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Best Nursing Homes in Texas, Graded A–F — page 32
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
All Texas
Houston (59)San Antonio (58)Dallas (33)Fort Worth (30)Austin (25)El Paso (21)Lubbock (14)Corpus Christi (13)Tyler (13)
776
The Oaks At Radford Hills Healthcare Center - Abilene, TX · 116 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 2.8 nurse hours per resident-day — bottom quarter in Texas
- 8 health deficiencies at the last standard survey (CMS severity score 40) — above median
- $163,651 in fines in 3 years, 2 payment denials
CScore 42 · AverageSee Full Grade
3256723236
Abilene, Taylor County
Medicaid
777
Harmony Care At Giddings - Giddings, TX · 84 beds · for profit - partnership CMS Care Compare · data as of Aug 2026
- Staffing 4.0 nurse hours per resident-day — top quarter in Texas
- 23 health deficiencies at the last standard survey (CMS severity score 381) — bottom quarter
- $193,468 in fines in 3 years, 1 payment denials
CScore 42 · AverageSee Full Grade
9795423611
Giddings, Lee County
Medicaid
Special Focus Facility
778
Avir At Enchanted Rock - Fredericksburg, TX · 120 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — above median in Texas
- 13 health deficiencies at the last standard survey (CMS severity score 139) — bottom quarter
- $63,121 in fines in 3 years
CScore 42 · AverageSee Full Grade
8306377885
Fredericksburg, Gillespie County
Medicaid
779
Avir At Portland - Portland, TX · 97 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — below median in Texas
- 12 health deficiencies at the last standard survey (CMS severity score 60) — below median
- $119,462 in fines in 3 years
CScore 42 · AverageSee Full Grade
3616431888
Portland, San Patricio County
Medicaid
780
Legacy At Town Creek - Palestine, TX · 199 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — above median in Texas
- 6 health deficiencies at the last standard survey (CMS severity score 44) — above median
- $294,608 in fines in 3 years
CScore 42 · AverageSee Full Grade
9037278500
Palestine, Anderson County
Medicaid
781
Heritage Trails Nursing And Rehabilitation Center - Cleburne, TX · 122 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 2.8 nurse hours per resident-day — bottom quarter in Texas
- No health deficiencies at the last standard survey — top 10%
- $67,124 in fines in 3 years
CScore 42 · AverageSee Full Grade
8175588999
Cleburne, Johnson County
Medicaid
782
Shiner Nursing And Rehabilitation Center - Shiner, TX · 95 beds · for profit - individual CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — below median in Texas
- 11 health deficiencies at the last standard survey (CMS severity score 60) — below median
- No fines or payment denials in 3 years
DScore 42 · Below averageSee Full Grade
3615943353
Shiner, Lavaca County
Medicaid
783
Windsor Nursing And Rehabilitation Center Of Morga - Corpus Christi, TX · 176 beds · non profit - other CMS Care Compare · data as of Aug 2026
- Staffing 2.9 nurse hours per resident-day — bottom quarter in Texas
- 10 health deficiencies at the last standard survey (CMS severity score 88) — below median
- $32,353 in fines in 3 years
DScore 42 · Below averageSee Full Grade
3618824242
Corpus Christi, Nueces County
Medicaid
784
Hearthstone Nursing And Rehabilitation - Round Rock, TX · 120 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 2.9 nurse hours per resident-day — bottom quarter in Texas
- 7 health deficiencies at the last standard survey (CMS severity score 40) — above median
- $25,626 in fines in 3 years
DScore 42 · Below averageSee Full Grade
5123887494
Round Rock, Williamson County
Medicaid
785
Legend Healthcare And Rehabilitation - Paris - Paris, TX · 120 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — below median in Texas
- 14 health deficiencies at the last standard survey (CMS severity score 84) — below median
- $16,149 in fines in 3 years
DScore 42 · Below averageSee Full Grade
9037379820
Paris, Lamar County
Medicaid
786
Heritage Place Of Decatur - Decatur, TX · 60 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.0 nurse hours per resident-day — bottom quarter in Texas
- 7 health deficiencies at the last standard survey (CMS severity score 32) — above median
- No fines or payment denials in 3 years
DScore 42 · Below averageSee Full Grade
9406275444
Decatur, Wise County
Medicaid
787
Laredo Nursing And Rehabilitation Center - Laredo, TX · 120 beds · for profit - individual CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — below median in Texas
- 8 health deficiencies at the last standard survey (CMS severity score 36) — above median
- $93,962 in fines in 3 years
DScore 42 · Below averageSee Full Grade
