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Nursing Homes in Texas: Ratings, Inspections & Safety Flags

Texas has 1,177 Medicare & Medicaid–certified nursing homes on federal record. Below is the current landscape from the CMS Care Compare database (July 2026 release) — the same data ClearPath decodes and ranks in every family report.

1,177
Certified facilities
342
Rated 4★ or better
312
Rated 1★ overall
142
Abuse-flagged by CMS
36
Special Focus (worst-performer)

Highest-Rated Nursing Homes in Texas

136 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 142 Texas facilities with an abuse icon and lists 36 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
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 LubbockLubbockSpecial Focus Abuse Flag
Avir At Rose TrailTylerSpecial Focus
Beltline Healthcare CenterGarlandSpecial Focus
Brenham Healthcare CenterBrenhamSpecial Focus Abuse Flag
Buena Vida Nursing And Rehab-San AntonioSan AntonioSpecial Focus Abuse Flag
Cascades At GalvestonGalvestonSpecial Focus
Coral Rehabilitation And Nursing Of AustinAustinSpecial 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 — starting at $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)Tyler (13)Waco (13)Amarillo (12)Corpus Christi (12)Abilene (11)Temple (10)Arlington (9)Beaumont (9)Longview (9)Plano (9)Mesquite (8)Pasadena (8)San Angelo (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. Reports start at $47, one-time. Paid by families, never by facilities.

Get Your Ranked Report →See a free sample report first

Source: CMS Care Compare (data.cms.gov), July 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.