zReports Research Institute · Updated August 2026
Texas has 1,176 active licensed nursing homes on the state's public file. zReports analyzed CMS Nursing Home 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.
| Statistic | Value |
|---|---|
| Active licensed nursing homes | 1,176 |
| Cities covered | 440 |
| Statewide average records layer score | 67.5 |
| Grade A facilities | 313 (26.6%) |
| Grade B facilities | 281 (23.9%) |
| Grade C facilities | 235 (20%) |
| Grade D facilities | 249 (21.2%) |
| Grade F facilities | 98 (8.3%) |
| Facilities with a clean record (no deficiencies on file) | 1,176 (100%) |
| Serious (high severity) findings on the record | 0 |
| Moderate findings on the record | 0 |
| Combined licensed capacity | 133,359 |
Average records layer score by city (cities with 10+ facilities), against the statewide average of 67.5.
| City | Facilities | Avg score | vs state |
|---|---|---|---|
| Corpus Christi | 12 | 71.7 | +4.2 |
| Amarillo | 12 | 70.3 | +2.8 |
| Abilene | 11 | 70.3 | +2.8 |
| Tyler | 13 | 68.6 | +1.1 |
| Houston | 60 | 68.1 | +0.6 |
| Austin | 25 | 66.5 | -1 |
| Dallas | 33 | 66.4 | -1.1 |
| San Antonio | 58 | 64.8 | -2.7 |
| El Paso | 21 | 56.1 | -11.4 |
#1 Baylor Scott & White Continuing Care Hospital Skil Temple · A
#2 Creekside Terrace Rehabilitation Belton · A
#3 Avir At Graham Graham · A
#4 Grand Terrace Rehabilitation And Healthcare Mcallen · A
#5 Hendrick Skilled Nursing Facility Abilene · A
#6 Riverside Oaks Victoria · A
#7 Windsor Nursing And Rehabilitation Center Of Harli Harlingen · A
#8 Advanced Rehabilitation And Healthcare Of Bowie Bowie · A
#9 Pecan Creek Healthcare Center Hamilton · A
#10 Texhoma Christian Care Center INC Wichita Falls · A
#11 John Paul II Nursing Home Kenedy · A
#12 Coldwater Manor Stratford · A
#13 Memorial Nursing And Rehabilitation Center Dumas · A
#14 St. Francis Nursing Home San Antonio · A
#15 Truman W Smith Children'S Care Center Gladewater · A
#16 Avir At Jacksonville Jacksonville · A
#17 Crowell Nursing Center Crowell · A
#18 Avir At Haskell Haskell · A
#19 Great Plains Nursing And Rehabilitation Dumas · A
#20 Electra Healthcare Center Electra · A
#21 Clyde Nursing Center Clyde · A
#22 Avir At Pampa Pampa · A
#23 Munday Nursing Center Munday · A
#24 Renaissance Rehabilitation And Healthcare Center Italy · A
#25 Focused Care At Hamilton Hamilton · A
Don't see a name? Search it. Every nursing home 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 nursing home 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 →
Nursing Homes 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 Nursing Home Compare data, the government’s own filings, not reviews or advertising.
Texas has 1,176 active licensed nursing homes on the state's public file, across 440 cities, with a combined licensed capacity of 133,359. Every one has a free records layer grade on zReports.
Houston, with 60 licensed nursing homes, followed by San Antonio (58) and Dallas (33).
The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Nursing Home Compare data, through one fixed rule, applied identically to every nursing home 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 August 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™ v2026.08 · 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: August 2026
APA, zReports Research Institute. (2026). Texas Nursing Home Rankings & Safety Report (v2026.08). zReports.org. https://zreports.org/rankings/nursing/tx
MLA, zReports Research Institute. “Texas Nursing Home Rankings & Safety Report.” zReports.org, v2026.08, August 2026, zreports.org/rankings/nursing/tx.
Plain, Texas Nursing Home Rankings & Safety Report, zReports Research Institute, v2026.08, updated August 2026, zreports.org/rankings/nursing/tx