor pool. The Plaza at Edgemere Health Care truly offers a luxurious and fulfilling lifestyle for retirees.
A 120-bed nursing home at 3730 West Orem Drive in Houston, Texas, is Capstone Healthcare Estates on Orem. It’s positioned in a somewhat walkable neighborhood (Walk Score of 55), where some errands can be done on foot alongside nearby amenities. It’s then accessible for occupants and visiting families.
As a nursing home, the facility is equipped to provide skilled nursing care for older adults requiring active medical support. Medicare, Medicaid, and private pay are accepted to provide flexibility for families managing coverage options. The average stay duration is around 116 days, a timeframe typical of residents in skilled nursing transition, some healing from hospitalization or surgery, others adjusting to longer-term care arrangements. Meanwhile, nursing support is a core element of daily operations. The facility provides approximately 3 hours 41 minutes of total nursing care per resident day, including contributions from registered nurses, licensed practical nurses, and nurse aides. This level of staffing enables the 24/7 clinical attention that skilled nursing settings are tailored to provide.
Stonemere Rehabilitation Center is a highly recognized nursing home in Frisco, TX, offering skilled nursing and rehabilitation. Here, older adults can feel at home, especially with its compassionate and welcoming environment. With 24-hour care, well-balanced meals, and therapy services, residents have a worry-free lifestyle. The community also works closely with residents to develop care plans based on their needs and habits.
Fun events, light exercises, and recreational activities ensure residents can stay active and have fun. Spacious activity areas, a spa, and a beautiful courtyard are among the many amenities dedicated to residents’ leisure and wellness. Residents have a stress-free retirement, as it is conveniently located near a highway in Frisco’s neighborhood. Providing exceptional standards of care and a clean setting, this nursing home is one of the best options for senior living in Texas.
Mountain Villa, located in El Paso, TX, is a skil;led nursing facility offering high quality skilled nursing and long term care to its residents. Here the residents receive 24/7 staff availability for skilled nursing care, assistance with ADLs, medication management, and other specialized care depending on the residents’ healthcare needs. Other services that Mountain Villa provides include meal provisions which are prepared with care and consideration to the residents’ dietary needs, physical, occupational, and speech therapy services, housekeeping and laundry services, and access to the facilities activities and programs that promote overall well being.
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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