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Best Nursing Homes in Texas, Graded A–F — page 37
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)
901
Lake Village Nursing And Rehabilitation Center - Lewisville, TX · 112 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — below median in Texas
- 12 health deficiencies at the last standard survey (CMS severity score 68) — below median
- $24,585 in fines in 3 years, 1 payment denials
DScore 36 · Below averageSee Full Grade
9724367571
Lewisville, Denton County
Medicaid
902
Guadalupe Valley Nursing And Rehabilitation Center - Seguin, TX · 148 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — below median in Texas
- 20 health deficiencies at the last standard survey (CMS severity score 100) — below median
- $75,450 in fines in 3 years
DScore 36 · Below averageSee Full Grade
8303799308
Seguin, Guadalupe County
Medicaid
903
Caraday Of Lampasas - Lampasas, TX · 76 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 2.9 nurse hours per resident-day — bottom quarter in Texas
- 3 health deficiencies at the last standard survey (CMS severity score 28) — above median
- $16,426 in fines in 3 years
DScore 36 · Below averageSee Full Grade
5125566267
Lampasas, Lampasas County
Medicaid
904
Northgate Plaza - Irving, TX · 120 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — below median in Texas
- 24 health deficiencies at the last standard survey (CMS severity score 128) — bottom quarter
- $49,730 in fines in 3 years
DScore 36 · Below averageSee Full Grade
9722554460
Irving, Dallas County
Medicaid
905
Mission Ridge Rehab & Nursing Center - Refugio, 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
- 9 health deficiencies at the last standard survey (CMS severity score 60) — below median
- $37,698 in fines in 3 years
DScore 36 · Below averageSee Full Grade
3615269223
Refugio, Refugio County
Medicaid
906
Brownsville Nursing And Rehabilitation Center - Brownsville, TX · 120 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 2.9 nurse hours per resident-day — bottom quarter in Texas
- 11 health deficiencies at the last standard survey (CMS severity score 52) — below median
- $57,708 in fines in 3 years
DScore 36 · Below averageSee Full Grade
9563502252
Brownsville, Cameron County
Medicaid
907
Crestway Nursing & Rehabilitation - San Antonio, TX · 120 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.6 nurse hours per resident-day — top quarter in Texas
- 18 health deficiencies at the last standard survey (CMS severity score 100) — bottom quarter
- $73,977 in fines in 3 years
DScore 36 · Below averageSee Full Grade
2105993005
San Antonio, Bexar County
Medicaid
908
Greenbrier Nursing & Rehabilitation Center Of Tyle - Tyler, TX · 120 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — below median in Texas
- 18 health deficiencies at the last standard survey (CMS severity score 84) — below median
- No fines or payment denials in 3 years
DScore 36 · Below averageSee Full Grade
9035936441
Tyler, Smith County
Medicaid
909
Woodway Nursing & Rehab - Houston, TX · 112 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.7 nurse hours per resident-day — top quarter in Texas
- 11 health deficiencies at the last standard survey (CMS severity score 237) — bottom quarter
- $305,625 in fines in 3 years, 1 payment denials
DScore 36 · Below averageSee Full Grade
7137824355
Houston, Harris County
Medicaid
Special Focus Facility
910
Lakewest Rehabilitation And Skilled Care - Dallas, TX · 118 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — below median in Texas
- 15 health deficiencies at the last standard survey (CMS severity score 201) — bottom quarter
- $25,799 in fines in 3 years
DScore 36 · Below averageSee Full Grade
2148790888
Dallas, Dallas County
Medicaid
911
Cottonwood Nursing & Rehabilitation - Denton, TX · 60 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — below median in Texas
- 15 health deficiencies at the last standard survey (CMS severity score 104) — bottom quarter
- No fines or payment denials in 3 years
DScore 35 · Below averageSee Full Grade
9403876656
Denton, Denton County
Medicaid
912
Five Points Nursing And Rehabilitation - Desoto, TX · 120 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.0 nurse hours per resident-day — below median in Texas
- 10 health deficiencies at the last standard survey (CMS severity score 76) — below median
- No fines or payment denials in 3 years
