Home › Nursing Homes by State › Texas

Nursing Homes in Texas: Ratings, Inspections & Safety Flags

Texas has 1,178 Medicare & Medicaid–certified nursing homes on federal record. Below is the current landscape from the CMS Care Compare database (August 2026 release) — the same data ClearPath decodes and ranks in every family report.

1,178
Certified facilities
344
Rated 4★ or better
322
Rated 1★ overall
138
Abuse-flagged by CMS
37
Special Focus (worst-performer)

Highest-Rated Nursing Homes in Texas

134 Texas facilities hold a 5-star overall rating — more than fit this list. The ten shown lead within that group on CMS health-inspection, staffing, and quality-measure ratings.

FacilityCityOverallStaffing
Bayou ManorHouston★★★★★★★★★★
C C Young Memorial HomeDallas★★★★★★★★★★
Country View LivingDimmitt★★★★★★★★★★
Hendrick Skilled Nursing FacilityAbilene★★★★★★★★★★
Laredo Medical CenterLaredo★★★★★★★★★★
Longhorn VillageAustin★★★★★★★★★★
Mrc The CrossingsLeague City★★★★★★★★★★
Sagecrest Alzheimers Care CenterSan Angelo★★★★★★★★★★
The Methodist Hospital SnfHouston★★★★★★★★★★
Trinity TerraceFort Worth★★★★★★★★★★

Ranked by CMS overall and staffing star ratings. A ClearPath report goes deeper — inspection citations, fines, staffing turnover, review analysis, and safety-flag screening for every facility in your search area.

Federally Flagged Facilities in Texas

CMS currently flags 138 Texas facilities with an abuse icon and lists 37 in the Special Focus program for persistent quality problems. These designations appear automatically in every ClearPath report and cap a facility’s ranking regardless of its star rating.

FacilityCityFederal Flag
Avir At Cowhorn CreekTexarkanaSpecial Focus Abuse Flag
Advanced Rehabilitation And Healthcare Of AthensAthensSpecial Focus Abuse Flag
Afton Oaks Nursing And Rehabilitation CenterHoustonSpecial Focus Abuse Flag
Arbor View Nursing & RehabilitationKerrvilleSpecial Focus Abuse Flag
Avir At Arden WoodHoustonSpecial Focus
Avir At LubbockLubbockSpecial Focus Abuse Flag
Avir At OvertonOvertonSpecial Focus Abuse Flag
Avir At Rose TrailTylerSpecial Focus
Beltline Healthcare CenterGarlandSpecial Focus
Brenham Healthcare CenterBrenhamSpecial Focus Abuse Flag
Flags like these are exactly what star ratings hide. A ClearPath report screens every facility near you against the full federal record — abuse citations, inspection failures, fines, staffing collapse — nursing home reports from $47. Check the facilities near you →

Where Texas’s Facilities Are

Houston (60)San Antonio (58)Dallas (33)Fort Worth (31)Austin (25)El Paso (21)Lubbock (14)Corpus Christi (13)Tyler (13)Waco (13)Amarillo (12)Abilene (11)Temple (10)Arlington (9)Beaumont (9)Longview (9)Plano (9)Mcallen (8)Mesquite (8)Pasadena (8)

See every facility near you — ranked

Star ratings are only the surface. ClearPath reads the full federal record for every certified facility in your Texas search area — abuse citations, inspection failures, fines, staffing collapse — and hands you a ranked, plain-English report in minutes. Nursing home reports from $47 · Assisted living from $29 in 11 states. One-time, no subscription. Paid by families, never by facilities.

Get Your Ranked Report →See a free sample report first

Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Ratings and flags change monthly — ClearPath refreshes automatically. ClearPath Senior Guide is independent and accepts no referral fees or placement incentives from any facility.