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Key Takeaways
- Facilities In State: 1,176
- State Average Score: 55.4
- Highest Rated Homes Shown: 15
- Zero Deficiency Honor Roll Homes: 127
- Strong Safety Record Homes: 29
Overview
Texas's 1,176 nursing homes average 55.4 on the Care Safety Score. The homes below rank highest on CMS safety signals — inspections, staffing, complaints, and enforcement. This page also highlights 127 homes with no CMS health deficiencies recorded in the past 12 months of available data. No score guarantees safety, so always tour in person.
Data reflects CMS records as of 2026-04-23.
Highest Rated Nursing Homes
| Facility | City | Beds | Care Safety Score | Rating |
|---|---|---|---|---|
| Chambers County Public Hospital District No. 1 | League City | 107 | 95 | Strong safety record |
| The Legacy Willow Bend, Inc. | Plano | 60 | 94 | Strong safety record |
| Meadow Lake, Llc | Tyler | 20 | 94 | Strong safety record |
| Legal Business Name Not Available | Dallas | 129 | 93 | Strong safety record |
| Ccrc Opco – Gleannloch Farms Llc | Spring | 35 | 93 | Strong safety record |
| The Methodist Hospital | Houston | 25 | 93 | Strong safety record |
| Scott & White Continuing Care Hospital | Temple | 23 | 93 | Strong safety record |
| Hendrick Medical Center | Abilene | 20 | 93 | Strong safety record |
| Laredo Texas Hospital Company Lp | Laredo | 18 | 93 | Strong safety record |
| Legal Business Name Not Available | Dumas | 46 | 92 | Strong safety record |
| The Cumberland Rest Inc | Fort Worth | 52 | 91 | Strong safety record |
| Fannin County Hospital Authority | Bangs | 48 | 91 | Strong safety record |
| Legal Business Name Not Available | Gladewater | 120 | 90 | Strong safety record |
| Houstonidence Opco Llc | Houston | 70 | 89 | Strong safety record |
| Happy Harbor Methodist Home, Inc. | League City | 48 | 89 | Strong safety record |
Zero Deficiency Honor Roll
| Facility | City | Beds | Care Safety Score |
|---|---|---|---|
| The Cumberland Rest Inc | Fort Worth | 52 | 91 |
| Houstonidence Opco Llc | Houston | 70 | 89 |
| Dumas I Enterprises Llc | Dumas | 120 | 86 |
| Mrc Towncreek | Huntsville | 66 | 86 |
| Hamilton County Hospital District | Goldthwaite | 52 | 86 |
| Frio Hospital District | Houston | 70 | 85 |
| Rj Meridian Care Of Galveston,Llc | Galveston | 96 | 84 |
| Hamilton County Hospital District | Hamilton | 78 | 84 |
| Nocona Hospital District | Rockwall | 120 | 82 |
| Winnie-Stowell Hospital District | Whitehouse | 120 | 80 |
| Hamilton County Hospital District | Hamilton | 76 | 80 |
| Winnie-Stowell Hospital District | Lake Jackson | 74 | 80 |
| Fannin County Hospital Authority | Bedford | 62 | 80 |
| Nocona Hospital District | Wichita Falls | 144 | 79 |
| Fannin County Hospital Authority | Mckinney | 103 | 79 |
State Overview
| Nursing Homes | Average Safety Score | Strong Safety Record Homes | Zero Deficiency Honor Roll | Special Focus Facilities |
|---|---|---|---|---|
| 1,176 | 55.4 | 29 | 127 | 36 |
Frequently Asked Questions
- What are the highest-rated nursing homes in Texas?
- The facilities at the top of the table on this page earned the highest Care Safety Scores in Texas — a 0–100 measure built from CMS health inspections, payroll-based staffing, complaint volume, and federal enforcement actions. Treat the ranking as a starting shortlist, then tour each home and review its full record before deciding.
- Does a high Care Safety Score guarantee a nursing home is safe?
- No. The score reflects recent federal data, but staffing and management can change and no rating can guarantee future care. Use it to compare facilities and narrow your list, not as a final verdict.
- How many nursing homes are in Texas?
- CMS data covers 1,176 Medicare-certified nursing homes in Texas, with an average Care Safety Score of 55.4. 127 of them had no CMS health deficiencies recorded in the most recent 12 months of available inspection data.
- What is the Care Safety Score?
- A single 0–100 number that combines a facility's CMS health-inspection citations, payroll-based staffing levels, resident complaint volume, and federal enforcement actions, so families can compare homes on safety at a glance.
- What should I ask when touring a nursing home in Texas?
- Ask about real registered-nurse coverage on nights and weekends, what the most recent inspection found and how each citation was fixed, any fines and what changed because of them, and how complaints are handled. Our guide to the questions to ask when touring a nursing home walks through each one.
How to Read This
- Care Safety score
- A 0–100 score we calculate from CMS inspection history, staffing data, citation patterns, and complaint summaries. Higher is better. We group facilities into bands: Excellent, Good, Fair, and Poor.
- Special Focus Facility (SFF)
- A federal designation for nursing homes with a history of serious quality issues. CMS inspects them about twice as often. SFF Candidates are facilities at risk of being added to the SFF list.
Data source: Centers for Medicare & Medicaid Services (CMS). Data as of 2026-04-23.
Helpful resources
- Before the Crisis: our free elder-care planning guide
- Search every certified nursing facility (all 50 states)
- Highest-rated nursing homes by state
- Questions to ask when touring a nursing home
- See a sample facility safety report
- How Senior Care Report Card works
- Resources Hub: guides for families
- About our editorial standards
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How we built this: Every Senior Care Report Card insight is generated from the federal CMS Care Compare dataset and reviewed by our editorial team before publishing. We do not invent numbers, and we always tell you the date the data was collected. Read our methodology →