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Nursing home safety in Texas

Texas has 843 Medicare-certified nursing homes. They average 2.55 out of 5 CMS stars (0.43 worse than the national average), carry 29 health-inspection citations each, and 103 are flagged in the records analyzed by CMS for abuse. Federal penalties total $42,152,516. Every flagged and top-rated home is named below.

Source: CMS Care Compare records in Haven’s directory, which may lag CMS updates. Free to cite with attribution to Haven.

Nursing homes
843
833 with a CMS rating
Average rating
2.55 / 5
0.43 worse than the national average
Flagged for abuse
103
12.2% of homes · national 9.9%
Federal penalties
$42,152,516
27 on Special Focus

Staffing in Texas averages 3.4 nurse hours per resident per day (0.49 worse than the national average). Citations average 29 per home (1.4 better than the national average)— though citation counts reflect how aggressively a state's survey agency inspects, so they compare poorly across state lines.

Texas homes CMS currently flags for abuse

CMS applies this icon when a facility was cited for abuse-related deficiencies on a recent inspection. It is a serious signal, not a verdict — read the specific citations, which are on each facility's page, and ask the administrator directly.

Special Focus Facilities in Texas

CMS's own list of homes with a persistent record of poor care. They are inspected about twice as often as other facilities and can be terminated from Medicare and Medicaid if they do not improve.

Highest-rated nursing homes in Texas

Four and five-star homes with no abuse flag and no Special Focus status, ordered by Haven's Scout Score (federal ratings, staffing, and inspection history). Rankings cannot be purchased.

CommunityCityCMS starsNurse hrs/day
The Methodist Hospital SNFHouston510.84947
Bayou ManorHouston55.2758
Mrc the CrossingsLeague City54.3479
C C Young Memorial HomeDallas55.30422
Trinity TerraceFort Worth54.11338
Longhorn VillageAustin55.71099
Hendrick Skilled Nursing FacilityAbilene59.6472
Sagecrest Alzheimers Care CenterSan Angelo54.72706
Laredo Medical CenterLaredo56.2656
Baylor Scott & White Continuing Care Hospital SkilTemple58.51398

Largest federal penalties in Texas

Civil monetary penalties follow serious deficiencies. A large fine history is a question to raise, not an automatic disqualification — some homes correct course, and the citations tell you which.

Browse Texas by area

Houston (159)Dallas (149)San Antonio (96)Fort Worth (93)Austin (59)Killeen (23)El Paso (22)Beaumont (22)McAllen (22)Longview (21)Lubbock (20)Corpus Christi (18)All Texas communities →

Texas nursing homes: common questions

How many nursing homes in Texas have been flagged for abuse?

103 of 843 CMS-certified nursing homes in Texas (12.2%) carry the federal abuse icon in the records analyzed, which CMS applies when a facility has been cited for abuse-related deficiencies on a recent inspection. The national rate is 9.9%. Every flagged home is named on this page.

What is the average nursing home rating in Texas?

Texas nursing homes average 2.55 out of 5 on the CMS overall star rating, across 833 rated facilities. The national average is 2.98. Staffing averages 3.4 total nurse hours per resident per day versus 3.89 nationally.

Which nursing homes in Texas are on the Special Focus list?

27 Texas facilities are designated a Special Focus Facility or candidate — CMS's list of homes with a persistent record of poor care, which face roughly double the normal inspection frequency and possible termination from Medicare and Medicaid. They are listed by name on this page.

How much have Texas nursing homes been fined?

Federal civil monetary penalties against Texas nursing homes total $42,152,516 in the current CMS release. Fines follow serious deficiencies, so a large penalty history is worth asking a facility about directly — they are required to discuss their inspection record with you.

Worried about a specific home in Texas?

Every facility page shows that home's own inspection record — what inspectors found, how severe, and when — alongside staffing and pricing. If you need help sorting real options fast, a Haven advisor is free to your family.

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