Texas

Nursing homes in Texas

1,176 CMS-certified nursing homes across 216 counties, organized by county.

1,176 facilities216 countiesCMS data · updated 2026-07-17

At a glance

CMS rates 1,165 of 1,176 nursing homes in Texas; 11 are not rated. 151 hold a 5-star overall rating and 285 hold 1 star.
Nursing homes
1,176
Counties
216
Rated 5★
151
of 1,165 rated
Rated 1★
285
Not rated by CMS
11

Rating and geographic landscape

How CMS ratings and facilities are distributed across Texas.

CMS overall rating distribution

How Texas facilities spread across the CMS five-star overall rating.

5 star151 · 13%
4 star196 · 17%
3 star255 · 22%
2 star278 · 24%
1 star285 · 24%
Not rated11
1,165 rated · 11 not rated by CMS · 1,176 total

CMS-reported data · updated 2026-07-17

Where facilities are concentrated

The counties holding the largest share of Texas nursing homes.

1,176 facilities across 216 counties.

CMS-reported data · updated 2026-07-17

Counties · most facilities first

CountyFacilities1-starAbuse iconCMS record pages
Harris County9724135-star1-starabuse iconpenaltieslow staffing
Dallas County8120125-star1-starabuse iconpenaltieslow staffing
Tarrant County7117195-star1-starabuse iconpenaltieslow staffing
Bexar County622155-star1-starabuse iconpenaltieslow staffing
Travis County28935-star1-starabuse iconpenaltieslow staffing
El Paso County221341-starabuse iconpenaltieslow staffing
Hidalgo County22255-star1-starabuse iconpenaltieslow staffing
Collin County22215-star1-starabuse iconpenaltieslow staffing
Denton County18331-starabuse iconpenaltieslow staffing
Smith County17635-star1-starabuse iconpenaltieslow staffing
Mc Lennan County17525-star1-starabuse iconpenaltieslow staffing
Bell County16645-star1-starabuse iconpenaltieslow staffing
Fort Bend County15415-star1-starabuse iconpenaltieslow staffing
Williamson County15355-star1-starabuse iconpenaltieslow staffing
Lubbock County15431-starabuse iconpenaltieslow staffing
Jefferson County14455-star1-starabuse iconpenaltieslow staffing
Cameron County14205-star1-starpenaltieslow staffing
Nueces County14215-star1-starabuse iconpenaltieslow staffing
Brazoria County13315-star1-starabuse iconpenaltieslow staffing
Gregg County13525-star1-starabuse iconpenaltieslow staffing
Galveston County12325-star1-starabuse iconpenaltieslow staffing
Taylor County12335-star1-starabuse iconpenaltieslow staffing
Montgomery County12315-star1-starabuse iconpenaltieslow staffing
Grayson County11431-starabuse iconpenaltieslow staffing
Ellis County10205-star1-starpenaltieslow staffing
Wichita County10015-starabuse iconpenaltieslow staffing
Potter County9115-star1-starabuse iconpenaltieslow staffing
Parker County9325-star1-starabuse iconpenaltieslow staffing
Johnson County9131-starabuse iconpenaltieslow staffing
Angelina County8115-star1-starabuse iconpenaltieslow staffing
Guadalupe County8225-star1-starabuse iconpenaltieslow staffing
Kaufman County8111-starabuse iconpenaltieslow staffing
Tom Green County8205-star1-starpenaltieslow staffing
Brazos County7415-star1-starabuse iconpenaltieslow staffing
Brown County7005-starpenaltieslow staffing
Bowie County7411-starabuse iconpenaltieslow staffing
Comal County6211-starabuse iconpenaltieslow staffing
Webb County6205-star1-starpenaltieslow staffing
Anderson County6205-star1-starpenaltieslow staffing
Ector County601abuse iconpenaltieslow staffing
Kendall County6205-star1-starpenaltieslow staffing
Henderson County6221-starabuse iconpenaltieslow staffing
Cherokee County6115-star1-starabuse iconpenaltieslow staffing
Van Zandt County6205-star1-starpenaltieslow staffing
Hays County6205-star1-starpenaltieslow staffing
Navarro County6115-star1-starabuse iconpenaltieslow staffing
Atascosa County5201-starpenaltieslow staffing
