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Home / Nursing Homes / Texas

Best Nursing Homes in Texas, Graded A–F

All 1,170 graded Medicare-certified nursing homes in Texas, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Texas peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.

CMS data as of Aug 2026 · graded Sep 11, 2026
Grade distribution — Texas
A115
B275
C391
D265
F124
Highest graded
ALonghorn VillageA
Austin · Staffing 5.7 nurse hours per resident-da...See grade
1,170 facilitiesgraded in Texas · 115 earned an A
All Texas Houston (59)San Antonio (58)Dallas (33)Fort Worth (30)Austin (25)El Paso (21)Lubbock (14)Corpus Christi (13)Tyler (13)
Highest in Texas 1

Longhorn Village - Austin, TX · 60 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.7 nurse hours per resident-day — top 10% in Texas
  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
  • No fines or payment denials in 3 years
AScore 93 · ExcellentSee Full Grade
5123824664 Austin, Travis County Medicaid
2

The Shoal - Texas City, TX · 134 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.7 nurse hours per resident-day — top 10% in Texas
  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
  • No fines or payment denials in 3 years
AScore 92 · ExcellentSee Full Grade
7133580700 Texas City, Galveston County Medicaid
3

Sagecrest Alzheimers Care Center - San Angelo, TX · 72 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.7 nurse hours per resident-day — top 10% in Texas
  • 2 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 91 · ExcellentSee Full Grade
3254863702 San Angelo, Tom Green County Medicaid
4

The Center At Grande - Tyler, TX · 96 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.2 nurse hours per resident-day — top 10% in Texas
  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
  • No fines or payment denials in 3 years
AScore 91 · ExcellentSee Full Grade
7195222000 Tyler, Smith County
5

The Methodist Hospital Snf - Houston, TX · 25 beds · non profit - church related CMS Care Compare · data as of Aug 2026

  • Staffing 10.8 nurse hours per resident-day — top 10% in Texas
  • No health deficiencies at the last standard survey — top 10%
  • No fines or payment denials in 3 years
AScore 91 · ExcellentSee Full Grade
7134417828 Houston, Harris County
6

C C Young Memorial Home - Dallas, TX · 129 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.3 nurse hours per resident-day — top 10% in Texas
  • 4 health deficiencies at the last standard survey (CMS severity score 28) — top quarter
  • No fines or payment denials in 3 years
AScore 90 · ExcellentSee Full Grade
2148278080 Dallas, Dallas County
7

Army Residence Community - San Antonio, TX · 91 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.2 nurse hours per resident-day — top 10% in Texas
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 90 · ExcellentSee Full Grade
2106465200 San Antonio, Bexar County
8

Sun Valley Rehabilitation And Healthcare Center - Harlingen, TX · 124 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — top quarter in Texas
  • 4 health deficiencies at the last standard survey (CMS severity score 16) — top 10%
  • No fines or payment denials in 3 years
AScore 90 · ExcellentSee Full Grade
9564282800 Harlingen, Cameron County Medicaid
9

Hendrick Skilled Nursing Facility - Abilene, TX · 20 beds · non profit - other CMS Care Compare · data as of Aug 2026

  • Staffing 9.6 nurse hours per resident-day — top 10% in Texas
  • 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
  • No fines or payment denials in 3 years
AScore 89 · ExcellentSee Full Grade
3256706151 Abilene, Taylor County
10

Ignite Medical Resort Webster, Llc - Webster, TX · 70 beds · for profit - partnership CMS Care Compare · data as of Aug 2026

  • Staffing 4.0 nurse hours per resident-day — top 10% in Texas
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 89 · ExcellentSee Full Grade
8324267030 Webster, Harris County
11

Truman W Smith Children's Care Center - Gladewater, TX · 120 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.8 nurse hours per resident-day — top 10% in Texas
  • 4 health deficiencies at the last standard survey (CMS severity score 20) — top quarter
  • No fines or payment denials in 3 years
AScore 89 · ExcellentSee Full Grade
9038452181 Gladewater, Gregg County Medicaid
12

Laredo Medical Center - Laredo, TX · 18 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 6.3 nurse hours per resident-day — top 10% in Texas
  • 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
  • No fines or payment denials in 3 years
AScore 88 · ExcellentSee Full Grade
9567963566 Laredo, Webb County
13

