Last Updated: May 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

1,733
Total Facilities
2.5
Average Rating
N/A
Avg RN Hours/Day
N/A%
Avg Turnover Rate

CMS Star Rating Distribution

(5-Star)
88
5.1%
(4-Star)
154
8.9%
(3-Star)
211
12.2%
(2-Star)
258
14.9%
(1-Star)
275
15.9%

About Nursing Homes in Texas

Texas has 1,733 Medicare-certified nursing homes with an average quality rating of 2.5 stars. 88 facilities (5.1%) earn the top five-star rating.

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.

HOUSTON
66 facilities
SAN ANTONIO
64 facilities
Houston
39 facilities
DALLAS
35 facilities
FORT WORTH
34 facilities
AUSTIN
25 facilities
EL PASO
24 facilities
Fort Worth
17 facilities
WACO
16 facilities
CORPUS CHRISTI
15 facilities
TYLER
15 facilities
LUBBOCK
14 facilities
TEMPLE
14 facilities
ABILENE
12 facilities
AMARILLO
12 facilities
Dallas
11 facilities
LONGVIEW
11 facilities
BEAUMONT
10 facilities
PLANO
10 facilities
San Antonio
10 facilities
TEXARKANA
10 facilities

🏆 Top 10 Nursing Homes by City

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

Top 10 in HOUSTONTop 10 in SAN ANTONIOTop 10 in HoustonTop 10 in DALLASTop 10 in FORT WORTHTop 10 in AUSTINTop 10 in EL PASOTop 10 in Fort WorthTop 10 in WACOTop 10 in CORPUS CHRISTI

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

TRINITY TERRACE

1600 TEXAS ST, FORT WORTH, TX 76102

Phone: (817)338-2400

Distance: 0 miles | Beds: 52 | Est. Occupancy: 77% (~12 available)

NonprofitCMS Rating: 5/5 Stars

BAYOU MANOR

4141 S BRAESWOOD BLVD, HOUSTON, TX 77025

Phone: (713)666-2651

Distance: 0 miles | Beds: 37 | Est. Occupancy: 76% (~9 available)

NonprofitCMS Rating: 5/5 Stars

AUTUMN LEAVES

1010 EMERALD ISLE DR, DALLAS, TX 75218

Phone: (214)328-4161

Distance: 0 miles | Beds: 75 | Est. Occupancy: 38% (~47 available)

For-ProfitCMS Rating: 5/5 Stars
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Search All Texas Facilities

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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 N/A 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 →
📊

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.

View All →