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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.
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.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
$6.1M*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.
$3.4M*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.
55.5%*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.
$5.4M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$11.2M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
206.1%*Fiscal year ending 12/2021These 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
Heritage Park of Katy is a family-owned and operated nursing home in Katy, TX, offering skilled nursing and rehabilitation. With its compassionate and supportive setting, the community ensures older adults are treated kindly during their stay. Excellent services, including 24-hour care, medication monitoring, and therapy, are also provided to enrich residents’ living experiences. Alongside specialized care programs, personalized care plans are also provided to help them recover and live to their potential.
Trivia time, field trips, and movie nights are just some of the activities that aim to help residents stay active and explore new interests. Lively gathering areas and thoughtfully furnished amenities are also available for residents’ leisure and wellness. The Katy City Hall, Katy VFW Museum, restaurants, and parks also surround the area, providing residents with quick access to their necessities and leisure. As one of the trusted options for senior living in Katy, this nursing home provides quality services for older adults’ welfare.
The Brightpointe is a nursing home in Conroe, TX, offering cardiac care, rehabilitation, and skilled nursing. Featuring private and semi-private rooms in a nurturing and welcoming environment, the community ensures older adults can feel at ease during their stay. Chef-prepared meals, 24-hour care, and comprehensive therapy programs are among the excellent services provided to enrich residents’ living experiences. Alongside a high caregiver-to-resident ratio, personalized care plans are also provided to help residents recover and return to their routines with ease.
Light exercises, social gatherings, and a variety of recreational programs help residents stay active and gain meaningful experiences. Two outdoor courtyards, a therapy gym, and spacious dining areas also ensure residents can interact with friends and rest comfortably. Set near the HCA Houston Healthcare Conroe and bus stops in the quiet residential area of Conroe, the community ensures residents have a convenient lifestyle. This nursing home has exceptional standards of care and state-of-the-art amenities, making it a great choice for senior living in Texas.
Princeton Medical Lodge is a nursing home in Princeton, TX, offering skilled nursing, palliative care, and respite care. Skilled nursing provides licensed nursing care on site around the clock, while palliative care focuses on comfort and respite care provides a short stay when a usual caregiver travels or recovers. The facility also offers rehabilitation services and short-term rehab, giving residents recovery-focused care for a limited stay.
There are 138 beds, including private suites that give each resident a private living space. The combination of nursing, rehabilitation, palliative, and respite services may suit someone who needs ongoing clinical care or a temporary stay during a caregiver’s absence. Medicaid, Medicare, and private pay are accepted: Medicaid can help when savings may not cover a long stay, while Medicare applies to short-term skilled care after a hospital stay rather than long-term residence. Total nurse staffing is 2 hours and 27 minutes per resident per day, representing the daily nursing time allocated to each resident, and Jordan Moon serves as the administrator.
Overview of James L. West Center for Dementia Care
Ideally located in Fort Worth, TX, James L. West Center for Dementia Care provides a safe retreat for those dealing with the challenges of memory loss. Through their personalized memory care program, the community aims to help residents live their lives fully and comfortably despite their condition. A team of highly trained and experienced caregivers is always available to care for residents and ensure their care plans align with their needs.
As a non-profit community, James L. West Center for Dementia Care guarantees comprehensive care services focused solely on residents’ welfare. Residents here are also encouraged to freely participate in a wide array of enriching activities tailored to their interests and skills. With a strong commitment to loving care and an exceptional care team, the community ensures its residents live a fulfilling life.
Overview of Village Creek Wellness and Rehabilitation
Enjoy your golden years with Village Creek Wellness and Rehabilitation, a dependable community set in the harmonious neighborhood of Village Creek Road, Fort Worth, TX, that specializes in nursing care. With different levels of care for residents’ unique needs, the community provides the highest quality of care and support around the clock from a compassionate and well-trained team. Here, residents receive the care they need while retaining their independence.
The community also offers various services including pharmacy, laboratory, social services, and psychological services, ensuring residents are well-cared for. Enjoy healthy and delicious meals for a satisfactory dining experience that caters to dietary needs and preferences. Transportation services, dialysis, and scheduled care are also provided for residents’ comfort and convenience. The community is perfect for those who need additional support to live their golden years comfortably.
Sugar Land Health Care Center is a nursing home in Sugarland, TX, offering memory care, hospice care, rehabilitation, and skilled nursing. With its compassionate and supportive setting, the community ensures older adults are well-cared for. Gourmet meals, daily housekeeping, and transportation services are also provided to enrich residents’ living experiences. Residents also receive the utmost attention and care tailored to their unique needs and preferences through a customized care approach.
