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Best Nursing Homes in Texas, Graded A–F — page 41

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
1001

Windsor Mission Oaks - San Antonio, TX · 150 beds · non profit - other CMS Care Compare · data as of Aug 2026

  • Staffing 2.7 nurse hours per resident-day — bottom quarter in Texas
  • 11 health deficiencies at the last standard survey (CMS severity score 80) — below median
  • $10,842 in fines in 3 years
DScore 31 · Below averageSee Full Grade
2109248151 San Antonio, Bexar County Medicaid
1002

Lampstand Nursing And Rehabilitation - Bryan, TX · 140 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
  • 22 health deficiencies at the last standard survey (CMS severity score 144) — bottom quarter
  • $31,460 in fines in 3 years
DScore 31 · Below averageSee Full Grade
9798226611 Bryan, Brazos County Medicaid
1003

Graham Oaks Care Center - Graham, TX · 110 beds · for profit - corporation 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 56) — below median
  • $34,690 in fines in 3 years
DScore 31 · Below averageSee Full Grade
9405498787 Graham, Young County Medicaid
1004

Shady Acres Health & Rehabilitation - Newton, TX · 84 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.9 nurse hours per resident-day — top quarter in Texas
  • 10 health deficiencies at the last standard survey (CMS severity score 422) — bottom quarter
  • $144,761 in fines in 3 years
DScore 31 · Below averageSee Full Grade
4093798911 Newton, Newton County Medicaid Special Focus Facility
1005

Edinburg Nursing And Rehabilitation Center - Edinburg, TX · 120 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 2.8 nurse hours per resident-day — bottom quarter in Texas
  • 17 health deficiencies at the last standard survey (CMS severity score 96) — bottom quarter
  • $16,565 in fines in 3 years
DScore 31 · Below averageSee Full Grade
9567829666 Edinburg, Hidalgo County Medicaid
1006

Avir At Kingsland - Kingsland, TX · 122 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 2.7 nurse hours per resident-day — bottom quarter in Texas
  • 14 health deficiencies at the last standard survey (CMS severity score 84) — below median
  • No fines or payment denials in 3 years
DScore 31 · Below averageSee Full Grade
3253884538 Kingsland, Llano County Medicaid
1007

Oakmont Healthcare And Rehabilitation Center Of Ka - Katy, TX · 130 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.9 nurse hours per resident-day — bottom quarter in Texas
  • 13 health deficiencies at the last standard survey (CMS severity score 88) — below median
  • $8,281 in fines in 3 years
DScore 30 · Below averageSee Full Grade
2815781600 Katy, Harris County Medicaid
1008

Parkview Manor Nursing And Rehabilitation - Weimar, TX · 94 beds · for profit - individual 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 96) — bottom quarter
  • $10,348 in fines in 3 years
DScore 30 · Below averageSee Full Grade
9797258564 Weimar, Colorado County Medicaid
1009

Windsor Nursing And Rehabilitation Center Of Wesla - Weslaco, TX · 120 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 2.4 nurse hours per resident-day — bottom quarter in Texas
  • 11 health deficiencies at the last standard survey (CMS severity score 64) — below median
  • $31,541 in fines in 3 years
DScore 30 · Below averageSee Full Grade
9569688502 Weslaco, Hidalgo County Medicaid
1010

Carechoice Of Boerne - Boerne, TX · 74 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.7 nurse hours per resident-day — bottom quarter in Texas
  • 13 health deficiencies at the last standard survey (CMS severity score 68) — below median
  • $33,937 in fines in 3 years
DScore 30 · Below averageSee Full Grade
8302492594 Boerne, Kendall County Medicaid
1011

Farwell Care And Rehabilitation Center - Farwell, TX · 75 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.0 nurse hours per resident-day — below median in Texas
  • 18 health deficiencies at the last standard survey (CMS severity score 84) — below median
  • $13,397 in fines in 3 years
DScore 30 · Below averageSee Full Grade
8064819027 Farwell, Parmer County Medicaid
1012

Bluebonnet Point Wellness - Bullard, TX · 119 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.8 nurse hours per resident-day — bottom quarter in Texas
  • 6 health deficiencies at the last standard survey (CMS severity score 24) — top quarter
  • $181,947 in fines in 3 years
DScore 30 · Below averageSee Full Grade
4302052024 Bullard, Smith County Medicaid
1013

