Last Updated: October 2026

🏆 Top 25 Nursing Homes in Texas

View our comprehensive rankings of the highest quality facilities in Texas, based on CMS data, staffing, safety, and quality measures.

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Texas at a Glance

2,198
Total Facilities
2.5
Average Rating
0.43
Avg RN Hours/Day
54.6%
Avg Turnover Rate

CMS Star Rating Distribution

(5-Star)
72
3.3%
(4-Star)
161
7.3%
(3-Star)
210
9.6%
(2-Star)
239
10.9%
(1-Star)
303
13.8%

About Nursing Homes in Texas

Texas has 2,198 Medicare-certified nursing homes with an average quality rating of 2.5 stars. 72 facilities (3.3%) earn the top five-star rating. Facilities in Texas average 0.43 RN hours per resident per day.

Staff turnover averages 54.6% across Texas facilities. Research shows facilities with turnover above 60% rarely achieve top ratings.

All nursing homes in Texas are regulated by state and federal agencies, undergo regular CMS inspections, and must meet federal quality standards. Use our search tool to compare facilities based on Medicare ratings, staffing levels, quality measures, and safety records.

Nursing Home Costs in Texas

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Statewide Average

Nursing home costs in Texas average $180-$233 per day ($5,400-$6,990/month) for skilled nursing care, which is 37% below the national median according to the 2024 Genworth Cost of Care Survey.

Most facilities accept Medicare for short-term rehabilitation (up to 100 days), private insurance, and Medicaid for eligible residents.

Cost Variation by Metro Area

We have city-level cost data for 26 metro areas in Texas. Costs can vary significantly by location:

Abilene
$165-$200/day ($4,950-$6,000/month)
Amarillo
$185-$240/day ($5,550-$7,200/month)
Austin
$213-$310/day ($6,390-$9,300/month)
Beaumont
$203-$273/day ($6,090-$8,190/month)
Brownsville
$287-$584/day ($8,610-$17,520/month)
College Station
$200-$268/day ($6,000-$8,040/month)

+ 20 more metro areas with cost data

Calculate detailed costs for Texas →

Browse by City in Texas

View nursing homes in specific cities across Texas. Each city page shows facilities ranked by quality.

SAN ANTONIO
79 facilities
HOUSTON
67 facilities
Houston
59 facilities
DALLAS
37 facilities
FORT WORTH
36 facilities
AUSTIN
27 facilities
EL PASO
26 facilities
Fort Worth
25 facilities
San Antonio
24 facilities
Dallas
21 facilities
El Paso
19 facilities
LUBBOCK
17 facilities
WACO
17 facilities
CORPUS CHRISTI
16 facilities
TYLER
16 facilities
Austin
15 facilities
LONGVIEW
14 facilities
TEMPLE
14 facilities
AMARILLO
13 facilities
Corpus Christi
13 facilities
Lubbock
13 facilities
SAN ANGELO
12 facilities
ABILENE
12 facilities
Waco
12 facilities
PLANO
11 facilities
BEAUMONT
11 facilities
ARLINGTON
11 facilities

🏆 Top 10 Nursing Homes by City

See our expert rankings of the best facilities in major cities across Texas.

Top 10 in SAN ANTONIOTop 10 in HOUSTONTop 10 in HoustonTop 10 in DALLASTop 10 in FORT WORTHTop 10 in AUSTINTop 10 in EL PASOTop 10 in Fort WorthTop 10 in San AntonioTop 10 in Dallas

All Nursing Homes in Texas

Filter and sort facilities below. Default ranking uses our composite quality score, which combines CMS ratings, staffing quality, safety records, and compliance history.

Showing 1000 of 1000 facilities in Texas

LONGHORN VILLAGE

12001 LONGHORN PARKWAY, AUSTIN, TX 78732

Phone: (512)382-4664

Distance: 0 miles | Beds: 60 | Est. Occupancy: 49% (~30 available)

NonprofitCMS Rating: 5/5 Stars

TRINITY TERRACE

1600 Texas Street, FORT WORTH, TX 76102

Phone: (817)338-2400

Distance: 0 miles | Beds: 52 | Est. Occupancy: 76% (~13 available)

NonprofitCMS Rating: 5/5 Stars
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How Does Texas Compare?

Explore nursing home quality in neighboring states and regions:

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National State Rankings

See where Texas ranks among all 50 states for quality, staffing, and safety.

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📚 Expert Guides to Evaluating Nursing Homes

Learn how to interpret quality ratings and staffing metrics with our data-driven guides based on 14,751 facilities nationwide.

The Truth About Star Ratings

Only 18.9% of facilities earn 5 stars. Learn what ratings really mean and how to use them effectively.

Read Guide →

Understanding Staffing Levels

Texas averages 0.43 RN hours/day. Learn what staffing metrics reveal about care quality.

Read Guide →

Facility Tour Checklist

Essential questions to ask and red flags to watch for when visiting Texas facilities.

Read Guide →

Warning Signs of Neglect

Critical red flags that indicate neglect, abuse, or substandard care at any facility.

Read Guide →
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Decoding CMS Data

Learn how to read health inspections, quality measures, and compliance reports.

Read Guide →
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All Expert Guides

Browse our complete library of nursing home evaluation resources.

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