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 12 of 24.

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

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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).

Compare Texas's homes

  1. Staffing: nurse hours per resident
  2. Inspections: deficiencies and fines
  3. Staffing, every state ranked
  4. Deficiencies, every state ranked

Texas nursing homes, highest-rated first

  1. Focused Care AT LamesaLamesa, TX · 80 beds · Dawson CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  2. Crossroads Nursing & RehabilitationHearne, TX · 80 beds · Robertson CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  3. Skilled Care of MexiaMexia, TX · 80 beds · Limestone CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5
  4. Sweetwater Healthcare CenterSweetwater, TX · 79 beds · Nolan CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5
  5. Val Verde Nursing And Rehabilitation CenterDel Rio, TX · 76 beds · Val Verde CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 3 of 5 3 of 5
  6. Wellington Care CenterWellington, TX · 76 beds · Collingsworth CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  7. Caraday OF LampasasLampasas, TX · 76 beds · Lampasas CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 2 of 5 3 of 5
  8. Runningwater Draw Care Center IncOlton, TX · 75 beds · Lamb CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  9. White Acres Wellness & RehabilitationEl Paso, TX · 74 beds · El Paso CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 4 of 5 3 of 5
  10. Cass Valley Healthcare CenterCenterville, TX · 74 beds · Leon CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 5 of 5 3 of 5
  11. Swan Health AT Wichita FallsWichita Falls, TX · 72 beds · Wichita CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 2 of 5 3 of 5
  12. Rambling Oaks Courtyard Extensive Care CommunityHighland Village, TX · 70 beds · Denton CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 4 of 5 3 of 5
  13. The Healthcare Resort of PlanoPlano, TX · 70 beds · Collin CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 3 of 5 3 of 5
  14. North Houston Transitional CareHouston, TX · 70 beds · Harris CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  15. Capstone Healthcare OF Hughes SpringsHughes Springs, TX · 69 beds · Cass CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 3 of 5 3 of 5
  16. Emory Health And RehabEmory, TX · 68 beds · Rains CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5
  17. Mill CreekSilsbee, TX · 67 beds · Hardin CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  18. Oakcrest Nursing And Rehabilitation CenterAustin, TX · 67 beds · Travis CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 5 of 5 3 of 5
  19. Palo Duro Nursing HomeClaude, TX · 66 beds · Armstrong CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  20. Mexia Ltc Nursing And RehabMexia, TX · 66 beds · Limestone CountyInspections 4 of 5 · Staffing 3 of 5 · Quality 1 of 5 3 of 5
  21. Avir at Knox CityKnox City, TX · 66 beds · Knox CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 4 of 5 3 of 5
  22. Post Nursing & Rehab CenterPost, TX · 65 beds · Garza CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 2 of 5 3 of 5
  23. Rosewood HeightsKilleen, TX · 64 beds · Bell CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 4 of 5 3 of 5
  24. Mclean Care CenterMcLean, TX · 64 beds · Gray CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 4 of 5 3 of 5
  25. Holly HallHouston, TX · 62 beds · Harris CountyInspections 3 of 5 · Staffing 4 of 5 · Quality 4 of 5 3 of 5
  26. Clarendon Nursing HomeClarendon, TX · 61 beds · Donley CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  27. Hansford ManorSpearman, TX · 60 beds · Hansford CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 2 of 5 3 of 5
  28. Lakeview Rehabilitation & Healthcare CenterWinnsboro, TX · 60 beds · Wood CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 4 of 5 3 of 5
  29. Diversicare OF LulingLuling, TX · 60 beds · Caldwell CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  30. Meadowbrook Care CenterVan Alstyne, TX · 60 beds · Grayson CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 5 of 5 3 of 5
  31. Heritage Place OF DecaturDecatur, TX · 60 beds · Wise CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 2 of 5 3 of 5
  32. Falcon Lake Nursing Home, LLCZapata, TX · 59 beds · Zapata CountyInspections 4 of 5 · Staffing 2 of 5 · Quality 1 of 5 3 of 5
  33. Fort Bend Healthcare CenterRosenberg, TX · 56 beds · Fort Bend CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 5 of 5 3 of 5
  34. The Courtyard Rehabilitation And Healthcare CenterVictoria, TX · 56 beds · Victoria CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  35. Brookdale GalleriaHouston, TX · 56 beds · Harris CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 5 of 5 3 of 5
  36. San Jose Nursing CenterSan Antonio, TX · 55 beds · Bexar CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 4 of 5 3 of 5
  37. Mitchell County Nursing And Rehabilitation CenterColorado City, TX · 54 beds · Mitchell CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 3 of 5 3 of 5
  38. Mesa View Senior LivingCanadian, TX · 48 beds · Hemphill CountyInspections 4 of 5 · Staffing 3 of 5 · Quality 1 of 5 3 of 5
  39. Groveton Nursing HomeGroveton, TX · 47 beds · Trinity CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  40. Sage Park AustinAustin, TX · 46 beds · Travis CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 2 of 5 3 of 5
  41. Sage Park San AntonioSan Antonio, TX · 46 beds · Bexar CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 5 of 5 3 of 5
  42. Calder WoodsBeaumont, TX · 46 beds · Jefferson CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 4 of 5 3 of 5
  43. Continuing Care AT Highland SpringsDallas, TX · 44 beds · Dallas CountyInspections 2 of 5 · Staffing 5 of 5 · Quality 4 of 5 3 of 5
  44. Booker Hospital District DBA: Twin Oaks ManorBooker, TX · 40 beds · Lipscomb CountyInspections 4 of 5 · Staffing 4 of 5 · Quality 1 of 5 3 of 5
  45. Menard ManorMenard, TX · 40 beds · Menard CountyInspections 3 of 5 · Staffing 4 of 5 · Quality 2 of 5 3 of 5
  46. Kendall House Wellness & RehabilitationBoerne, TX · 40 beds · Kendall CountyInspections 4 of 5 · Staffing 1 of 5 · Quality 3 of 5 3 of 5
  47. Reagan County Care CenterBig Lake, TX · 36 beds · Reagan CountyInspections 4 of 5 · Staffing 3 of 5 · Quality 1 of 5 3 of 5
  48. Williamsburg Village Healthcare CampusDesoto, TX · 242 beds · Dallas CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  49. Briarcliff Health CenterTyler, TX · 230 beds · Smith CountyInspections 3 of 5 · Staffing 3 of 5 · Quality 1 of 5 2 of 5
  50. Cityview Nursing and Rehabilitation CenterFort Worth, TX · 210 beds · Tarrant CountyInspections 1 of 5 · Staffing 3 of 5 · Quality 5 of 5 2 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.