Robert Lee Care Center - Robert Lee, TX · 70 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.7 nurse hours per resident-day — top quarter in Texas
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 88 · ExcellentSee Full Grade
3254532511 Robert Lee, Coke County Medicaid
14

The Legacy At Willow Bend - Plano, TX · 60 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.6 nurse hours per resident-day — top 10% in Texas
  • 4 health deficiencies at the last standard survey (CMS severity score 28) — above median
  • No fines or payment denials in 3 years
AScore 86 · ExcellentSee Full Grade
9724686300 Plano, Collin County Medicaid
15

North Houston Transitional Care - Houston, TX · 70 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.9 nurse hours per resident-day — top quarter in Texas
  • 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
  • $11,508 in fines in 3 years
AScore 86 · ExcellentSee Full Grade
2815470123 Houston, Harris County Medicaid
16

Texhoma Christian Care Center Inc - Wichita Falls, TX · 234 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.9 nurse hours per resident-day — top 10% in Texas
  • No health deficiencies at the last standard survey — top 10%
  • No fines or payment denials in 3 years
AScore 86 · ExcellentSee Full Grade
9407238420 Wichita Falls, Wichita County Medicaid
17

Shinnery Oaks Community - Denver City, TX · 60 beds · government - county CMS Care Compare · data as of Aug 2026

  • Staffing 5.2 nurse hours per resident-day — top 10% in Texas
  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
  • No fines or payment denials in 3 years
AScore 85 · ExcellentSee Full Grade
8065922551 Denver City, Yoakum County Medicaid
18

Richard A. Anderson (State Of Texas Veterans Land - Houston, TX · 120 beds · government - state CMS Care Compare · data as of Aug 2026

  • Staffing 4.1 nurse hours per resident-day — top 10% in Texas
  • 2 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • $14,730 in fines in 3 years
AScore 85 · ExcellentSee Full Grade
3462939600 Houston, Harris County Medicaid
19

The Arbour At Westminster Manor - Austin, TX · 90 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.0 nurse hours per resident-day — top 10% in Texas
  • 2 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • $29,085 in fines in 3 years
AScore 85 · ExcellentSee Full Grade
5124544711 Austin, Travis County
20

Mrc Creekside - Huntsville, TX · 66 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.5 nurse hours per resident-day — top 10% in Texas
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 84 · ExcellentSee Full Grade
9364394700 Huntsville, Walker County Medicaid
21

The Hallmark - Houston, TX · 32 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.3 nurse hours per resident-day — top quarter in Texas
  • 1 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
  • No fines or payment denials in 3 years
AScore 84 · ExcellentSee Full Grade
7136226633 Houston, Harris County Medicaid
22

Lamun-Lusk-Sanchez Texas State Veterans Home - Big Spring, TX · 160 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — top quarter in Texas
  • 4 health deficiencies at the last standard survey (CMS severity score 16) — top 10%
  • $21,252 in fines in 3 years
AScore 84 · ExcellentSee Full Grade
4322688387 Big Spring, Howard County Medicaid
23

Whispering Oaks Rehab & Nursing - Cuero, TX · 98 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.1 nurse hours per resident-day — top 10% in Texas
  • 8 health deficiencies at the last standard survey (CMS severity score 28) — above median
  • No fines or payment denials in 3 years
AScore 84 · ExcellentSee Full Grade
3612753421 Cuero, De Witt County Medicaid
24

Villa Haven Health And Rehabilitation Center - Breckenridge, TX · 92 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.4 nurse hours per resident-day — above median in Texas
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 83 · ExcellentSee Full Grade
2545593386 Breckenridge, Stephens County Medicaid
25

Garden Terrace Healthcare Center Of Fort Worth - Fort Worth, TX · 120 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.3 nurse hours per resident-day — top 10% in Texas
  • 2 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • $34,405 in fines in 3 years
AScore 83 · ExcellentSee Full Grade
8173468080 Fort Worth, Tarrant County
1 2 3 25 per page · page 2+ noindex

Texas nursing homes by city

How we grade nursing homes

What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against Texas facilities in the same size band; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.