1,177 nursing homes in Texas
Medicare and Medicaid certified, with CMS star ratings.
- nursing homes
- 1,177
- average CMS stars
- 2.8
- certified beds
- 133,481
- for profit
- 70%
How Texas nursing homes rate
CMS rates 1,166 of Texas's 1,177 certified nursing homes. The average overall rating is 2.8 stars.
| Overall rating | Nursing homes |
|---|---|
| 5 of 5 | 165 |
| 4 of 5 | 214 |
| 3 of 5 | 245 |
| 2 of 5 | 254 |
| 1 of 5 | 288 |
| Not rated | 11 |
The top-rated nursing homes in Texas
Sorted by overall stars, then health inspection stars, staffing and size.
| Nursing home | City | Overall | Beds |
|---|---|---|---|
| C C Young Memorial Home | Dallas | 5 of 5 | 129 |
| The Arbour at Westminster Manor | Austin | 5 of 5 | 90 |
| Sagecrest Alzheimers Care Center | San Angelo | 5 of 5 | 72 |
| Country View Living | Dimmitt | 5 of 5 | 54 |
| Avir at Hillview | Goldthwaite | 5 of 5 | 52 |
| Trinity Terrace | Fort Worth | 5 of 5 | 52 |
| MRC the Crossings | League City | 5 of 5 | 48 |
| Querencia at Barton Creek | Austin | 5 of 5 | 42 |
| Bayou Manor | Houston | 5 of 5 | 37 |
| The Methodist Hospital SNF | Houston | 5 of 5 | 25 |
Nursing homes by city
The cities with the most certified nursing homes in Texas.
- Houston 60 homes
- San Antonio 58 homes
- Dallas 33 homes
- Fort Worth 32 homes
- Austin 25 homes
- El Paso 21 homes
- Lubbock 14 homes
- Corpus Christi 13 homes
- Tyler 13 homes
- Waco 13 homes
- Amarillo 12 homes
- Abilene 11 homes
- Temple 10 homes
- Arlington 9 homes
- Beaumont 9 homes
Who owns them
| Ownership | Nursing homes | Share |
|---|---|---|
| For profit | 829 | 70% |
| Non-profit | 104 | 9% |
| Government | 244 | 21% |
Inspections and fines
At the most recent standard inspection, Texas's homes were cited for 11,275 deficiencies, an average of 9.6 each. 11 had none. 795 homes were fined $50,596,177 over 3 years.
Special focus facilities and abuse flags
111 homes carry the CMS abuse icon. 6 are special focus facilities and 30 are candidates: homes with a long record of serious problems that CMS inspects more often.
How to read a CMS star rating
One star is much below average and five stars much above, compared with other homes in the same state. Look at the health inspection stars first, then read the citations.
Questions families ask about Texas
How many nursing homes are in Texas?
1,177 certified by CMS.
What is the best rated nursing home in Texas?
We don't pick one. C C Young Memorial Home in Dallas tops the CMS sort with 5 stars.
Will Medicare pay for a nursing home in Texas?
For up to 100 days of skilled care after a 3-day hospital stay, not for long-term custodial care. A shared room has a median of $5,627 a month here.
What does a CMS star rating mean?
How a home compares with others in the same state, from inspections, staffing and quality.
From the federal record: CMS Provider Information, October 2026 release.