zReports Research Institute · Updated September 2026
Texas has 467 active licensed hospitals on the state's public file. zReports analyzed CMS Hospital Compare general information and quality 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.
| Statistic | Value |
|---|---|
| Active licensed hospitals | 467 |
| Cities covered | 262 |
| Statewide average records layer score | 82.9 |
| Grade A facilities | 354 (75.8%) |
| Grade B facilities | 69 (14.8%) |
| Grade C facilities | 37 (7.9%) |
| Grade D facilities | 7 (1.5%) |
| Facilities with a clean record (no deficiencies on file) | 467 (100%) |
| Serious (high severity) findings on the record | 0 |
| Moderate findings on the record | 0 |
| General Acute Care Hospital | 298 |
| Critical Access Hospital | 93 |
| Psychiatric Hospital | 60 |
| Children'S Hospital | 16 |
Average records layer score by city (cities with 10+ facilities), against the statewide average of 82.9.
| City | Facilities | Avg score | vs state |
|---|---|---|---|
| San Antonio | 19 | 85.5 | +2.6 |
| Fort Worth | 13 | 85 | +2.1 |
| Houston | 28 | 84.9 | +2 |
| Austin | 15 | 83.8 | +0.9 |
| Dallas | 19 | 82.3 | -0.6 |
| El Paso | 11 | 74.6 | -8.3 |
#1 Baylor Scott & White Medical Center - Temple Temple · A
#2 Baylor Scott & White Medical Center At Irving Irving · A
#3 Knapp Medical Center Weslaco · A
#4 Texas Health Harris Methodist Hospital Cleburne Cleburne · A
#5 Ut Health East Texas Carthage Hospital Carthage · A
#6 Houston Methodist Hospital Houston · A
#7 Houston Methodist Baytown Hospital Baytown · A
#8 Matagorda Regional Medical Center Bay City · A
#9 Ut Health East Texas Henderson Hospital Henderson · A
#10 Va Amarillo Healthcare System Amarillo · A
#11 Houston Methodist Clear Lake Hospital Nassau Bay · A
#12 Texas Health Presbyterian Hospital Denton Denton · A
#13 Houston Va Medical Center Houston · A
#14 Texas Health Harris Methodist Hospital Southwest F Fort Worth · A
#15 Houston Methodist Sugarland Hospital Sugar Land · A
#16 Houston Methodist Willowbrook Hospital Houston · A
#17 Baylor Scott & White Heart & Vascular Hospital - Dallas Dallas · A
#18 Baylor Scott & White Texas Spine & Joint Hospital Tyler · A
#19 Baylor Scott & White Medical Center - Centennial Frisco · A
#20 The Heart Hospital Baylor Denton Denton · A
#21 San Antonio Va Medical Center (Va South Texas Healthcare System) San Antonio · A
#22 Ascension Seton Highland Lakes Burnet · A
#23 Texas Health Presbyterian Hospital Rockwall Rockwall · A
#24 Texas Health Presbyterian Hospital Flower Mound Flower Mound · A
#25 Houston Methodist West Hospital Houston · A
Don't see a name? Search it. Every hospital has an answer.
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 hospital 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 →
Hospitals in Texas are overseen by the state's licensing authority, whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS Hospital Compare general information and quality data, the government’s own filings, not reviews or advertising.
Texas has 467 active licensed hospitals on the state's public file, across 262 cities. Every one has a free records layer grade on zReports.
Houston, with 28 licensed hospitals, followed by Dallas (19) and San Antonio (19).
The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Hospital Compare general information and quality data, through one fixed rule, applied identically to every hospital 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.
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.
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 September 2026.
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.
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™ v2026.09 · 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: September 2026
APA, zReports Research Institute. (2026). Texas Hospital Rankings & Safety Report (v2026.09). zReports.org. https://zreports.org/rankings/hospital/tx
MLA, zReports Research Institute. “Texas Hospital Rankings & Safety Report.” zReports.org, v2026.09, September 2026, zreports.org/rankings/hospital/tx.
Plain, Texas Hospital Rankings & Safety Report, zReports Research Institute, v2026.09, updated September 2026, zreports.org/rankings/hospital/tx