2026 Rankings

Best Nursing Homes in Texas

Top 25 nursing homes in Texas ranked by CareGrader’s A-F grading system, based on real CMS government inspection data.

1,176 total facilities2.8 avg rating6 Special Focus Facilities

How we rank: Facilities are ranked by CareGrader composite score (0-100), which combines CMS health inspections (35%), staffing levels (25%), quality measures (25%), and penalty history (15%). Read our methodology

#1
A

ROLLING MEADOWS

WICHITA FALLS, Texas

Score: 100/100Non profit - Corporation
#2
A

TUSKEGEE AIRMEN TEXAS STATE VETERANS HOME

FORT WORTH, Texas

Score: 100/100120 bedsNon profit - Corporation
#3
A

LONGHORN VILLAGE

AUSTIN, Texas

Score: 95.8/1005/5 CMS60 bedsNon profit - Corporation
#4
A

TRINITY TERRACE

FORT WORTH, Texas

Score: 95.8/1005/5 CMS52 bedsNon profit - Corporation
#5
A

HENDRICK SKILLED NURSING FACILITY

ABILENE, Texas

Score: 95.8/1005/5 CMS20 bedsNon profit - Other
#6
A

THE METHODIST HOSPITAL SNF

HOUSTON, Texas

Score: 95.8/1005/5 CMS25 bedsNon profit - Church related
#7
A

COUNTRY VIEW LIVING

DIMMITT, Texas

Score: 95.8/1005/5 CMS54 bedsGovernment - Hospital district
#8
A

C C YOUNG MEMORIAL HOME

DALLAS, Texas

Score: 95.8/1005/5 CMS129 bedsNon profit - Corporation
#9
A

SAGECREST ALZHEIMERS CARE CENTER

SAN ANGELO, Texas

Score: 95.8/1005/5 CMS72 bedsNon profit - Corporation
#10
A

MRC THE CROSSINGS

LEAGUE CITY, Texas

Score: 93.3/1005/5 CMS48 bedsNon profit - Corporation
#11
A

BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL SKIL

TEMPLE, Texas

Score: 93.3/1005/5 CMS23 bedsNon profit - Corporation
#12
A

GREAT PLAINS NURSING AND REHABILITATION

DUMAS, Texas

Score: 93.3/1005/5 CMS120 bedsFor profit - Limited Liability company
#13
A

VILLA HAVEN HEALTH AND REHABILITATION CENTER

BRECKENRIDGE, Texas

Score: 93.3/1005/5 CMS92 bedsGovernment - Hospital district
#14
A

BANGS NURSING AND REHABILITATION

BANGS, Texas

Score: 93.3/1005/5 CMS48 bedsFor profit - Limited Liability company
#15
A

STEPHENVILLE NURSING AND REHABILITATION

STEPHENVILLE, Texas

Score: 93.3/1005/5 CMS46 bedsFor profit - Limited Liability company
#16
A

VENTANA BY BUCKNER

DALLAS, Texas

Score: 92.3/1005/5 CMS72 bedsNon profit - Corporation
#17
A

THE LEGACY AT WILLOW BEND

PLANO, Texas

Score: 92.3/1005/5 CMS60 bedsNon profit - Corporation
#18
A

DESOTO NURSING & REHABILITATION CENTER

DESOTO, Texas

Score: 90.8/1005/5 CMS110 bedsFor profit - Limited Liability company
#19
A

PURE HEALTH TRANSITIONAL CARE AT TEXAS HEALTH PRES

DALLAS, Texas

Score: 90.8/1005/5 CMS49 bedsFor profit - Limited Liability company
#20
A

SAN JUAN NURSING HOME INC

SAN JUAN, Texas

Score: 90.8/1005/5 CMS114 bedsNon profit - Corporation
#21
A

TRUCARE LIVING CENTERS-COLUMBUS

COLUMBUS, Texas

Score: 90.8/1005/5 CMS104 bedsFor profit - Corporation
#22
A

LAREDO MEDICAL CENTER

LAREDO, Texas

Score: 90.8/1005/5 CMS18 bedsFor profit - Corporation
#23
A

MEADOW LAKE HEALTH CENTER

TYLER, Texas

Score: 90.8/1005/5 CMS20 bedsNon profit - Corporation
#24
A

ALLEGIANT WELLNESS AND REHAB

CROWLEY, Texas

Score: 90.8/1005/5 CMS60 bedsFor profit - Corporation
#25
A

DEVINE HEALTH & REHABILITATION

DEVINE, Texas

Score: 90.8/1005/5 CMS96 bedsFor profit - Corporation
View All Nursing Homes in Texas

About Nursing Homes in Texas

Texas has 1,176 Medicare-certified nursing homes. CareGrader grades every facility from A to F using official CMS (Centers for Medicare & Medicaid Services) government data, including surprise health inspections, Payroll-Based Journal staffing audits, quality measures, and enforcement actions.

The average CMS star rating across all nursing homes in Texas is 2.8 out of 5 stars. There are currently 6 Special Focus Facilities in Texas — nursing homes flagged by CMS for a persistent history of serious quality issues.

The rankings above show the top 25 nursing homes in Texas by CareGrader composite score. Scores are recalculated monthly when CMS publishes updated datasets. Read our full methodology to understand how grades are calculated.

Frequently Asked Questions

What is the best nursing home in Texas?

Based on CareGrader's analysis of CMS government data, ROLLING MEADOWS in WICHITA FALLS is the highest-rated nursing home in Texas with a grade of A (score: 100/100). Rankings are based on health inspections (35%), staffing (25%), quality measures (25%), and penalty history (15%).

How many nursing homes are in Texas?

There are 1,176 Medicare-certified nursing homes in Texas. CareGrader grades each one from A to F based on CMS health inspection, staffing, quality, and penalty data.

How does CareGrader rank nursing homes in Texas?

CareGrader assigns A-F grades using a composite score (0-100) that combines four dimensions of CMS government data: health inspections (35% weight), staffing levels from Payroll-Based Journal data (25%), quality measures (25%), and penalty history including fines (15%). Grade A = 90-100 (Excellent), B = 80-89 (Good), C = 70-79 (Average), D = 60-69 (Below Average), F = below 60 (Poor). Data is updated monthly.

What is the average nursing home rating in Texas?

The average CMS star rating for nursing homes in Texas is 2.8 out of 5 stars. Use CareGrader to find facilities that score above this average.