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 14 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. Brenham Nursing and Rehabilitation CenterBrenham, TX · 128 beds · Washington CountyInspections 1 of 5 · Staffing 2 of 5 · Quality 5 of 5 2 of 5
  2. Trucare Living Centers - SelmaSelma, TX · 128 beds · Guadalupe CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  3. Terra Bella Health and Wellness SuitesHouston, TX · 128 beds · Harris CountyInspections 1 of 5 · Staffing 2 of 5 · Quality 5 of 5 2 of 5
  4. Park Valley Inn Health CenterRound Rock, TX · 128 beds · Williamson CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  5. Sundance Inn Health CenterNew Braunfels, TX · 128 beds · Comal CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  6. Arbor Grace Guest Care CenterKilgore, TX · 127 beds · Gregg CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  7. Magnolia ManorGroves, TX · 126 beds · Jefferson CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  8. Avir at GrapevineGrapevine, TX · 126 beds · Tarrant CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  9. Town Hall Estates Keene, Inc.Keene, TX · 126 beds · Johnson CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  10. Villages of Lake HighlandsDallas, TX · 126 beds · Dallas CountyInspections 1 of 5 · Staffing 4 of 5 · Quality 5 of 5 2 of 5
  11. The Pavilion AT CreekwoodMansfield, TX · 126 beds · Tarrant CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  12. Las Ventanas De SocorroSocorro, TX · 126 beds · El Paso CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  13. Autumn Leaves Nursing And Rehab IncHenderson, TX · 125 beds · Rusk CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  14. Park Manor of WestchaseHouston, TX · 125 beds · Harris CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  15. Park Manor of Quail ValleyMissouri City, TX · 125 beds · Fort Bend CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  16. West Oaks Nursing And Rehabilitation CenterAustin, TX · 125 beds · Travis CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  17. Legend Oaks Healthcare And Rehabilitation Center -Houston, TX · 125 beds · Harris CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  18. Park Manor OF TomballTomball, TX · 125 beds · Harris CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  19. Providence Park Rehabilitation and Skilled NursingTyler, TX · 125 beds · Smith CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  20. Heritage House OF Marshall Health & RehabilitationMarshall, TX · 125 beds · Harrison CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 2 of 5 2 of 5
  21. Wellington Rehabilitation and HealthcareTemple, TX · 124 beds · Bell CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  22. Pleasant Valley Healthcare And Rehabilitation CentGarland, TX · 124 beds · Dallas CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  23. Kemp Care CenterKemp, TX · 124 beds · Kaufman CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  24. The Plaza AT RichardsonRichardson, TX · 124 beds · Dallas CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 2 of 5 2 of 5
  25. Millbrook Healthcare and Rehabilitation CenterLancaster, TX · 124 beds · Dallas CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  26. Decatur Medical LodgeDecatur, TX · 124 beds · Wise CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 2 of 5 2 of 5
  27. Granite Mesa Health CenterMarble Falls, TX · 124 beds · Burnet CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  28. Madison Medical ResortOdessa, TX · 124 beds · Ector CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  29. The Villages on MacArthurIrving, TX · 124 beds · Dallas CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  30. St. Giles Nursing and Rehabilitation CenterEl Paso, TX · 124 beds · El Paso CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  31. The Heights OF BulverdeSpring Branch, TX · 124 beds · Comal CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  32. Avir at El PasoEl Paso, TX · 124 beds · El Paso CountyInspections 1 of 5 · Staffing 2 of 5 · Quality 5 of 5 2 of 5
  33. Arbor Lake Nursing & Rehabilitation, LLCFort Worth, TX · 123 beds · Tarrant CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  34. Sandy Lake Rehabilitation And Care CenterCoppell, TX · 123 beds · Dallas CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  35. Mid Valley Nursing & RehabilitationMercedes, TX · 123 beds · Hidalgo CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  36. Mcallen Nursing CenterMcAllen, TX · 122 beds · Hidalgo CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 3 of 5 2 of 5
  37. Avir at WeatherfordWeatherford, TX · 122 beds · Parker CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 3 of 5 2 of 5
  38. Eden HomeNew Braunfels, TX · 122 beds · Comal CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 3 of 5 2 of 5
  39. Windsor Nursing And Rehabilitation Center OF SeguiSeguin, TX · 122 beds · Guadalupe CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  40. Regency VillageWebster, TX · 122 beds · Harris CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 2 of 5 2 of 5
  41. Avir at KingslandKingsland, TX · 122 beds · Llano CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  42. Cypress Creek Rehabilitation and Healthcare CenterCypress, TX · 122 beds · Harris CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  43. Songbird LodgeBrownwood, TX · 121 beds · Brown CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  44. Advanced Rehabilitation & Healthcare of BurlesonBurleson, TX · 121 beds · Johnson CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  45. Avir at Petal HillTyler, TX · 120 beds · Smith CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 2 of 5 2 of 5
  46. Fortress Nursing And RehabilitationCollege Station, TX · 120 beds · Brazos CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  47. Avir AT Bay CityBay City, TX · 120 beds · Matagorda CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  48. Northeast Rehabilitation and Healthcare CenterSan Antonio, TX · 120 beds · Bexar CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  49. Hearthstone Nursing And RehabilitationRound Rock, TX · 120 beds · Williamson CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  50. Avir at Western HillsTemple, TX · 120 beds · Bell CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 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.