Nursing Homes in Texas
Texas has 1176 Medicare- or Medicaid-certified nursing homes across 548 cities, with a statewide average CMS overall rating of 2.8 out of 5 stars. Browse by city below to compare CMS ratings, inspection history, and staffing, all sourced from official CMS data.
Total Facilities1176
Avg CMS Rating2.8/5 ★
Cities548
✦ CareQED Analysis
In Texas, 1,176 nursing home facilities have an average CMS overall star rating of 2.8 out of 5, which is 0.20 below the national average of 3.0; the rating distribution is 1 star: 260 facilities (22%), 2 star: 274 facilities (23%), 3 star: 255 facilities (22%), 4 star: 207 facilities (18%), and 5 star: 172 facilities (15%). Overall, 379 facilities (32%) are rated 4-5 stars while 534 facilities (46%) are rated 1-2 stars, and the state’s average rating is below the national benchmark by 0.20 points.
Texas has 133,630 total certified beds and an average total nurse staffing level of 3.4 hours per resident day (HPRD), with 98.7% of facilities Medicare-certified and 96.5% Medicaid-certified; there are 36 Special Focus Facilities on the CMS poor-performer watch list.
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- Wylie (2)
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- Weatherford (1)
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- Weslaco (1)
- West (1)
- Wharton (1)
- Whitesboro (1)
- Wichita Falls (2)
- Wimberley (1)
- Woodville (1)
- Yoakum (1)
- Yorktown (1)
- Yoakum (1)
- Zapata (1)
Frequently Asked Questions
How many nursing homes are in Texas?
Texas has 1176 Medicare- or Medicaid-certified nursing homes across 548 cities listed on CareQED.
What is the average nursing home rating in Texas?
Nursing homes in Texas have a statewide average CMS overall rating of 2.8 out of 5 stars.
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated: May 1, 2026.
CMS Survey Summary updated: May 1, 2026.
CMS Health Deficiencies updated: May 1, 2026.
CareQED Last Updated: June 22, 2026.