NPPES file of Aug 9, 2026

Nursing Homes in Texas

1,177 Medicare-certified nursing homes in Texas; CMS rates 1,165 of them, 11.7% with 5 stars and 26.8% with 1. Listed highest-rated first, page 11 of 24.

CMS Care Compare nursing home file processed Jul 1, 2026 · method · Care Compare on CMS.gov →

Overall rating, 1,165 rated homes

  1. 5 stars136
  2. 4 stars206
  3. 3 stars255
  4. 2 stars256
  5. 1 star312

Source: CMS Five-Star Quality Rating System, overall rating, Texas; file processed Jul 1, 2026. 12 homes are not rated (newly certified or withheld).

Texas nursing homes, highest-rated first

  1. Rose Haven RetreatAtlanta, TX · 108 beds · Cass CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 4 of 5 3 of 5
  2. Rayburn Health Care & RehabilitationJasper, TX · 107 beds · Jasper CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 2 of 5 3 of 5
  3. Palo Pinto Nursing CenterMineral Wells, TX · 106 beds · Palo Pinto CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 2 of 5 3 of 5
  4. The Villa AT TexarkanaTexarkana, TX · 106 beds · Bowie CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5
  5. Cypress Woods Care CenterAngleton, TX · 105 beds · Brazoria CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  6. Ignite Medical Resort San Antonio, LLCSan Antonio, TX · 105 beds · Bexar CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 5 of 5 3 of 5
  7. Avir at Temple WestTemple, TX · 104 beds · Bell CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  8. The Premier Snf OF AliceAlice, TX · 104 beds · Jim Wells CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  9. Greenville GardensGreenville, TX · 103 beds · Hunt CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  10. Avir at Town CreekPalestine, TX · 102 beds · Anderson CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 4 of 5 3 of 5
  11. Cherokee Rose Nursing And RehabilitationGlen Rose, TX · 102 beds · Somervell CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 2 of 5 3 of 5
  12. Village Creek Nursing & RehabilitationFort Worth, TX · 100 beds · Tarrant CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5
  13. Carillon IncLubbock, TX · 100 beds · Lubbock CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 4 of 5 3 of 5
  14. Watkins-Logan-Garrison Texas State Veteran's HomeTyler, TX · 100 beds · Smith CountyInspections 3 of 5 · Staffing 4 of 5 · Quality 2 of 5 3 of 5
  15. Methodist Transitional Care Center-Desoto LLCDesoto, TX · 100 beds · Dallas CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 5 of 5 3 of 5
  16. University Park Nursing And RehabilitationWichita Falls, TX · 98 beds · Wichita CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  17. Avir at ElkhartElkhart, TX · 98 beds · Anderson CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 3 of 5 3 of 5
  18. Care Inn OF LA GrangeLa Grange, TX · 98 beds · Fayette CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  19. Care Nursing & RehabilitationBrownwood, TX · 97 beds · Brown CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  20. Chisolm Trail Nursing and Rehabilitation CenterLockhart, TX · 96 beds · Caldwell CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  21. Windsor Nursing and Rehabilitation Center of BastrBastrop, TX · 96 beds · Bastrop CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5
  22. The MeridianGalveston, TX · 96 beds · Galveston CountyInspections 4 of 5 · Staffing 4 of 5 · Quality 1 of 5 3 of 5
  23. High Hope Care Center OF BrenhamBrenham, TX · 96 beds · Washington CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 2 of 5 3 of 5
  24. Avir at Jeffrey PlaceWaco, TX · 95 beds · Mc Lennan CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 4 of 5 3 of 5
  25. MI Casita Nursing And Rehabilitation CenterLubbock, TX · 95 beds · Lubbock CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  26. Shiner Nursing And Rehabilitation Center IncShiner, TX · 95 beds · Lavaca CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 3 of 5 3 of 5
  27. Cross Country Healthcare CenterBrownwood, TX · 94 beds · Brown CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 3 of 5 3 of 5
  28. The Lev at WinchesterAlvin, TX · 94 beds · Brazoria CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5
  29. Woodlake Nursing CenterClute, TX · 93 beds · Brazoria CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 2 of 5 3 of 5
  30. Garrison Nursing Home & Rehabilitation CenterGarrison, TX · 93 beds · Nacogdoches CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 4 of 5 3 of 5
  31. Richland Hills Rehabilitation and Healthcare CenteFort Worth, TX · 92 beds · Tarrant CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  32. Focused Care OF CenterCenter, TX · 92 beds · Shelby CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 5 of 5 3 of 5
  33. Avir AT MonahansMonahans, TX · 92 beds · Ward CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 4 of 5 3 of 5
  34. Renaissance Care CenterGainesville, TX · 91 beds · Cooke CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  35. Briarcliff Skilled Nursing FacilityCarthage, TX · 91 beds · Panola CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 4 of 5 3 of 5
  36. Avir AT FredericksburgFredericksburg, TX · 90 beds · Gillespie CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 5 of 5 3 of 5
  37. Stonecreek Nursing & RehabilitationSan Augustine, TX · 90 beds · San Augustine CountyInspections 4 of 5 · Staffing 3 of 5 · Quality 1 of 5 3 of 5
  38. Franklin Nursing HomeFranklin, TX · 90 beds · Robertson CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5
  39. Cedar Lake Nursing HomeMalakoff, TX · 90 beds · Henderson CountyInspections 5 of 5 · Staffing 1 of 5 · Quality 1 of 5 3 of 5
  40. Park Plaza Nursing And Rehabilitation CenterSan Angelo, TX · 90 beds · Tom Green CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5
  41. Copperas Hollow Nursing & Rehabilitation CenterCaldwell, TX · 90 beds · Burleson CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  42. Brentwood Place FourDallas, TX · 90 beds · Dallas CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  43. Mabank Nursing CenterMabank, TX · 90 beds · Kaufman CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 3 of 5 3 of 5
  44. Avir AT PecosPecos, TX · 89 beds · Reeves CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 4 of 5 3 of 5
  45. Denton Village by PureHealthDenton, TX · 88 beds · Denton CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 5 of 5 3 of 5
  46. Avir AT San AugustineSan Augustine, TX · 88 beds · San Augustine CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 2 of 5 3 of 5
  47. Levelland Nursing & Rehabilitation CenterLevelland, TX · 87 beds · Hockley CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 2 of 5 3 of 5
  48. Immanuel's HealthcareFort Worth, TX · 84 beds · Tarrant CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  49. Rockdale Estates & RehabilitationRockdale, TX · 84 beds · Milam CountyInspections 4 of 5 · Staffing 2 of 5 · Quality 1 of 5 3 of 5
  50. Yorktown Nursing And Rehabilitation CenterYorktown, TX · 82 beds · De Witt CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5