9567273422
Laredo, Webb County
Medicaid
788
Paradigm At The Pines - Silsbee, TX · 90 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 2.9 nurse hours per resident-day — bottom quarter in Texas
- 15 health deficiencies at the last standard survey (CMS severity score 100) — bottom quarter
- $8,281 in fines in 3 years
DScore 42 · Below averageSee Full Grade
4093850033
Silsbee, Hardin County
Medicaid
789
Twin Pines North Nursing And Rehabilitation Center - Victoria, TX · 90 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — below median in Texas
- 10 health deficiencies at the last standard survey (CMS severity score 52) — below median
- No fines or payment denials in 3 years
DScore 42 · Below averageSee Full Grade
3615769454
Victoria, Victoria County
Medicaid
790
The Atrium Of Bellmead - Bellmead, TX · 126 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — below median in Texas
- 3 health deficiencies at the last standard survey (CMS severity score 137) — bottom quarter
- $27,853 in fines in 3 years
DScore 42 · Below averageSee Full Grade
2542968976
Bellmead, Mc Lennan County
Medicaid
791
Millbrook Healthcare And Rehabilitation Center - Lancaster, TX · 124 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — below median in Texas
- 14 health deficiencies at the last standard survey (CMS severity score 88) — below median
- $13,565 in fines in 3 years
DScore 42 · Below averageSee Full Grade
9722751900
Lancaster, Dallas County
Medicaid
792
Crosbyton Nursing And Rehabilitation Center - Crosbyton, TX · 53 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- 13 health deficiencies at the last standard survey (CMS severity score 60) — bottom quarter
- No fines or payment denials in 3 years
DScore 42 · Below averageSee Full Grade
8066752342
Crosbyton, Crosby County
Medicaid
793
Whitehall Rehab & Nursing - Crockett, TX · 113 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.0 nurse hours per resident-day — bottom quarter in Texas
- 7 health deficiencies at the last standard survey (CMS severity score 40) — above median
- $77,342 in fines in 3 years
DScore 42 · Below averageSee Full Grade
9365442163
Crockett, Houston County
Medicaid
794
Paradigm At Westbury - Houston, TX · 148 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — above median in Texas
- 10 health deficiencies at the last standard survey (CMS severity score 181) — bottom quarter
- $108,038 in fines in 3 years
DScore 42 · Below averageSee Full Grade
7137210297
Houston, Harris County
Medicaid
795
Caprock Nursing & Rehabilitation - Borger, TX · 120 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 2.8 nurse hours per resident-day — bottom quarter in Texas
- 8 health deficiencies at the last standard survey (CMS severity score 44) — above median
- $10,145 in fines in 3 years
DScore 41 · Below averageSee Full Grade
8062749600
Borger, Hutchinson County
Medicaid
796
Fair Park Health & Rehabilitation Center - Dallas, TX · 114 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.0 nurse hours per resident-day — bottom quarter in Texas
- 12 health deficiencies at the last standard survey (CMS severity score 72) — below median
- No fines or payment denials in 3 years
DScore 41 · Below averageSee Full Grade
2144212159
Dallas, Dallas County
Medicaid
797
Granbury Rehab & Nursing - Granbury, TX · 95 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.0 nurse hours per resident-day — bottom quarter in Texas
- 14 health deficiencies at the last standard survey (CMS severity score 88) — bottom quarter
- No fines or payment denials in 3 years
DScore 41 · Below averageSee Full Grade
8172797600
Granbury, Hood County
Medicaid
798
Sandy Lake Rehabilitation And Care Center - Coppell, TX · 123 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — below median in Texas
- 13 health deficiencies at the last standard survey (CMS severity score 88) — below median
- $23,677 in fines in 3 years
DScore 41 · Below averageSee Full Grade
9723044444
Coppell, Dallas County
Medicaid
799
Longview Hill Nursing And Rehabilitation Center - Longview, TX · 198 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — above median in Texas
- 13 health deficiencies at the last standard survey (CMS severity score 64) — below median
- $225,427 in fines in 3 years
DScore 41 · Below averageSee Full Grade
9032364291
Longview, Gregg County
Medicaid
800
Prairie House Living Center - Plainview, TX · 121 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 3.0 nurse hours per resident-day — bottom quarter in Texas
- 13 health deficiencies at the last standard survey (CMS severity score 92) — below median
- No fines or payment denials in 3 years
DScore 41 · Below averageSee Full Grade
8062934855
Plainview, Hale County
Medicaid