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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
All Texas
Houston (59)San Antonio (58)Dallas (33)Fort Worth (30)Austin (25)El Paso (21)Lubbock (14)Corpus Christi (13)Tyler (13)
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