Recommended Statewide
229
Facilities graded B or better with zero fines
229 of 1176 nursing homes (19%) meet our strict criteria. The national average is 31%.
229 recommended · 722 avoid · 439 cities · data
Recommended Statewide
229
Facilities graded B or better with zero fines
Below Average
1176
across 439 cities
Facilities to Avoid
722
647 Grade F
$67,694,087 in combined fines
Alice
67% recommended
CMS star rating
| 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.
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.
Is Texas improving or declining?
Texas quality has remained stable.
Click any city to see detailed facility recommendations
2 of 3 recommended
2 of 3 recommended
2 of 3 recommended
2 of 3 recommended
2 of 3 recommended
2 of 4 recommended
2 of 4 recommended
2 of 4 recommended
2 of 4 recommended
3 of 7 recommended
Common issues found across Texas nursing homes
In Texas, 647 out of 1176 nursing homes have received F grades, indicating significant quality and safety issues.
There are 722 facilities in Texas recommended to avoid, indicating a significant portion of homes may not meet quality care standards.
With total fines amounting to $67,694,087, Texas nursing homes face notable financial penalties, reflecting ongoing regulatory challenges.
Highest-scoring facilities statewide
El Campo
Fort Worth
Waco
San Angelo
Palestine
Munday
Kenedy
San Juan
Where to find specific care in Texas
30 facilities
Best options in Alice
80 facilities
Highest success in Alice
150 facilities
Avg waitlist: 2-4 months
5 facilities
Limited availability
Private Room
$7,500/mo
Near national average
Semi-Private
$6,500/mo
Medicaid Rate
$165/day
75% of recommended facilities accept Medicaid