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Texas Home Health Agency Rankings & Safety Report

zReports Research Institute · Updated October 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.10 Facilities analyzed1,839 Government sourcesthe Centers for Medicare & Medicaid Services (CMS) Last updatedOctober 2026 MethodologyConsumer Z Score™ · Database v2026.10

Texas has 1,839 active licensed home health agencys on the state's public file. zReports analyzed CMS Home Health Compare data to produce a records layer grade for every one, the government's own verdicts, mapped through one fixed rule. No facility can pay to change a score, and the grade is free.

Key findings

1,839active licensed home health agencys across 275 Texas cities appear on the state's public file.
81.9%hold an A or B records layer grade, while 57 carry a D or F.
79.7is the statewide average records layer score across all graded home health agencys.
Longviewis the highest-scoring larger city (12 facilities, average score 86.3).
Houstonhas the most licensed home health agencys in the state (255).

Key statistics

StatisticValue
Active licensed home health agencys1,839
Cities covered275
Statewide average records layer score79.7
Grade A facilities1,154 (62.8%)
Grade B facilities352 (19.1%)
Grade C facilities276 (15%)
Grade D facilities57 (3.1%)
Facilities with a clean record (no deficiencies on file)1,839 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0

How cities compare

Average records layer score by city (cities with 10+ facilities), against the statewide average of 79.7.

CityFacilitiesAvg scorevs state
Longview1286.3+6.6
Lubbock1385.9+6.2
Desoto1084.7+5
Irving2383.6+3.9
Plano4783.1+3.4
Lewisville1783.1+3.4
Tyler1683.1+3.4
Beaumont1482.9+3.2
Edinburg1264.8-14.9

By city

Houston (255)Dallas (128)San Antonio (74)El Paso (58)Garland (57)Plano (47)Arlington (47)Richardson (41)Laredo (39)Mesquite (38)Mcallen (37)Sugar Land (33)Carrollton (29)Austin (28)Corpus Christi (25)Stafford (24)Katy (24)Richmond (24)Irving (23)Fort Worth (22)Missouri City (20)Grand Prairie (18)Lewisville (17)Tyler (16)Brownsville (15)Beaumont (14)Lubbock (13)Longview (12)Wichita Falls (12)Round Rock (12)Edinburg (12)Sherman (11)Lufkin (11)Harlingen (10)Amarillo (10)Alice (10)Desoto (10)Weslaco (10)Paris (9)Duncanville (9)Mission (9)Abilene (8)Odessa (8)Pharr (8)Spring (8)Waco (7)Temple (7)Pearland (7)Allen (7)Farmers Branch (7)Wylie (7)Midland (6)Cypress (6)Texarkana (6)Victoria (6)Frisco (6)Denton (6)Eagle Pass (6)Mckinney (6)Tomball (5)Humble (5)San Angelo (5)College Station (5)Sunnyvale (5)Rockwall (5)Cedar Hill (5)Palestine (5)League City (5)Rowlett (5)Rio Grande City (5)Greenville (5)Mansfield (5)Athens (4)Addison (4)Flower Mound (4)Nacogdoches (4)Pasadena (4)Murphy (4)Baytown (4)Bedford (4)Euless (4)Texas City (4)New Braunfels (4)Kingwood (4)Palmview (4)Friendswood (4)Rosenberg (4)Pantego (4)Big Spring (3)Mount Pleasant (3)Bridge City (3)Midlothian (3)Conroe (3)The Woodlands (3)Nederland (3)Weatherford (3)Jasper (3)Sulphur Springs (3)Bellaire (3)Terrell (3)Angleton (3)Hurst (3)Royse City (3)Marble Falls (3)Bay City (3)Lancaster (3)Grapevine (3)Waxahachie (3)Georgetown (3)Keller (3)Corinth (3)Van Alstyne (3)Buda (2)Donna (2)Fredericksburg (2)Decatur (2)Pilot Point (2)Marshall (2)Livingston (2)Killeen (2)Henderson (2)Beeville (2)Whitesboro (2)Kerrville (2)Brownwood (2)Galveston (2)Burleson (2)Webster (2)Boerne (2)Atlanta (2)Pittsburg (2)Graham (2)Ft Worth (2)Bryan (2)Woodville (2)Robstown (2)Denison (2)La Joya (2)Prosper (2)Granbury (2)Kyle (2)Cedar Park (2)Wharton (2)Rockport (2)La Feria (2)Oak Point (2)The Colony (2)Wills Point (2)North Richland Hills (2)Zapata (2)Brenham (2)Little Elm (2)Benavides (1)San Marcos (1)Vernon (1)Eastland (1)Childress (1)Cameron (1)Mount Vernon (1)Plainview (1)Wellington (1)Clarendon (1)Malakoff (1)Andrews (1)Gonzales (1)Perryton (1)Snyder (1)Gatesville (1)Clifton (1)Cuero (1)Port Lavaca (1)Ballinger (1)Clint (1)Fresno (1)Clute (1)Seymour (1)Floresville (1)Benbrook (1)Winters (1)San Juan (1)Knox City (1)Teague (1)Huntsville (1)Lake Jackson (1)Kirbyville (1)Kenedy (1)Fort Stockton (1)Jacksonville (1)Colorado City (1)Pearsall (1)Sweetwater (1)Hutto (1)Crosbyton (1)Edna (1)Jourdanton (1)Electra (1)Burnet (1)Early (1)Pecos (1)Seguin (1)Henrietta (1)Crystal City (1)Nocona (1)Hamilton (1)Brownfield (1)Canadian (1)Mason (1)Kingsville (1)Borger (1)Wheeler (1)Friona (1)Stephenville (1)Commerce (1)Marlin (1)Orange (1)Clarksville (1)Anahuac (1)Tiki Island (1)Chester (1)Southlake (1)Corsicana (1)Stanton (1)Sealy (1)Forney (1)Liberty (1)Seabrook (1)Montgomery (1)Cleburne (1)Kaufman (1)Sugarland (1)La Grulla (1)Bogata (1)Castroville (1)Yorktown (1)Mercedes (1)Hughes Springs (1)Crosby (1)Falfurrias (1)San Benito (1)Edcouch (1)Farmers Branch, (1)Albany (1)Gainsville (1)Gainesville (1)Huffman (1)Balch Springs (1)Ennis (1)New Caney (1)Manor (1)Schulenburg (1)Dalworthington Gardens (1)San Diego (1)Roma (1)Aledo (1)Canton (1)Madisonville (1)Cooper (1)Bastrop (1)Alpine (1)Whitney (1)Coleman (1)Groves (1)Schertz (1)Hitchcock (1)Ben Wheeler (1)Hickory Creek (1)Heartland (1)Manvel (1)Buna (1)Bartonville (1)Willis (1)Lindale (1)Pottsboro (1)Raymondville (1)Highlands (1)

