Best Nursing Homes in Texas
Compare 1,176 Medicare-certified nursing homes in Texas by CMS five-star quality rating.
Nursing Homes in Texas — by the numbers
Star-rating distribution — Texas
About 14.0% of Texas's population is aged 65 or older (4,362,712 residents), which shapes demand for nursing homes. Source: U.S. Census Bureau.
Highest-rated in Texas
Nursing Homes by city
By county
Anderson County · Andrews County · Angelina County · Aransas County · Armstrong County · Atascosa County · Austin County · Bailey County · Bandera County · Bastrop County · Baylor County · Bee County · Bell County · Bexar County · Blanco County · Bosque County · Bowie County · Brazoria County · Brazos County · Brooks County · Brown County · Burleson County · Burnet County · Caldwell County · Calhoun County · Callahan County · Cameron County · Camp County · Cass County · Castro County · Chambers County · Cherokee County · Childress County · Clay County · Coke County · Coleman County · Collin County · Collingsworth County · Colorado County · Comal County · Comanche County · Concho County · Cooke County · Coryell County · Crane County · Crockett County · Crosby County · Dallas County · Dawson County · De Witt County · Deaf Smith County · Delta County · Denton County · Dimmit County · Donley County · Duval County · Eastland County · Ector County · El Paso County · Ellis County · Erath County · Falls County · Fannin County · Fayette County · Foard County · Fort Bend County · Franklin County · Freestone County · Frio County · Gaines County · Galveston County · Garza County · Gillespie County · Goliad County · Gonzales County · Gray County · Grayson County · Gregg County · Grimes County · Guadalupe County · Hale County · Hall County · Hamilton County · Hansford County · Hardin County · Harris County · Harrison County · Haskell County · Hays County · Hemphill County · Henderson County · Hidalgo County · Hill County · Hockley County · Hood County · Hopkins County · Houston County · Howard County · Hunt County · Hutchinson County · Jack County · Jackson County · Jasper County · Jefferson County · Jim Hogg County · Jim Wells County · Johnson County · Jones County · Karnes County · Kaufman County · Kendall County · Kent County · Kerr County · Kleberg County · Knox County · La Salle County · Lamar County · Lamb County · Lampasas County · Lavaca County · Lee County · Leon County · Liberty County · Limestone County · Lipscomb County · Live Oak County · Llano County · Lubbock County · Madison County · Marion County · Matagorda County · Maverick County · Mc Culloch County · Mc Lennan County · Medina County · Menard County · Midland County · Milam County · Mills County · Mitchell County · Montague County · Montgomery County · Moore County · Morris County · Motley County · Nacogdoches County · Navarro County · Newton County · Nolan County · Nueces County · Ochiltree County · Orange County · Palo Pinto County · Panola County · Parker County · Parmer County · Pecos County · Polk County · Potter County · Rains County · Randall County · Reagan County · Real County · Red River County · Reeves County · Refugio County · Robertson County · Rockwall County · Runnels County · Rusk County · Sabine County · San Augustine County · San Jacinto County · San Patricio County · San Saba County · Schleicher County · Scurry County · Shelby County · Sherman County · Smith County · Somervell County · Starr County · Stephens County · Sterling County · Stonewall County · Tarrant County · Taylor County · Terry County · Titus County · Tom Green County · Travis County · Trinity County · Tyler County · Upshur County · Upton County · Uvalde County · Val Verde County · Van Zandt County · Victoria County · Walker County · Waller County · Ward County · Washington County · Webb County · Wharton County · Wheeler County · Wichita County · Wilbarger County · Willacy County · Williamson County · Wilson County · Wise County · Wood County · Yoakum County · Young County · Zapata County
How are these ratings calculated?
The CMS five-star quality rating comes from the Centers for Medicare & Medicaid Services. Read our plain-language explainer for nursing homes to understand exactly what each star means — and what it does not.
Data as of June 20, 2026 · Source: CMS Provider Data Catalog.