Texas: CMS Rating Breakdown

Texas is home to 1,176 CMS-certified nursing homes. According to current official CMS figures, these facilities carry an average Five-Star overall rating of 2.7 out of 5. The ownership breakdown shows 831 for-profit facilities, 117 non-profit facilities, and 228 government-operated facilities.

The Five-Star rating system has documented limitations and serves as a broad indicator of facility performance rather than a definitive assessment of any individual location. State-level averages do not constitute medical, financial, or legal advice. When making decisions regarding nursing home selection or care, individuals and families should consult the Care Compare profiles maintained for each facility, review per-facility pages, and conduct independent research tailored to their specific circumstances and needs.

How to read this. The star ratings here are official CMS Five-Star Quality figures, shown as the rating as of May2026 — a relative quality measure with documented limits, not a recommendation, guarantee, or medical/financial/legal advice. Always confirm the current rating and details on the facility’s live Medicare Care Compare profile, and involve the resident and their clinicians in any decision.

Ownership mix

Texas facility directory → · How to choose care →

Informational only — not medical, financial, or legal advice. Senior Care by State reports official CMS Five-Star Quality data, which is a relative measure with documented limitations — not a recommendation or a guarantee that any facility is right for you. Choosing care is a personal medical and financial decision: confirm the current details with the facility directly, talk with the resident’s physician and care team, and verify ratings and coverage on Medicare.gov or with your state’s long-term-care or health agency before relying on anything here. For medical, financial, or legal questions, consult a qualified professional.