Best Nursing Homes in Texas (2026 Rankings)

Top 20 facilities ranked by CMS star rating, staffing, and quality measures

1177 total facilities154 five-star ratedAvg rating: 2.8 / 5

Top 20 Nursing Homes in Texas

1
THE METHODIST HOSPITAL SNF
HOUSTON, 25 beds
5/5
2
HENDRICK SKILLED NURSING FACILITY
ABILENE, 20 beds
5/5
3
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL SKIL
TEMPLE, 23 beds
5/5
4
LAREDO MEDICAL CENTER
LAREDO, 18 beds
5/5
5
BAYOU MANOR
HOUSTON, 37 beds
5/5
6
THE LEGACY MIDTOWN PARK
DALLAS, 54 beds
5/5
7
THE HALLMARK
HOUSTON, 32 beds
5/5
8
THE LEGACY AT WILLOW BEND
PLANO, 60 beds
5/5
9
VENTANA BY BUCKNER
DALLAS, 72 beds
5/5
10
PERMIAN RESIDENTIAL CARE CENTER
ANDREWS, 112 beds
5/5
11
STERLING COUNTY NURSING HOME
STERLING CITY, 44 beds
5/5
12
C C YOUNG MEMORIAL HOME
DALLAS, 129 beds
5/5
13
MRC CREEKSIDE
HUNTSVILLE, 66 beds
5/5
14
CAPSTONE HEALTHCARE OF PERRYTON
PERRYTON, 60 beds
5/5
15
THE ARBOUR AT WESTMINSTER MANOR
AUSTIN, 90 beds
5/5
16
TRUMAN W SMITH CHILDREN'S CARE CENTER
GLADEWATER, 120 beds
5/5
17
Treemont Health Care Center
Houston, 70 beds
5/5
18
THE VILLAGE AT GLEANNLOCH FARMS
SPRING, 35 beds
5/5
19
SAN JUAN NURSING HOME INC
SAN JUAN, 114 beds
5/5
20
TRINITY TERRACE
FORT WORTH, 52 beds
5/5

Rankings based on CMS Overall Star Rating. Ties broken by staffing hours then quality rating. Data updated 2026.

Nursing Home Costs in Texas

$290/day
Private Room (daily)
$8,817/mo
Private Room (monthly)
$265/day
Semi-Private (daily)
$8,055/mo
Semi-Private (monthly)
$186/day
Medicaid Rate (approx)

Source: CareScout/Genworth Cost of Care Survey 2025. Private-pay rates shown.

Inspection Summary for Texas

1,174
Total Inspections
31,194
Total Deficiencies
26.6
Avg Deficiencies / Facility
46.9%
Infection Control Issues

Frequently Asked Questions

What is the best nursing home in Texas?

Based on CMS data, THE METHODIST HOSPITAL SNF in HOUSTON ranks first with an overall rating of 5/5 stars. The top-rated facilities in Texas are listed above, sorted by CMS star rating and supplementary quality measures.

How much do nursing homes cost in Texas?

The average cost of a nursing home in Texas is $290/day for a private room ($8,817/month). Semi-private rooms average $265/day. Medicaid reimburses approximately $186/day for eligible residents.

How are these rankings determined?

Rankings use the CMS (Centers for Medicare and Medicaid Services) Overall Star Rating as the primary criterion. Ties are broken by total nurse staffing hours per resident day, then by quality measure ratings. All data is sourced from the CMS Nursing Home Care Compare dataset.

All nursing homes in TexasBest by state index