Nursing homes · Texas
Nursing homes in Texas
How CMS rates the state's 1,176 certified nursing homes, where they are concentrated, and how that compares with the national dataset.
1,176 facilities216 countiesCMS data · updated 2026-08-21
At a glance
CMS assigns an overall star rating to 1,165 of the 1,176 certified nursing homes in Texas; 11 are not rated and shown separately, never as a zero. Every figure comes from the official CMS Provider Data Catalog — SeniorCareRating.com adds no rating, score, or ranking of its own.
- Nursing homes
- 1,176
- CMS-certified
- Rated by CMS
- 1,165
- of 1,176
- Counties
- 216
- CMS data
- 2026-08-21
How Texas compares
The state's CMS overall rating profile against the full national dataset, on the same scale.
CMS overall rating distribution
How Texas's certified nursing homes spread across the CMS five-star overall rating, compared with the national dataset.
tick = NationalThis pageNational
5★151 · 12.8%20.7%
4★196 · 16.7%19.0%
3★255 · 21.7%19.3%
2★278 · 23.6%20.5%
1★285 · 24.2%19.6%
Not rated11 · 0.9%0.9%
View as a table
| Rating | Providers | Share | National |
|---|---|---|---|
| CMS overall rating 5 | 151 | 12.8% | 20.7% |
| CMS overall rating 4 | 196 | 16.7% | 19.0% |
| CMS overall rating 3 | 255 | 21.7% | 19.3% |
| CMS overall rating 2 | 278 | 23.6% | 20.5% |
| CMS overall rating 1 | 285 | 24.2% | 19.6% |
| Not rated | 11 | 0.9% | 0.9% |
| Total | 1,176 | 100.0% | 100.0% |
State shares are calculated from the 1,176 CMS-certified nursing homes in Texas; national shares from all 14,700 in this dataset. CMS overall star ratings are shown exactly as CMS publishes them and summarize past data, not current conditions. Facilities 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 5★: 12.8% of the state’s facilities against 20.7% nationally (-7.8 points). This reflects what CMS publishes for these facilities and is not a judgement about care quality in either population.
Where facilities are concentrated
The counties holding the largest share, with the full directory available below.
The 8 largest counties hold 34% of the state’s 1,176 nursing homes, across 216 counties in total.
- Harris County97 · 8%Search →
- Dallas County81 · 7%Search →
- Tarrant County71 · 6%Search →
- Bexar County62 · 5%Search →
- Travis County28 · 2%Search →
- El Paso County22 · 2%Search →
- Hidalgo County22 · 2%Search →
- Collin County22 · 2%Search →
Browse all 216 counties and 441 cities
657 total
Counties · 216
Harris CountyDallas CountyTarrant CountyBexar CountyTravis CountyEl Paso CountyHidalgo CountyCollin CountyDenton CountySmith CountyMc Lennan CountyBell CountyFort Bend CountyWilliamson CountyLubbock CountyJefferson CountyCameron CountyNueces CountyBrazoria CountyGregg CountyGalveston CountyTaylor CountyMontgomery CountyGrayson CountyEllis CountyWichita CountyPotter CountyParker CountyJohnson CountyAngelina CountyGuadalupe CountyKaufman CountyTom Green CountyBrazos CountyBrown CountyBowie CountyComal CountyWebb CountyAnderson CountyEctor CountyKendall CountyHenderson CountyCherokee CountyVan Zandt CountyHays CountyNavarro CountyAtascosa CountyHardin CountyFayette CountyLamar CountyHunt CountyWood CountyCaldwell CountyFannin CountyLavaca CountyLimestone CountyBastrop CountyRockwall CountyMidland CountyGillespie CountyCoryell CountyDe Witt CountyHopkins CountyKerr CountyLiberty CountyWharton CountyNacogdoches CountyVictoria CountyPolk CountyHood CountyCooke CountyEastland CountyHill CountyCass CountyWilson CountyWise CountyBurnet CountyWashington CountyColorado CountyJim