Home health agencies · Texas

Home health agencies in Texas

How CMS rates the state's 1,850 Medicare-certified agencies delivering skilled care at home, how much CMS actually reports about them, and how that compares with the national dataset.

1,850 agencies272 citiesCMS data · updated 2026-08-03

At a glance

CMS assigns a quality-of-patient-care star rating to 978 of the 1,850 Medicare-certified home health agencies in Texas; 514 have neither a star nor a reported measure and are shown as limited data, never as a zero. Every figure comes from the official CMS Home Health Care Agencies dataset — SeniorCareRating.com adds no rating, score, or ranking of its own.
Home health agencies
1,850
Medicare-certified
With a CMS star
978
of 1,850
Report ≥1 measure
1,336
meaningful data
Cities
272
CMS 4.5 and 5-star home health agencies in TexasThe agencies in CMS’s top star tier for quality of patient care.

How Texas compares

The state's CMS star profile against the full national dataset, in the half-star steps CMS publishes.

CMS quality-of-patient-care star distribution

How Texas's Medicare-certified agencies spread across the CMS quality star rating, compared with the national dataset.

tick = NationalThis pageNational
5★41 · 2.2%3.7%
4.5★131 · 7.1%8.4%
4★126 · 6.8%10.4%
3.5★106 · 5.7%10.8%
3★139 · 7.5%10.9%
2.5★105 · 5.7%7.8%
2★116 · 6.3%6.3%
1.5★154 · 8.3%4.8%
1★60 · 3.2%1.3%
No star872 · 47.1%35.8%
View as a table
CMS quality-of-patient-care star distribution
RatingProvidersShareNational
CMS quality star 5412.2%3.7%
CMS quality star 4.51317.1%8.4%
CMS quality star 41266.8%10.4%
CMS quality star 3.51065.7%10.8%
CMS quality star 31397.5%10.9%
CMS quality star 2.51055.7%7.8%
CMS quality star 21166.3%6.3%
CMS quality star 1.51548.3%4.8%
CMS quality star 1603.2%1.3%
No star87247.1%35.8%
Total1,850100.0%100.0%

State shares are calculated from the 1,850 Medicare-certified agencies in Texas; national shares from all 12,392 in this dataset. The CMS quality-of-patient-care star is published in half-star steps and is shown here without rounding. Agencies CMS does not rate are counted separately and never treated as zero.

CMS-reported data

Texas’s largest divergence from the national dataset is at 3.5: 5.7% of the state’s agencies against 10.8% nationally (-5.1 points). This reflects what CMS publishes for these agencies and is not a judgement about care quality in either population.

What CMS reports here

For home health, how much CMS publishes about an agency is the first thing to understand — coverage varies widely.

Of the 1,850 agencies in Texas, CMS assigns a quality star to 978 and reports at least one quality measure for 1,336. 514 have neither — usually because the agency was too small or too new for CMS to report reliably. Each agency page states plainly which of the 17 CMS measure slots are filled for it.

Where agencies are concentrated

The cities holding the largest share, with the full directory available below.

The 8 largest cities hold 39% of the state’s 1,850 agencies, across 272 cities in total.

