13 Five-Star Nursing Homes in Houston, TX

13 of 61 nursing homes in Houston (21%) hold the highest CMS 5-star overall rating. The Texas statewide rate is 15%; the national average is 19.8%.

13 five-star · 61 total facilities · data

Five-Star Rated

13

Facilities with the highest overall CMS rating

21% five-star
15% state avg
19.8% national

Total Facilities

61

in Houston

Five-Star Rate

21 %

vs 19.8% national

Average Sub-Ratings

78.8

avg Trust Score

Health: 4.6

Staffing: 2.9

Quality: 4.7

Houston 5-Star Facilities at a Glance

78.8
Avg Trust Score
National 5-star avg: 85.2
6 for-profit, 5 nonprofit, 2 government
Ownership Split
92.5
Avg Beds

Good News

  • 7 of 13 five-star facilities (54%) have zero fines
  • 3 facilities reach Elite tier (Trust Score 90+)
  • Average health inspection rating of 4.6 meets or exceeds the national 5-star average of 4.4
  • Average RN hours of 1.01/day meets or exceeds the national 5-star average of 0.97

Worth Watching

  • Average Trust Score of 78.8 is below the national 5-star average of 85.2
  • 6 five-star facilities have fines totaling $238K

Sub-Rating Breakdown

How the 13 five-star facilities score on each CMS dimension

Health Inspection
62%
38%
Staffing
23%
15%
38%
15%
Quality Measures
5 - Much Above Average 4 - Above Average 3 - Average 2 - Below Average 1 - Much Below Average

Trust Score Tiers

Distribution of Trust Score tiers among 5-star facilities

Five-Star Facilities

Ownership Breakdown

For-Profit: 6 (46%) Nonprofit: 5 (38%) Government: 2 (16%)

Nearby Cities with Five-Star Facilities

Explore five-star nursing homes in the surrounding area

Frequently Asked Questions

How many 5-star nursing homes are in Houston, TX?
Houston has 13 nursing homes with a 5-star overall CMS rating out of 61 total facilities (21.3%). This is above the Texas state average of 15.0%.
What does a 5-star CMS rating mean for nursing homes in Houston?
A 5-star overall rating from CMS (Centers for Medicare & Medicaid Services) is the highest possible score, based on health inspections, staffing levels, and quality measures. However, a 5-star CMS rating alone doesn't guarantee quality — check each facility's Trust Score (average 78.8 in Houston) and look for fines, abuse citations, and staffing details.
Are all 5-star nursing homes in Houston recommended?
Not necessarily. A 5-star CMS rating measures specific metrics, but our Trust Score factors in additional data like fines, abuse history, and staffing turnover. Some 5-star facilities have concerning trust scores, which is why we classify them into tiers: Elite, Strong, Solid, Watch, and Flagged.