Wells CountyLampasas CountyTitus CountyShelby CountyYoung CountyMatagorda CountyComanche CountyHarrison CountyMedina CountyErath CountyHamilton CountyPanola CountyRusk CountyKarnes CountyGray CountyLamb CountyRobertson CountyJasper CountyFreestone CountySan Augustine CountyOrange CountyVal Verde CountyWalker CountyHoward CountyRandall CountyBosque CountyMaverick CountyHouston CountyTrinity CountyMilam CountyNolan CountyUvalde CountyHale CountyPalo Pinto CountyBee CountyMontague CountyHockley CountyRed River CountyAransas CountyHutchinson CountyCalhoun CountyMoore CountySomervell CountyColeman CountyTerry CountyCallahan CountyJones CountyKnox CountyLlano CountyParmer CountyLee CountyTyler CountyGonzales CountyJackson CountyFalls CountyCrosby CountySan Patricio CountyRunnels CountyMills CountyGrimes CountyKleberg CountyCoke CountyUpshur CountyChambers CountyMadison CountyBurleson CountyBandera CountySabine CountyStarr CountyAustin CountyCastro CountyArmstrong CountyConcho CountyFrio CountyJack CountyClay CountyWilbarger CountyDawson CountySchleicher CountyUpton CountyCrockett CountySherman CountyReagan CountyLipscomb CountyHansford CountyHemphill CountyFoard CountyHaskell CountyCamp CountyBaylor CountyChildress CountyLeon CountyLive Oak CountyDuval CountyMarion CountyStephens CountyGoliad CountyDimmit CountyWillacy CountySan Jacinto CountyWard CountyWheeler CountyBrooks CountyScurry CountyWaller CountyGarza CountyPecos CountyMorris CountyJim Hogg CountyDelta CountyDeaf Smith CountySterling CountyReeves CountyCrane CountyReal CountyCollingsworth CountyOchiltree CountyHall CountyMenard CountyMc Culloch CountyNewton CountyStonewall CountyBailey CountyRains CountyAndrews CountyZapata CountyMitchell CountyYoakum CountyLa Salle CountyMotley CountySan Saba CountyDonley CountyFranklin CountyBlanco CountyRefugio CountyKent CountyGaines County
Cities · 441
HoustonSan AntonioDallasFort WorthAustinEl PasoLubbockTylerWacoAmarilloCorpus ChristiAbileneTempleBeaumontLongviewArlingtonPlanoMesquitePasadenaSan AngeloBrownsvilleMcallenHarlingenKatyWichita FallsTexarkanaLaredoWeatherfordDentonLufkinOdessaHumbleGarlandIrvingBrownwoodRichardsonNew BraunfelsCarrolltonTexas CityDenisonDesotoRound RockBoerneParisSeguinMckinneyBaytownCorsicanaTomballMidlandFredericksburgBryanPalestineShermanSulphur SpringsKerrvilleVictoriaRichmondBedfordMissouri CityLancasterThe WoodlandsGranburyGainesvilleGreenvilleConroeRockwallEdinburgPearlandBrenhamCedar ParkAliceEnnisLampasasMount PleasantCenterBay CityCollege StationWaxahachieWeslacoCleburneMarshallNacogdochesStephenvilleLivingstonBurlesonAthensSan MarcosCarthageJacksonvilleLulingTerrellKellerPort ArthurGrand SalineBonhamMexiaLeague CitySilsbeeBastropSan AugustineDel RioPleasantonHuntsvilleFloresvilleBig SpringDecaturSugar LandEagle PassCrockettMansfieldFriscoWebsterGrapevineWhite SettlementLake JacksonNorth Richland HillsBeltonKilleenSweetwaterCopperas CoveUvaldeGrovesYoakumPlainviewGrahamMineral WellsComancheBeevilleHurstWhartonLa GrangeMissionRuskLevellandSchulenburgPilot PointClarksvilleHamiltonKaufmanRockportHendersonBorgerPort LavacaKenedyDumasGladewaterGlen RoseColemanBrownfieldCedar HillBurkburnettRosenbergPampaWinnsboroLa PorteLockhartHallettsvilleHillsboroGiddingsCueroWoodvilleGonzalesGroesbeckGatesvilleGalvestonFairfieldBallingerGoldthwaiteVidorNavasotaAtlantaKingsvilleAlvinCliftonLibertyAngletonLewisvilleLindaleGilmerMineolaFlower MoundJasperKempDuncanvilleKilgoreMadisonvilleAllenCaldwellTrinityPflugervilleGeorgetownBanderaHemphillColumbusEl CampoCameronRio Grande