  1. Houston259 · 14%
  2. Dallas137 · 7%
  3. San Antonio79 · 4%
  4. El Paso59 · 3%
  5. Garland56 · 3%
  6. Arlington49 · 3%
  7. Plano44 · 2%
  8. Mesquite41 · 2%
Browse all 272 cities
Cities · 272
HoustonDallasSan AntonioEl PasoGarlandArlingtonPlanoMesquiteLaredoMcallenRichardsonSugar LandCarrolltonAustinCorpus ChristiStaffordIrvingKatyFort WorthRichmondMissouri CityGrand PrairieBrownsvilleTylerLewisvilleBeaumontLubbockLongviewEdinburgWichita FallsHarlingenAliceShermanRound RockLufkinAmarilloWeslacoDuncanvilleParisDesotoPharrMissionAbileneOdessaAllenWacoTempleSpringWylieFarmers BranchMidlandCypressTexarkanaVictoriaPearlandFriscoDentonEagle PassRio Grande CityGreenvilleMckinneyTomballAddisonSan AngeloCollege StationSunnyvaleCedar HillPalestineKingwoodRowlettRosenbergMansfieldFriendswoodNacogdochesRockwallPasadenaMurphyBaytownBedfordEulessLeague CityPalmviewKellerPantegoAthensBig SpringMount PleasantHumbleFlower MoundBridge CityConroeHendersonThe WoodlandsGalvestonBurlesonNederlandWeatherfordTexas CityNew BraunfelsJasperBellaireTerrellAngletonHurstRoyse CityBay CityLancasterGrapevineWaxahachieGeorgetownCorinthVan AlstyneZapataBudaDonnaFredericksburgDecaturPilot PointMidlothianMarshallLivingstonKilleenCedar ParkBeevilleWhitesboroKerrvilleBrownwoodWebsterNorth Richland HillsBoernePittsburgGrahamBryanWoodvilleRobstownDenisonLa JoyaSouthlakeGranburyKyleSulphur SpringsWhartonMarble FallsRockportLa FeriaOak PointThe ColonyBrenhamLittle ElmBenavidesSan MarcosVernonEastlandChildressCameronMount VernonPlainviewWellingtonClarendonMalakoffAndrewsGonzalesPerrytonSnyderGatesvilleCliftonCueroPort LavacaBallingerClintFresnoCluteSeymourVidorFloresvilleBenbrookWintersSan JuanKnox CityTeagueHuntsvilleLake JacksonKirbyvilleKenedyFort StocktonJacksonvilleAtlantaColorado CityPearsallSweetwaterHuttoCrosbytonEdnaJourdantonElectraBurnetEarlyPecosSeguinHenriettaCrystal CityNoconaHamiltonBrownfieldCanadianMasonKingsvilleBorgerWheelerFrionaStephenvilleCommerceMarlinOrangeClarksvilleAnahuacProsperTiki IslandOlmitoChesterWimberleyCorsicanaStantonSealyAzleLibertySeabrookMontgomeryCleburneKaufmanSugarlandGrullaBogataCastrovilleYorktownMercedesHughes SpringsCrosbyFalfurriasSan BenitoPflugervilleEdcouchAlbanyGainsvilleWills PointGainesvilleHuffmanBalch SpringsEnnisNew CaneyManorSchulenburgMc AllenDalworthington GardensSan DiegoRomaAledoCantonMadisonvilleCooperBastropAlpineWhitneyColemanGrovesSchertzHitchcockBen WheelerHickory CreekHeartlandManvelBuna

Nursing homes

Nursing homes and Medicare-certified home health agencies use different CMS quality systems and are never combined into one ranking.

Related research

Frequently asked questions

How many home health agencies are in Texas?

The current CMS Home Health Care dataset lists 1,850 Medicare-certified agencies across 272 cities in Texas, of which 978 carry a CMS quality-of-patient-care star rating.

Why do some Texas agencies have no star or limited data?

CMS only publishes results it can report reliably. An agency that served too few Medicare patients in the reporting window may have no star rating and few or no quality measures. In Texas, 514 of 1,850 agencies have neither a star nor a reported measure. A missing rating is a gap in the public record, not a negative result, and is never shown as a zero.

How does Texas compare with the national dataset?

978 of 1,850 Texas agencies carry a CMS star (53%), against 64% nationally across 12,392 agencies. The distribution above shows both on the same half-star scale. Differences reflect what CMS publishes and are not a judgement about care quality.

How can I verify a home health agency in Texas?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm current details on the official Medicare Care Compare site and with the agency directly.

Methodology and limits
Counts and distributions are calculated by this site from the 1,850 Medicare-certified home health agencies in Texas, with national comparisons drawn from all 12,392 agencies in the same dataset, sourced from the CMS Home Health Care Agencies dataset. CMS star ratings are shown exactly as CMS publishes them and summarize past data, not current conditions. Missing values are shown as missing, never as zero. See full methodology.
SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.