How to read this list

Texas hosts 1,177 Medicare-certified nursing homes that participate in the CMS Five-Star Quality Rating System, each tracked by a unique six-digit CMS Certification Number (CCN) and evaluated on Health Inspection, Staffing, and Quality Measures components. Certification is required for any long-term care facility that bills Medicare or Medicaid for skilled nursing services, so this roster functions as a near-complete directory of the state's licensed SNF (skilled nursing facility) beds, excluded are assisted-living residences, independent-living communities, and memory-care units that operate outside the Medicare/Medicaid reimbursement system. This page uses 14,693 Medicare-certified nursing-home records from CMS Care Compare, with NPPES context where available. Every figure is traceable in the methodology.

The facilities on this page are paginated across 24 pages (50 per page) and sorted by CMS Overall Star Rating with highest-rated homes first, so if you're searching for the top-performing nursing homes in Texas you can read from the top; if you're researching a specific facility name, use browser find or the search tool. Each listing shows the Overall star, the three component ratings (Health, Staffing, Quality), bed count, and county, drill into the facility's profile page for full deficiency counts, inspection cycle history, RN hours per resident per day, fines, and Special Focus or abuse-icon flags. Remember that identical Overall stars can mask very different underlying profiles: a 4-star facility with 1-star Staffing reads differently than a 4-star facility with 4-star Staffing.

CMS refreshes the Five-Star dataset monthly as new state surveys are uploaded, so ratings can shift; the figures here come from the file CMS processed on Jul 1, 2026. Important: PlainDoctor presents these ratings exactly as CMS publishes them at data.cms.gov - no custom scoring, no rankings, no editorial adjustments. This directory is a starting point for research, not a placement recommendation or medical advice; choosing a nursing home for yourself or a loved one is a high-stakes healthcare decision that should involve in-person tours, staff interviews, reading the full survey deficiency reports, and consulting licensed clinicians, hospital discharge planners, and elder-care attorneys or advisors who understand the financial and Medicaid implications.

States with the most nursing homes

  1. California1,165
  2. Ohio922
  3. Florida694
  4. Illinois667
  5. Pennsylvania656

All states →

Source: CMS Five-Star Quality Rating System, Nursing Home Provider Information, processed Jul 1, 2026 (data.cms.gov).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Jul 1, 2026.