Worth Considering
3
Facilities graded B or better with zero fines
Best Nursing Homes in Austin, Texas
3 of 25 nursing homes in Austin (12%) meet our strict criteria. The Texas statewide average is 29%.
3 recommended · 3 caution · 19 avoid · data
City Average
2.6
★
+0.00 vs state
Total Beds
2,792
across 25 facilities
High Risk Facilities
19
19 Grade F
$2,012,081 in combined fines
Zero Fines
4
/25
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 3?
The nursing home market in Austin, Texas, is adequate but requires caution, with only 12% of the 25 facilities recommended. Families should be aware that 19 facilities have incurred a total of $1,989,015 in fines, highlighting the importance of thorough research before making a decision.
Exceptional (Grade A, Trust Score 90+)
- 1 LONGHORN VILLAGE (90) — Longhorn Village stands out with an excellent CMS 5★ rating and a Trust Score of 90/100. This non-profit facility focuses on community well-being, providing quality care in a spacious environment with only 60 beds and no fines, ensuring a personalized experience for residents.
Strong (Grade B+, Trust Score 80-89)
- 2 Querencia at Barton Creek (88) — Querencia at Barton Creek boasts a commendable 5★ CMS rating and a Trust Score of 88/100, reflecting its dedication to high-quality care. As a non-profit, it emphasizes community involvement, offering a warm atmosphere in a cozy setting with 42 beds and a strong commitment to resident satisfaction—plus, zero fines.
- 3 GRACY WOODS II LIVING CENTER (85) — Gracy Woods II Living Center maintains a stellar 5★ CMS rating and a Trust Score of 85/100, signifying its focus on quality care within a government-supported framework. With 110 beds and no fines, the facility combines excellent medical services with a community-oriented approach, making it a reliable choice for residents.
The other 22 Austin facilities didn't qualify — 19 carry Grade D or F ratings and 21 have fines totaling $2.0M.
Recommended
Longhorn Village stands out with an excellent CMS 5★ rating and a Trust Score of 90/100. This non-profit facility focuses on community well-being, providing quality care in a spacious environment with only 60 beds and no fines, ensuring a personalized experience for residents.
Querencia at Barton Creek boasts a commendable 5★ CMS rating and a Trust Score of 88/100, reflecting its dedication to high-quality care. As a non-profit, it emphasizes community involvement, offering a warm atmosphere in a cozy setting with 42 beds and a strong commitment to resident satisfaction—plus, zero fines.
Gracy Woods II Living Center maintains a stellar 5★ CMS rating and a Trust Score of 85/100, signifying its focus on quality care within a government-supported framework. With 110 beds and no fines, the facility combines excellent medical services with a community-oriented approach, making it a reliable choice for residents.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Also Worth Considering
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Austin Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 2.6 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 22?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 19 Grade F — critical inspection failures
- Facilities with fines
- 21 Have fines totaling $2,012,081
- Low-scoring facilities
- 1 Scored below B — Trust Scores under 70
- Caution group
- 3 Had good grades but fines disqualified them
Questions Austin Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Austin's city average is 2.6 stars
-
2
"Have you received any fines in the past 3 years?"
21 of 25 Austin facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Austin avg is 0 min
-
4
"What were your most recent inspection findings?"
Austin facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Austin, TX are recommended?
3 of 25 nursing homes in Austin (12%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Austin "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Austin?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.