Fort Worth Nursing Homes: Complete 2025 Guide to Quality Care
Expert analysis of Fort Worth's 30 nursing homes, cost breakdowns, and neighborhood-specific guidance to help families find exceptional care in Cowtown.
Fort Worth at a Glance
Total Facilities
30 nursing homes
Average Rating
2.4 stars
Daily Cost (Semi-Private)
$180/day
$5,400/month • 41% below national average
Five-Star Facilities
2 facilities (7%)
Fort Worth Nursing Home Overview
Fort Worth, Texas's fifth-largest city with a population of 925,000, offers 30 nursing homes serving a senior population of 93,747 residents aged 65 and older. While Fort Worth sits just 30 miles west of Dallas, its nursing home market has a distinct character—fewer facilities, more affordable pricing, and a smaller selection of top-rated options.
With an average rating of 2.4 stars and only 2 five-star facilities (7% of all facilities), Fort Worth families need to be selective when choosing care. However, the city's significantly lower costs—$180 per day compared to the national average of $305—make quality care more accessible for middle-income families.
Fort Worth vs. Dallas Comparison:
- • Fort Worth: 30 facilities, 2.4 avg rating, $180/day
- • Dallas: 35 facilities, 2.9 avg rating, $194/day
- • Fort Worth offers better affordability but fewer high-quality options
Fort Worth's nursing homes reflect the city's Western heritage and "Cowtown" culture—many facilities emphasize family-oriented care, traditional values, and personalized attention. The city's lower population density and suburban character create a different care environment than the more urban Dallas market.
Costs & Affordability
Fort Worth nursing homes cost an average of $180 per day for semi-private rooms (the Texas state average), making it one of the most affordable major metropolitan areas in the United States for long-term care.
| Cost Type | Daily Rate | Monthly Rate | Annual Rate |
|---|---|---|---|
| Fort Worth Semi-Private | $180 | $5,400 | $65,700 |
| Fort Worth Private | $233 | $6,990 | $85,045 |
| National Average | $305 | $9,150 | $111,325 |
Cost Savings Example:
A family choosing Fort Worth care over the national average saves $45,625 per year, or $114,063 over a typical 2.5-year stay.
What Drives Fort Worth's Lower Costs?
- •Lower property costs: Real estate and operating expenses are significantly lower than coastal markets
- •Texas tax advantages: No state income tax reduces labor costs for facilities
- •Regional competition: Proximity to Dallas creates competitive pressure to keep prices accessible
- •Lower cost of living: Staff salaries and operational costs reflect Fort Worth's affordability
Fort Worth's combination of major-city healthcare infrastructure and small-city pricing makes it one of the best values in Texas for nursing home care.
Quality Analysis & Star Ratings
Fort Worth's nursing homes average 2.4 stars on Medicare's Five-Star Quality Rating System, slightly below the Dallas area (2.9 stars) and indicating that families should research facilities carefully.
Star Rating Distribution
| Rating | Facilities | Percentage |
|---|---|---|
| ⭐⭐⭐⭐⭐ 5 Stars | 2 | 7% |
| ⭐⭐⭐⭐ 4 Stars | 3 | 10% |
| ⭐⭐⭐ 3 Stars | 9 | 30% |
| ⭐⭐ 2 Stars | 7 | 23% |
| ⭐ 1 Star | 9 | 30% |
Quality Insight:
Only 5 facilities (17%) have 4 or 5 stars, while 16 facilities (53%) have 2 stars or lower. Fort Worth families should prioritize touring multiple facilities and checking recent inspection reports.
What the Star Ratings Mean
Medicare's Five-Star Rating evaluates three key areas:
- •Health Inspections (50% weight): On-site surveys checking compliance with federal health and safety standards
- •Staffing (25% weight): Registered nurse (RN) and total nurse staffing hours per resident per day
- •Quality Measures (25% weight): Clinical outcomes like pressure ulcers, falls, medication management
Fort Worth's lower average rating suggests that families should focus on facilities with 4-5 stars and conduct thorough in-person tours before making decisions.
Top-Rated Facilities
Based on Medicare's Five-Star Quality Rating System, here are Fort Worth's highest-rated nursing homes:
Trinity Terrace
⭐⭐⭐⭐⭐Address: 1600 Texas St, Fort Worth, TX
Capacity: 52 beds
Premium continuing care retirement community (CCRC) in the Cultural District. Known for elegant accommodations, comprehensive services, and attentive staff. Higher price point reflects luxury amenities.
