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Nursing homes in Texas

Texas has 1,177 certified nursing homes in 217 counties. Select a county or a city to see its homes in one table.

Counties

Counties of Texas with a certified nursing home, in order of name
CountyHomesCertified bedsMedian overall ratingCitations for each 100 bedsFines
Anderson6693416.7$436,593
Andrews111257.1$20,865
Angelina8920225.7$541,477
Aransas2212412.7$0
Armstrong166331.8$0
Atascosa5364247.5$260,934
Austin2175428.0$0
Bailey174135.1$14,069
Bandera2180233.3$100,293
Bastrop5564220.9$159,840
Baylor190522.2$0
Bee2221415.4$38,687
Bell161,810223.7$552,006
Bexar627,679231.5$2,818,511
Blanco160146.7$67,994
Bosque3332116.3$87,951
Bowie7670149.1$691,465
Brazoria131,510317.4$335,167
Brazos7752132.2$174,567
Brooks196424.0$0
Brown7692315.0$210,470
Burleson2202328.7$59,937
Burnet4430414.0$154,487
Caldwell5410232.2$189,387
Calhoun2278321.2$21,720
Callahan2122517.2$0
Cameron141,673320.7$210,754
Camp1102430.4$106,438
Cass4428436.9$463,860
Castro2168533.9$47,932
Chambers2244127.9$142,934
Cherokee6610225.9$326,387
Childress1120225.8$0
Clay160190.0$204,137
Coke2125527.2$0
Coleman2160418.1$64,218
Collin222,640419.5$197,447
Collingsworth176319.7$13,070
Colorado4415419.3$18,760
Comal6816229.9$244,339
Comanche3356413.2$62,078
Concho166419.7$0
Cooke4441329.7$115,670
Coryell4453417.9$36,598
Crane1110230.0$42,357
Crockett150512.0$0
Crosby299260.6$303,179
Dallam167Not rated3.0$0
Dallas8110,664222.7$3,486,858
Dawson180320.0$10,692
DeWitt3300421.3$24,819
Deaf Smith1120411.7$0
Delta1100413.0$0
Denton181,957329.5$492,479
Dimmit110055.0$0
Donley161336.1$7,551
Duval19057.8$0
Eastland4266432.7$99,682
Ector6653320.8$291,169
El Paso222,585147.7$1,209,807
Ellis101,279316.3$206,528
Erath3270420.4$204,614
Falls2171512.9$21,825
Fannin5547240.4$580,611
Fayette5508326.2$135,812
Foard167422.4$0
Fort Bend151,512322.1$987,557
Franklin195224.2$29,438
Freestone3261411.1$19,412
Frio1150416.0$14,255
Gaines140435.0$0
Galveston121,478316.2$692,410
Garza165316.9$0
Gillespie4389339.8$118,735
Goliad190524.4$0
Gonzales2212429.7$0
Gray3272418.8$17,155
Grayson111,354223.5$408,068
Gregg121,438133.7$1,835,762
Grimes2297322.2$105,594
Guadalupe8976235.3$281,123
Hale2214324.8$19,190
Hall172227.8$19,754
Hamilton3234418.4$31,552
Hansford160316.7$0
Hardin5497327.0$151,993
Harris9711,621219.1$5,126,340
Harrison3422325.1$81,701
Haskell168526.5$0
Hays6727322.1$347,244
Hemphill148333.3$0
Henderson6668321.0$566,145
Hidalgo222,772319.4$641,849
Hill4382225.7$218,151
Hockley2207426.6$26,797
Hood4501220.4$103,868
Hopkins4487335.5$102,851
Houston3286329.7$433,115
Howard3397416.9$29,436
Hunt5585341.7$152,347
Hutchinson2230225.7$50,452
Jack1104420.2$23,813
Jackson2211417.1$8,422
Jasper3335415.2$9,113
Jefferson141,745224.0$1,815,952
Jim Hogg160216.7$13,065
Jim Wells3441213.2$174,981
Johnson91,135315.2$325,190
Jones2172236.0$36,875
Karnes3238129.8$133,696
Kaufman8854244.6$905,052
Kendall6532239.3$420,217
Kent160245.0$187,081
Kerr4609141.4$287,217
Kleberg2266414.7$8,190
Knox2127428.3$8,018
La Salle160426.7$0
Lamar5577239.2$269,116
Lamb3190242.6$60,106
Lampasas3260132.7$126,861
Lavaca6635323.0$22,451
Lee2186147.8$233,169
Leon174333.8$54,592
Liberty4438321.0$378,990
Limestone5392316.8$58,866
Lipscomb140345.0$0
Live Oak196217.7$56,980
Llano2218221.6$40,170
Lubbock151,752228.4$451,881
Madison2196231.6$27,679
Marion1116237.9$16,498
Matagorda3325220.0$34,450
Maverick3332225.6$47,130
McCulloch1106521.7$10,527
McLennan182,414217.9$807,399
Medina3287324.0$19,096
Menard140342.5$8,018
Midland5525228.4$31,788
Milam3293223.9$59,497
Mills2146522.6$32,545
Mitchell154340.7$0
Montague2269513.4$0
Montgomery121,673313.0$270,950
Moore216657.2$0
Morris1106150.0$321,040
Motley150460.0$0
Nacogdoches4487317.5$231,426
Navarro6642417.1$44,481
Newton184131.0$144,761
Nolan2175418.3$0
Nueces141,745324.3$389,198
Ochiltree160533.3$0
Orange3364123.6$236,646
Palo Pinto2215415.8$41,036
Panola3303335.3$218,444
Parker9986317.4$313,062
Parmer2158429.7$23,430
Pecos1120215.8$0
Polk4451421.7$99,860
Potter91,017322.4$300,678
Rains168341.2$0
Randall3346226.0$36,002
Reagan136333.3$111,168
Real186134.9$86,254
Red River2252326.2$5,211
Reeves189241.6$0
Refugio190227.8$37,698
Robertson3252329.8$24,369
Rockwall5766318.1$79,876
Runnels2232310.8$8,936
Rusk4525225.9$553,164
Sabine2179521.2$29,226
San Augustine3285324.6$102,752
San Jacinto1100132.0$31,330
San Patricio2187526.2$119,462
San Saba17254.2$0
Schleicher134438.2$0
Scurry180232.5$15,631
Shelby3349420.1$279,674
Sherman126534.6$0
Smith171,985219.7$2,414,721
Somervell2220517.3$17,128
Starr2230419.6$13,514
Stephens19259.8$0
Sterling144429.5$0
Stonewall153418.9$8,281
Tarrant718,956224.6$4,732,809
Taylor121,183230.3$762,480
Terry2162534.0$27,738
Titus3362153.3$443,062
Tom Green8869320.0$348,473
Travis283,203326.3$1,923,757
Trinity3227339.6$351,988
Tyler2179422.3$23,104
Upshur2205153.7$184,067
Upton130246.7$0
Uvalde2315218.7$92,894
Val Verde3256330.1$155,330
Van Zandt6565410.3$193,548
Victoria4454326.7$55,479
Walker3246421.5$14,069
Waller1130235.4$25,797
Ward192334.8$0
Washington3289323.9$50,052
Webb6762317.2$159,723
Wharton4447121.5$176,589
Wheeler190514.4$0
Wichita101,103414.1$94,530
Wilbarger1120414.2$0
Willacy1120127.5$0
Williamson151,805321.9$567,693
Wilson4515319.6$142,268
Wise4446216.4$68,547
Wood5525135.2$170,214
Yoakum160516.7$0
Young3325415.7$34,690
Zapata159330.5$0

