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 19 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. Grace Pointe Wellness CenterEl Paso, TX · 154 beds · El Paso CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  2. Focused Care of WaxahachieWaxahachie, TX · 152 beds · Ellis CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  3. Bridgeport Medical LodgeBridgeport, TX · 152 beds · Wise CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 2 of 5 1 of 5
  4. Lakeshore Village Nursing And RehabilitationWaco, TX · 151 beds · Mc Lennan CountyInspections 1 of 5 · Staffing 2 of 5 · Quality 4 of 5 1 of 5
  5. Paradigm AT First ColonyMissouri City, TX · 150 beds · Fort Bend CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  6. EL Paso Health & Rehabilitation CenterEl Paso, TX · 150 beds · El Paso CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  7. Heritage Gardens Rehabilitation and HealthcareCarrollton, TX · 150 beds · Dallas CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  8. Sabine Heights Nursing and Rehabilitation CenterPort Arthur, TX · 150 beds · Jefferson CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  9. Cascades at GalvestonGalveston, TX · 150 beds · Galveston CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 2 of 5 1 of 5
  10. Southland Rehabilitation And Healthcare CenterLufkin, TX · 150 beds · Angelina CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  11. Paradigm at the PrairiesEl Campo, TX · 150 beds · Wharton CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 2 of 5 1 of 5
  12. River Hills Health And Rehabilitation CenterKerrville, TX · 150 beds · Kerr CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  13. Greenhill VillasMount Pleasant, TX · 150 beds · Titus CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 2 of 5 1 of 5
  14. Forest Park Nursing & RehabilitationDallas, TX · 150 beds · Dallas CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  15. Paradigm NorthwestHouston, TX · 148 beds · Harris CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  16. Spindletop Hill Nursing & Rehab CenterBeaumont, TX · 148 beds · Jefferson CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  17. Cascades at Jacinto Rehab LPHouston, TX · 148 beds · Harris CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  18. Paradigm at WestburyHouston, TX · 148 beds · Harris CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  19. Avir at HoustonHouston, TX · 148 beds · Harris CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  20. Matlock Place Health & Rehabilitation CenterArlington, TX · 148 beds · Tarrant CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  21. Valley Grande ManorWeslaco, TX · 147 beds · Hidalgo CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 2 of 5 1 of 5
  22. Woodland Manor Nursing and RehabilitationConroe, TX · 146 beds · Montgomery CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  23. University Rehabilitation CenterDenton, TX · 146 beds · Denton CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  24. Huebner Creek Health & Rehabilitation CenterSan Antonio, TX · 146 beds · Bexar CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  25. Kennedy Health & RehabLufkin, TX · 145 beds · Angelina CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 1 of 5 1 of 5
  26. Mesa Vista Inn Health CenterSan Antonio, TX · 144 beds · Bexar CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  27. Southern Specialty Rehab & NursingLubbock, TX · 144 beds · Lubbock CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  28. Vidor Health & Rehabilitation CenterVidor, TX · 144 beds · Orange CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  29. Castle Hills Rehabilitation and Care CenterSan Antonio, TX · 143 beds · Bexar CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 1 of 5 1 of 5
  30. San Gabriel Rehabilitation and Care CenterRound Rock, TX · 142 beds · Williamson CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  31. The EnclaveSan Antonio, TX · 142 beds · Bexar CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  32. Estates Healthcare and Rehabilitation CenterFort Worth, TX · 141 beds · Tarrant CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  33. Lake Lodge Nursing & RehabilitationLake Worth, TX · 140 beds · Tarrant CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 3 of 5 1 of 5
  34. Cherokee Trails Nursing HomeRusk, TX · 140 beds · Cherokee CountyInspections 1 of 5 · Staffing 2 of 5 · Quality 4 of 5 1 of 5
  35. Lampstand Nursing and RehabilitationBryan, TX · 140 beds · Brazos CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 1 of 5 1 of 5
  36. Westpark Rehabilitation and LivingEuless, TX · 140 beds · Tarrant CountyInspections 1 of 5 · Staffing 3 of 5 · Quality 4 of 5 1 of 5
  37. Treviso Transitional CareLongview, TX · 140 beds · Gregg CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  38. Park Manor Bee CaveBee Cave, TX · 140 beds · Travis CountyInspections 1 of 5 · Staffing 2 of 5 · Quality 4 of 5 1 of 5
  39. Advanced Health & Rehab Center of GarlandGarland, TX · 139 beds · Dallas CountyInspections 1 of 5 · Staffing 2 of 5 · Quality 4 of 5 1 of 5
  40. Oasis at PearlandPearland, TX · 138 beds · Brazoria CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 2 of 5 1 of 5
  41. Edgemere EstatesEl Paso, TX · 138 beds · El Paso CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  42. Sienna Nursing and RehabilitationOdessa, TX · 138 beds · Ector CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  43. Town Hall EstatesHillsboro, TX · 138 beds · Hill CountyInspections 1 of 5 · Staffing 2 of 5 · Quality 4 of 5 1 of 5
  44. Columbus Oaks Healthcare CommunityColumbus, TX · 137 beds · Colorado CountyInspections 3 of 5 · Staffing 1 of 5 · Quality 1 of 5 1 of 5
  45. The Terrace AT DenisonDenison, TX · 136 beds · Grayson CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  46. Windsor Nursing and Rehabilitation Center of AliceAlice, TX · 136 beds · Jim Wells CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  47. Country Village CareAngleton, TX · 136 beds · Brazoria CountyInspections 1 of 5 · Staffing 3 of 5 · Quality 3 of 5 1 of 5
  48. Avir AT DallasDallas, TX · 136 beds · Dallas CountyInspections 2 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  49. Fort Worth Transitional Care CenterFort Worth, TX · 136 beds · Tarrant CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 4 of 5 1 of 5
  50. Memorial Medical Nursing CenterSan Antonio, TX · 135 beds · Bexar CountyInspections 1 of 5 · Staffing 1 of 5 · Quality 2 of 5 1 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.