Last Updated: December 2025

🏆 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.

View Rankings →

Texas at a Glance

1,381
Total Facilities
2.7
Average Rating
N/A
Avg RN Hours/Day
N/A%
Avg Turnover Rate

CMS Star Rating Distribution

(5-Star)
134
9.7%
(4-Star)
168
12.2%
(3-Star)
207
15.0%
(2-Star)
231
16.7%
(1-Star)
250
18.1%

About Nursing Homes in Texas

Texas has 1,381 Medicare-certified nursing homes with an average quality rating of 2.7 stars. 134 facilities (9.7%) 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

💰

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
61 facilities
SAN ANTONIO
59 facilities
DALLAS
35 facilities
FORT WORTH
30 facilities
AUSTIN
25 facilities
EL PASO
21 facilities
LUBBOCK
14 facilities
CORPUS CHRISTI
13 facilities
TYLER
13 facilities
WACO
13 facilities
AMARILLO
12 facilities
ABILENE
11 facilities
TEMPLE
10 facilities
ARLINGTON
9 facilities
BEAUMONT
9 facilities
LONGVIEW
9 facilities
PLANO
9 facilities
MESQUITE
8 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 DALLASTop 10 in FORT WORTHTop 10 in AUSTINTop 10 in EL PASOTop 10 in LUBBOCKTop 10 in CORPUS CHRISTITop 10 in TYLERTop 10 in WACO

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

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

OAK BEND MEDICAL CENTER

1705 JACKSON ST, RICHMOND, TX 77469

Phone: (281)238-7858

Distance: 0 miles | Beds: 36 | Est. Occupancy: 38% (~22 available)

NonprofitCMS Rating: 5/5 Stars

S.P.J.S.T. REST HOME 3

248 WISTERIA LANE, EL CAMPO, TX 77437

Phone: (979)648-2628

Distance: 0 miles | Beds: 57 | Est. Occupancy: 69% (~18 available)

NonprofitCMS Rating: 5/5 Stars

LA PALOMA NURSING CENTER

138 S FM 1329, SAN DIEGO, TX 78384

Phone: (361)279-8291

Distance: 0 miles | Beds: 90 | Est. Occupancy: 45% (~49 available)

GovernmentCMS Rating: 5/5 Stars
...
Page 1 of 100

Search All Texas Facilities

Use our advanced search to find facilities by location, ratings, and specific criteria

Search Texas Facilities

How Does Texas Compare?

Explore nursing home quality in neighboring states and regions:

🏆

National State Rankings

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

Compare All States →

📚 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 →
📖

All Expert Guides

Browse our complete library of nursing home evaluation resources.

View All →