Avir At Citizens Trail - Texarkana, TX · 114 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.5 nurse hours per resident-day — top quarter in Texas
  • 26 health deficiencies at the last standard survey (CMS severity score 164) — bottom quarter
  • $120,751 in fines in 3 years
DScore 30 · Below averageSee Full Grade
9038389526 Texarkana, Bowie County Medicaid
1014

Focused Care Of Gilmer - Gilmer, TX · 112 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.0 nurse hours per resident-day — bottom quarter in Texas
  • 27 health deficiencies at the last standard survey (CMS severity score 282) — bottom quarter
  • $15,288 in fines in 3 years
DScore 30 · Below averageSee Full Grade
9037972143 Gilmer, Upshur County Medicaid
1015

Avir At San Knoll - San Antonio, TX · 120 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
  • 35 health deficiencies at the last standard survey (CMS severity score 168) — bottom quarter
  • $27,710 in fines in 3 years, 1 payment denials
DScore 30 · Below averageSee Full Grade
2106998535 San Antonio, Bexar County Medicaid
1016

Parkview Nursing And Rehabilitation Center - Lockhart, TX · 108 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.9 nurse hours per resident-day — bottom quarter in Texas
  • 6 health deficiencies at the last standard survey (CMS severity score 76) — below median
  • $64,967 in fines in 3 years
DScore 30 · Below averageSee Full Grade
5123982362 Lockhart, Caldwell County Medicaid
1017

Cibolo Creek - Boerne, 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
  • 6 health deficiencies at the last standard survey (CMS severity score 111) — bottom quarter
  • $13,627 in fines in 3 years, 1 payment denials
DScore 30 · Below averageSee Full Grade
8308165095 Boerne, Kendall County Medicaid
1018

Elgin Nursing And Rehabilitation Center - Elgin, TX · 114 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.0 nurse hours per resident-day — below median in Texas
  • 9 health deficiencies at the last standard survey (CMS severity score 173) — bottom quarter
  • $36,221 in fines in 3 years
DScore 30 · Below averageSee Full Grade
5122852457 Elgin, Bastrop County Medicaid
1019

Amistad Nursing And Rehabilitation Center - Uvalde, TX · 200 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 2.8 nurse hours per resident-day — bottom quarter in Texas
  • 14 health deficiencies at the last standard survey (CMS severity score 96) — below median
  • No fines or payment denials in 3 years
DScore 30 · Below averageSee Full Grade
8302785641 Uvalde, Uvalde County Medicaid
1020

Legend Oaks Healthcare And Rehabilitation - Fort W - Keller, TX · 132 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
  • 13 health deficiencies at the last standard survey (CMS severity score 257) — bottom quarter
  • $77,433 in fines in 3 years
DScore 30 · Below averageSee Full Grade
8178066400 Keller, Tarrant County Medicaid
1021

San Gabriel Rehabilitation And Care Center - Round Rock, TX · 142 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
  • 13 health deficiencies at the last standard survey (CMS severity score 214) — bottom quarter
  • $19,393 in fines in 3 years
DScore 30 · Below averageSee Full Grade
5123348000 Round Rock, Williamson County Medicaid
1022

Hemphill Care Center - Hemphill, TX · 89 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.0 nurse hours per resident-day — bottom quarter in Texas
  • 3 health deficiencies at the last standard survey (CMS severity score 44) — above median
  • $29,226 in fines in 3 years
DScore 29 · Below averageSee Full Grade
4097873342 Hemphill, Sabine County Medicaid
1023

Avir At Luling - Luling, TX · 56 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.8 nurse hours per resident-day — bottom quarter in Texas
  • 14 health deficiencies at the last standard survey (CMS severity score 96) — bottom quarter
  • $35,559 in fines in 3 years
DScore 29 · Below averageSee Full Grade
8308755628 Luling, Caldwell County Medicaid
1024

Avir At Bandera - Bandera, TX · 118 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.4 nurse hours per resident-day — bottom quarter in Texas
  • 9 health deficiencies at the last standard survey (CMS severity score 56) — below median
  • $100,293 in fines in 3 years
DScore 29 · Below averageSee Full Grade
8307964077 Bandera, Bandera County Medicaid
1025

Legend Oaks Healthcare And Rehabilitation Center G - Gladewater, TX · 100 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 64) — below median
  • $124,559 in fines in 3 years
DScore 29 · Below averageSee Full Grade
9038452175 Gladewater, Gregg County Medicaid
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