Citations are the health citations of the last three survey cycles. Fines are the fines in the CMS penalties file, about three years.

Cities

Cities with two or more certified nursing homes. The number is the count of homes.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed the data on .

Texas in figures

The nursing homes in Texas have 133,408 certified beds. They have about 88,704 residents on an average day. 48% of the homes have a CMS overall rating of 1 or 2 stars. In the nation, the share is 41%. 134 homes have an overall rating of 5 stars.

The homes have 24.4 health citations for each 100 certified beds in the last three survey cycles. The figure for the nation is 26.8. CMS lists 1,759 fines with a total of $53,534,320 for these homes in its penalties file. CMS also lists 148 payment denials. 137 homes have the CMS abuse icon.

Nursing homes in Texas by CMS overall rating
Overall ratingHomesShareUS share
5 of 513411%20%
4 of 521018%19%
3 of 525622%19%
2 of 524421%20%
1 of 532127%21%

F-tags in the state

The requirements that the citations in this state name most often.

F-tags with the most citations in Texas, three survey cycles
F-tagRequirement (CMS text)Citations
F0880Provide and implement an infection prevention and control program.2,523
F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2,105
F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.1,804
F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.1,679
F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.1,508
F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.1,453
F0695Provide safe and appropriate respiratory care for a resident when needed.1,029
F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.954
F0677Provide care and assistance to perform activities of daily living for any resident who is unable.908
F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.758
F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.747
F0641Ensure each resident receives an accurate assessment.700

Chains in the state

Fines by year

The CMS penalties file holds about three years. The first year and the last year are not complete.

Fines for nursing homes in Texas by year, from the CMS penalties file
YearPenaltiesFines
2023317$7,870,971
2024757$22,336,240
2025645$18,792,389
2026188$4,534,720

Record by month

One page for each month: the surveys with citations, the penalties, and the changes in the CMS update of that month.

Monthly record of nursing homes in Texas, the latest month first
MonthSurveys with citationsCitationsPenaltiesFinesRecorded changes
August 2026000$00
July 202637976$132,9670
June 202628675217$384,1810
May 202627985430$742,0860
April 20263161,05335$746,6610
March 202627894840$1,078,1150
February 202625894525$668,8350
January 202627785435$781,8750
December 20253801,16323$489,8240
November 202531865528$713,2070
October 20256319746$710,4750
September 202517864060$1,666,8850
August 202524385964$1,694,1210
July 202524584659$1,815,9000
June 202524386854$1,599,8140
May 202527497070$2,146,6410
April 202527288763$1,818,3370
March 202525385455$1,903,7350
February 202525286270$2,675,3770
January 202523778653$1,558,0730
December 202418773049$1,385,1200
November 202421075960$1,780,8500
October 202422882545$1,498,9270
September 202424176751$1,389,5460

The site has no recorded change for Texas. It records changes at each CMS update.

Questions

How many nursing homes in Texas are Special Focus Facilities?
CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates. The table of homes on each county page and city page marks these homes.
Which F-tags have the most citations in Texas?
F-tag 880 has 2,523 citations in the last three survey cycles. F-tag 812 has 2,105. F-tag 656 has 1,804.
What changed in Texas in the last CMS update?
The site has no recorded change for Texas. At each CMS update, the site compares the tracked values of each home.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The CSV file on this page has one row for each home in Texas.