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 16 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. Avir at KaufmanKaufman, TX · 115 beds · Kaufman CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  2. Uvalde Healthcare And Rehabilitation CenterUvalde, TX · 115 beds · Uvalde CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  3. Fair Park Health & Rehabilitation CenterDallas, TX · 114 beds · Dallas CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  4. Ballinger Healthcare And Rehabilitation CenterBallinger, TX · 114 beds · Runnels CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 2 of 5 2 of 5
  5. Avir at Richland HillsRichland Hills, TX · 114 beds · Tarrant CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  6. Elgin Nursing And Rehabilitation CenterElgin, TX · 114 beds · Bastrop CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  7. Mullican Care CenterSavoy, TX · 112 beds · Fannin CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  8. Huntington Health Care & Rehabilitation CenterHuntington, TX · 112 beds · Angelina CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 1 of 5 2 of 5
  9. San RemoRichardson, TX · 112 beds · Dallas CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  10. SorrentoSan Antonio, TX · 112 beds · Bexar CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  11. Windemere AT Westover HillsSan Antonio, TX · 112 beds · Bexar CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  12. Avir at BorgerBorger, TX · 110 beds · Hutchinson CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  13. Cedar Hill Healthcare CenterCedar Hill, TX · 110 beds · Dallas CountyInspections 3 of 5 · Staffing 2 of 5 · Quality 1 of 5 2 of 5
  14. Yoakum Nursing And Rehabilitation CenterYoakum, TX · 110 beds · Lavaca CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  15. Avir at LancasterLancaster, TX · 110 beds · Dallas CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  16. Focused Care AT CraneCrane, TX · 110 beds · Crane CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  17. The Lakes at Texas CityTexas City, TX · 109 beds · Galveston CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  18. Parkview Nursing and Rehabilitation CenterLockhart, TX · 108 beds · Caldwell CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  19. Conroe Health Care CenterConroe, TX · 108 beds · Montgomery CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 3 of 5 2 of 5
  20. Nazareth Living Care CenterEl Paso, TX · 108 beds · El Paso CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  21. Windsor Rehabilitation And HealthcareTerrell, TX · 108 beds · Kaufman CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  22. Madisonville Care CenterMadisonville, TX · 106 beds · Madison CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  23. Focused Care at MidlandMidland, TX · 106 beds · Midland CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 2 of 5 2 of 5
  24. Wylie Oaks Healthcare and RehabilitationWylie, TX · 106 beds · Dallas CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  25. Paradigm AT Bay CityBay City, TX · 105 beds · Matagorda CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  26. Winnie L Nursing & RehabilitationCameron, TX · 105 beds · Milam CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  27. Monument Rehabilitation and Nursing CenterLa Grange, TX · 104 beds · Fayette CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  28. Avir AT CarthageCarthage, TX · 104 beds · Panola CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 2 of 5 2 of 5
  29. Legacy Nursing And RehabilitationCameron, TX · 104 beds · Milam CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  30. La Hacienda De Paz Rehabilitation and Care CenterEagle Pass, TX · 104 beds · Maverick CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  31. Avir AT PittsburgPittsburg, TX · 102 beds · Camp CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  32. Alta Vista Rehabilitation and HealthcareBrownsville, TX · 100 beds · Cameron CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  33. Avir at OvertonOverton, TX · 100 beds · Rusk CountyInspections 1 of 5 · Staffing 3 of 5 · Quality 5 of 5 2 of 5
  34. Matagorda Nursing & Rehabilitation CenterBay City, TX · 100 beds · Matagorda CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 3 of 5 2 of 5
  35. Legend Oaks Healthcare and Rehabilitation Center -Gladewater, TX · 100 beds · Gregg CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 3 of 5 2 of 5
  36. Brookdale Lakeway SnfLakeway, TX · 98 beds · Travis CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  37. Champions Healthcare at WillowbrookHouston, TX · 98 beds · Harris CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 3 of 5 2 of 5
  38. Northern Oaks Living & Rehabilitation CenterAbilene, TX · 96 beds · Taylor CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  39. Live Oak Nursing and Rehabilitation CenterGeorge West, TX · 96 beds · Live Oak CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  40. Willowcreek Rehab And NursingAbilene, TX · 96 beds · Taylor CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  41. Spjst Rest Home 1Taylor, TX · 96 beds · Williamson CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 2 of 5 2 of 5
  42. Avir at SchertzSchertz, TX · 96 beds · Guadalupe CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  43. Granbury Rehab & NursingGranbury, TX · 95 beds · Hood CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 4 of 5 2 of 5
  44. Heritage Plaza Nursing CenterTexarkana, TX · 95 beds · Bowie CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  45. Sunny Springs Nursing & RehabSulphur Springs, TX · 95 beds · Hopkins CountyInspections 2 of 5 · Staffing 2 of 5 · Quality 4 of 5 2 of 5
  46. Whitesboro Health and Rehabilitation CenterWhitesboro, TX · 95 beds · Grayson CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 2 of 5 2 of 5
  47. Cypress Springs Wellness & RehabilitationMount Vernon, TX · 95 beds · Franklin CountyInspections 2 of 5 · Staffing 3 of 5 · Quality 4 of 5 2 of 5
  48. Robstown Nursing And Rehabilitation CenterRobstown, TX · 94 beds · Nueces CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 5 of 5 2 of 5
  49. Goldthwaite Health & Rehab CenterGoldthwaite, TX · 94 beds · Mills CountyInspections 2 of 5 · Staffing 4 of 5 · Quality 4 of 5 2 of 5
  50. Plainview Healthcare CenterPlainview, TX · 93 beds · Hale CountyInspections 2 of 5 · Staffing 2 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.