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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.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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.
$5.4M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.8M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
52.2%*Fiscal year ending 03/2022These 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
Overview of Magnolia Crossing Nursing and Rehabilitation Center
Magnolia Crossing Nursing and Rehabilitation Center is a non-profit community in Houston, TX dedicated to helping residents achieve true wellness. With their skilled nursing and rehabilitation care services, the community guarantees everyone is able to recover the strength and functionality they need to continue enjoying their independence. Residents here also enjoy having access to a team of care experts 24/7 who are readily available to cater to their needs and emergencies.
Maintaining the highest level of functionality is easy for residents with speech, occupational, and physical therapy services available to them on-site. The community ensures residents maintain a well-cared-for life even in their last days by offering compassionate hospice care. Here, you can focus your mind on living life to the fullest without worrying about your comfort and safety.
Overview of Legend Oaks Healthcare & Rehabilitation
Legend Oaks Healthcare & Rehabilitation provides nursing home and skilled nursing care in Garland, TX. Skilled nursing includes licensed nursing care on site around the clock, while the nursing home setting supports residents who need ongoing care in a residential environment. The community may be a good fit for someone who needs continuing nursing support rather than occasional assistance.
There are 132 beds. Total nurse staffing is 3 hours and 23 minutes per resident per day, representing the daily nursing time assigned across each resident’s care. Martin Harris serves as the administrator. In-house therapy and rehabilitation services let residents receive therapy at the facility instead of arranging rehabilitation elsewhere, and daily recreational activities provide scheduled opportunities to join organized programming. Payment options include Medicaid, Medicare and private pay. Medicaid may help families cover a long-term stay when eligible, while Medicare generally applies to short-term skilled care after a qualifying hospital stay; private pay means the family pays directly.
Overview of Legend Oaks Rehabilitation and Healthcare – Kyle
In the heart of Kyle, Texas, sits Legend Oaks Rehabilitation and Healthcare – Kyle, a for-profit nursing home dedicated to providing exceptional care and services. Certified by Medicaid and Medicare, this facility stands equipped to offer both short-term rehabilitation and long-term care services, boasting a capacity of 126 beds inclusive of private and semi-private rooms. It’s not just a facility; it’s a place where residents rediscover their strength and mobility, forging a new home filled with care and support. At Legend Oaks, a talented and devoted staff collaborates closely with residents, their families, and healthcare providers to craft comprehensive care and treatment plans. The facility’s in-house therapy team blends cutting-edge techniques with hands-on approaches, ensuring a tailored and effective approach to rehabilitation and care. Beyond the exceptional care, Legend Oaks fosters an environment brimming with diverse activities curated to suit individual preferences, promoting an active lifestyle for residents.
Overview of University Park Nursing & Rehabilitation
University Park Nursing & Rehabilitation is a long-term nursing home and rehabilitation facility located in Wichita Falls, TX. This nursing home also provides respite care services, and hospice care. Part of their long-term nursing program includes 24/7 care and supervision, medication management, diabetes management, and assistance with daily activities.
Their long-term nursing residents are also provided nutritional services, to ensure that their dietary needs are met, as well as beauty and barber services as part of their regular grooming routine. Laundry and housekeeping services are also provided in the facility to ensure the residents’ environment are sanitized and safe. Other medical services such as podiatry and optometry are also offered, as well as physical, occupational, and speech therapy.
Legend Oaks West Rehab provides nursing home care, skilled nursing, and memory care in San Antonio, Texas. Skilled nursing includes licensed nursing care on site around the clock. Memory care offers a secured setting with supervision, which may suit someone living with Alzheimer’s disease or another form of dementia who needs that level of security and oversight.
The community is in the Far West Side neighborhood and has 124 beds. Its 88% occupancy rate means it was not full at the time measured. Total nurse staffing is 3 hours and 17 minutes per resident each day, representing the daily hands-on nursing time available per resident.
Payment options include Medicare, Medicaid, and private pay. Medicare can cover short-term skilled care after a hospital stay, while Medicaid can matter when savings may not cover a long stay. Private pay allows direct payment.
The Village at Incarnate Word offers nursing home, assisted living, home care, independent living, memory care, nursing care, and skilled nursing in San Antonio, Texas. Independent living provides private living with community services and no daily care, while assisted living offers help with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment.