Statewide top 25

#1 Centerwell Home Health Big Spring · A

#2 Accentcare Home Health Of Texas Longview · A

#3 Centerwell Home Health El Paso · A

#4 Choice Health At Home Beaumont · A

#5 New Vision Home Health Services INC Desoto · A

#6 All Care Professional Home Health INC Arlington · A

#7 Lifecare Health Services Longview · A

#8 Tawl Health Care INC Houston · A

#9 United Home Care Harlingen · A

#10 Total Home Care INC Houston · A

#11 Cuidado Casero Home Health Lubbock Lubbock · A

#12 Centerwell Home Health Lubbock · A

#13 Reliant At Home Tyler · A

#14 Choice Homecare Katy · A

#15 Health Care Unlimited, INC. Mcallen · A

#16 Ace Healthcare Services INC Missouri City · A

#17 Providian Health Care Pearland · A

#18 Lone Star Home Health Services Irving · A

#19 Angel Bright Home Health INC Corpus Christi · A

#20 Texas Healthcare Solutions, INC. San Antonio · A

#21 All About Home Care, INC. Houston · A

#22 Ultimate Home Health Care Mesquite · A

#23 Xtra-Care Home Health INC Houston · A

#24 Alpine Care Home Health San Antonio · A

#25 Royalty Care Home Health Services INC Round Rock · A

Don't see a name? Search it. Every home health agency has an answer.

Methodology

The free grade on this page contains zero zReports judgment: it maps the state's own published licensing and enforcement verdicts through one fixed rule, applied identically to every home health agency in America. Where the record and public reputation diverge, a highly reviewed facility with serious findings on file, the paid Consumer Intelligence Report™ surfaces it through the composite Consumer Z Score™ and our published ten point methodology. Facilities are never contacted and cannot pay to change a score. Read the full methodology →

About home health agency licensing in Texas

Home Health Agencys in Texas are overseen by the Centers for Medicare & Medicaid Services (CMS), whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS Home Health Compare data, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many home health agencys are there in Texas?

Texas has 1,839 active licensed home health agencys on the state's public file, across 275 cities. Every one has a free records layer grade on zReports.

Which Texas city has the most home health agencys?

Houston, with 255 licensed home health agencys, followed by Dallas (128) and San Antonio (74).

How are Texas home health agency grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Home Health Compare data, through one fixed rule, applied identically to every home health agency in the country. The paid Consumer Intelligence Report™ adds the composite Consumer Z Score™, which audits the record against public reputation through our published ten point methodology.

Why can a facility with 5-star reviews have a low grade?

Reviews and records are different surfaces. Reviews reflect what visitors chose to write, and can be managed by the business. Inspection and enforcement records are filed by the state, are mandatory, and cannot be edited by the facility. When the two diverge, the record is the surface worth checking. That divergence is exactly what zReports was built to surface.

How often are these rankings updated?

Rankings refresh whenever Texas republishes its licensing data; facility pages carry the records-verified date for each provider. This page was generated from the current file as of October 2026.

Can a facility pay to change its score?

No. Facilities are never contacted, never notified, and cannot pay to be listed, delisted, or re-scored. zReports has no business relationship with any facility it grades, independence is the product.

Data Provenance

This report was generated from the zReports Consumer Records Database™, a continuously updated database that normalizes official government licensing, inspection, enforcement, ownership, and safety records across multiple federal and state agencies. Every statistic in this report is traceable to its originating public record. Facilities cannot pay to alter scores, rankings, or findings.

Data source: zReports Consumer Intelligence Database™ v2026.10 · Built from: CMS Provider Data Catalog · HHS OIG Exclusions List (LEIE) · Public consumer review signals (audited, never trusted, in the composite Consumer Z Score™) · Proprietary Consumer Z Score™ methodology · Updated: October 2026

Cite this report

APA, zReports Research Institute. (2026). Texas Home Health Agency Rankings & Safety Report (v2026.10). zReports.org. https://zreports.org/rankings/homehealth/tx

MLA, zReports Research Institute. “Texas Home Health Agency Rankings & Safety Report.” zReports.org, v2026.10, October 2026, zreports.org/rankings/homehealth/tx.

Plain, Texas Home Health Agency Rankings & Safety Report, zReports Research Institute, v2026.10, updated October 2026, zreports.org/rankings/homehealth/tx

Related research

Home Health Agencys in all states → Houston rankings →Dallas rankings →San Antonio rankings → zReports Data Blog → How the Consumer Z Score™ works →