Texas · CMS Data August 2026
Highest-Rated Nursing Homes in Texas
Where Are the Highest-Rated Nursing Homes in Texas?
CMS Care Compare lists 344 nursing homes rated 4 or 5 stars overall by CMS in Texas, out of 1,177 certified nursing homes (data from August 2026). The most are in Houston (17), San Antonio (13) and Dallas (7). 134 hold the top rating of 5 stars.
- Matching homes
- 344
- All homes in Texas
- 1,177
- Rated 4 or 5 stars
- 344
- Average overall stars
- 4.4
How this list is made: CMS's overall star rating is 4 or 5 (out of 5). The overall rating combines health inspections, staffing and quality measures. Homes are ordered by CMS's overall rating, then its inspection rating.
- 1345 stars overall
- 2994+ stars for inspections
- 754+ stars for staffing
- 221No fines or payment denials
- 261Antipsychotic use below the national median
- 67Nonprofit
The Top 40 by CMS Rating
Stars are out of 5; blank cells are ratings CMS doesn't report for that home. Every matching home is on its city page, linked below.
Matching Homes by City
More About This List
Read how CMS star ratings work. For assisted living and memory care rules, Medicaid limits and the ombudsman, see senior care in Texas. For local services, call the Eldercare Locator at 1-800-677-1116.
Other lists for Texas: nursing homes that accept medicaid in Texas, nonprofit nursing homes in Texas, nursing homes with low antipsychotic use in Texas.
Frequently Asked Questions
How Many Highest-Rated Nursing Homes Are in Texas?
344 of the 1,177 CMS-certified nursing homes in Texas meet this rule: CMS's overall star rating is 4 or 5 (out of 5). The overall rating combines health inspections, staffing and quality measures.
Which Highest-Rated Nursing Home in Texas Rates Highest?
By CMS's overall rating, then its inspection rating, Advanced Rehabilitation and Healthcare of Bowie in Bowie (5 stars), Allegiant Wellness and Rehab in Crowley (5 stars) and Amarillo Medical Lodge in Amarillo (5 stars) rank highest. Visit and check the latest inspection report before you decide.
How Do You Check a Nursing Home in Texas?
Read its Care Compare page for the full inspection reports, visit at different times, and ask about staffing and openings. Texas's State Long-Term Care Ombudsman can answer questions about residents' rights.