Immanuel's Healthcare
⭐⭐⭐⭐⭐Address: 4515 Village Creek Rd, Fort Worth, TX
Capacity: 84 beds
Faith-based facility with strong community connections. Offers compassionate care with emphasis on spiritual support. Good rehabilitation services and family engagement programs.
Fort Worth Wellness & Rehabilitation
⭐⭐⭐⭐Address: 2129 Skyline Dr, Fort Worth, TX
Capacity: 104 beds
Larger facility with strong rehabilitation focus. Good for post-hospital recovery and physical therapy. Convenient location near medical district with easy highway access.
Life Care Center of Haltom
⭐⭐⭐⭐Address: 2936 Markum Dr, Fort Worth, TX
Capacity: 127 beds
Part of national Life Care Centers chain, providing consistent quality standards. Located in Haltom City suburb. Good staffing ratios and comprehensive skilled nursing services.
The Stayton at Museum Way
⭐⭐⭐⭐Address: 2501 Museum Way, Fort Worth, TX
Capacity: 46 beds
Boutique facility near the Cultural District and museums. Smaller size allows personalized attention. Modern amenities with focus on quality of life and resident engagement.
Want to explore all options?
View complete Fort Worth nursing home rankings with detailed comparisons, inspection reports, and user reviews.
Fort Worth Neighborhoods & Areas
Fort Worth's diverse neighborhoods offer different advantages for nursing home placement. Here's a guide to the city's key areas:
Cultural District / Near West Side
Best for: Premium care, access to arts and culture
Home to Fort Worth's museums, theaters, and Trinity Terrace CCRC. Upscale residential area with tree-lined streets. Close to downtown and medical facilities. Higher costs but excellent amenities.
Medical District / South Fort Worth
Best for: Medical proximity, rehabilitation services
Located near John Peter Smith Hospital and UT Health Fort Worth. Easy access to specialists and emergency care. Good concentration of skilled nursing facilities focused on post-acute care and rehabilitation.
Haltom City / Northeast Fort Worth
Best for: Value, suburban setting
Suburban community bordering Fort Worth with more affordable options. Quieter residential neighborhoods. Good highway access via I-820. Family-friendly area with shopping and services nearby.
Arlington Heights / Ridglea
Best for: Established neighborhoods, central location
Historic areas with mature trees and well-maintained properties. Central Fort Worth location provides easy access to all parts of the city. Mix of facility types and price points.
West Fort Worth / White Settlement
Best for: Affordability, veteran services
Located near Naval Air Station Fort Worth JRB. Some facilities specialize in veteran care. More affordable options with good access to western suburbs. Close to shopping and services along I-30.
Fort Worth vs. Dallas: Key Differences
While Fort Worth and Dallas are only 30 miles apart, their nursing home markets have distinct characteristics. Understanding these differences helps families choose the right city for their needs.
| Factor | Fort Worth | Dallas |
|---|---|---|
| Number of Facilities | 30 | 35 |
| Average Rating | 2.4 stars | 2.9 stars |
| Daily Cost (Semi-Private) | $180 ✓ | $194 |
| Five-Star Facilities | 2 (7%) | 4 (11%) |
| 4+ Star Facilities | 5 (17%) | 12 (34%) |
| Character | Western heritage, family-oriented | Urban, diverse, corporate |
When to Choose Fort Worth Over Dallas
- ✓Cost is a primary concern: Save $14/day ($420/month) compared to Dallas
- ✓Prefer suburban/small-town feel: Fort Worth is less urban and congested
- ✓Family lives in west DFW: Easier visits from western suburbs
- ✓Value traditional care culture: Fort Worth facilities often emphasize family-centered care
When to Consider Dallas Instead
- •Quality is top priority: Dallas has twice as many 4-5 star facilities (12 vs. 5)
- •Need specialized care: Dallas has more diverse facility types and specializations
- •Family lives in east DFW: Shorter travel distance from Dallas and eastern suburbs
Pro Tip:
Many families tour facilities in both cities before deciding. The 30-mile drive between Fort Worth and Dallas is manageable, so don't limit yourself to one city if quality or cost differences are significant.
Texas Medicaid & Financial Assistance
At $5,400 per month for semi-private rooms, nursing home care in Fort Worth is more affordable than most major metros but still represents a significant expense. Understanding payment options is crucial for long-term planning.