CitySchertzCrowleyDimmittWylieSouthlakeMidlothianFarmersvilleSan JuanWindcrestJourdantonMc GregorKountzeAlvaradoOlneyClaudeDaytonHondoGrand PrairieEdenWhitehousePearsallJacksboroRobstownBowieVanHenriettaLake WorthRowlettChandlerWimberleyVernonLamesaCleveland1205 Santa Fe DrEldoradoMccameyOzonaStratfordBig LakeBookerSpearmanCanadianEastlandCrowellHaskellElectraPittsburgClydeSeymourPharrChildressBalch SpringsHamlinMundayCentervilleHoney GroveYorktownLlanoFarwellItalyGeorge WestOltonBremondVan AlstyneEdnaSan DiegoJustinRosebudElkhartKirbyvilleCluteJeffersonCiscoKennedaleWillisBreckenridgeCrosbytonLindenLytleKarnes CityMathisDe LeonSweenyBairdGrandviewGoliadCarrizo SpringsBangsMarlinRallsOvertonSeagovilleRed OakLive OakSavoyFrionaFlatoniaConverseHicoRaymondvilleShepherdDevineSlatonMeridianMonahansWheelerQuitmanNoconaWills PointRobert LeeBurnetFalfurriasSnyderBronteBrookshireItascaPostCorpus ChrisitFort StocktonFriendswoodDaingerfieldStamfordCommerceHebbronvilleWinnieRising StarCooperRichland HillsPortlandWhitesboroKerensHerefordComfortSterling CityPecosTeagueBridgeportFranklinMalakoffBenbrookDibollHarker HeightsWeimarManchacaCraneCamp WoodShinerSmithvilleWellingtonLa VerniaPerrytonWataugaCelinaMemphisMcleanCastrovilleLumbertonLittlefieldDripping SpringsKnox CityAzleRangerMenardBartlettEulessMoultonBradyKingslandMc AllenKeeneMerkelNewtonCorriganWhitneyAspermontMuleshoeRockdaleOrangeWellsBertramLakewayEmoryHughes SpringsKingwoodBellvilleSealyHighland VillageGrovetonAndrewsGarrisonElginHuntingtonHewittZapataRoyse CityMarble FallsLa MarqueColorado CitySpringGanadoCoppellDenver CityKyleForneyCotullaBellmeadTaylorNeedvilleCantonRichwoodCorinthEagle LakeWillow ParkAmherstBee CaveHuttoHearneWestMatadorSocorroSan SabaSelmaClarendonMercedesSpring BranchAlamoMabankCypressPorterMount VernonMont BelvieuPrincetonJohnson CityRefugioBullardSpringtownPenitasShavano ParkJaytonHorseshoe BaySaginawSeminoleMagnolia
Research federal records
CMS publishes enforcement and staffing records alongside the star ratings. These open the search workspace pre-filtered.
Related research
Frequently asked questions
How many nursing homes are in Texas?
This dataset includes 1,176 CMS-certified nursing homes across 216 counties in Texas, from the official CMS Provider Information file. The counties with the most are Harris County, Dallas County, Tarrant County, Bexar County, Travis County.
How are Texas nursing homes rated?
Each home carries the CMS five-star overall rating plus health-inspection, staffing, and quality-measure ratings. In this dataset, 151 are rated 5 stars, 285 are rated 1 star, and 11 are not rated by CMS.
How does Texas compare with the national dataset?
1,165 of 1,176 Texas facilities carry a CMS overall rating (99%), against 99% nationally across 14,700 facilities. The rating distribution above shows the state and national shares side by side. Differences reflect what CMS publishes and are not a judgement about care quality.
How can I verify a nursing home in Texas with official sources?
SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm current details on the official CMS Care Compare site and with the facility before making decisions.
Methodology and limits
Counts and distributions are calculated by this site from the CMS records included in this dataset for Texas, with national comparisons drawn from all 14,700 facilities in the same dataset. CMS star ratings are shown exactly as CMS publishes them and summarize past data, not current conditions. 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.