Nursing Homes & Senior Care in Texas
Texas is home to 1,176 CMS-certified nursing homes listed in the Care Compare directory, each assigned an official Five-Star Quality rating from the Centers for Medicare & Medicaid Services. The statewide average overall rating across these facilities stands at 2.7 out of 5 stars.
The Five-Star rating system functions as a relative quality measure and carries documented limitations. The ratings presented reflect data current as of May 2026 and should not be construed as recommendations or guarantees of care quality. This metric represents one factor among many considerations that affect the selection of a nursing home. Location, the type of specialized care required, an in-person visit to the facility, and direct conversations with staff and clinical personnel all play significant roles in the decision-making process.
Each facility in this directory displays its overall rating alongside separate ratings for health inspections and staffing quality, providing a multidimensional view of performance across key areas. Individuals and families evaluating nursing homes should verify each facility's current rating through its live Medicare Care Compare profile before making any decisions based on these figures.
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.
Showing the first 400 of 1176 facilities in Texas, sorted by CMS overall rating.
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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.