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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
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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
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.
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 do not publish a grade for that facility: either its public record is too thin to be fair, or we hold nothing for it at all.
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.
$5.7M*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.
$3.0M*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.
51.8%*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 285 on this page. See how we rank facilities
Overview of Golden Palms Retirement Center and Healthcare
Discover an exceptional living experience with the legendary Golden Palms Retirement Center and Healthcare located in the vibrant neighborhood of Harlingen, TX, providing independent living, assisted living, rehabilitation therapy, and respite care services. A wide array of beautifully appointed and comfortable accommodations ranging from studio to one-bedroom, two-bedroom, and three-bedroom are available for its residents. The community offers round-the-clock individualized care and assistance to ensure the comfort and security of its residents.
Committed to providing top-notch amenities and services, residents can avail delectable and healthy meals in restaurant-style dining, housekeeping and laundry services, full-service beauty and barber salon, and many more. Explore its amazing shared spaces such as the beautiful courtyard and scenic walking path. Enjoy participating in a full calendar of social activities and life enrichment programs with new companions. At Golden Palms Retirement Center and Healthcare, seniors are guaranteed a blissful and empowering retirement.
Overview of Lone Star Rehabilitation and Wellness Center
Discover a comfortable recovery environment at Lone Star Rehabilitation and Wellness Center, a respected senior care provider in Stephenville, TX, offering skilled nursing, rehabilitation, and long-term care. The community features a team of reliable caregivers who work seamlessly together to provide residents with personalized care services that best aligns with their care preferences and goals. Residents here enjoy access to an array of therapy services, including physical, occupational, respiratory, and speech rehabilitation to make sure they have the right tools to regain or preserve their strength and functionality.
Dedicated to helping residents return home safely as quickly as possible and regain, the community features a team of physicians, nurses, social workers, and therapists who work together to provide every service residents need. With its excellent commitment to quality care and services, the community makes sure they only hire the most competent and compassionate care experts who identify with their mission of delivering nothing but the best in care.
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.
Garden Terrace offers a skilled nursing and rehabilitation center. The upscale nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through the exceptional care delivered by their patient-friendly staff to offer the best care possible for their residents. As a member of the Life Care Centers, Garden Terrace at Fort Worth can be trusted as a safe and secure community that cares for every individual’s needs.
Convenience and hassle-free living are the centers of Garden Terrace’s services: medication management, post-surgical care, and wound care; their 24-hour skilled nursing care services provide compassionate care as it is their utmost priority. Other nursing home services include memory care, 24/7 easy admission, fall prevention, IV therapy, and discharge planning.
Courtyard Nursing and Rehabilitation is a 120-bed nursing home in Houston, Texas, offering skilled care and temporary respite stays. Short-term respite care assists families when primary caregivers need time off or need to travel.
Daily nurse staffing averages 3 hours and 17 minutes per resident across the center. Residents recovering from illness or injury can utilize in-house therapy and rehabilitation services directly on site. Daily life includes access to outdoor spaces and courtyards, alongside social activities such as arts and crafts, ice cream socials, and trips to nearby shopping malls.
Individuals can reach out to Courtyard Nursing and Rehabilitation to schedule a tour or review financial options.
Overview of Mission Nursing and Rehabilitation Center
Mission Nursing and Rehabilitation Center is a well-regarded nursing home in Mission, TX, offering long-term care, memory care, rehabilitation, and skilled nursing. The community also ensures older adults are treated like family, especially with its warm and nurturing environment. With 24-hour care, medication management, and nutritious meals, residents experience a worry-free retirement. Through a personalized approach to care, residents receive the utmost attention for their needs and habits.
Exercises, social events, and a variety of recreational programs help enhance residents’ holistic wellness. A spa room, a lively dining room, and spacious courtyards are among the top-notch amenities that aim to keep residents happy and safe. Mission Regional Medical Center, restaurants, shops, and Interstate 2 are also located nearby, ensuring residents have easy access to their necessities and leisure. As one of the best choices for senior living in Texas, this nursing home continuously provides exceptional care for older adults’ welfare.
Overview of Coryell County Memorial Hospital Authority
Coryell County Memorial Hospital Authority offers nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Gatesville, Texas. Nursing home and skilled nursing residents have residential support with licensed nursing care on site around the clock. Assisted living helps with dressing, bathing, medication, and other daily tasks while the resident keeps an apartment.
Independent living provides private living with community services and no daily care. Memory care offers a secured setting with supervision for someone at risk of wandering. Respite care is a short stay for a family whose usual caregiver needs to travel or recover. The range of care levels can suit a resident whose needs grow over time without requiring a move to a different community.
The community has 70 beds and is operated by Coryell Memorial Hospital Authority. Total nurse staffing is 4 hours and 45 minutes per resident each day, representing the total daily hands on nurse time available per resident. A Walk Score of 59 out of 100 places the area in the somewhat walkable band, so some errands can be done on foot and a resident who no longer drives may still complete some errands independently. Rehabilitation services and short term rehabilitation are available for a temporary stay focused on recovery rather than ongoing residence.
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.
Cornerstone Retirement Community offers nursing home care, assisted living, home care, independent living, memory care, respite care, and skilled nursing in Texarkana, TX. Independent living means private living with community services and no daily care, while assisted living adds help with dressing, bathing, medication, and other daily tasks. Memory care provides a secured setting with supervision for someone at risk of wandering, and nursing home and skilled nursing care provide licensed nursing care on site around the clock.
Home care provides support where a resident lives, while respite care offers a short stay when a family’s usual caregiver needs to travel or recover. The range of care levels can suit a resident whose needs grow over time without leaving the community. Needs can change without requiring a move. Cornerstone opened in 1996 and has 66 beds.
Medicaid, Medicare, and private pay are accepted. Medicaid can help families whose savings may not cover a long stay, Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay allows families to fund care directly. Total nurse staffing is 4 hours and 18 minutes per resident each day, representing the daily nurse staffing time allocated per resident.
Meals are prepared from scratch and shaped by resident feedback, giving residents menu options influenced by their preferences. A salon provides on site grooming, while rehabilitation services include short term rehab for recovery after an illness or procedure. Pets are allowed, religious services are available, Methodist Retirement Communities operates the community, and Chuck Lewis serves as director.
Saint Francis Nursing Home, a nonprofit community in San Antonio, TX, has been a cherished haven since 1970. Owned and operated by the Seraphic Sisters, it embodies the teachings of St. Francis of Assisi, providing holistic, compassionate care to the sick and elderly. Rooted in Catholic values, this community ensures a nurturing environment where residents and families find vital support and peace.
At St. Francis Nursing Home, the belief in true wellness goes beyond physical health. Through personalized care plans and spiritual services, the community offers unwavering support to residents and their families, ensuring compassionate guidance and care every step of the way. Residents can live peacefully knowing its mission is to ensure that every individual in its care experiences dignity, respect, and a sense of belonging.
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 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
Nursing Homes in Texas at a glance
Avg Overall CMS Rating:2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Texas. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.1/ 5The average Staffing Rating across all CMS-certified nursing homes in Texas. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Texas. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
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