Hardin County5211-starabuse iconpenaltieslow staffing
Fayette County5121-starabuse iconpenaltieslow staffing
Lamar County5101-starpenaltieslow staffing
Hunt County5211-starabuse iconpenaltieslow staffing
Wood County5211-starabuse iconpenaltieslow staffing
Caldwell County5231-starabuse iconpenaltieslow staffing
Fannin County500penaltieslow staffing
Lavaca County5005-starpenaltieslow staffing
Limestone County5015-starabuse iconpenaltieslow staffing
Bastrop County5111-starabuse iconpenaltieslow staffing
Rockwall County5005-starpenaltieslow staffing
Midland County5105-star1-starpenaltieslow staffing
Gillespie County4201-starpenaltieslow staffing
Coryell County4101-starpenaltieslow staffing
De Witt County400penaltieslow staffing
Hopkins County400penaltieslow staffing
Kerr County4221-starabuse iconpenaltieslow staffing
Liberty County4101-starpenaltieslow staffing
Wharton County4315-star1-starabuse iconpenaltieslow staffing
Nacogdoches County4005-starpenaltieslow staffing
Victoria County4105-star1-starpenaltieslow staffing
Polk County4101-starpenaltieslow staffing
Hood County4205-star1-starpenaltieslow staffing
Cooke County4111-starabuse iconpenaltieslow staffing
Eastland County4201-starpenaltieslow staffing
Hill County4101-starpenaltieslow staffing
Cass County4101-starpenaltieslow staffing
Wilson County4105-star1-starpenaltieslow staffing
Wise County4211-starabuse iconpenaltieslow staffing
Burnet County400penaltieslow staffing
Washington County4221-starabuse iconpenaltieslow staffing
Colorado County4215-star1-starabuse iconpenaltieslow staffing
Jim Wells County3111-starabuse iconpenaltieslow staffing
Lampasas County3201-starpenaltieslow staffing
Titus County3311-starabuse iconpenaltieslow staffing
Shelby County301abuse iconpenaltieslow staffing
Young County3115-star1-starabuse iconpenaltieslow staffing
Matagorda County300penaltieslow staffing
Comanche County300penaltieslow staffing
Harrison County300penaltieslow staffing
Medina County3105-star1-starpenaltieslow staffing
Erath County3105-star1-starpenaltieslow staffing
Hamilton County3005-starpenaltieslow staffing
Panola County300penaltieslow staffing
Rusk County3121-starabuse iconpenaltieslow staffing
Karnes County3105-star1-starpenaltieslow staffing
Gray County3005-starpenaltieslow staffing
Lamb County3101-starpenaltieslow staffing
Robertson County300penaltieslow staffing
Jasper County3005-starpenaltieslow staffing
Freestone County3005-starpenaltieslow staffing
San Augustine County300penaltieslow staffing
Orange County3205-star1-starpenaltieslow staffing
Val Verde County3005-starpenaltieslow staffing
Walker County3015-starabuse iconpenaltieslow staffing
Howard County3005-starpenaltieslow staffing
Randall County300penaltieslow staffing
Bosque County3211-starabuse iconpenaltieslow staffing
Maverick County3111-starabuse iconpenaltieslow staffing
Houston County3005-starpenaltieslow staffing
Trinity County3105-star1-starpenaltieslow staffing
Milam County3101-starpenaltieslow staffing
Nolan County200low staffing
Uvalde County2101-starpenaltieslow staffing
Hale County2005-starpenaltieslow staffing
Palo Pinto County200penaltieslow staffing
Bee County201abuse iconpenaltieslow staffing
Montague County2105-star1-starpenaltieslow staffing
Hockley County200penaltieslow staffing
Red River County201abuse iconpenaltieslow staffing
Aransas County200penaltieslow staffing
Hutchinson County200penaltieslow staffing
Calhoun County2101-starpenaltieslow staffing
Moore County2005-starlow staffing
Somervell County201abuse iconpenaltieslow staffing
Coleman County200penalties
Terry County2005-starpenaltieslow staffing
Callahan County2005-starlow staffing
Jones County200penaltieslow staffing
Knox County2005-starpenaltieslow staffing
