Best Nursing Homes in Texas

229 of 1176 nursing homes (19%) meet our strict criteria. The national average is 31%.

#46 of 50 states

229 recommended · 722 avoid · 439 cities · data

Recommended Statewide

229

Facilities graded B or better with zero fines

229 recommended 53 caution 722 avoid

National Rank

#46

Below Average

Total Facilities

1176

across 439 cities

Facilities to Avoid

722

647 Grade F

$67,694,087 in combined fines

Best City

Alice

67% recommended

State Average

2.8

CMS star rating

Texas vs National Average

Comparison of nursing home metrics between Texas and national averages
Metric Texas National Verdict
% Recommended 19% 31% ✗ Worse
Average CMS Stars 2.8 3.0 ✗ Worse
Staff Turnover 50% 44% ✗ Worse
RN Hours/Day 0.65 0.75 ✗ Worse
Avg Deficiencies 8.5 7.5 ✗ Worse

Data from CMS Care Compare as of . National averages based on all 15,000 U.S. nursing homes.

The Texas Reality

Nursing home care in Texas presents a challenging landscape for families seeking quality support for their loved ones. The state ranks a concerning 46th out of 50 states, with only 19% of its 1,176 facilities receiving a recommendation, significantly lower than the national average of 31%. This ranking highlights the difficulties families may encounter when searching for reliable care options within the state. Furthermore, the average Centers for Medicare & Medicaid Services (CMS) star rating for Texas facilities is just 2.79, indicating that many nursing homes fall short of providing the level of care that families expect and deserve.

Despite the overall challenges, there are pockets of excellence in Texas nursing home care. The city of Alice boasts an impressive 67% recommendation rate, making it a standout location for families seeking quality facilities. Among the top-rated options is the Booker Hospital District, also known as Twin Oaks Manor, which has achieved a remarkable trust score of 95. However, potential residents and their families must also remain vigilant about problem areas, as 722 facilities are identified as ones to avoid, including 647 that have received F-grades. Additionally, the total fines levied against Texas nursing homes exceed $67 million, underscoring systemic issues that may affect care quality.

Families searching for nursing home care in Texas should prioritize several key factors to ensure their loved ones receive the best possible support. It is essential to look for facilities with high trust scores and favorable star ratings, as these metrics can indicate better care quality. Families should also take the time to investigate any recent fines or violations that a facility may have incurred, as this information can provide insight into potential problems. By carefully evaluating these aspects and considering both the strengths and weaknesses of available options, families can make more informed decisions in this critical area of care.

Quality Trend

Is Texas improving or declining?

2024
22%
2025
20%
2026
19%

Texas quality has remained stable.

Cities Ranked by Quality

Click any city to see detailed facility recommendations

Statewide Warning Patterns

Common issues found across Texas nursing homes

High Number of Facilities with F Grades

In Texas, 647 out of 1176 nursing homes have received F grades, indicating significant quality and safety issues.

Facilities to Avoid

There are 722 facilities in Texas recommended to avoid, indicating a significant portion of homes may not meet quality care standards.

Substantial Total Fines

With total fines amounting to $67,694,087, Texas nursing homes face notable financial penalties, reflecting ongoing regulatory challenges.

Top 10 Nursing Homes in Texas

Highest-scoring facilities statewide

Care Type Availability

Where to find specific care in Texas

Memory Care

30 facilities

Best options in Alice

Short-Term Rehab

80 facilities

Highest success in Alice

Medicaid Beds

150 facilities

Avg waitlist: 2-4 months

Ventilator / Complex Care

5 facilities

Limited availability

Cost Overview

Private Room

$7,500/mo

Near national average

Semi-Private

$6,500/mo

Medicaid Rate

$165/day

75% of recommended facilities accept Medicaid

Frequently Asked Questions

How does Texas compare to neighboring states?

When comparing Texas to its neighboring states, it ranks #46 nationally for nursing home quality, which is notably lower than states like Oklahoma and Louisiana. While Texas struggles with overall nursing home rankings, many neighboring states also face challenges in providing high-quality care, but Texas's percentage of recommended homes at 19% is significantly below the national average of 31%.

What percentage of nursing homes in Texas meet quality criteria?

Only 19% of nursing homes in Texas meet established quality criteria, which is considerably lower than the national average of 31%. This statistic highlights the need for improvement in the state's nursing home care standards and oversight.

Which city in Texas offers the best nursing home care?

Alice is recognized as the city in Texas that offers the best nursing home care, though specific data on individual facilities may vary. The concentration of higher-rated facilities and better overall care options in Alice contributes to its reputation as a leader in nursing home quality in Texas.

What is the cost of a private room in a Texas nursing home?

The cost of a private room in a Texas nursing home averages around $9,000 per month, which can vary based on location and specific facilities. This figure reflects the broader trends in nursing home expenses across the country, where costs are generally rising.