Light exercises and fun events encourage residents to live actively and gain meaningful experiences. Top-notch rehabilitation equipment and lively gathering areas are also available for residents’ recovery and relaxation. Set near Imperial Park and shops in Sugarland, the community ensures residents have easy access to their necessities and leisure. This nursing home continuously provides exceptional care for older adults’ welfare, making it one of the best options for senior living in Texas.
The Buckingham offers nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Houston’s Mid West neighborhood. Assisted living includes help with dressing, bathing, and medication while a resident keeps a private living space. Independent living provides private living with community services but no daily care.
Memory care is provided in a secured setting with supervision. Respite care offers a short stay when a family caregiver needs to travel or recover, while skilled nursing provides licensed nursing care on site around the clock. The range of care types may suit a resident whose needs grow over time because different care levels are available within the same community.
The community has 130 beds, with one-bedroom, two-bedroom, and three-bedroom housing options. Medicare and private pay are accepted. Buckingham Senior Living Community operates the community, and Elise Green serves as administrator.
Total nurse staffing is 5 hours and 56 minutes per resident per day, representing the daily nursing time assigned to each resident. A Walk Score of 56 makes the area somewhat walkable, so some errands can be done on foot, and a resident who no longer drives may be able to reach nearby destinations independently.
Overview of Christian Care Communities and Services – Mesquite
Christian Care Communities & Services – Mesquite is a faith-based, non-profit provider nestled in the heart of the Dallas/Fort Worth Metroplex. Their Life Plan Community offers a comprehensive spectrum of services tailored to seniors’ diverse needs, encompassing Independent Living, Assisted Living, Memory Care, Skilled Nursing and Rehab, and Hospice Services, creating an environment conducive to resident well-being and growth. The community’s ethos of compassionate care resonates through testimonials from residents and family members, echoing gratitude for the exceptional wellness programs and heartfelt appreciation for the attentive care provided. Christian Care Communities & Services stands dedicated to enriching the lives of the individuals they serve.
Christian Care Nursing & Rehabilitation provides comprehensive services for those needing post-hospitalization or extended care. Their fully licensed facility, sanctioned by the State of Texas, houses 140 beds in private and semi-private rooms. Since 1973, they have continued to serve seniors, specializing in rehabilitation services catering to post-surgical, cardiac, orthopedic, and neurological needs.
Overview of Hacienda Oaks Nursing & Rehabilitation Center
Hacienda Oaks Nursing & Rehabilitation Center is a nursing home and skilled nursing community in Beeville, TX that also provides hospice care. Skilled nursing provides licensed nursing care on site around the clock, while hospice care supports residents receiving end of life care.
The nursing home offers long term care, while short term rehabilitation provides a temporary stay focused on recovery after an illness, injury or medical procedure. The community has 95 beds, and its total nurse staffing is 3h 54m per resident per day, representing the amount of nursing time assigned to each resident across a day.
Rehabilitation services, pain management, dental care, dialysis and podiatry services are available through the facility’s programs. Residents can therefore access support for recovery as well as specific health needs without those services being limited to nursing care alone.
Medicare, Medicaid and private pay are accepted. Medicare may cover short term skilled care after a hospital stay, Medicaid can help eligible residents pay for longer term care, and private pay allows a resident or family to pay directly.
Hacienda Oaks Nursing & Rehabilitation Center may be a good fit for someone who needs either a temporary rehabilitation stay or ongoing nursing support, with hospice care available when end of life services are needed.
The Villages of Dallas offers nursing home care, assisted living, independent living, memory care, and skilled nursing in Dallas, Texas. Assisted living includes help with daily tasks, while independent living provides private living with community services and no daily care.
Memory care provides a secured setting with supervision, and skilled nursing provides licensed nursing care on site around the clock. With these care levels available in one community, The Villages of Dallas may suit a resident whose needs grow over time and who may be able to move between levels without leaving the community.
The community has 160 beds. That size accommodates more residents, staff, and usually more programming than a smaller community.
In house therapy and rehabilitation services allow residents to receive therapy at the community rather than arranging transportation elsewhere. Total nurse staffing is 4 hours and 11 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.
Payment options include Medicaid, Medicare, and private pay. Medicaid can help cover a long stay when personal savings may not be sufficient, Medicare covers short term skilled care after a hospital stay rather than long term residence, and private pay means the family pays directly.
The community is operated by Eastland Memorial Hospital District. A Walk Score of 68 places the area in a somewhat walkable setting, where some errands can be completed on foot and a resident who no longer drives may be able to manage certain nearby trips independently.
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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