Texas Medicaid Coverage
Texas Medicaid covers nursing home care for eligible low-income seniors through the STAR+PLUS program. To qualify:
- •Income limit: $2,829/month for individuals (2025)
- •Asset limit: $2,000 for individuals (excluding home, car, and personal belongings)
- •Medical necessity: Must require skilled nursing care as determined by a physician
Important:
Not all Fort Worth nursing homes accept Medicaid. When touring facilities, ask specifically about Medicaid acceptance and any waiting lists for Medicaid beds.
Other Payment Options
Medicare (Limited Coverage)
Medicare covers up to 100 days of skilled nursing care following a qualifying hospital stay (3+ days). First 20 days are fully covered; days 21-100 require copayment ($200/day in 2025).
Long-Term Care Insurance
Private insurance policies can cover $3,000-$6,000/month of nursing home costs. Fort Worth's lower costs mean policies stretch further here than in more expensive markets.
Veterans Benefits
Veterans may qualify for Aid & Attendance benefits (up to $2,431/month for couples, $2,050/month for individuals in 2025). Contact the VA at 1-800-827-1000 or visit Fort Worth VA Medical Center.
Private Pay
Many families initially pay out-of-pocket and transition to Medicaid once assets are spent down. Fort Worth's affordability makes private pay more feasible than coastal markets.
Need Help with Medicaid Planning?
Contact the Area Agency on Aging of Tarrant County at (817) 258-8100 or visit tcaaa.org for free counseling on Medicaid eligibility and application assistance.
How to Choose the Right Fort Worth Nursing Home
With only 5 facilities rated 4 stars or higher (17% of all Fort Worth nursing homes), families need to be strategic when evaluating options. Here's a systematic approach:
Step 1: Start with Quality Ratings
Focus your search on Fort Worth's 5 facilities with 4-5 star ratings:
- •Trinity Terrace (5 stars) - Cultural District
- •Immanuel's Healthcare (5 stars) - Village Creek
- •Fort Worth Wellness & Rehabilitation (4 stars) - Medical District
- •Life Care Center of Haltom (4 stars) - Haltom City
- •The Stayton at Museum Way (4 stars) - Cultural District
Don't Limit Yourself:
If none of these 5 facilities meets your needs (location, specialty services, availability), consider expanding your search to Dallas, which has 12 facilities rated 4+ stars.
Step 2: Check Recent Inspection Reports
Star ratings provide a snapshot, but inspection reports reveal specific issues:
- •Visit Medicare.gov/care-compare to read full inspection reports
- •Look for patterns of similar violations across multiple surveys
- •Check if deficiencies have been corrected (facilities must submit correction plans)
- •Pay special attention to "immediate jeopardy" citations (serious safety violations)
Step 3: Tour in Person
Given Fort Worth's quality distribution, in-person tours are essential. Schedule visits at different times of day and use this checklist:
Fort Worth Nursing Home Tour Checklist
- ✓ Is the facility clean and free of odors?
- ✓ Are residents well-groomed and engaged in activities?
- ✓ How do staff members interact with residents? (Watch for respect and patience)
- ✓ What is the staff-to-resident ratio during your visit?
- ✓ Are call lights answered promptly?
- ✓ Is the food appetizing? (Ask to see a sample meal)
- ✓ What activities and socialization opportunities are available?
- ✓ How does the facility handle Medicaid residents? (Any differences in care?)
- ✓ What is the staff turnover rate? (High turnover = red flag)
- ✓ Can you speak with current residents or family members?
Step 4: Compare Costs & Payment Options
Even within Fort Worth's affordable market, costs can vary significantly:
- •Request detailed pricing for both semi-private and private rooms
- •Ask about additional fees (therapy, medications, activities)
- •Confirm Medicaid acceptance and current bed availability
- •Understand the facility's private-pay to Medicaid transition policy
Step 5: Trust Your Instincts
After reviewing data and touring facilities, consider the intangible factors:
- •Does the facility feel welcoming and homelike?
- •Can you envision your loved one thriving here?
- •Do staff members seem genuinely caring and engaged?
- •Is the facility's culture and values aligned with your family's?
Final Recommendation:
Given Fort Worth's limited high-quality options, tour all 5 facilities with 4-5 star ratings before making a decision. If none meets your needs, expand your search to Dallas or consider assisted living with home health services as an alternative.
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