Memory care provides a secured setting with supervision for someone at risk of wandering. Nursing home, nursing care, and skilled nursing provide licensed nursing care on site around the clock, while home care brings support to a person’s residence. Several care levels can suit a resident whose needs grow over time, allowing a move between levels without leaving the community or starting over socially.
Respite care provides a short stay for a family whose usual caregiver needs to travel or recover. The community opened in 1988 and is operated by Incarnate Word Retirement Community. It has 60 beds, with total nurse staffing of 4 hours and 19 minutes per resident per day, representing the daily hands on nursing time assigned to each resident.
Medicaid, Medicare, and private pay are accepted. Medicare applies to short term skilled care after a hospital stay rather than long term residence. A Walk Score of 75 out of 100 places the area in the very walkable band, meaning most errands can be completed on foot; a resident who no longer drives can still reach nearby shops, pharmacies, or cafes independently.
The community has a salon or spa and rehabilitation services, giving residents access to grooming and rehabilitation without arranging those services elsewhere. Religious services and a Spiritual Life program are also available for residents who want to participate.
Senior Care Health & Rehabilitation in Wichita Falls, TX is a facility that offers long-term nursing care and short-term rehabilitation services. This facility employs licensed and registered medical professionals in order to provide top quality care for their residents. Such care includes 24 hour skilled nursing care and supervision, medication management, and assistance with daily living activities.
Their long-term care program also provides individualized care plans to cater to the residents’ specific needs such as therapy services, recreational activities to boost strength and range of motion, and other medical needs like pain management.
Overview of Vogel Center Assisted Living with Memory Support
Vogel Center Assisted Living with Memory Support, located on the south wing of Helen Greathouse is a senior living community specializing in providing assisted living with specialized memory care services to residents in early stages of Alzheimers and other forms of dementia. The community’s unwavering commitment to residents’ well-being is reflected in the meticulous services they provide their residents. From three nutritious, appetizing meals served daily, a quick response emergency call system, and round-the-clock presence of professional, licensed nursing staff, residents and families are provided a peace of mind.
At Vogel Center, life is more than routine; it’s a vibrant tapestry of engaging experiences. Residents partake in daily planned activities that cater to diverse interests, enhancing social connections and providing mental stimulation. The community’s commitment to holistic well-being is evident in the comprehensive services offered, including dietary consulting, medication assistance, and bathing, dressing, and mobility assistance provided by dedicated staff. Daily housekeeping, including bathroom cleaning and bed making, ensures a clean and comfortable living environment, while weekly laundry services cater to both linens and personal clothing, allowing residents to focus on enjoying their days at The Vogel Center.
Overview of Beacon Harbor Healthcare and Rehabilitation
Welcome to Beacon Harbor Healthcare and Rehabilitation, a trusted nursing home facility established in Rockwall, Texas, proudly serving since April 16th, 1996. Dedicated to delivering exemplary nursing home services, Beacon Harbor offers both short-term rehabilitation and long-term care programs. Utilizing a blend of cutting-edge technology and hands-on therapeutic approaches, the facility tailors custom therapy programs for each patient, focusing on personalized care to enhance their quality of life.
At Beacon Harbor, a devoted and compassionate team collaborates to foster a sense of community, going above and beyond to exceed guests’ expectations by delivering exceptional care and service. The facility’s core mission revolves around making a profound difference in the lives of those they serve, anticipating and addressing individual needs while providing personalized care and treatment plans for each guest. Recognized by the Centers for Medicare & Medicaid Services (CMS) as a leading provider committed to promoting health and enhancing the quality of life, this facility encompasses 190 beds and operates under a for-profit LLC ownership.
Located in the neighborhood of Fredericksburg, TX, Knopp Healthcare & Rehab is a dependable senior care provider, offering skilled nursing care, hospice care, and palliative care. Residents here are guaranteed a comfortable recovery environment with access to an extensive array of services and therapies to ensure they are able to maintain or regain their strength, mobility, and functionality. A dependable and compassionate care team is always available to attend to residents’ needs and emergencies, giving them utmost comfort and peace of mind.
Committed to creating a vibrant environment that fosters both healing and enrichment, the community also offers a wide array of activities that are designed to give countless opportunities for interactions, entertainment, and stimulation. The community also features an array of partnerships with third-party organizations for entertainment and access to more care services, ensuring residents are provided with the services for their ever-changing needs without moving into another community.
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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