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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 28.8 health-inspection citations each, and 110 are listed with an abuse icon by CMS in this source snapshot. Federal penalties total $44,241,533. CMS abuse-icon records and a separate star-record sample are named below.

Source: CMS Care Compare — Provider Information released 2026-08-06; source data last modified 2026-07-29. Free to cite with attribution to Haven.

CMS source snapshot: 20 days old. These are historical CMS fields from a dated source release, not live proof of availability, certification status, an inspection outcome, or an individual's care fit.

Nursing homes
843
832 with a CMS rating
Average rating
2.55 / 5
0.43 worse than the national average
Flagged for abuse
110
13% of homes · national 9.9%
Federal penalties
$44,241,533
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 28.8 per home (1.5 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 listed with a CMS abuse icon

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 in the linked record 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.

CMS four- and five-star records in Texas

Four and five-star homes with no abuse flag and no Special Focus status in this CMS snapshot. The first 10 are shown in neutral name order; these source fields are not a Haven recommendation.

CommunityCityCMS starsNurse hrs/day
Advanced Rehabilitation & Healthcare of Live Oak (opens the official CMS Care Compare record)Live Oak43.90052
Advanced Rehabilitation and Healthcare of Wichita (opens the official CMS Care Compare record)Wichita Falls43.43095
Allegiant Wellness and Rehab (opens the official CMS Care Compare record)Crowley53.83178
Amarillo Medical Lodge (opens the official CMS Care Compare record)Amarillo53.13972
Avir at Bellville (opens the official CMS Care Compare record)Bellville42.92462
Avir at Comfort (opens the official CMS Care Compare record)Comfort53.77464
Avir at Corpus Christi (opens the official CMS Care Compare record)Corpus Christi43.01286
Avir at Courtyard (opens the official CMS Care Compare record)Houston43.44623
Avir at Dripping Springs (opens the official CMS Care Compare record)Dripping Springs42.80444
Avir at Irving (opens the official CMS Care Compare record)Irving53.30652

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.

Texas nursing homes: common questions

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

110 of 843 CMS-certified nursing homes in Texas (13%) are listed with the federal abuse icon in the CMS snapshot used for this report. CMS applies the icon when a facility has been cited for abuse-related deficiencies on a recent inspection. The national rate in this same snapshot is 9.9%. Every listed 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 832 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 $44,241,533 in the CMS release used for this report. 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?

Open a named home's linked CMS record to review the source fields behind this report, then use the assessment and comparison tools to prepare questions, then confirm current price, availability, and care acceptance directly with each home.

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