DScore 35 · Below averageSee Full Grade
9726949810
Desoto, Dallas County
Medicaid
913
Avir At Gainesville - Gainesville, TX · 112 beds · government - hospital district 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 68) — below median
- $99,075 in fines in 3 years
DScore 35 · Below averageSee Full Grade
9406652826
Gainesville, Cooke County
Medicaid
914
Avir At Golfcrest - Houston, TX · 200 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — bottom quarter in Texas
- 6 health deficiencies at the last standard survey (CMS severity score 80) — below median
- $43,799 in fines in 3 years, 1 payment denials
DScore 35 · Below averageSee Full Grade
7136442101
Houston, Harris County
Medicaid
915
Val Verde Nursing And Rehabilitation Center - Del Rio, TX · 76 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — below median in Texas
- 11 health deficiencies at the last standard survey (CMS severity score 56) — below median
- $138,908 in fines in 3 years
DScore 35 · Below averageSee Full Grade
8307757477
Del Rio, Val Verde County
Medicaid
916
Madisonville Care Center - Madisonville, TX · 106 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
- 6 health deficiencies at the last standard survey (CMS severity score 76) — below median
- $18,852 in fines in 3 years
DScore 35 · Below averageSee Full Grade
9363482735
Madisonville, Madison County
Medicaid
917
Sunset Home - Clifton, TX · 128 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 2.6 nurse hours per resident-day — bottom quarter in Texas
- 4 health deficiencies at the last standard survey (CMS severity score 32) — top quarter
- $14,020 in fines in 3 years, 1 payment denials
DScore 35 · Below averageSee Full Grade
2546758637
Clifton, Bosque County
Medicaid
918
Deerbrook Skilled Nursing And Rehab Center - Humble, TX · 124 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — above median in Texas
- 18 health deficiencies at the last standard survey (CMS severity score 393) — bottom quarter
- $176,222 in fines in 3 years
DScore 35 · Below averageSee Full Grade
2814465160
Humble, Harris County
Medicaid
Special Focus Facility
919
Avir At Arlington - Arlington, TX · 114 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — above median in Texas
- 11 health deficiencies at the last standard survey (CMS severity score 323) — bottom quarter
- $121,953 in fines in 3 years
DScore 35 · Below averageSee Full Grade
8174602002
Arlington, Tarrant County
Medicaid
920
Avir At Orem - Houston, TX · 120 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
- 6 health deficiencies at the last standard survey (CMS severity score 40) — above median
- $34,418 in fines in 3 years
DScore 35 · Below averageSee Full Grade
8327996484
Houston, Harris County
Medicaid
921
Ridgecrest Retirement And Healthcare Community - Waco, TX · 90 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 181) — bottom quarter
- $14,267 in fines in 3 years
DScore 35 · Below averageSee Full Grade
2547769681
Waco, Mc Lennan County
Medicaid
922
The Mildred & Shirley L. Garrison Geriatric Educat - Lubbock, TX · 120 beds · government - hospital district 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 402) — bottom quarter
- $26,949 in fines in 3 years
DScore 35 · Below averageSee Full Grade
8067634455
Lubbock, Lubbock County
Medicaid
923
Ganado Nursing And Rehabilitation Center - Ganado, TX · 91 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.0 nurse hours per resident-day — below median in Texas
- 8 health deficiencies at the last standard survey (CMS severity score 44) — above median
- $8,422 in fines in 3 years
DScore 35 · Below averageSee Full Grade
3617713315
Ganado, Jackson County
Medicaid
924
Misty Willow Healthcare And Rehabilitation Center - Houston, TX · 124 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — above median in Texas
- 14 health deficiencies at the last standard survey (CMS severity score 606) — bottom quarter
- $79,412 in fines in 3 years
DScore 35 · Below averageSee Full Grade
2814697881
Houston, Harris County
Medicaid
Special Focus Facility
925
The Lakes At Texas City - Texas City, TX · 109 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 2.9 nurse hours per resident-day — bottom quarter in Texas
- 9 health deficiencies at the last standard survey (CMS severity score 76) — below median
- $8,410 in fines in 3 years
DScore 35 · Below averageSee Full Grade
4099388431
Texas City, Galveston County
Medicaid