Llano County200penaltieslow staffing
Parmer County2101-starpenaltieslow staffing
Lee County2211-starabuse iconpenaltieslow staffing
Tyler County2101-starpenaltieslow staffing
Gonzales County200low staffing
Jackson County200penaltieslow staffing
Falls County2005-starpenaltieslow staffing
Crosby County2111-starabuse iconpenaltieslow staffing
San Patricio County200penaltieslow staffing
Runnels County200penaltieslow staffing
Mills County2005-starpenalties
Grimes County2101-starpenaltieslow staffing
Kleberg County200penaltieslow staffing
Coke County2005-star
Upshur County2111-starabuse iconpenaltieslow staffing
Chambers County2201-starpenaltieslow staffing
Madison County200penaltieslow staffing
Burleson County2101-starpenaltieslow staffing
Bandera County200penaltieslow staffing
Sabine County2105-star1-starpenaltieslow staffing
Starr County200penaltieslow staffing
Austin County200low staffing
Castro County2105-star1-starpenaltieslow staffing
Armstrong County100low staffing
Concho County100low staffing
Frio County1005-starpenaltieslow staffing
Jack County100penaltieslow staffing
Clay County1101-starpenaltieslow staffing
Wilbarger County100low staffing
Dawson County100penaltieslow staffing
Schleicher County100
Upton County100low staffing
Crockett County100
Sherman County1005-star
Reagan County100penalties
Lipscomb County100
Hansford County100
Hemphill County100
Foard County1005-starlow staffing
Haskell County1005-star
Camp County101abuse iconpenaltieslow staffing
Baylor County100low staffing
Childress County100low staffing
Leon County100penalties
Live Oak County101abuse iconpenaltieslow staffing
Duval County1005-starlow staffing
Marion County1101-starpenaltieslow staffing
Stephens County1005-star
Goliad County100low staffing
Dimmit County1005-star
Willacy County100low staffing
San Jacinto County1101-starpenaltieslow staffing
Ward County100low staffing
Wheeler County100penaltieslow staffing
Brooks County1005-star
Scurry County100penaltieslow staffing
Waller County100penaltieslow staffing
Garza County100low staffing
Pecos County100penaltieslow staffing
Morris County1101-starpenalties
Jim Hogg County100
Delta County100low staffing
Deaf Smith County100
Sterling County1005-starpenalties
Reeves County100low staffing
Crane County100penaltieslow staffing
Real County100penaltieslow staffing
Collingsworth County100low staffing
Ochiltree County1005-star
Hall County100penaltieslow staffing
Menard County100penalties
Mc Culloch County1005-starpenalties
Newton County1111-starabuse iconpenalties
Stonewall County100penaltieslow staffing
Bailey County1101-starpenalties
Rains County100low staffing
Andrews County1005-starpenalties
Zapata County100low staffing
Mitchell County100low staffing
Yoakum County1005-starpenalties
La Salle County100low staffing
Motley County100low staffing
San Saba County1005-starlow staffing
Donley County100penaltieslow staffing
Franklin County100penalties
Blanco County1101-starpenaltieslow staffing
Refugio County100penaltieslow staffing
Kent County100penalties
Gaines County1005-star

Nursing homes by city · most facilities first

City pages list every CMS-certified nursing home in the city with its CMS ratings and records.

+ 381 more cities in the sitemap and on each facility page.

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 can I compare nursing homes in Texas?

Use the county table below or the search filters to compare facilities on the same CMS fields — ratings, federal penalty records, payment denials, and the CMS abuse icon. See the guide on how to compare nursing homes.

How do I verify a Texas nursing home 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 from the CMS records included in this dataset for Texas. 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.